What is ADPIE? Health Assessment Quiz and Flashcards

Study Notes

ADPIE Process

ADPIE is a process that helps medical professionals remember the order of the 5 sequential steps of the nursing process
The 5 steps of the nursing process are: Assessment, Diagnosis, Planning, Implementation, and Evaluation

Assessment

The first step of the ADPIE process, collecting and recording data
There are 2 types of collecting data in assessment:
- Subjective data (cannot be measured or observed directly, includes verbal and asking questions)
- Objective data (can be measured, often referred to as signs, can be seen, heard, felt, or smelled)

Diagnosis

The process of developing a theory about an individual's situation

Planning

The process of developing a plan and establishing SMART goals to achieve a desired outcome
SMART goals are:
- Specific (clear, precise, and specific)
- Measurable (quantifiable and measurable, involves using concrete criteria to track and evaluate progress)
- Attainable (realistic and attainable within the given resources)
- Relevant (aligns with broader objectives and is relevant to the individual's needs)
- Time-restricted (has a clearly defined time frame or deadline)
There are two types of goals:
- Short-term goals (can be completed immediately)
- Long-term goals (completed over a long period of time)

Implementation

The actionable part of the process where the individual and medical team implement the care plan
Indirect care refers to care that is given while away from the patient

Evaluation

The last phase of the process where medical professionals assess and evaluate the success of the planning

Nursing Health Assessment

Provides foundation for quality nursing care
Requires skills such as:
- Cognitive skills (thinking process)
- Problem-solving skills (using scientific methods and experience)
- Psychomotor skills (doing)
- Affective/interpersonal skills (feeling, trust, and mutual respect)
- Ethical skills (being responsible and accountable)

Nursing Process

A systematic, rational method of planning and providing nursing care
Purpose:
- Identify a client's health care status
- Establish plans to meet the identified needs
- Deliver specific nursing interventions
Ida Jean Orlando (1958) started the nursing process and defined it as a "systematic approach"

Types of Assessment

Initial (performed within a specified time period, establishes a complete database)
Problem-focused (ongoing process integrated with care, determines the status of a specific problem)
Emergency (performed during physiologic or psychological crises, identifies life-threatening problems, identifies new or overlooked problems)
Partial/ongoing (occurs after initial database is established, any problems initially detected in the client's body system are reassessed to determine any changes)

Assessment Activities

Collecting data (past and present history, allergic reactions, past surgical procedures, folk healing practices, sleep patterns, religious practices, pain, nausea)
Organizing data (format may be modified according to the client's physical status)
Validating data (act of "double checking")
Documenting data (records client's data)
Goal (establish a database about the client's response to health concerns or illness)

Description

Test your knowledge of the 5 sequential steps of the nursing process: Assessment, Diagnosis, Planning, Implementation, and Evaluation. Learn about the 2 types of data collection methods in assessment: Subjective Data and Objective Data.