What are the basic nursing concepts?

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the title asks it all.

What exactly are these basic nursing concepts? Are they the same as fundamentals?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

What program are you in?

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Specializes in Hospice.

For assessment? You mean ADPIE?

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What program are you in?

I'm in the LPN program

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For assessment? You mean ADPIE?

They were very vague. I asked again and was told they mean topics such as 'what is blood pressure? Why is it taken? What does it mean? How would you treat a diabetic?'

But I thought concepts were theory.

What is ADPIE and how does that work/is it applied?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I'm in the LPN program

I thought you graduated earlier this year?

RegenerativeNurse Sep 6

I've just recently graduated in May this year and passed my Nclex this past Monday. I've been looking for jobs but most require that golden year of experience. If anyone knows of any job openings in the Bronx and surrounding area please let me know. Thanks in advance! :)

That is what has me confused.

the biggest thing about a care plan is the assessment. the second is knowledge about the disease process........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: ADPIE

  • 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)
  • 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)
  • Planning (write measurable goals/outcomes and nursing interventions)
  • Implementation (initiate the care plan)
  • Evaluation (determine if goals/outcomes have been met)

A care plan is nothing more than the written documentation of the nursing process you use to solve one or more of a patient's nursing problems. The nursing process itself is a problem solving method that was extrapolated from the scientific method used by the various science disciplines in proving or disproving theories. One of the main goals every nursing school wants the Students to learn by graduation is how to use the nursing process to solve patient problems.

Just like you need a recipe care to make a cake from scratch. A care plan is your recipe card to caring for your patient and what to look for while you are caring for them.

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...ng-424826.html

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