bsn semestr 2.pptx for nurses and lhvs bsn

Nursing process

1. NURSING PROCESS Prepared by Momal Menghwar Nursing lecturer BCNAHS

2. OBJECTIVES Define planning and types of planning? Define implementation and skills of implementation? Define evaluation and their types ?

3. Planning This is 3 rd phase of nursing process involves decision making and problem solving. In this phase nurse formulates the client goals (short term and long term) and decision strategies to prevent, reduce or eliminate the problem.

4. Planning Process Priority setting preferential orders for nursing strategies are made ex;respiratory loss highly priority . Goal setting ; The goal may be short or long term. In acute cases, immediate needs most goals are short term goal. Selecting strategies ; In this nursing strategies are selected to achieve the goal.

5. Implementation In this phase nurse puts the nursing care plan into action. Skills of implementation Cognitive skills; These include problem solving, decision making, critical thinking . Interpersonal skills ; use communication to solve patient health problems Te c hn i c a l s k i l ls. These include administration of drugs, bandaging, moving, lifting or doing any nursing procedures e.g. Lumber puncture, cat h ete r i z a t ion, en e ma,

6. Evaluation Evaluation is the fifth and last phase of the nursing process. To evaluate mean to judge that aim, target or goal is achieved or not. It is process to judge the actions. Evaluation has two main types: Formative evaluation Summative evaluation

7. PROBLEM AND ASSOCIATED FACTORS QUESTIONS PHYSICAL ASSESSMENT Nature of pain Describe your pain for me. Place your hand over the area that hurts or is uncomfortable. Observe nonverbal cues. Observe where patient points to pain; note if it radiates or is localized. Precipitating factors Do you notice if pain worsens during any activities or specific time of day? Is pain associated with movement? Observe if patient demonstrates nonverbal signs of pain during movement, positioning, swallowing. Severity Rate your pain on a scale of 0 to 10. Inspect area of discomfort; palpate for tenderness.

8. What type of interview techniques does the nurse use when asking these questions, “Do you have pain or cramping?” “Does the pain get worse when you walk?” (Select all that apply.) a.Active listening b.Open -ended questioning c.Closed -ended questioning d.Problem -oriented questioning

9. THANK YOU

10. References Erb, G., & Kozier, B. (1995). Fundamentals of Nursing: concepts, process and practice. (5th Edition). Addison - Welsy. Haines J. (2006). Lifeworks: Retrospective on nursing. CMAJ 2, 73(3): 288–289. Kockrow, C. (2006). Foundations and Adult Health Nursing (5th ed.). Mosby Elsevier.