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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

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overview
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

problem solving critical thinking
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
what is critical thinking
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
factors affecting critical thiniking
Factors affecting critical thiniking
  • Anxiety
  • Attitude
  • Level of preparation
  • Learning style
  • Intellectual development
nursing process critical thinking
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”
figure 5 2 priority setting lipe and beasley
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

slide7
Box 5-3 Sample Care Plan (Lipe and Beasley)
  • Scenario 1 and 2
  • What is the purpose of care plans?
care plans ccp assessment behaviors defining characteristics
CARE PLANS CCPASSESSMENT: 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

care plans ccp assessment contributing factors
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

care plans ccp contributing factors
CARE PLANS CCP:CONTRIBUTING FACTORS
  • Care Environment

Situation (hospitalization),Previous Patterns, Medical/nursing treatments, Medications

NEED RATIONALE

  • Psychosocial

Stressors, Coping Mechanisms, Support Systems

NEED RATIONALE

care plans ccp exptected outcomes
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
care plans ccp nursing interventions
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

evaluation
EVALUATION
  • Evaluate the expected outcome: Was the outcome met?
  • Modify the outcome based on your evaluation
  • Not all outcomes are met.
nursing process care plans at ccp for n101 and n132
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