Section 1 -- Nursing Process Flashcards
It is important to note that as with any area of nursing, it takes time and practice to be able to use the nursing process to problem solve. It has been suggested that it takes HOW LONG of continuous experience to achieve competency in a given area of nursing?
2-3 years
After 2-3 years of continuous experience, the nurse achieves competency in any given area of nursing. It is at this point that the foot care nurse?
becomes more proficient at using the nursing process to critically think and problem solve
To utilize the nursing process as it relates to the foot care, the nurse must, on the first visit?
complete a health history of the client
Health history of the client – which is completed on the first visit would include?
assessment of the lower limb
Once the health history data is collected, what happens?
care plan is formulated which is then implemented as an individualized treatment program
How often are care plans reviewed?
How often are care plans revised?
Care plans are reviewed every visit
revised as necessary
ASSESSMENT
The nurse will collect and validate data by:
VIP COCK
Visually assessing the client’s general health
Interviewing the client (and/or the client’s family when necessary)
Physically examining the feet and lower extremities
Completing a holistic nursing health history
Obtaining referral from or collaborate with the client’s physician
Completing an individualized treatment program with care plan
Know and identify risk factors that affect the foot and lower limb
Assessment mnemonic
VIP COCK
DIAGNOSIS
How does the foot care nurse make a diagnosis?
The foot care nurse uses the collected data, diagnostic analysis and critical thinking to formulate a nursing diagnosis.
Once nursing diagnoses have been identified, the nurse does what?
Prioritize which interventions will be part of the care plan
PLANNING
General principles related to the planning stage include:
PIRE
Pretend to involve the client in setting realistic, attainable outcomes
Identify and distribute available and appropriate client education material
Refer a client whose foot care needs are beyond the practitioner’s scope of practice to the appropriate health care professional
Establishing nursing interventions to achieve expected outcomes
What does the nurse use to provide direct foot care to the client?
the care plan
The care plan may include?
It will for sure include?
a variety of techniques
the necessary education, follow-up instructions and any referrals that may be indicated
What are the four parts of IMPLEMENTATION?
PEPA
Provide direct foot care
Ensure safety (client and practitioner)
Promote client education
Appropriate documentation maintained
What is the mnemonic for implementation?
PEPA
