1. Assessment: This is the first step of the nursing process. A nursing student uses a dynamic method to collect data from the client about his/her condition. During assessment; the nurse observes the client, actively listens and ask specific questions to understand the client’s problem. As a student nurse, I shall examine my patient’s skin for redness and skin breakdown and document properly. I shall take photos of any impaired skin so that I may refer to during the evaluation phase.
2. Diagnosis: after a proper assessment, the nurse diagnosis the client problem. Clinical judgment is required to come up with the correct diagnosis. As a student nurse, clinical reasoning skills are necessary to work with the patient/client, in developing a feasible plan to address the situation. As a nursing student, I shall discuss with the patient the pros for keeping active to prevent skin breakdown and promote circulation. This will include; repositioning every two hours, offering elimination assistance, taking pain medications as needed or as prescribed and the importance of ambulating the following day as