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Nursing Process in Pharmacology

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Nursing Process in

Pharmacology
• An organizational framework for the
practice of nursing
• Orderly, systematic
• Central to all nursing care
• Encompasses all steps taken by the nurse
in caring for a patient
• Flexibility is important
Assessment

• the first phase of nursing process that is characterized by


systematic validation and documentation of information.
The nurse gather information from the patient, client or
significant others or family members, health professionals
and the medical record about the patient’s health and
lifestyle including about the illness and the drug regimen.
• Data collection must include both subjective and objective
information.
SubjectiveData

• Information provided verbally by the patient, family member or significant


others, health professionals or other sources.
•. Example of subjective data pertinent to medication administration
include the following:
1. Problems in swallowing
2. Cultural dietary barriers
3. Financial barriers
4. Use of tobacco, alcohol and caffeine
5. Current concerns about the patient’s:
 Knowledge about the medications and side effects
 Over the counter remedies, nutritional supplements, herbal remedies
and contraceptives.
 Knowledge of side effects to report to the physician
 Attitude and beliefs about taking the medications.
6. Allergies 
Objective
Data

• Data the nurse directly observes about the patient’s


health status. It includes collecting the patient’s health
information by using the senses: seeing, hearing,
smelling and touching.
•The following are example of objective data concerning
medication administration:
1. Physical health assessment
2. Laboratory and diagnostic test result
3. Data from physician’s note
4. Measurement of vital signs
5. The patient’s body language
Nursing
Diagnosis

•It is based on the nurse analysis of the assessment


data where it determines the type of care the patient will
received. Any abnormalities during the assessment will
serve as the characteristic of a problem to support the
appropriate nursing diagnosis.
• Judgment or conclusion about the
need/problem (actual or at risk for) of the
patient
• Based upon an accurate assessment
•Common nursing diagnosis related to drug therapy include
the following:
 Knowledge, deficit related to effects of anticoagulant
medication
 Noncompliance related to forgetfulness
 Health Maintenance, Ineffective related to not receiving
recommended preventive care
Planning

•Using the data collected, the nurse set goals or


expected outcomes and interventions.
•Goals and expected outcome should address the
problems in the patient’s nursing diagnosis. Goals
should be patient centered, realistic, measurable or
include time frame for achievement and
reevaluation.
• Identification of goals and outcome criteria
• Prioritization
• Time frame

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