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What Is Adpie

This document discusses several key concepts in nursing: 1. It defines the nursing process (ADPIE) as assessment, diagnosis, planning, implementation, and evaluation. 2. It lists 10 bases for utilizing the nursing process, including qualifications, competence, quality of care, and ethics. 3. It provides guidelines for good documentation, including being factual, accurate, complete, and ethical.

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Nassif M. Bangcola
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58 views

What Is Adpie

This document discusses several key concepts in nursing: 1. It defines the nursing process (ADPIE) as assessment, diagnosis, planning, implementation, and evaluation. 2. It lists 10 bases for utilizing the nursing process, including qualifications, competence, quality of care, and ethics. 3. It provides guidelines for good documentation, including being factual, accurate, complete, and ethical.

Uploaded by

Nassif M. Bangcola
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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1.

ASSESSMENT
What 2. DIAGNOSIS

is
3. PLANNING
4. IMPLEMENTATION
ADPIE? 5. EVALUATION
1. QUALIFICATION
BASES 2. PROFESSIONAL COMPETENCE

FOR 3. QUALITY OF CARE


4. COLLABORATION
UTILIZING 5. ETHICS

THE 6. RESEARCH
7. PERFORMANCE APPARAISAL
NURSING 8. PROFESSIONAL DEVELOPMENT

PROCESS. 9. RESOURCE UTILIZATION


10. DOCUMENTATION
SOURCE OF METHODS OF DATA
DATA COLLECTION
CLIENT AND HIS THE INTERVIEW
FAMILY
THE NURSING
SIGNIFICANT
HEALTH HISTORY
OTHERS (SO)
HEALTH TEAM
PAST RECORDS
RESULTS PHYSICAL
WHAT IS NURSING CARE
PLAN?
IS A WRITTEN DOCUMENT THAT STATES
THE PRIORITZED NURSING DIAGNOSIS,
THE GOALS OR EXPECTED OUTCOMES
OF CARE, AND NURSING INTERVENTIONS
NECESSARY TO MEET THEM.
PURPOSE 1. AS GUIDE FOR PATIENT-CENTERED OR
INVIDUALIZED CARE.

OF THE 2. AS AN INDICATOR OF THE GOALS OF NURSING


INTERVENTION.

WRITTEN 3. FOR CONTINUITY OF CARE.


4. FOR EFFECTIVE COMMUNICATION.
NURSING 5. AS BASIS FOR EVALUATING NURSING CARE.

CARE 6. AS GUIDE FOR SUPERVISION.


7. AS BASIS FOR DISCHARGE PLANNING.
PLAN 8. AS LEGAL BASIS FOR PROFFESIONAL PRACTICE
1. COMMUNICATION
2. PLANNING PATIENT CARE
PURPOSES 3. RESEARCH

OF 4. EDUCATION
5. AUDIT
DOCUMENTATION
6. REIMBURSEMENT OF HEALTH INSURANCE
7. LEGAL
8. HEALTH CARE ANALYSIS
1. FACTUAL
GUIDELINES FOR
GOOD 2. ACCURATE
REPORTING 3. CONFIDENTIAL
AND 4. COMPLETE
DOCUMENTATION 5. CURRENT
6. ORGANIZED
7. ETHICAL
1. RIGHT TO COMPETENT CARE.
2. FREEDOM FROM HARM.
3. RIGHT TO INFORMED CONSENT.
PATIENT’S 4. RIGHT TO WITHDRAW FROM
RIGHTS PARTICIPATION.
5. RIGHT TO CONFIDENTIALITY OF
INFORMATION.
6. RIGHT TO BE TREATED WITH DIGNITY AND
RESPECT.
1. WRITE LEGIBLY OR PRINT NEATLY.
2. USE PERMANENT INK.
3. WRITE ENTRIES IN CONSECUTIVE AND CHRONOLOGICAL
ORDER AS SOON AS CARE HAS BEEN PROVIDED.
DOCUMENTATION 4. GIVE THE DATE AND TIME OF EVERY ENTRY; SIGN YOUR
ENTRY WITH YOUR FULL SIGNATURE AND POSITION TITLE.
- THE VALUE OF RECORDS IS 5. DESCRIBE THE CARE PROVIDED AND THE PATIENT’S
BOTH SCIENTIFIC AND LEGAL RESPONSE TO IT.
6. PROMPTLY DOCUMENT ANY CHANGE IN PATIENT’S
CONDITION AND THE ACTIONS TAKEN BASED ON THAT
CHANGE.
7. CHART ONLY FOR YOURSELF.
8. CORRECT ERRORS PROMPTLY AS THESE MAY LEAD TO
ERRORS IN TREATMENT.

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