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6 Cards in this Set
- Front
- Back
5 steps to the nursing process |
Assessment Diagnosis Planning Implementation Evaluation |
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Assessment |
Getting the facts The systematic collection and organization of data related to a clients health status |
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Diagnosis |
What’s the problem Analyzing collecting data to identify the clients present health status, current health problems and needs Make clinical judgements |
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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 |
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Implementation |
Doing and documenting Putting the plan of care into action Recording the care given and the clients response |
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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 |