NURS 124 Chapter Notes - Chapter 13: Nursing Care Plan, Nursing Diagnosis, Tertiary Source
20 Jan 2019
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Nursing process - intellectual process of reasoning that nurses engage in when providing care; cognitive framework of holistic perspective used to id, diagnose, treat healht issues. Assessment, nursing diagnosis, planning, implementation, evaluation for client. Assessment - collection of pertinent data to client"s health status, situation. Diagnosis - nurse analyzes the assessment data to form nursing diagnosis; id outcomes. Planning - create formal plan that prescribes strategies and alternatives to attain expected. Evaluation - determine if interventions were effective outcomes. Collecting data (primary- from client) and (secondary- family, health providers, client record) to determine current/past health and determine client"s coping patterns. *note tertiary source = provide info outside client"s frame of reference like textboko or nurse"s personal experience. Critical thinking = foundational to comprehensive and accurate assessment; allows broader perspective. 4 components of critical thinking that impact assessment process. Knowledge- underlying disease process, physiology, health promotion, assessment/communication skills. Nurse begins by assessing comprehensive nursing health history (like in lab)
