Nursing process

Is a systematic process, rational method of planning which nurses deliver care to individual, families and community.
The goal of nursing process:
Identify client health care status.
Actual and potential health problem.
Establish plan to meet the need
Provides an orderly & systematic method for planning & providing care
Enhances nursing efficiency by standardizing nursing practice
Facilitates documentation of care
Provides a unity of language for the nursing profession.
The Nursing process is often remembered by the acronym ADPIE: Characteristic of nursing process:
Provide the framework for care.
It is client center.
Adapted of problem solving technique.It has planned.
It is cyclic and dynamic Assessment:
Definition: Is the systematic and continuous collection, organization, validation, documentation of data.
Initial assessment: to establish complete data base after admission.
Problem focused assessment: to determine the status of specific problem integrated with nursing care.
Emergency assessment: identify the life-threatening problem.
Time lapsed assessment: several month, to compare the client status.
Data collection:
Is the process of gathering information about client health status.
The collection of patient data is vital steps in nursing process because the remaining steps depend on these steps.
Characteristic of data: Complete,accurate,relevant.
The data will collect through:
 Nursing history
physical examination
Lab results.
Review records and literature
Biographic data:
Client name, address, age, sex, marital satus, occupation, religious, assurance, Date and time of history.
2. Chief complain:
The answer given to question "what brought you to the hospital?
The chief complain should record in own patient word.
Ex: my stomach hurts or I have come for my regular check up.
Location.
Radiation.
frequency
Timing and duration.
Quality and quantity.
Factors aggravated or alleviated.
Associated symptoms