| |
| |
| Preface | |
| |
| |
| |
| Nursing Process and Providing Care | |
| |
| |
| What Is a Process? | |
| |
| |
| Nursing Process | |
| |
| |
| Unique Characteristics of the Nursing Process | |
| |
| |
| |
| Assessment | |
| |
| |
| |
| Diagnosis | |
| |
| |
| |
| Planning and Outcome Identification | |
| |
| |
| |
| Implementation | |
| |
| |
| |
| Evaluation | |
| |
| |
| Cognitive Skills | |
| |
| |
| Critical Thinking | |
| |
| |
| Problem Solving | |
| |
| |
| Decision Making | |
| |
| |
| Student Practice: Problem Solving Using the Nursing Process | |
| |
| |
| Instructions | |
| |
| |
| |
| Assessment | |
| |
| |
| Assessment: Step 1 of the Nursing Process | |
| |
| |
| Characteristics of Assessment | |
| |
| |
| Data Collection | |
| |
| |
| Types of Data | |
| |
| |
| Sources of Data | |
| |
| |
| Data Collection Tools | |
| |
| |
| Methods of Data Collection | |
| |
| |
| Observation | |
| |
| |
| Interview | |
| |
| |
| Interview Preparation | |
| |
| |
| Conducting the Interview | |
| |
| |
| Bringing Closure to the Interview | |
| |
| |
| Physical Examination | |
| |
| |
| Physical Examination Techniques | |
| |
| |
| Data Verification and Validation | |
| |
| |
| Interpretation and Organization of Data | |
| |
| |
| Documenting Assessment Data | |
| |
| |
| Student Practice: Developing Communication and Data Collection | |
| |
| |
| Instructions | |
| |
| |
| Student Practice: Developing Open-Ended Questions | |
| |
| |
| Instructions | |
| |
| |
| Student Practice: Developing Therapeutic Communication Techniques | |
| |
| |
| Instructions | |
| |
| |
| Student Practice: Identifying Objective and Subjective Data | |
| |
| |
| Instructions | |
| |
| |
| |
| Diagnosis | |
| |
| |
| Diagnosis: Step 2 of the Nursing Process | |
| |
| |
| Differentiating Between Medical and Nursing Diagnoses | |
| |
| |
| Characteristics of Nursing Diagnoses | |
| |
| |
| Components of Actual Nursing Diagnoses | |
| |
| |
| Student Practice Examples | |
| |
| |
| Components of Risk Nursing Diagnoses | |
| |
| |
| Examples of Risk Nursing Diagnoses | |
| |
| |
| Wellness Nursing Diagnoses | |
| |
| |
| Student Practice: Writing Diagnosis Statements | |
| |
| |
| Instructions | |
| |
| |
| Student Practice: Identifying Correctly Stated Nursing Diagnoses | |
| |
| |
| Instructions | |
| |
| |
| Student Practice: Practicing Step One and Step Two of the Nursing Process | |
| |
| |
| Instructions | |
| |
| |
| General Information | |
| |
| |
| Assessment Data | |
| |
| |
| |
| Planning | |
| |
| |
| Planning: Step 3 of the Nursing Process | |
| |
| |
| Purpose and Characteristics of Planning | |
| |
| |
| Determining Priorities | |
| |
| |
| Establishing Goals and Expected Outcomes | |
| |
| |
| Definition and Components of Goals and Expected Outcomes | |
| |
| |
| Writing Goal and Outcome Statements | |
| |
| |
| Nursing Intervention Classification (NIC) and Nursing Outcomes Classification (NOC) Defined | |
| |
| |
| Student Practice: Writing Goals | |
| |
| |
| Instructions | |
| |
| |
| Planning Nursing Interventions | |
| |
| |
| Characteristics of Nursing Interventions | |
| |
| |
| Guidelines for Selecting Nursing Interventions | |
| |
| |
| Classification of Nursing Interventions | |
| |
| |
| Where Do Nursing Interventions Originate? | |
| |
| |
| Scientific Rationales | |
| |
| |
| Student Practice: Scientific Rationales | |
| |
| |
| Instructions | |
| |
| |
| Communicating and Documenting the Care Plan | |
| |
| |
| Student Practice: Planning and Outcome Identification | |
| |
| |
| Instructions | |
| |
| |
| |
| Implementation | |
| |
| |
| Implementation: Step 4 of the Nursing Process | |
| |
| |
| Characteristics of Implementation | |
| |
| |
| Documentation | |
| |
| |
| Documentation Methods | |
| |
| |
| Narrative Charting | |
| |
| |
| PIE Charting | |
| |
| |
| FOCUS Charting | |
| |
| |
| Computerized Documentation | |
| |
| |
| Advantages Include | |
| |
| |
| Disadvantages Include | |
| |
| |
| Kardex | |
| |
| |
| Reporting | |
| |
| |
| Confidentiality | |
| |
| |
| Student Practice: Documentation | |
| |
| |
| Instructions | |
| |
| |
| Student Practice: Change-of-Shift Report | |
| |
| |
| Instructions | |
| |
| |
| |
| Evaluation | |
| |
| |
| Evaluation: Step 5 of the Nursing Process | |
| |
| |
| Evaluation Purpose | |
| |
| |
| Characteristics of Evaluation | |
| |
| |
| Review of Goals and Expected Outcomes | |
| |
| |
| Care Plan Modification | |
| |
| |
| Care Plan Evaluation and Discharge Summary | |
| |
| |
| Student Practice: Evaluation | |
| |
| |
| Instructions | |
| |
| |
| |
| Putting It All Together! | |
| |
| |
| Application of the Nursing Process | |
| |
| |
| |
| Assessment | |
| |
| |
| Client Scenario | |
| |
| |
| General Information | |
| |
| |
| Assessment Data | |
| |
| |
| Subjective and Objective Data | |
| |
| |
| Clustering Data | |
| |
| |
| |
| Diagnosis | |
| |
| |
| |
| Planning and Outcome Identification | |
| |
| |
| Planning Nursing Interventions | |
| |
| |
| |
| Implementation | |
| |
| |
| |
| Evaluation | |
| |
| |
| Student Practice | |
| |
| |
| Instructions | |
| |
| |
| General Information | |
| |
| |
| Assessment Data | |
| |
| |
| |
| Nursing Diagnoses Definitions and Classifications 2005-2006 | |
| |
| |
| |
| Sample Data Collection Tools and Documentation Forms | |
| |
| |
| Glossary | |
| |
| |
| Bibliography | |
| |
| |
| Index | |