E N D
1. ???????? Nursing ?????? ??? ?? ???? ??? ? ????? ?? ?? ???? ?????? ???? ?????? ?????? ? ??????? ?? ?????? ? ?????????? ?????? ???? ?? ???.
3. ????? ?????? ??????? ?????? ??????? ??????? ???? ?????? ???? ? ????? ?????? ??? ??????? ???? ????? ? ??????? ?? ???.
?????? ??????? ???? ????????? ???? ???? ?????? ???.
??????? ?? ?????? ??? ????? ?? ??? ????? ?????? ???? ? ???? ???? ???
???? ?????? ????? ???? ????? ??? ????? ??? ??????? ???? ?? ?????? ? ???? ?????? ?? ????? ???.
4. ????? ?????? ??????? ??? ???? ??? ?????? ???? ?? ????????? ??????? ???.
???????? ? ?????? ???? ??? ???? ?????? ???? ? ????? ?????? ??????? ???.
?? ?? ??? ???? ????? ????? ????????? ??????? ???.
5. ??????? ?????? ??????? 1955? ???? ??? ???? ???
?????? (1955)? ???????? (1961)? ??????? (1963) ? ????? ??? ?? ????? ??
????? (1967) ? ????? ??? ??? ????? ??
1967? ???? ? ???? ????? ????? ?????? ???????
???? (1974)? ??? (1975)? ???????? ? ????? (1975)? ??????? (1976) ? ????? ????? ?????
1973? ????? ?????? ??????? ???? ????? ??????? ??????
1977? ?? ????? ?????? ?????? ??????? ???? WHO
1980 ?????? ??????? ?? ???? ?? ???? ??? ?? ???? ?????? ??????? ???? ????? ??????? ??????
1982? ????? ? ????? ????? ??????? ?????? ??????? ???? ???? ??? ??????? ??????
6. ????? ??? ???? ???? ??????? ?? ?????? ??????? ????? ?? ????
????? ??????? ????? ?????
????? ????? ????
????? ????? ????? ??
7. ????? ??? ???? ?????? ?? ???? ????? ???? ????
????? ????
????? ?? ???????
???? ????? ?????
?????? ?????
????? ? ????? ?????
????? ????? ??? ????
??? ?? ??? ?????
8. ??????? ?????? ??????? ??? ??? ????
????????? ????
???? ????
?????? ????
?????? ?????
???? ????
9. ????? ?????? ??????? ????? ??????? ?? ???? ????? ?????? ??????? ???? ????. ???? ?? ?? ?? ???? ????? ? ???? ?? ??? ????? ????? ????? ??? ?? ????? ?? ?? ??? ???? ???.
???? ?????? ? ??????? ???? ???? ????? ?? ?? ??? ?? ?? ?????? ????? ? ????? ?? ????? ???? ??? ?? ????? ??? ??????? ??? ????.
10. ????? ???? ???? ?????? ??????? 1 – ????? ????? ??? ???? ??????? (Data collection)
????? ???????
2 – ?????? ???? ????? ?????? ?? (Set priorities)
?????? ?????
?????? ???? ?? ???? ?????? ??
3 – ????? ?????? ?????? ??? ???????
4 – ???????? ???????? ??????? ?? ??? (Evaluation goal achievement)
????? ?? ?????? ??????? (Review nursing process)
11. ????? ??????? ?????? ??????? 1 –Assessment ????? ? ?????
2 – Nursing diagnosis (Analysing) ????? ???????
3 –Planning ?????? ????
4 –Implementation ????
5 –Evaluation ????????
12. ????? ?? ???? ?????? ??????? 1- Assessment
2- Analysing (Diagnosis)
3- Desired outcomes (Expected)
4- Planning
5- Implementation
6- Evaluation
13. ????? ?????? ??????? (????? ? ?????) ?? ??? ????? ?? ?? ???? ?? ?? ?? ??? ????? ??? ???? ???:
??? ???? ??????? + ????? ? ????? ??????? + ????? ???????
????? ?? ???? ???????? ?? ??? ???? ???? ???? ????? ???? ?????? ???? ?? ??? ???? ??????? ????? ????? ???? ? ??? ??????? ????? ?? ??? ???? ???.
14. Step I: Assessment
Collecting data
Verifying data
Organizing data
15. ??? ???? ???????
???? ??? ?? ???? ?? ??? ??????? ??????? ? ????? ????? ????? ????? ?? ???.
????? ???? ?? ????: ????? ? ????????? ?? ?????? ?????? ? ?? ???? ?? ????? ?????.
????: ???????? ?? ????? ?? ?????? ?? ???.
????? ??? ??? ??? ???? ???? ?????? : Observation
?????? : Interview
?????? : Examination
(?????? ????) (Measurement)
16. ??? ???? ???????
????? ??? ???? ???? ??? ???? ??????? ???? :
??? – ?????? : ????? ??????
? – ?????? ??? ???? ? ????? ????.
?????? ???? ? ????? ????.
??????? ???? ???? ?? ?? ?? ????? ????.
??????? ?? ??? ????.
? – ???? ???? ???? ???? (Wisdom )? ????? ( Judgment)? ???? ??? ( Tact) ? ??????? ?? ????? ???.
17. ????? ? ????? ??????? ??? ????? ?? ????? ?????? ???? ?? ???????? ???? ???? ????? ?? ? ??? ??????? ?? ???? ????? ??? ????? ?? ??? :
????? ?? ??????? + ????? ???????
????? ????
18. ????? ?? ??? ???? ??? ???? ??????? ?? ??????? ?? ????? ??????? ??? ???: ??? ?????
Human needs
??? ????????? ?????? ?????
Activity of daily living
??? ??????? ???
Roy adatation theory
19. ?????? ??? ???? ??????? ??? ??????? ???????
(??????? ?? ??? Unitary Person Framework U.P.F)
??????? ??????
20. ????? ???? ?????? ????? 1- ????? ????? Medical Diagnosis
(?? ????)
2- ????? ??????? Nursing Diagnosis (????????)
3- ?????? ????? (?????) Collaborative problems (?????? ?? ??? ????)
21. ????? ??????? Nursing Diagnosis ?????? ????? ?? ??????? ????? ?? ???? ?? ?????? ?? ????? ?? ??? ? ????? ??? ???? ?? ????? ???? ? ?? ??? ?????? ? ???? ?? ????? ????? ????? ???? ?? ????.
22. ????? ?? ???? ?? ????? ????? ??????? 1- ????
2- ????????
????? ? ????? ??? ???? ?????
23. Types of Nursing Diagnosis Actual (present) N.D
Potential N.D
Possible N.D
24. ????? ???????
????? ??????? ???? ?????? ? ?? ?????? ????? ??? ? ???? ??? ???? ?? ???? ????? ????? ????.
?????? (?????) : Present N.D
????? ????? ??? ??????? ?????? (???????) : Potential N.D
????: N.D Tentative or Possible
25. ????? ??????? ????? ?? ????? ?? ?? ???? ????? ??????? ????? ??? ???:
?????? ???? ????? ??? ?? ?????? ?? ?????? ??? ?? ?? ?? ???? ?? ??? ?? ???? ????? ????? ????? 38 ???? ????????? ? ?????? ????? ??? ??? ?? 100 ??? ?? ?????? ?? ???????? ???? ? ...
26. ????? ??? ??????? ?????? ? ??????? ????? ???? ????? ?? ?? ???? ???? ? ???????? ?? ???? ?? ????? ??? :
?????? ?????? ?? ?????? ???? ?? ?????? ?? ???????
27. ????? ??????? ???? ????? ????? ????? ??? ??????? :
???? ? ???????? ? ??????? ????? ?????
???? ??? ???? ?? ????? ??? ??? ?????? ???????? ????? ?? ?? ???? ? ?? ???? ?? ??????? ?? ??? ???? ????.
28. ????: ????????? ???? ???? ????? ??? ???????
North of America Nursing Diagnosis Association ?? NANDA ?? ????
29. NANDA LIST Below is a complete listing of all NANDA nursing diagnoses through the 12th conference (1996).
Activity/Rest CirculationEgo IntegrityEliminationFood/FluidHygieneNeurosensoryPain/DiscomfortRespirationSafetySexualitySocial InteractionTeaching/Learning
30. Activity/Rest Activity intolerance (specify level)Activity intolerance, forDisuse syndrome, risk forDiversional activity deficitFatigueSleep pattern disturbance
31. Circulation Adative capacity: intracranial, decreased Cardiac output, decreased
Dysreflexia
Tissue perfusion, altered (specify): cerebral, cardiopulmonary, renal, pastrointestinal, peripheral
32. Ego Integrity Adjustment, impaired
Anxiety (mild, moderate, severe, panic)
Body image disturbance
Coping, defensive
Coping, individual, ineffective
Decisional conflict
Denial, ineffective
Energy field disturbance
Fear
Grieving, anticipatory
Grieving, dysfunctional
Hopelessness
Personal identity disurbance
Post-trauma response (specify stage)
Powerlessness
Rape-trauma syndrome (specify)
Rape-trauma syndrome: compound reaction
Rape-trauma syndrome: silent reaction
Relocaction stress syndrome
Self-esteem, chronic low
Self-esteem disturbance
Self-esteem, situational low
Spiritual distress (distress of the human spirit)
Spiritual well being, enhanced, potential for
33. Elimination Bowel incontinenceConstipationConstipation, colonicConstipation, perceivedDiarrheaIncontinence, functionalIncontinence, reflexIncontinence, stressIncontinence, totalIncontinence, urgeUrinary elimination, alteredUrinary retention, (acute/chronic)
34. Nanda list Food/FluidBreastfeeding, effectiveBreastfeeding, ineffectiveBreastfeeding, interruptedFluid volume deficit (active loss)Fluid volume deficit (regulatory failure)Fluid volume deficit, risk forFluid volume excessInfant feeding pattern, ineffectiveNutrition: altered, less than body requirements
Nutrition: altered, more than body requirementsNutrition: altered, risk for more than body requirementsOral mucous membrane, alteredSwallowing, impaired
35. Hygiene Self-care deficit (specify level): feeding, bathing/hygiene, dressing/ grooming, toileting
NeurosensoryConfusion, aacuteConfusion, chronicInfant behavior, disorganizedInfant behavior, disorganized, risk forInfant behavior, organized, potential for enhancedMemory, impairedPeripheral neurovascular dysfunction, risk forSensory perception alterations (specify): visual, auditory, kinesthetic, gustatory, tactile, olfactoryThought processes, alteredUnilateral neglect
36. Sexuality Sexual dysfunctionSexuality patterns, altered
Social InteractionCaregiver role strainCaregiver role strain, risk forCommunication, impaired verbalCommunity coping, enhanced, potential forCommunity coping, ineffectiveFamily coping, ineffectiveFamily coping, potential for growthFamily processes, altered: alcoholism (substance abuse)Family processes, alteredLoneliness, risk forParental role conflictParent/infant/child attachment, altered, risk forParenting, alteredParenting, altered, risk forRole performance, alteredSocical interaction, impairedSocial isolation
37. Pain/Discomfort PainPain, acutePain, chronic
RespirationAirway clearance, ineffectiveAspiration, risk forBreathing pattern, ineffectiveGas exchange, impairedSpontaneous ventilation, inability to sustainVentilatory weaning response, dysfunctional (DVWR)
38. Safety Body tempurature, altered, risk forEnvironmental interpretation syndrome, impairedHealth maintenance, alteredHome maintenance management, impairedHyperthermiaHypothermiaInfection, risk forInjury, risk forPerioperative positioning injury, risk forPhysical mobility, impairedPoisoning, risk forProtection, alteredSelf-mutilation, risk forSkin integrity, impairedSkin integrity, impaired, risk forSuffocation, risk forThermoregulation, ineffectiveTissue integrity, impairedTrauma, risk forViolence, (actual)/risk for:directed at self/others
39. Teaching/Learning Growth and development, alteredHealth-seeking behaviors (specify)Knowledge deficit (learning need) (specify)Noncompliance (compliance, altered) (specify)Therapeutic regimen: community, ineffective managementTherapeutic regimen: families, ineffective managementTherapeutic regimen: individual, effective managementTherapeutic regimen: individual, ineffective management
40. ????? ?????? ????
1- ????? ???? ????? ??? ???????
2- ????? ????? (?????? ??? ???? ??????)
3- ????? ?????? ? ??????? ???????
41. ????? ?????? ??
????? ??? ???? ?? ?? ???? ?? ??? ???? ?? ??? ???? ????? ?????? ???? ?? ??? ????? ?????.
??????? ?????
??????? ?? ????? ????? ?? ???
???? ?????
?????? ??????
????? ???? ?????? ????? ? ???? ???? ????
42. ????? ?????
?? ???? ????? ?? ???? ????? ?????? ??????? ?? ????? ?? ????? ????? ????? ?? ?????? ????.
????? ??? ( ?????? ??? ????? ??????? ? ???????)
????? ???
???? ??? (??????? ???? ?????)
????? : ????? ????? + ????? ????? ???? ??? + ???? + ??????
43. ?????? ?????? ???????
??? ????? ?? ???? ?? ?????? ??? ????? ??? ? ????? ?? ??? ????? ??? ????? ?? ??? .
?? ???? ?? ??? ????? ?? ??? ?? ???????? ?? ???? ?? ??? ? ????? ???? ????? ???. ?????? ????? ? ???? ????? ?????? ?? ?? ???? ??? ????.
44. ????? ????? ?????? ???????
?? ????? ???? ?? ?? ?????? ??? ??????? ?? ???? ??? ?? ????? ??? ???? ??? ? ?? ????? ????? ?? ??? ????? ?? ???? ????? ?????? ??????? ?????.
45. ????? ???? 1- ????? ?????? ????? ???
2- ??? ?? ????? ??? ?????? ?? ???
3- ????? ?? ??? ????? ? ???????
4- ????? ?? ????? ? ???????
5- ?????? ?? ????? ? ???????
6- ??? ??????? ????? ???
46. ????? ?????? ??????? (????????) ????? ????? ????? ???? ?? ?????? ???????
?? ???? ????? ??? ???? ???? ?? ???
???????? ??????? ?? ??? + ????? ?? ?????? ???????
?? ?????? ???? ????? ??? .
????? ?? ????? ?????? (????? ?? ??????? ????? ? ?????? ?? ??????????? ???? ???? ????? ????? ?????? ??? ????? ??? ???).
????? ???? ?????.
???? ??????? ?????? ????.
47. ????? ???????? ??????? ???? ?????
????? ?? ???????????
?????? ????? ???? ????? ?? ??????????? ? ????? ??????? ?? ?????
????? ??? ???????
????? ??? ???????
48. ???? ????:
?????? ????? ? ??????? ???? ????? ?? ?????? ??????? ?? ????.
49. ???? ?????? ??????? ??????? ? ??????
????? ????
???? ???????? ??? ? ?????? ???? ???????
????? ????????????? ???? ??????? ??????
???? ????? ?? ?????? ?? ???
???? ??????? ????? ?????? ??
?????? ????? ?????? ??? ????? ???