phase is the third phase where the nurse and the patient has to agree on which
diagnosis needs to be focused on.
diagnosing phase is the second stage which a nurse must make an educated
judgement using the information from the assessment to identify a potential or
an actual health problem. To make a reliable judgement sometimes multiple
diagnosis are made for a single patient. These diagnoses are
also used to judge if the patients’ health is improving and whether or not they
may have developed a syndrome. These diagnoses are not the same as medical
diagnosis because they are focused on patient’s problems that result from the
disease, and also whether or not a patient is at risk of developing further
problems, while the medical diagnoses focus on the disease prosses alone.
process is broken down into 5 five steps. The first step is the assessment
phase, where the nurse brings together information about a patients
psychological, physiological, sociological and spiritual needs. To gather this
information the nurse will interview the patient, they will also carry
physically examinations, referencing a patient’s health history, finding a
patients family history and some general observation.
Lily (2006) mentioned that contemporary nursing relies on
the nursing process
is a 70 year old, who was admitted to the medical ward following a stroke.
Since admission she has been found to be incontinent of urine. Her speech was
slurred which impaired communication. Mrs Briggs has a history of hypertension
for the last 10 years treated by anti-hypertensive medication. I am going to discuss
the holistic assessment and care of Mrs Briggs using nursing process for
problem solving approach, which is a five step process where treatment is
delivered to an individual (Lily, 2006 ). I will be focusing on risk to
pressure ulcers, malnutrition and falls.