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How The Five Phases Of Nursing Process May Be Used To Provide Effective Nursing Care

2406 words - 10 pages

Introduction
The nursing process is “An organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care” (Rush S, Fergy S &Weels D, 1996).The five steps of the nursing process are assessment, diagnosis, planning, implementation and evaluating. It was developed by Ida Jean in Florida, USA in 1958 and it was transferred to the UK by 1970.The ‘process ‘is neither a ‘model ‘nor a ‘philosophy’ as it is sometimes defined but merely a method of reasonable discerning and it needs to be used with a clear nursing model. This is foundation for integrating the development into our model for ideal nursing. Throughout the process the patient’s independence should be endured in mind in all the phases of the process and the patient should whenever possible be an active partaker such as making decisions about remaining to carry out certain actions of living .This is important as it is encouraging a sense of personal responsibility for health. If contribution of the patient may not be possible, for example, a child, confused or unconscious person. In these cases family members or significant others may contribute in decision making on behalf of the patient (Roper, Logan, Tierney, 1996 p.51-52).

Assessment
In the first phase of the nursing process is assessment, which consists of data collection by means as questioning, physical examination, observation, measuring and testing (Stedman's Medical Dictionary , 2006).
Performing a full body assessment and take vital signs which will be used as a baseline to compare and contrast during the patient hospitalized period. Assessing is resourceful and continuous and it requires validation and communication of patient data.The assessment phase also determine the patient normal function, the risk for dysfunction and the presence or absence of dysfunction, determine the patient’s strengths and provide data for diagnostic phase. Nursing assessments focus of the patient’s responses to health problems or potential health problems. The 4 types of assessment are initial assessment, focused assessment, emergency assessment and time-lapsed assessment (Smith. J).
Nurses perform primary comprehensive assessments when they first admit a patient to a hospital site, when they accept a new patient into a physician's office or clinic. These assessments are quite detailed and require a significant amount of time to perform because of the amount of data needed when patients have problems that have yet to be acknowledged. Nurses complete focused assessments on patients whose problem has been acknowledged to note whether that problem has worsened, improved, or resolved. These assessments are in a shorter period of time and more to the point, and they are typically performed on a regular basis. For example, a nurse working in an intensive care unit may assess a client's blood pressure every few minutes. Time-elapsed visits also oblige for...

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