Nursing Process

Front 1

Assess

Back 1

Identify system of data collection

collect data through interview of client family examination of client

and other sources such as records of health care team

Front 2

Identify The Nursing Diagnosis

Back 2

Analyze data to discern patterns

cluster data into diagnostic categories

Identify the abnormality that contributed to the clients problem

Identify the signs and symptoms that comprise the clients condition

Front 3

Plan

Back 3

Identify the desired outcomes that will positively alter the clients problem

Select the nursing strategies or skills required to achieve the desired client outcomes

Front 4

Implement

Back 4

Utilize the nursing strategies or skills to achieve the desired outcomes

Front 5

Evaluate

Back 5

Reassess the client to determine if the desired outcomes have been achieved

If so the nursing problem (diagnosis) is resolved

If not begin the nursing process again with more appropriate client outcomes or nursing strategies

Front 6

W

H

A

T

S

U

P

Back 6

Where

How

Aggravating or Alleviating

Severity

Useful other data

Patients perception of problem

Front 7

What is the first step of the nursing process

Back 7

Assessment -- the collection of facts or data. First contact with client continues as long as there is need for health care

Front 8

Objective Data

Back 8

are observable and measurable facts signs of a disorder

Front 9

Subjective data

Back 9

information only the client feels and can describe called symptoms

Front 10

Primary source of information

Back 10

The client

Front 11

The secondary sources

Back 11

clients family reports test results information in current and past medical records and discussions with other health care workers