The Nursing Process
- ADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
Assessment
- Health History
- Objective Data
- Subjective Data
- Identify
- Determine
- Obtain Information
- Assessment Always Done Before Treatments
Planning
- Tailored to Patient
- Short-and-Long-Term Goals
- Specific
- Measurable
- Attainable
- Realistic
- Time-Oriented
Diagnosis
- Medical Diagnosis
- Nursing Diagnosis
- Collaborative Problem
- Significant Data
- Patterns or Clusters
- Problem
- Etiology
- Defining Characteristics
- Maslow’s Pyramid
- Patient’s Concerns
Implementation
- Direct Care Interventions
- Indirect Care Interventions
- A Community (Public Health) Intervention
- Partnership with the Patient/Family
- Performing the Nursing Action
- Documenting Nursing Care
- Delegating Nursing Care
- Intervene
- Priority Action
Evaluation
- Consider the Effectiveness of Care
- Reassess
- Make Necessary Modifications
- Continuously Ensure Favorable Patient Outcome
- Evaluate
- Outcome
- Consider the Degree of Effectiveness
Maslow's Hierarchy of Needs
- Oxygen, Water, Nutrition
- Body temperature, Elimination, Shelter, Sexual Expression
- Physical Safety
- Physiological Safety
- Affection and Companionship
- Self Respect and Respect for Others
- Fulfillment
Physiological Needs
- First Basic Need
- Oxygen
- Food/Water
- Elimination
- Temperature
- Rest
- Shelter
Safety and Security
- Second Basic Needs
- Physical Safety
- Physiological Safety
- Financial Security
Love and Belonging
- Third Basic Need
- Love and Affection
- Relationships
Esteem
- Fourth Basic Need
- Esteem for Oneself
- Reputation and Respect
Self-Actualization
- Fifth Need
- Helping Others
- Objectivity
- Personal Growth
Patient Position Overview
- Trochanter Roll
- Trapeze Bar
- Ankle-Foot Orthotic (AFO) Devices
- Fowlers Position
- Supine Position
- Trendelenburg
- Side-Lying Position
- Prone Position
- Sims' Position
- Reposition q2 Hours/Prevent Skin Breakdown
- Confirm Body Alignment
Conversions: Temperature
- 0° C = 32° F
- °C x 1.8 + 32 = °F
Conversions: Weight
- 1000 mcg = 1 mg
- 1000 mg = 1 g
- 1000 g = 1 kg
- 2.2 lb = 1 kg
Conversions: Volume
- 1 mL = 1 cc
- 5 mL = 1 Tsp
- 15 mL = 1 Tbsp
- 30 mL = 1 oz
- 1000 mL = 1L
- 2 Tbsp = 1 oz
- 8 oz = 1 Cup
Conversions: Pounds and Kilograms
- 2.2 lb (pounds)
- 1 kg (kilogram)
- Know Your Own Weight