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Nursing Process: Complete The Nursing Process Diagram Below and Then Explain It. Type?

The nursing process diagram outlines the steps of the nursing process which are assessment, diagnosis, planning, implementation, and evaluation. Data is gathered during assessment from various sources and clustered to identify client problems and strengths. A nursing diagnosis is made based on identified etiologies and defining characteristics. Goals and interventions are planned, interventions are implemented, and progress is evaluated.

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Naufal Albab
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131 views2 pages

Nursing Process: Complete The Nursing Process Diagram Below and Then Explain It. Type?

The nursing process diagram outlines the steps of the nursing process which are assessment, diagnosis, planning, implementation, and evaluation. Data is gathered during assessment from various sources and clustered to identify client problems and strengths. A nursing diagnosis is made based on identified etiologies and defining characteristics. Goals and interventions are planned, interventions are implemented, and progress is evaluated.

Uploaded by

Naufal Albab
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Nursing Process

Complete the nursing process diagram below and then explain it. Type?
…………………………………………

…………………………………………

………………………………….. …………………………………………

How?
………………………
………………………
…………………
Data Source(s)? …………………
………………………
…………………
……………………………………
……
……………………………………
……
Data Clustering: Process of putting
data together in order to identify
areas of the client's problems and
strengths.

Problem?
S …………………………………..
S Etiology?
O Defining Characteristics?
…… S O
…… A Type?
…… O A ………………………
…… P ………………………
…………………
………………………………….. Type?
…… A P …………………
………………………
…… I …………………
….. P I ………………………
E ……………………..
E …………..…………
R
………………………………….. Type?

……………………………………
……………………………………
………………………………….. …………..………………………

S6.M6.WS.NCP/P2B/2018
LANGUAGE FOCUS
Here are some tenses used in Nursing Care Plan.

Nursing Process Grammatical Features


1. Assessment Objective Data: Statement
 Example: Mr. G, 45 years old, has got chest pain since a week ago.
His blood pressure was 135/90 mmHg at 09.00 a.m.
Subjective Data:
 Direct Speech
- Example: The patient said, “I vomited three times this morning.”
 Indirect Speech
- Example: The patient said that he had vomited three times this
morning.
2. Diagnosis Simple Present Tense and adjective clause
 Pattern: The problem is …(nursing diagnosis label)…related
to…(etiology)…as evidenced by …(defining characteristics).
 Example: The problem is ineffective airway clearance related to excessive
mucus as evidenced by shortness of breath and coughing up blood for an
hour +/- 5 tbsp, ronchi breathing, and RR 30 breaths/min.
3. Planning Outcome Future Tense (will + V1)
 Example: The client will achieve respiratory status: airway patency (0410),
as evidenced by: ….
4. Planning Intervention Instruction (V1/infinitive verbs)
 Example: Open the airway.
Position patient to maximize ventilation potential.
Perform chest physical therapy, as appropriate.
5. Implementation Simple Past Tense (S +V2)
 Example: The client ate low calories diet.
The client practiced breathing relaxation technique.
6. Evaluation Present Perfect Tense (S + has/have + V3)
 Example: The client has passed bowel movement.
The client’s blood pressure has decreased from 135/90 mmHg to
120/80 mmHg.

Practice
Open English for Nursing 3 book page 5 (Mr. Ahmad case).

S6.M6.WS.NCP/P2B/2018

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