The Nursing Process
- Created by: Hannahshelly
- Created on: 30-03-20 10:02
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- Nursing Process
- 3.Plan
- What do you need to do? Make the care plan
- Involve patient (and parents) in decision making
- Plan nursing interventions to solve problems and achieve outcomes
- Demonstrates you have used ‘best practice’
- Providescommunication between proffesionals
- Provides evidence in legal cases
- 4.Implementation
- Carry out the care
- Do you need to consider play therapy, distractions and parents involvement?
- Must be within the practice of ‘compassion in practice’ (DH 2018)
- 1. Assessment
- What are you starting with?
- Information gathering
- Objective - measurable
- Observed information
- Subjective
- From patients as they talk about their perspectives and feelings
- Have to be objective with subjective information
- Families are not as reliable as the patient
- Can repeat information - clarification
- Clinical information (history and background)
- Holistic
- This considers every aspect of the individual
- Physical
- What can the patient do?
- Communicating
- Breathing
- Mobilising
- Eating and drinkiing
- Washing and dressing
- Eliminating
- Maintaining a safe enviroment
- Maintaining thermoregulation
- Expressing Sexuality
- Genetic makeup, Gender, age
- What can the patient do?
- Psychological
- Interllect - age and level of understanding
- Attitudes - how are they feeling
- Effect of illness - stress, fear, memories
- Thoughts and feelings
- Thinking patterns - negative, unrealistic, irrational
- How does this effect their decision making
- Infants, children and young people can be uncooperativeas they are scared
- Emotional
- Relationships
- Interactions with parents and carers
- Self-esteem
- Body image
- Self awareness
- Stress
- Are they having appropriate emotions?
- Management of emotiions
- Social
- Parents/family/friends
- Networks
- Work
- Social Activities
- Social networks
- Community activity?
- Spiritual/Religious
- Belief system
- Meaning of life
- Death
- What do they value
- Organised religion?
- Belief system
- Cultural
- Beliefs
- Morale values
- Tradditions
- Language
- Rules of behaviour
- Dietary practices
- Information gathering
- Under 18’s
- Responses differ depending on age and development
- May display different psychologicalresponses
- May not tell you everything or give misleading information
- Depended to on parents or carers
- What makes a good assessment?
- Gain consent
- Good communication
- Systematic data collection
- Aesthetics
- Empathy and sensitivity
- Ethics
- Self awareness of YOUR impact on patient care
- Sources of data
- Non-Verbal
- Sight
- Physical
- Psychological
- Social
- Touch
- Skin temp
- Hydration
- Pulse
- BP
- Sound
- Breath
- Wheeze
- Stridor
- Moaning/Crying
- Smell
- Breath
- Body fluids
- Infections
- Personal hygine
- Alcohol and Drugs
- Interactions with parents/toys
- Sight
- Verbal Communication
- What they say to the medical team
- What family members say
- Why is communication so important?
- Establish and maintain a relationship with patients, parents and families
- Encourage patients to describe all relevant aspects of their problems
- To get and give accurate information
- To improve trust and cooperation
- Reduce negative emotions and fear
- Written Records
- Information that you might need that they cannot communicate - especially LD & MH
- Passport for patient with LD
- Things you need to know about me
- Things that are important to me
- My likes and dislikes
- Doesn’t just have to be LD but also people with dementia for example or severe MH needs
- GP Letter
- Transfer letter
- Previous hospital notes
- Safeguarding notifications
- Non-Verbal
- What are you starting with?
- 5.Elvaluation
- How did it go?
- Systamatic
- Patient/family centered
- Measures improvement against identifies outcomes
- Establishes whether the nursing interventions were effective
- Individual and holistic
- Cyclical and on going throughout the implemention of care
- Identifies if any further intervention is required
- Records care
- A systematic way of problem solving integrating assessment information with decisions about care and then evaluating the outcomes of the care provided. (Howatson- Jones et al 2012)
- What is it? Why do we use this process?
- Foundation of practice
- Framework for problem solving
- A way of organising nurses’ critical thinking skills
- Flexible tool - to achieve patient centred care
- Why is it so successful?
- Systematic
- Patient/FamilyCantered
- Involves joint decision making between staff and patient
- Outcome orientated
- Each of the stages depends on how well the stage before was done
- Holistic
- Cyclical and on going
- Even when discharged get transferred to the GP
- 2. Nursing Diagniosis
- The new fifth element
- What is the difference to medical Diagnosis?
- Medical - give original diagnosis
- Remains the same as long as the patient has the disease
- Nursing - problems and symptoms from that original diagnosis
- May change day to day
- Medical - give original diagnosis
- Based on data obtained through the assessment process
- 3.Plan
- Under 18’s
- Responses differ depending on age and development
- May display different psychologicalresponses
- May not tell you everything or give misleading information
- Depended to on parents or carers
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