Escolar Documentos
Profissional Documentos
Cultura Documentos
nursing diagnosis
Nursing process
An organizing framework for professional
nursing practice
Step I nursing assessment
Step II making nursing diagnosis
Step III planning
Step IV implementation care
Step V evaluation the nursing care has been
given
Step I: Assessment
Perfoming a thorough holistic nursing
assessment of client
P - Activity intolerance
E Related to imbalance between oxygen
supply and demand
S Verbal reports of fatique, exertional dyspnea
(difficulty breathing when walking), and
dysrythmia (racing heart )
Step III: Planning (outcomes and
interventions)
Consists of writing measurable client outcomes and nursing
intervention to accomplish the outcomes. Before this can be done,
if the client has more than one diagnosis, the priority of the
nursing diagnoses must be determined.
Step III: Planning (outcomes and
interventions)
Outcomes are conceptualized as variable client
states influenced by nursing intervention. Thus
client outcomes represent patient states that vary
and can be measured and compared with a baseline
over time.