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Nursing Process
Nutt Week 7
13
Nursing
Graduate
10/09/2013

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Cards

Term
Medical Diagnosis vs. Nursing Diagnosis
Definition
Nurses bring you PEPSiD, doctors give you an ostomy

Physical
Emotional
Psychosocial
Spiritual
Developmental
Term
Nursing Process (in order)
Definition
ADPIE
Assess: SOA (no P)
Diagnose: PEPSiD
Plan: the P in SOAP, what ARRRR ya doin'?
Implement: Do it
Evaluate: how'd you do?
Term
Parts of Assessment
Definition
Charts
History
Subjective/Objective
Labs
Term
Types of Assessment
Definition
assess based on their FITE
Focused: specific, detailed
Initial: superficial, basic
Time Lapsed: check the same thing multiple different times to assess change (pain after meds)
Emergency: focused, less detailed, only concerned with priority involvement
Term
Nursing Diagnoses
Definition
Descriptions of actual health problems, potential health problems, and healthy responses thereto
Term
Diagnostic Statement
Definition
Problem, Etiology, Support
Pt presents w/ PROBLEM r/t ETIOLOGY aeb SUPPORT
(ex: SOB; lung occlusion; no improvement in spite of hyperventilation)
Term
Planning
Definition
Set priorities
sets client outcome (goal) and develops evaluative strategy
selects interventions
communicates plan
Term
Methods of Prioritization
Definition
Include but are not limited to:
Maslow's
CAB
triage
Term
3 types and 3 time-frames of outcomes
Definition
cognitive, psychomotor, and affective
short-term, long-term, and health promoting
Term
Parts of an Outcome
Definition
Subject, Verb, Conditions, Criteria, Time frame (SMART)
Pt (sub) will reach (verb) a pO2 (criterion) of 80 or higher (condition) in 48 hours (time)
Term
Types of interventions
Definition
Independent: a nurse can do it on their own
Dependent: a nurse must rely on another discipline to initiate this intervention
Collaborative: this intervention requires the action of several disciplines
Term
Implementation
Definition
carrying out of care plan, documenting actions and results
Term
Evaluation
Definition
Met: outcome was reached by care plan
Partially met: care plan is working, but outcome has not been reached (extend time frame)
Unmet: care plan is not working
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