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Critical Thinking in the Nursing Process. The Nursing Care Plan. Nursing Process. Assessment Diagnosis Planning Intervention/Rationale Evaluation. Assessment. Subjective Data Objective Data. Nursing Diagnosis. Data Analysis Problem Identification Label-NANDA. PES. P- Problem
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Critical Thinking in the Nursing Process The Nursing Care Plan
Nursing Process • Assessment • Diagnosis • Planning • Intervention/Rationale • Evaluation
Assessment • Subjective Data • Objective Data
Nursing Diagnosis • Data Analysis • Problem Identification • Label-NANDA
PES • P- Problem • E - Etiology • S - Signs and Symptoms (Not “Risk For”)
Planning/Goals • Set Priorities • Specific & Timed Goals • Specific and Timed Interventions • Include Rationales
Intervention/ Rationale • Nurse Initiated Treatments • Physician Initiated Treatments
Evaluation • Evaluate the GOALS • Goals Were Met • Goals Were Not Met • Be Specific
SOAPIE Charting • S- Subjective • O-Objective • A-Assessment/Nursing Diagnosis • P-Plan/Goals • I-Intervention/Rationales • E-Evaluation