1. Nursing process

2. Nursing process (N.P)
is a systematic ,organized way of providing nursing care (N.C) for any patient in any situation

3. Characteristics of nursing process
Its framework for providing N.C to individual, family and community.
it's orderly and systematic.
It does interdependent.
Its, appropriate for we through out the lifespan.

4. phases of nursing process
Assessment.
Diagnosis.
Outcome identification.
Planning.
Implementation.
Evaluation.

5. Skills requirement for nursing process
Sound of knowledge base.
Ability to communicate in writing
Ability to listen.

6. Assessment
is the collection of subjective and objective data from the client and other sources for the purpose of describing health problems.

7. Assessment skills
Observation
Interviewing
Physical Examination

8. The responsibilities of the nurse in physical examination
Gathering the necessary equipment and supplies. Preparing the examining room or patient unit. Explanation about the examination what is to be done and why.
Helping the patient in putting on gown for exam. Ensure the patient's primary by draping and not cold.
Check vital signs and observation of general and physical and emotional status of patient.
Helping, both examiner and patient with physical examination.

9. Methods of physical assessment
I- Inspection – looks at the body part to detect normal characteristics.
To inspection body part accurately.
Make sure bond lighting is available.
Position and expose body part.
Inspect each area for size shape , color ,symmetry ,position and abnormalities.
2-Palpation – is made through the sense of touch..,

10. Area examined by palpation ;
Skin.
organs {e.g. liver and intestine }.
Glands thyroid and lymph.
Blood vessels {e. g. carotid. or femoral artery)
3- Percussion – eliciting, sound or vibration by tapping or striking the body to aid diagnosis. Helpful in confirming other assessment finding .
4-. Auscultation – is listen to sound created in body organs to detected variations from normal.
5- Olfaction – to detect abnormalities in nature of body odor , infection unfamiliar odor.

11. Position in physical examination
Standing position {erect position )
Sitting position
Supine position
Sims position –
Knee– chest position -- lithotomic position

12. Diagnostic test for surgery
CBC- a complete blood count.
Serum electrolyte analysis.
Coagulation studies.
Serum, creatinine test.
Urine analysis .
Chest X ray

13. Diagnostic test
With physical examination various laboratory tests are usually or--
Blood analysis: complete blood count or picture {C.B.C} or{c.B.P} which include hemoglobin , red blood count ,W.B.C erythrocyte sedimentation rate (E.S.R.)
Platelets count
Fasting blood sugar {F.B.S}
Glucose tolerance test{g.T.T}.
Electrolyte test .( s. Sodium, S. Potassium, S. Chloride,s. Calcium}

14. 5-Arterial blood gas's analysis {A.B.G}. •.
6- Urine analysis(G.U.E general urine exam) , (M.S.U mid stream urine).
7- Sputum analysis
8- Electro diagnosis
electro cardiogram (E.C.G) ---- for heart diagnosis
encephalogram(E.E.G) ---- for brain diagnosis
electro myogram (E.M. G) for muscle diagnosis
9- tissue biopsies

15. The role of nurses in collecting specimens
Explaining procedure to the patient &gaining his cooperation.
Collecting the amount of specimen .
Placing the specimen in correct container
Labeling the container accurately.
Completing the laboratory requisition.
Recording in chart of patient a bout the appearance of the specimen.

16. Formulates the nursing diagnosis statement
Involves writing the label of the actual, risk, wellness or possible nursing diagnosis
Actual :- Determine the main focus of the problem (the diagnostic label) and the factor that is contributing to the clients inability to resolve it( related factor)to a void the problem
ex. Accurate: impaired physical mobility related pain
Inaccurate: ineffective movement related to arthritis
– Risk (potential):- NANDA replaced potential with term risk
ex. All client admitted to hospital are at risk for infection but some people such as those with compromised immune system are at higher risk than other

17. -Risk nursing diagnosis (as defined by NANDA )
Is a clinical judgment that person more to develop the problem than other in the same situation?
-A wellness
-Describes the human response to level of wellness
the term that can be used
Associated
With
Related
Contribution to

18. Outcome Identification
Is the formulation of goals and measurable outcome that provide the goal for evaluation nursing diagnoses.
Activities performed in outcome identification
1- Establish priorities
High priority nursing diagnosis are those that potentially life threatening –and require immediate action
ex. Difficulty breathing , hemorrhage
B. Medium priority (ex. physical or emotional impairment, fatigue, Tess.)

19. 2- Intellectual skill (include problem solving, decision making)
3-nterpersonal (ability to work with other)
4- Technical (carry out treatment and procedures)

20. Activities of implementation
I- Re-assess
(Because a patient condition can change quickly and dramatically)
2- Set priority
''`Rank nursing problems in order importance
Set priority based on several factors
The clinical condition
New information from reassessment
Time & resources available for nursing intervention
Feed back from client, family and health care staff
The nurses experience in assessing, situations and setting priorities
Performing nursing intervention
Record action

21. Evaluation
The judgment of the effectiveness of nursing care to must client go judgment based on the client behavioral responses

22. Activities during evaluation
1- Review client goals and out come criteria
2-Collect data
3- Measure goals attainment
The 4 possible judgment that may made
The goal was completely met
The goal was partially met
The new problems or nursing diagnosis have develop
4-record judgment or measurement of goal attainment
5-Revise or modify the nursing planed care