Nursing Process ADPIE Flashcards

Nursing Process ADPIE Overview

• ADPIE stands for Assessing, Diagnosing, Planning, Implementation, and Evaluation.
• It is a systematic approach used in nursing to provide effective patient care.

Assessing

• Defined as the continuous collection, validation, and documentation of patient data.
• Focuses on client responses to health problems.
• Involves four steps:
  • Collect data
  • Organize data
  • Validate data
  • Document data

Diagnosing

• Involves interpreting assessment data to identify client strengths and weaknesses.
• Represents a conclusion about a patient's condition.
• The process consists of three steps:
  • Analyze data
  • Identify health problems
  • Formulate a diagnostic statement

Planning

• A systematic and deliberate phase of nursing care that incorporates decision-making and problem-solving.
• Utilizes assessment data and diagnostic statements to create client goals and interventions.
• Includes four steps:
  • Prioritize health issues
  • Formulate diagnosis or goals
  • Select appropriate interventions
  • Write specific nursing interventions

Implementation

• The action phase where nurses carry out interventions and document actions.
• Can involve direct care or delegation of tasks to others.
• Involves five steps:
  • Reassess the client
  • Determine the need for assistance
  • Implement the specified intervention
  • Supervise and delegate care as necessary
  • Document all activities accurately

Evaluation

• An ongoing, purposeful activity aimed at assessing client progression towards goals.
• Involves five steps:
  • Collect and review data
  • Compare outcomes to desired results
  • Connect nursing activities to outcomes achieved
  • Draw informed conclusions
  • Decide whether to continue, modify, or terminate the care plan

P E S

• Represents a framework for formulating nursing diagnoses:
  • Problem: The patient's health issue.
  • Etiology: The cause of the problem.
  • Symptoms: The evidence or signs of the problem.

S.M.A.R.T Goals

• A method to set effective goals for nursing care:
  • Specific: Clearly defined objectives.
  • Measurable: Quantifiable indicators of progress.
  • Attainable: Realistic and achievable goals.
  • Realistic: Relevant to the client's situation.
  • Timed: Set within a specific timeframe for completion.