Nursing Process ADPIE – Flashcards

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ADPIE
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Assessing, Diagnosing, Planning, Implementation , Evaluate
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Assessing (Def)
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The systematic, continuous collection, validation and documentation of data. It is carried out in all phases and focuses on the client's response to health problems. (4 steps)
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Assessing (steps)
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*Collect data *Organize data *Validate data *Document data
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Diagnosing (def)
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The reasoning process that uses critical thinking skills to interpret assessment dat to identify client's strengths/weaknesses. It is a statement or conclusion regarding a condition. (3 steps)
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Diagnosing (steps)
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*Analyze data *Identify health problems *Formulate a diagnostic statement
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Planning (def)
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A deliberate, systematic phase of the nursing care plan that involves decision making and problem solving. Nurse refers to assessment data and diagnostic statement for direction in formulating client goals and designs interventions designed to prevent/reduce/eliminate client's problem. (4 steps)
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Planning (steps)
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*Prioritze *Formulate diagnosis/goals *Select interventions *Write nursing interventions
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Implement (def)
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The action phase. Nurse performs interventions. The doing and documenting phase. Nurse may carry out or delegate. (5 steps)
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Implement (steps)
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*Reassess client *Determine need for assistance *Implement intervention *Supervise/delegate cares *Document activity
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Evaluate (def)
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A planned ongoing purposeful activity in which the client and healthcare proffesionals determine the client's progress towards the goal. (5 steps)
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Evaluate (steps)
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*Collect data *Compare to desired outcome *Relate nursing activities to desired outcome *Draw conclusions *Continue/modify/terminate care plan
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P E S
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Problem, Etiology, Symptoms
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S.M.A.R.T
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Specific Measureable Attainable Realistic Timed
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