Unit 1 Introduction to Pharmacology The Nursing Process and Patient-C
tered Care
1. Nursing Process: Systematic way of gathering and using information to plan
and provide individualized care. it describe who, what, when, where, why, how of
the nursing practice, including drug administration. The five steps of the nursing
process are assessment, diagnosis, planning, implementation, and evaluation.
2. Concept: CONCEPT: centers its focus for nursing care around the reason care
is being provided to the pt. it is more holistic view of the pt. rather that the disease
model. the 'concept includes' health, illness and health promotion of the pt. by
focusing to the concept the nurse will provide patient education, restorative, health
needs, medication administration, and possibly emergency care.to conclude it
simply organizing the pt. health problem and taking necessary action.
3. explain the steps of nursing process and how each steps relate to safe
drug administration: Assessment, patient problem, planning, implementation,
evaluation.
4. Assessment: the systematic collection, organization, validation, and documen-
tation of patient data, (medication assessment) focus on whether the patient is
experiencing the expected therapeutic benefits from the medications, dosage
review, serum levels obtained, also identify any adverse effects,baseline data
compared with current assessment to determine what changes have occured,
assess the ability of the patient to assume responsibility for self-administration of
medications-next diagnosis phase
5. Patient probelem: the pt. problem is made based on the analysis of the assess-
ment data and it determines the type of care the pt. will receive.
ex. abdominal pain, confusion, decreased adherence, need for health teaching,
cognitive teaching, nonadherence. use of patient problem is beneficial to the pt
because its focus is on the individual pt care as related to the actual problems
derived from the pt.. illness and not the actual disease.
6. Planning: prioritizes diagnoses, formulated desired outcomes, and selects
nursing interventions that can assist the patient to return to establish an optimum
of wellness, short and long term goals are established, links the strategies, or
interventions to the established goals and outcomes, involves drug administration
and patient teaching.
7. Implementation/Interventions: involves administering the drugs, carrying out
interventions to promote a therapeutic response and minimize adverse effects of
the drug, nurse interventions- monitoring side effects, documenting medications
and patient teaching, nurse applies the knowledge, skills, and principles of nursing
care to help move the patient toward the desired goal and optimal wellness
1/5
, Unit 1 Introduction to Pharmacology The Nursing Process and Patient-C
tered Care
8. Evaluation: compares the patient's current health status with the desired out-
come,
9. subjective data: information gathered regarding what a patient states or per-
ceives
10. What information do you collect during assessment?: medications patient
receiving, health history information, physical assessment data, lab values, other
measurable data and assessment of medication effects including both therapeutic
and side effects
11. Develop a set of "pt centered goal' (basing all the health care decision on
the needs of the pt.: In order to develop patient-centered goals and outcomes,col-
laboration with the patient and/or family is necessary.
*Effective goal setting has the following qualities
*• The expected change is realistic, measurable, and includes reasonable dead-
lines
.• The goal is acceptable to both the patient and nurse
.• The goal is dependent on the patient's decision-making ability
.• The goal is shared with other health care providers, including family or caregivers.
• The goal identifies components for evaluation.Examples of well-written compre-
hensive goals include the following
:• The patient will independently administer the prescribed dose of 4 units of regular
insulin by the endof the fourth session of instruction.
The patient will prepare a 3-day medication recording sheet that correctly reflects
the prescribedmedication schedule by the end of the second session of instruction.
12. Discuss atleast eight principle for health teaching related to drug thera-
py.: ...
13. analyze the nurses role as related to planning medication: • Assess that
the medication ordered is the correct medication
• Assess the patient's ability to self-administer medications
• Determine whether a patient should receive a medication at a given time
• Administer medications correctly, and closely monitor their effects
• Educate Patient and family about proper medication administration and monitor-
ing
• Do not delegate any part of the medication administration process to nursing
assistive personnel
• Apply the nursing process to medication administration
• practice the 10 rights
2/5
tered Care
1. Nursing Process: Systematic way of gathering and using information to plan
and provide individualized care. it describe who, what, when, where, why, how of
the nursing practice, including drug administration. The five steps of the nursing
process are assessment, diagnosis, planning, implementation, and evaluation.
2. Concept: CONCEPT: centers its focus for nursing care around the reason care
is being provided to the pt. it is more holistic view of the pt. rather that the disease
model. the 'concept includes' health, illness and health promotion of the pt. by
focusing to the concept the nurse will provide patient education, restorative, health
needs, medication administration, and possibly emergency care.to conclude it
simply organizing the pt. health problem and taking necessary action.
3. explain the steps of nursing process and how each steps relate to safe
drug administration: Assessment, patient problem, planning, implementation,
evaluation.
4. Assessment: the systematic collection, organization, validation, and documen-
tation of patient data, (medication assessment) focus on whether the patient is
experiencing the expected therapeutic benefits from the medications, dosage
review, serum levels obtained, also identify any adverse effects,baseline data
compared with current assessment to determine what changes have occured,
assess the ability of the patient to assume responsibility for self-administration of
medications-next diagnosis phase
5. Patient probelem: the pt. problem is made based on the analysis of the assess-
ment data and it determines the type of care the pt. will receive.
ex. abdominal pain, confusion, decreased adherence, need for health teaching,
cognitive teaching, nonadherence. use of patient problem is beneficial to the pt
because its focus is on the individual pt care as related to the actual problems
derived from the pt.. illness and not the actual disease.
6. Planning: prioritizes diagnoses, formulated desired outcomes, and selects
nursing interventions that can assist the patient to return to establish an optimum
of wellness, short and long term goals are established, links the strategies, or
interventions to the established goals and outcomes, involves drug administration
and patient teaching.
7. Implementation/Interventions: involves administering the drugs, carrying out
interventions to promote a therapeutic response and minimize adverse effects of
the drug, nurse interventions- monitoring side effects, documenting medications
and patient teaching, nurse applies the knowledge, skills, and principles of nursing
care to help move the patient toward the desired goal and optimal wellness
1/5
, Unit 1 Introduction to Pharmacology The Nursing Process and Patient-C
tered Care
8. Evaluation: compares the patient's current health status with the desired out-
come,
9. subjective data: information gathered regarding what a patient states or per-
ceives
10. What information do you collect during assessment?: medications patient
receiving, health history information, physical assessment data, lab values, other
measurable data and assessment of medication effects including both therapeutic
and side effects
11. Develop a set of "pt centered goal' (basing all the health care decision on
the needs of the pt.: In order to develop patient-centered goals and outcomes,col-
laboration with the patient and/or family is necessary.
*Effective goal setting has the following qualities
*• The expected change is realistic, measurable, and includes reasonable dead-
lines
.• The goal is acceptable to both the patient and nurse
.• The goal is dependent on the patient's decision-making ability
.• The goal is shared with other health care providers, including family or caregivers.
• The goal identifies components for evaluation.Examples of well-written compre-
hensive goals include the following
:• The patient will independently administer the prescribed dose of 4 units of regular
insulin by the endof the fourth session of instruction.
The patient will prepare a 3-day medication recording sheet that correctly reflects
the prescribedmedication schedule by the end of the second session of instruction.
12. Discuss atleast eight principle for health teaching related to drug thera-
py.: ...
13. analyze the nurses role as related to planning medication: • Assess that
the medication ordered is the correct medication
• Assess the patient's ability to self-administer medications
• Determine whether a patient should receive a medication at a given time
• Administer medications correctly, and closely monitor their effects
• Educate Patient and family about proper medication administration and monitor-
ing
• Do not delegate any part of the medication administration process to nursing
assistive personnel
• Apply the nursing process to medication administration
• practice the 10 rights
2/5
