assessment tools that evaluate on-physical measures

Topics: Nursing, NANDA, Nursing care plan Pages: 4 (983 words) Published: November 1, 2014

Nursing Knowledge through the Nursing Process
Flow Chart

Assessment Phase

“The assessment phase of the nursing process is foundational for appropriate diagnosis, planning and ," (Ackley & Ladwig, 2014, p3). This beginning phase of the nursing process is important for many reasons. Not only are we meeting our patients for the first time but we collect but object and subjective data to put together and create a picture of our patient. The nurse makes an assessment of the patient, utilizing all the information that is gathered and can better understand their needs. Each nurse, through time and practice, fine tunes these assessment tools needed to go even further into a patients needs such as the holistic approach of mind, body and spirit. Assessment information gathering is done by looking at the patient’s chart, discussing with the patient about their history, and even through communication with the family members. The subjective date we can gather from the patient and family can help us understand how they are feeling or thinking. A thorough health and medical history are important so that we can implement the best care designed specifically for that patient. The physical assessment is also important; this gives us objective information regarding the patient’s current vitals signs, physical head to toe and any diagnostic’s previously done or that need to be completed. The information that gathered in this phase helps create the next phase which is formulating a nursing diagnosis.

Diagnosis Phase
“In the diagnosis phase of the nursing process, the nurse begins clustering the information within the client story and formulating and formulates an evaluative judgment about a client’s health ," (Ackley & Ladwig, 2014, p3). After a nurse gathers all the subjective and objective information about the patient alone with using their knowledge, we...

References: (2014). In B. J. Ackley, & G. B. Ladwig, Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, Tenth Edition. Missouri: Mosby.
Forbes, A. (2009). Clinical Intervention Research in Nursing . International Journal of Nursing Studies, pg 557-568.
King JA, Morris LL, Fitz-Gibbon CT. How to Assess Program Implementation
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