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PROCESS
Jeng P. Cuevas
Nursing process
• foundation of the nursing profession
• central to nursing actions
• a process to deliver care to patients
• supported by nursing models or
philosophies.
• systematic approach
• enhances research opportunities
• adaptable to different clients in
different care settings
• efficient method of organizing thought
processes or clinical decision-making
CRITICAL THINKING
• It is how the • Over time the
nurse uses the nurse learns to
information to almost
reason, make simultaneously
inferences and review,
form mental interpret,
picture of what analyze and
is happening to evaluate
• Facione and Facione (1996) define
critical thinking as purposeful self-
regulatory judgment that is
centrally evident in expert clinical
To use this process, the nurse
must demonstrate other
fundamental abilities of:
3. Knowledge
4. Creativity
5. Adaptability
6. Commitment
7. Trust
8. Leadership
9. Intelligence
10.Interpersonal and technical
ASSESSMENT
Client Data
Mr. Harold Simpson was admitted on Sunday morning with
a medical diagnosis of swollen right knee and diabetes.
Subjective Data
Four children, ages 16, 14, 12,10.
Occupation: Painter
Urinating about every two hours.
Client states that he fell that morning from a ladder that
slipped while he was painting the neighbor’s house. He
later developed a headache. He admits that he didn't sleep
well the night before and he states that he is very upset
because he was supposed to take his children to a
basketball game that day. He states that he is agnostic but
his wife and children are Protestants who go to church
regularly and they are trying to
Data According to
FUNCTIONAL HEALTH
PATTERNS
Data According to
MASLOW’S HIERARCHY OF
NEEDS
DIAGNOSIS
Actual VS
Risk
Is a Is a
problem problem
that is that the
identified nurse,
during the through
assessment knowledge
. It is and
supported experience,
by obvious perceives
signs and will
Writing the Nursing
Diagnosis
• It may be written as, Patient
problem+ Cause of the problem
(etiology)
cultural differences
Or, by using the PES format; Patient
problem + Etiology + Symptoms
Example:
>Impaired skin integrity r/t
immobility as manifested by
Disruption of the skin surface over
the elbows and sacral area