NURS 420 Week 1 Discussion 1.txt
The nurse in the video is using the nursing process to care for the client. What are the steps of the nursing process?
... [Show More] How does the nursing process assist in prioritizing nursing care?
The nursing process is based on client-centered care, and is very similar to the "decision-making process." The steps of the nursing process include: Assessment, diagnosis, planning, implementation, and evaluation (ADPIE). How the decision- making process and nursing process are similar are as follows: Identify the decision or assess, identify the criteria/collect data or plan, identify and choose alternatives or implement, and implement the steps of this decision and evaluate; diagnosis was delineated as a separate step when the nursing process was developed in the late 1950's, but is now part of this 5 step process (Marquis & Huston, 2017, pg 9). In the scenario, the nurse comes into the room and notices the patient's SpO2 is at 94% on 5L/min O2 (ATI, 2020). She informs the patient of the improved oxygen status, but he is unresponsive. The nurse begins with her assessment by attempting to arouse the patient by touch/sternal chest rub, calls for the charge nurse to come into the room, and then takes vitals to see where he is at compared to baseline. A diagnosis was then made that the patient was approaching respiratory failure/acidosis so respiratory therapy was called to assess themselves. Implementation involved turning the O2 down to 4L/min due to the O2 status being at 94%, and the titration order being in place. The nurse evaluated a previous plan on whether the cough and deep breathing was an effective measure for his issue, and decided that it was not therapeutic for him. Later, the charge nurse and nurse communicate about what should have been communicated with the ER nurse about the O2 remaining at 5L/min and when the SpO2 was high, the titration order should have been applied (ATI, 2020). The plan now involved speaking with the doctor when he/she performed rounds, and discuss the situation and/or any new orders or interventions in regards to patient status. Overall, the nursing process was applied to prevent respiratory failure/acidosis and mechanical ventilation for this patient. She used her best judgment of the situation and delegated to individuals who could help assess the status of her patient. [Show Less]