Nursing process

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I moved your thread to nursing student assistance for best response.

We love to help with homework.....but we want to hear what you think first so we can help you mthink it out for your self. Our goal is to help you be the best nurse you can be.....and we do that by helping you critically thinking through problems.

You start the dialog and we will jump right in.

Here are the steps of the nursing process and what you should be doing in each step when you are doing a written care plan/care map: ADPIE.

1. Assessment (collect data from medical record, do a physical assessment of the patient, assess adls, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
   
2. Determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)
   
3. Planning (write measurable goals/outcomes and nursing interventions)
   
4. Implementation (initiate the care plan)
   
5. Evaluation (determine if goals/outcomes have been met)
   

Ok real life application paraphrased from our Beloved Daytonite.....

You are driving along and suddenly you hear a bang, you start having trouble controlling your car's direction and it's hard to keep your hands on the steering wheel. You pull over to the side of the road. "What's wrong?" You're thinking. You look over the dashboard and none of the warning lights are blinking. You decide to get out of the car and take a look at the outside of the vehicle. You start walking around it. Then, you see it..............a huge nail is sticking out of one of the rear tires and the tire is noticeably deflated.

What you have just done is.......

Step #1 of the nursing process--performed an assessment. You determine that you have a flat tire.

You have just done.....

Step #2 of the nursing process--made a diagnosis. The little squirrel starts running like crazy in the wheel up in your brain. "What do i do?" You are thinking. You could call AAA. No, you can save the money and do it yourself. You can replace the tire by changing out the flat one with the spare in the trunk. .......Good thing you took that class in how to do simple maintenance and repairs on a car!

You have just done.....

Step #3 of the nursing process--planning (developed a goal and intervention). You get the jack and spare tire out of the trunk, roll up your sleeves and get to work.

You have just done.....

Step #4 of the nursing process--implementation of the plan. After the new tire is installed you put the flat one in the trunk along with the jack, dust yourself off, take a long drink of that bottle of water you had with you and prepare to drive off. You begin slowly to test the feel as you drive....... Good....... Everything seems fine. The spare tire seems to be ok and off you go and on your way. You have just done

Step #5 of the nursing process--evaluation (determined if your goal was met).

Does this make more sense? Can you relate to that? That's about as simple as the nursing process can be simplified to... BUT........ you have the follow those 5 steps in that sequence or you will get lost in the woods and lose your focus of what you are trying to accomplish.

critical thinking involves knowing:

• the proper sequence of steps in the nursing process
  
• the normal anatomy and physiology of the human body
  
• how the normal anatomy and physiology are changed by the medical and disease process that are going on
  
• the normal medical treatment that the doctor(s) are likely to order to treat the medical and disease process going on
  
• the nursing interventions that you have learned for the things that support the medical and disease process that is going on
  
• making the connection (this is the critical thinking part) between the disease, the treatment and the nursing interventions and where on the sequence of the nursing process you are
  

So I am sure this is now clear as mud.......questions?

Check out this thread.....by VickiRn https://allnurses.com/nursing-student-assistance/student-resources-nursing-424826.html

Bianca7 I think it is implementation. It is not home work.

Thank you

Regardless.....we ask that we have your input first so we can best help you find the right answer or see what you aren't understanding so we can clarify it for you. We have many student that we help and each is at their own level.....asking for what you think is just a way of gathering the proper information so that we can give you the best response to help you be the best nurse that you can be....and yes implementation