The Nursing Process The nursing process has five key steps in it. There is an acronym to remember these by steps by; it is ADPIE. Assess Diagnose‚ Plan‚ Implement‚ and Evaluate. The assessment step is exactly as it states; a nursing assessment. The nurse assesses the patient and gathers information to make a diagnosis. The next step is diagnosing; in which means forming a nursing diagnosis based on subjective and objective data; and on the patient history. Once a nursing diagnosis is formed;
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PROCESS RECORDING Case Analysis A Term Paper Presented to the Faculty of Nursing – Graduate School Saint Louis University School of Nursing Baguio City In Partial Fulfillment Of the Requirements for the Course Practicum in Psychiatric and Mental Health Nursing Submitted By: Alfred D. Waldo‚ RN‚ RGC MSN1 12 May 2013 I. INTRODUCTION: In any human endeavor‚ in medicine as a cardinal example‚ when ever facts are sparse‚ strongly held theories proliferate. Because the
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Dillard University School if Nursing Nur 360 Psychiatric Mental Health Nursing Interpersonal Process Recording Analysis Goal of interaction: My goal of this interaction was to engage the client in dialogue to gain further information into there disease process. Description of environmental setting: The environment that I pictured was a cold and drab place. I thought that all the clients
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Student: Kyle Bundas PROCESS RECORDING GRADING SHEET | | Possible Points | Actual Points | I. Setting | Describe setting | 2 | | II. Interaction | Record interactions (6 interactions)Describe non-verbal behavior of patientDescribe non-verbal behavior of student | 1233 | | III. Interpretation | Relate patient’s perceived feelingsRelate student’s thoughts & feelings Explain identified coping methods or defense mechanisms related to patient behaviors | 884 | | IV. Critique
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Nurs 302 (Lantz) Process Recording Date: __4/2/14__________ Student Name: ____________________________ Client (Verbal and Non-Verbal) Pt. turns to me with no expression as I walk into her room. Nursing Student (Verbal and Non-Verbal) “Hi‚ (patient name)‚ I am just going to hang up some antibiotics for you‚ okay?” Nursing Student (Thoughts/ Feelings) I was unsure at first how the patient would react to me because she had some erratic behavior in the past
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Process Recording Client’s name: yulaydi Date of Interview: 10/30/2012 Section # 2 Assessments 2 Client’s information: yulaydi is 22 years old she is a single mother of a 5 year old son. She is unemployed and is residing in her mother’s home. Presenting issue: The client was referred to this agency because of her anxiety and depression problems she is seeking
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[Type the company name] | Process Recording II | Group Work | | | Describe the experience‚ Reflection‚ Influencing factors‚ Evaluation & Learning | Process Recording II Describe the experience- A) The communication patterns observed in our last group interaction on Wednesday March sixth‚ during International Women’s week was a free floating pattern that involved most of the group’s members. Given that our instructor was the "facilitator" of the group‚ the role of the leader
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Interpersonal process recording Student: _____________________ Date: _______________ Instructor: ______________________________ Unit: _East__________ Patient initials: __I.S.____ Pt. Diagnosis s/p RTK_______________________ Age: __74_____ Gender: __F______ Family/support: ____Dtr Linda (POA)____________________ Psychosocial issue:___________________ Briefly describe the goal for the interaction and the focus of the communication: Goal for interaction is to address the
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Process Recording – Jim and Harriet When I read the case-study‚ I made a few hypotheses: Jim really appreciates Harriet and the work she does He genuinely wanted to give her the merit raise but couldn’t say no opr wasn’t able to explain the financial difficulties to her He was angry with himself for delaying the decision that he knew he had to make because he felt guilty He didn’t want to give her a written reprimand but felt he had to in order not to lose face with his office staff He has
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Setting: Takes place on Rikers Island (correction facility). Mr. Jones is an insulin dependent diabetic who has a history of being non-controlled. PATIENT NURSE INTERPRETATION/ANALYSIS (Mr. Jones walks in with a slow gate and looks agitated. He is sweating.) Hey Mr. Jones you don’t look so well. Are you not feeling well? As Mr. Jones walked in I could tell from his appearance and expression that he was not feeling well and upset. –Nonverbal Cue By sharing an observation of his appearance
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