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6 Cards in this Set

  • Front
  • Back

5 steps to the nursing process

Assessment


Diagnosis


Planning


Implementation


Evaluation

Assessment

Getting the facts


The systematic collection and organization of data related to a clients health status

Diagnosis

What’s the problem


Analyzing collecting data to identify the clients present health status, current health problems and needs


Make clinical judgements

Planning

What you want to happen and how can you make it happen


1. Identify goals and outcomes to correct the health problem


2. Select appropriate nursing interventions to assist client response

Implementation

Doing and documenting


Putting the plan of care into action


Recording the care given and the clients response

Evaluation

Did it work


Determine clients progress towards reaching outcomes


Determine clients response to interventions to evaluate if they’re effective


Change plan if needed