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Posted: January 26th, 2023
Assessment (VS/Subj./Obj./Labs/Diagnostics/Risk Factors/Psychosocial)
Recognizing Cues: Assessment (VS/Subj./Obj./Labs/Diagnostics/Risk Factors/Psychosocial):
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**May have more than 10 cues Prioritize Hypotheses: Nursing Problem Statements or Nursing Diagnosis. Should be prioritized. Consider physiological problems or actual problems followed by at risk problems.
Generate Solutions: Planning. What do you want as an outcome for your client? Goals should be SMART goals.
Evaluate Outcomes: Assessment. Did your actions result in the desired outcome for your client?
Act: Interventions. What will you do to help improve your client’s condition or prevent further deterioration? Consider your prioritized hypothesis.
Analyze Cues: Analysis. What do you think might be going on with the client? What does it mean?
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The five steps of the Nursing Process are: Assessment, Planning, Implementation, Assessment, and Analysis.
Assessment: Recognizing cues from various sources such as vital signs, subjective information from the patient, objective observations, lab results, diagnostic tests, risk factors, and psychosocial factors to gather information about the patient’s health status.
Analysis: Analyzing the collected information to identify potential problems and prioritize nursing diagnoses or problem statements.
Planning: Generating solutions by setting SMART (specific, measurable, achievable, relevant, and time-bound) goals and developing a care plan.
Implementation: Acting on the care plan by performing nursing interventions to improve the patient’s condition or prevent further deterioration.
Assessment: Evaluating the outcomes of the nursing interventions to determine if the desired outcomes have been achieved.
By following these steps, the nursing process helps ensure a systematic and comprehensive approach to patient care.
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