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OVERVIEW Introduction to Problem Solving and the Nursing Process: 5 Steps Discussion of Assessment: Defining Characteristics and Contributing Factors Physiological Integrity Growth and Development Care Environment Psychosocial Integrity Writing Expected Outcomes Nursing Interventions Evaluation
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PROBLEM SOLVING: CRITICAL THINKING
Fun Exercise: What are the ways that you used to solve the word problems? Discussion of Problem-Solving Strategies: The 5 Star Solution Wheel: Do it Yourself Influence Others Assign Someone Do Nothing Combine Knowledge Types of Critical Thinking Discuss Scenarios 1, 2, 4, 5
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What is critical thinking?
Check page 222 of Craven NLN – logical, content-driven, reflective, reasoning process that guides the nurse in generating, implementing, and evaluating effective approaches to client care and professional concerns
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Factors affecting critical thiniking
Anxiety Attitude Level of preparation Learning style Intellectual development
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NURSING PROCESS: CRITICAL THINKING
Definition of Nursing Process: 5 Steps (Figure 5-1, Lipe and Beasley) “specialized form of systematic inquiry or problem solving process used in drawing conclusions about the patient’s problems and the corresponding nursing actions to resolve problems”
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Figure 5-2 Priority Setting (Lipe and Beasley)
Urgent physiologic needs Circulation, Respiration Immediate physiologic needs Food/fluid, Elimination, Neurosensory Important physiologic needs Activity/Rest, Hygiene, Sexuality
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Box 5-3 Sample Care Plan (Lipe and Beasley)
Scenario 1 and 2 What is the purpose of care plans?
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CARE PLANS CCP ASSESSMENT: BEHAVIORS/DEFINING CHARACTERISTICS
Behaviors tell a story about the Nursing Diagnosis Behaviors include both subjective and objective data Subjective: client statements Objective: observation, lab data, vital signs
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CARE PLANS CCP:ASSESSMENT: CONTRIBUTING FACTORS
Physiological Integrity Common Health Problems; Pathophysiology NEED RATIONALE Growth and Development Norms for each body system RATIONALE NOT NEEDED
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CARE PLANS CCP: CONTRIBUTING FACTORS
Care Environment Situation (hospitalization),Previous Patterns, Medical/nursing treatments, Medications NEED RATIONALE Psychosocial Stressors, Coping Mechanisms, Support Systems
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CARE PLANS CCP: EXPTECTED OUTCOMES
Measurable Outcomes are about the client; “The client will walk in the hall for 20 minutes this morning with the assistance of the nurse”. Answers: who (the client), what, where, for how long
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CARE PLANS CCP: NURSING INTERVENTIONS
Derived from significant contributing factors Address one or more of the following categories: Physiological Integrity Psychosocial Integrity Safe, Effective Care Environment Health Promotion/Health Maintenance Interventions are about what the nurse does: “The nurse will…. NEED RATIONALE
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EVALUATION Evaluate the expected outcome: Was the outcome met? Modify the outcome based on your evaluation Not all outcomes are met.
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NURSING PROCESS:CARE PLANS AT CCP FOR N101 AND N132
Case Study: Video: Time to Care Development of a Care Plan for Health Promotion: Respiratory Function: Hilda Use of CCP Template for Care Plan Development
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