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Nursing Process and Its Clinical Application

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Introduction This is the first assignment of the concepts in nursing. The nursing process is a series of scientific steps that can be applied to a patient to fulfil his or her basic needs and helps to solve the clinical problem independently. It is based on a nursing theory developed by Ida Jean Orlando in the late 1950's. It is an essential part of the nursing care plan and consists of five steps. They are: assessment, nursing diagnosis, planning, implementation and evaluation. The nursing process highlights the patient as the central character and is directed at improving outcomes for the patient, and not about nursing goals. This assignment discusses the application of the nursing process to a patient in a methodical way. …show more content…

Problems and Needs Problems and needs are also part of the nursing diagnosis. They can be categorized into three main parts: actual, potential and possible. Actual problems or needs The actual problems or needs of Mrs. Mangalika can be identified with available data • Sever pain • Difficulty in moving left leg and arm • Bleeding from her left lower limb • Anxiety about her children and visually disabled mother • No awareness of her condition • Anxiety and fear about planned surgery Potential problems or needs These problems can be easily developed according to Mrs. Mangalika’s condition. • Low haemoglobin due to bleeding • Prone to develop shock due to pain and bleeding • Prone to develop deformities due to fractures • May developed impaired skin integrity due to lack of mobilization • Prone to develop respiratory problems due to difficulty in change positions in preoperative and post operative phases. • Impaired circulation in the injured limbs • Prone to develop infection due to skin breakdown Possible problems or needs These problems can not be identified easily, but the nurse has feeling that these can happen. • Financial problems because of long term illness and hospitalization • Anxiety may cause family safety Planning Generally the word “Planning” is making current decisions in the light of their future effects.

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