I.

NURSING PROCESS
GRACIELA LOU F. MANA-AY, RN, MAN

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 I. NURSING
PROCESS
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 NURSING PROCESS

◆ Nursing is the diagnosis and treatment of human

responses to actual or potential health problems.
◆ Diagnosis and treatment are achieved through a process,
called the nursing process, that guides nursing practice.
◆ The nursing process is a systematic problem-solving
method that has five steps (ADPIE)

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 NURSING PROCESS

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 NURSING PROCESS: ASSESSMENT

◆ Assessment is the process of collecting, validating,

and clustering data.
◆ It is the first and most important step in the nursing
process.
◆ The assessment phase sets the tone for the rest of the
process, and the rest of the process flows from it.

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 NURSING PROCESS: NURSING DIAGNOSIS

◆ Formulating a nursing diagnosis involves identifying and

prioritizing actual or potential health problems or
responses.
◆ Once you have identified the diagnoses, you need to
prioritize them in order to develop a plan of care.

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 NURSING PROCESS: NURSING DIAGNOSIS
◆ ACTUAL NURSING DIAGNOSIS
• identifies an occurring health problem for your patient.
◆ POTENTIAL NURSING DIAGNOSIS
• identifies a high-risk health problem that most likely will occur
unless preventive measures are taken.
◆ POSSIBLE NURSING DIAGNOSIS
• is one that needs further data to support it.
◆ COLLABORATIVE PROBLEM
• is a potential medical complication that warrants both
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medical and nursing interventions.
 NURSING PROCESS: PLANNING

◆ The planning phase involves setting goals and outcomes:

1. Establish goals and determine measurable outcomes.
2. Identify nursing interventions needed to meet the
goals and outcomes.
3. Communicate your plan to both the patient and all
members involved in the plan of care.

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 NURSING PROCESS: IMPLEMENTATION

◆ It involves carrying out your plan to achieve goals and

outcomes.
◆ This is the “doing” phase of the nursing process, in which you
actually implement the nursing interventions in the plan.
◆ Continue to assess your patient’s responses and modify the
plan as needed.
◆ Be sure to document your care.

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 NURSING PROCESS: EVALUATION

◆ It involves determining the effectiveness of your plan.

◆ Once again, assess your patient’s response based on the
criteria you set for the outcome.
◆ If the goals and outcomes have not been met, you’ll need to
rethink the plan and work through the process again to
develop a more effective plan of care for your patient.

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