incorporating the adpie in questions!

  1. I don't know this may be a stupid question but I need to ask!
    First let me say I passed my second exam with 76 this is passing! Thank God!!! I think my problem with the questions is how do I incorporate the adpie when it comes to answering a question. I just found out how to really understand this just a little while ago! and I think I understand it goes something like this correct!
    I understand when If it says priority or most important action it means assessing and use ABC!
    I am using the following this way please tell me if it is correct:
    Intervention=action
    Plan=goal
    Evaluation=teaching
    Is this the proper way to do I identify?

    Can somebody please help me and give me some feedback if this is correct! I only have 2 more tests and 1 final and it will deteremine if I pass or not!!

    Thanks 3 kidsmomma
    •  
  2. 7 Comments

  3. by   grinnurse
    I am not sure what the "D" stands for b/c our school taught APIE-but here is what I know-

    A=Assessment
    P=Planning (goals, how will you help the patient reach the goals, how will other team members help the patient reach the goals)
    I=intervention (action, referrals, teaching,etc)
    E=Evaluation (teaching effectiveness, medication effectiveness, treatment effectiveness etc,)

    When answering questions regarding what the nurse would do first, you also must never count out Maslow's Heirarchy (sp) of Needs. Physiologic first which not only consists of ABC but also of elimination probles, sexual problems, water, etc. If I would have understood that first semester and realized how it played into the nursing process, I would have made better test scores 2nd semester. Finally had a :smackingf moment near the end of that semester and increased grades by 4 points per test!!
  4. by   HappyNurse2005
    I am not sure what the "D" stands for b/c our school taught APIE-but here is what I know-
    D is for nursing "diagnosis"
  5. by   grinnurse
    Thanks-I knew it had to be something simple but, my brain is fried at this point!!
  6. by   HappyNurse2005
    Thanks-I knew it had to be something simple but, my brain is fried at this point!!
    lol, mine too! but i see we are both graduating hte same day...that explains the fried brain, doesn't it?
  7. by   Altra
    A = assess

    This is your assessment - it might be direct physical assessment of the patient, interviewing the pt. re: symptoms, history, etc., analysis of lab results, or any other data-gathering.

    D = diagnosis

    This is your diagnosis of the patient's problems (parallel to the medical diagnosis). What "problems" does the patient have that need to be "solved" or at least addressed?

    P = plan

    This is your plan of care -- what do you plan to do to care for the patient and why?

    I = interventions

    These are nursing interventions - med administration, assessment at certain intervals as appropriate, repositioning, monitoring vital signs or other assessment parameters, treatments, patient teaching, emotional support, etc.

    E = evaluation

    Evaluation of your care -- are the interventions having the intended effect? (i.e. - if you administered Tylenol for an elevated temp, is the temp now normal? or do you need to do something else?)

    HTH
  8. by   grinnurse
    Quote from RNinMay2005
    lol, mine too! but i see we are both graduating hte same day...that explains the fried brain, doesn't it?

    Not only does it "splain" the fried brain but also the hair turning gray and falling out, palpitations, paranoia, GERD, insomnia , delusional and hallucinatory thinking, flattened affect, etc!!!

    Thank goodness graduation isn't too far off

    Congratulations to us both for surving what I cheerfully refer to as my seasons in Purgatory!! LOL
  9. by   hanna74
    mlos

    thank you so much for that explenation, i have to do a direct observation( written and performed) and have to use ADPIE to do so, and was starting to panick as it was abit unclear how to use the headings but now all squared away
    cheers mate
    hanna

close