SUMMARY :
The nursin g p ro ce ss is a sys t em ati c, pa ti ent -c ent e re d ap proa ch to
p rov id ing nu rsin g ca re . It is a fiv e - s te p p roc ess tha t h el ps nu rs es
asse ss, d ia gno se , plan, i m ple m ent , an d evalu at e pati e nt ca re.
The fi rs t st ep is ass ess m ent , wh ich inv olve s gath e rin g inf orma ti on
ab out the p ati ent' s he alth sta tus , in clu din g the ir ph ysi cal,
em o ti onal, an d s oc ial wel l -be in g. This in fo rmat ion is c oll ec te d
throu gh in te rv iew s, phy si cal exa mi nati ons , an d re vi ewi ng m ed ica l
re c ords .
Once th e a sse ss m ent is co m pl et e, nurse s m ove on t o t he dia gn osis
phas e. Du rin g this st e p, nu rs es analy ze th e c ol le ct e d d ata t o
id enti fy th e pati en t's h ealth pro bl em s or ne e ds. Th is p ro c ess
involv es usin g c rit ica l th ink ing s kill s a n d clin ical ju d g men t to mak e
accu ra te d iagn os es .
Af te r the dia gno sis is ma d e, n urses pro ce e d t o d eve lo p a ca re
plan . Th is is the p lannin g phas e of th e nu rsi ng p roc es s, wh e re
nurs es se t go als and ou tc o m es fo r th e pati en t, an d d e te rmin e th e
inte rv ent ion s or ac ti ons that wil l be ta ke n t o a chi ev e t hos e go als.
The ca re plan is in di vi dualiz e d to m e et th e uni qu e ne e ds o f each
pat ien t.
Nex t, nu rs es i mp le m ent th e care plan b y de liv ering th e plann ed
inte rv ent ion s t o the p ati ent . This inv olv es p ro vi din g di re ct ca re,
co o rd inat ing wi th oth er he alth ca re p rof es si onals , an d de le ga tin g
tas ks a s a p pro p riat e. Nu rse s al so document an d c om m unicat e the
care p rovi de d.
Finall y, the ev aluat ion ph ase all ow s nu rs es to ass es s t he
ef fe ct iven es s of th e c are plan an d in te rv enti ons .
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