Nursing Process

Nursing Process

The nursing process is a procedural aspect through which nurses implement care to the patient. It was formulated by providing a solution to nurses’ approach and operation when it comes to caring for clinical patients. The process cannot be separated from the nurses since it forms part of their subconsciousness and it is not a checklist that each patient has to go through during their interaction with the nurse. It is composed of various significant stages that include:

Assessment Phase

It forms part of the initial stage of the nursing process. At this juncture, it requires the nurse to collect information about the patient’s spiritual, psychological, psychological and sociological status. For instance, it involves the collection of patient’s interpretive signs that can be quantitatively measured together with the subjective report on the current symptoms. There are numerous ways of collecting the data. In most cases, the nurse conducts an interview. It includes physical examination, obtaining a patients history about his family, giving reference to the patient’s health history as well as overall information that is essential in gathering assessment data. This information is critical in the evaluation stage.

Diagnosis Phase

After the assessment, the diagnosis is the next stage. It involves the nurse making an educative decision either potential or actual problem pertaining the patient’s health. Several diagnoses can be made on a single patient under some circumstances. Not only does the assessment consider real examination of the problem but also look into whether there is a risk that might develop into advanced problems. It is used to understand patient’s readiness to improve their health status or they have developed a syndrome. It is the most crucial stage of the treatment of the patient hence the information should be privy to the family members and the team concerned with health care

Planning Phase

Upon agreeing on diagnosis, a plan needs to be developed. In case we have several diagnoses to be addressed, head of the nurses will take priority to individual assessment as well as dedicate attention to high-risk factors and critical symptoms. The particular problem is allocated a clear goal that is measurable for the outcome that is expected. Notably, nurses are more concern to evidenced-based nursing outcome classification. It is a measurement and standardized set of terms that are used to track patient wellness. Another resource for planning is the Nursing Intervention Classification.

Implementation Phase

In this stage, the nurse goes through the chosen action plan. The program is usually unique to the patient needs and works on attainable outcomes. Some of the work during the nursing care plan includes performing a necessary medical task or direct care for the patient, checking out for any change or improvement, contacting or referring the patient for follow-up and instructing or educating the patient on advanced health management. It varies over the course of days, hours, weeks or months.

Evaluation Phase

Whenever the intervention of the nursing action has been executed, an audit is completed by the nurse to prove if the goals to ensure the patient’s wellness are met. The possible outcome is prescribed in three terms: patient’s condition stabilized, patients’ health improved as well as patient’s condition deteriorated or discharges or died. Under any scenario, the patient never showed any improvement or the wellness objective were not achieved the nursing process starts from the beginning.

Conclusion

A nursing plan is an essential tool in ensuring that the patient obtains good health at any course. It also gives a universal way of handling patients in any situation. Therefore, it is the basis for the formulation of the nursing care plan for a particular patient.

 

 

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