13

URSTNG PROGESS
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(3)

Nuxaimg pODcesg rs aCerieg el Sygdematio

i h Order to ideyrfif-
nUTOIng act iom
eatiert's Pavblemg, plamnina do 9olve ihe
Pxpble m gnd dheîr fmplemendatfan and ta9t
evaluaticm -e, he aohivement the gogfs.

The STeps_ the nuUn9ing_Par ceg9 CDe_AS

tolloo9
D Nusin Assessment
Nug9ing Diagno3i9
Nunsing plannfng
Alusina implementotion
Nuxsing eyaluatfiom

8 Plamning

Implementatom

Nazeind
-
Procese
4. NugsirnHseegsne L5 Fvaluation

Evglugtiooi Implemenbtim

CHsesSment tavaL
Diagnoeis
( Nuxein He9e99 ment

NtoginNHesegAment je detne ag, The

Sy9ten10 Omd delhxate Colec tiomo
he pgtient oloa 9Gmaly9i9 qnd

Data Collectiom can_he defne ag the2

Collectrom the_ narmgtiom, Eg0dLMg
the healthStatus,s he Padient data.
Can be HoOy Pe9,
A)Subiective Data- Suhjecitiie idaita: Tei
defne gg the {mfomots
e Ordma dhe patient9 comd itio ld
b dhe_Dient him9elt Such as.

Imaived elimingtion
ImPa jred Sensatim
dyeprmoea.
Qbiect ive 2ata
Obre.ctfveato ie e t ine g9he intomoton
e rd na the.patidnt9-aditim hfch_
a gbseryed hy fhe nugSe heT S£LL Sychoas
opgesyaiin ~ayital sian-
QbSeea tAn-o bled ing
9 nosiS
 (332
he objective doata is Collected by the method
phyeical examinatiom.After the dafa
collecttam. the nuse do the data onalyeis
Cnd inexc paetato in volves the gkils gnd
Kno ledae the hurse f he datO
ana HSiS and in er psetatiom,
a) Nuxsina Diagnosis-
Nugina Diasnosis ie deAne as the idenfihci
a t h e potient heal-h poblem and StatinA
them
Ihe nUTSIMA diagnoiS Can omly b
made ohen the d i9 Onalgsfs and fHte z_
preta ton f done effe.ctive
AHCCodingt0
NANDA diasnögsis [Nlorth Amefcan Nurei'n y
Diaanosis SSociaom 99a define nursihg
ragnoSis as follaoiMg olinical udgement
gbout indiyiduai fOmily c C n Uni4
nrespoMses o actual qnd Po-enfIa heo|th/

Aecoding m thé PahientE

health pmblem Ihe yuxeinA diagnosis

CU16.
T (A Actual Diaannsi
The Dnblem e Patient 'e health cahtch
O Dresent Qtualyie_khmaya9 gcte
msing diaanogis
 ((32
Hia Diianosis
oblem, patient's healHh ohich
0ccure n fiue
metime, Iknah
n efecttve Asslrata netiom
brre thing olifACilEfes
Planing-- .

00 Se ttinA Qnd tming Q.chin

tMe achivement_c tho9e Cet
00 cetting mu9t be e ffectivl
must be set gacoading dw
q tieñ oOd Qceicdent hae
e o the CmexJency g a m o d
fsblee dingfeelin dejosy pain
hi 2e lotivesCe anxiousThen-
rrlTH80g 10OUnd be totop
ina tollaoedby to.elive.poin'aMd
o elive CAnxit e lO:hives_

D Befting the nuxSe toom9 dheqctto-

Y t o the achivement e the Set goglg
294emt is havin eYiOu.z_Pafnthen
usingplannih do 7elive the pain
ngladé
gesicsui| begiven t0 the pqtien,
able Do91tlo oH| begiuenrtothepati
ologfcal SuppOt_aillbe aiven to
e Patfen t .
 (3)

u) Nuzein Tmplementotiom-
Thioje the most impatant etep he
NUsjnA_PamcegS Tn tohich the yuring ach
pla fe Împlemen ted he hurein4 1mplemeK

the planmna
IAthe im plemendamon alltrodtment
applied anthe patfent for the
hie hegtth pmblem
EXTA he potient îs having Sevrouxpalh-
thenthe nuseinJ_f'mple mêntatim to
eVe h e paln are ug follonos,
Anal9esics axe iven to dthe PoHfent.-
Comtotable POSiomi given to fhe potfertj
-gchologfcgl Suppoat aillLbe gen H
e patient
5-U-1G
5)Evaluatim-

Eyaluation jsthe (9St Step nuTIn-

pDcessIntahich a9seSSment s dome
that tn cohot extend he set goale have beeh
Ochieved t means mUSing eyaluatiom s.
heAlHh_9tatuS
the ICOGSEgsment & h e
the Datient naT health i 9 mpmvca arhot
Anuge mus timely evaluratei her actio
Tegond ing the patient S core. Eyduation fs
Ocfudaementol pnoSS AhLeh oeGuirest Pmper
ekils in he nuxse

LHPes Eyaluation.

ACcoyding o he tîminq ,eyglug t m t

 (136
Can be tolow ini Hpe,
D Cmcurent EyaluQ tfom_
(RTemnal Evaluatiom

Inhi9 ypeal evalugthon thensse

EYalua e paents healhatatug ouan
the nurSin Coe meanS he nuLse
uSuallyeyaluQte hex nu9ing qotiom
ESPOmCe Overhe pxiientg body
uhile She_ie comtinousq.ly poudihA
nursina Core n the patiert
Ex-A nUbseglyCS ahgLaes[cS dgS
the Datient to e live ain and
CValuates aftex_ 15ointe
etha t ueathear
pa in has been_f cluceda na t
6) erminql Evalugtim-
T+ ig end imeeyglugin i(ohteh means
enimgeyaluation Goaneietoheh,-
Patients dea fnent 19 Cmmpleted.as
Patfe nt js dischOr9e KD
Padient_ s Tetered iniaher
ase liy
Theteming Clyaluatiooie
nelude al he q9Peicte ceelisheatth
patient
he
Apa-hent lyho h ad be en Qalmted
hnSpitalipus day aO2GI
iahoea Qnd de dratiCm Noine
dischaxie So the tmima pa-fent is
he diaqshdea and NguoNonckades
dehgra im have been hot
cusedox mo
 ,16-U-16 137)
outs OF Daua Jloministaticm
Jrua is a ehemical agent ahich js paepaige
mdhe+fcallsfr cn chemîcals oi tom living
C AOnigm gnd hich s(ged t o h e pxevehtig
aJn09i6 aAd toeatment a hediseqe
he oug_Can be given to Hhe mtient
*"

Ihese OUtA a e elected

accociMa to he COmdi tfom the patfent.
he *ou ts e the dsua aodministra:tion ase
Selected basecdon tollasing factos
W Consistency the dhru
Ex-Sdicd,fqu JassPooderjell-
e UgenceyA he eitect athe daug inthepatient

Conci+fom_elhe mdient.
)ve He disese in4ne ipatiernt
*Rout9oz drug Oclminietratom-

Entera Paren tesg

dkal Pesectum EhHalatiom
Topical
ublingual
titatfn
Inserto
Imjeotiom
TM y Sc TD TA TT IO: Tc
 138
9) Enter
Entexal doutlg adin itotlom megn9 Oh
drug fg ad niniGtered dixreotly mto he
integtinal ack ethe PatIent Me dsug-
i abLGK Per nthe blodol gt he I'ntgh.
Om. Mut1S the moSt.CmnN Yd
Pyefered Dut oTUg aclminist
i n anYpatient o9
he ohus can be adminited.
inthe _aal Dut_in
Soli'd fasm liquid
tomDodex tmeto.

DThiS i9 mDSt eaS uutA dug

)This is the cheepest amut a dnl

ad stnqffim.

Ths f9 qAfme Goving U t dru

gdminiStrothom
(g)Oal z044 h9 leastoide eFtects
5 0 mat i9 Compais#ivly Sloo 0Ut 2l

CPeGectum
Tfhe dsug ie dizve.ct ly administred_
ntohe isectu fsom wheKe i t f9
scr ped nhe in-te9tine._
6-16
BPorenteta
PEhe drugis admimiStrgta inthe bodd
ateshingdact
bodd
Qycohere but outside h
IAenftfs Khsn aspaxentemlIout dg-
acdminitratom Tt_ meang allheOtker
t s tren tMeydexial mytaxe knaa 0S
enterqlmyt.ThePaxerteal dDut -p
dugadministsatim a e aS follo9

1nistS ea the most:apiC put

d r t r g d m i s t a fionIALo hich olsug iS
Afveh o the patient intheungs Vfa
TESPirq om. Tme dru9 immedigfely absisped
ntheblota
nhola ttomou t je:used
Suall
09fve drug os the:Trespim tory iSordex.n
Fa A9thma Nebulizey ri iniétered dose
fnhalo is usedtro d I
Cdministation

bilopical
Topica _ admljetration hë dsuA meaYh9
0pplicatfomsz du OVex_ the Skin e dhe
patfem The drrey iS chSoped m heKin
inho the undeslyinA tissue gnd then douu
mduce.sas ie eec dsually the drug Can he
Kett o linsis form tp the apoladopícall
OYe the skini The topico DuE adiatdho
heducdses o6efect shic
 ()40

mama topíul u t ie not u9ed for the

mqttally effect adM-
Ex AplLtfn ieiY on tment: po
eivepalne mLScle.
ViCKA_a 4geo fopieall tpelive
COmMnCold for the lo.c LoOuna
antihiotic Ointements Yeql9p
uAedtoplaally
C Sub inaual=It fa also a mut da
Cadmingtraton Lnhich
any dML Sgiven n he polent m
Hhe Sublinguo an
Sublinaual aTeaHhedMa fs.rc/irect
absoT péd inho he bloD becquSe
GUblinSUOL0 0 h09 Ve hgh bood
SUpp The sudingua utS2 dM
aolmiysrgHm a Belectecd ohen U ent
etect the e e qUIeo ns oheT
intaeni ou ts Such os D nhalaton
Camnot be Usede
Px-A_p aTient Qn ma pectoriS_js
GoiSed to kepp able f
nito alcerine in thePockdtoisThisi
9hixt ano o gke It syhlinully
chest
chest_pain_oCCu¥Siie nio4
n sTilation-
T anyisnug îs administrtdi siarec tlaN to
he ratugdl bos openimgiinlfoturd
pA chta adninistyaiion.Me: Matuzal
 bad peninA Mcude. exeS, ean , ho9O
eCtuM,VAAAMA, ut aCECoVTY ytLS
not încluded.in it, Inifllatioa S uSual
USed. fO achive localefect s4 thedag-
EXIns:tlllaton eye dmps, Ca doDPe,
nasal dv ps. Ingtilla4om. nema
mm the rectum_ Pate

(E)nsextiom-.
T fSadmin isdisoqteo into natur
dhug
gnY
fam_dhen itis
O Openin Solfc
Rnm g
dmnistaatjom The nmgtural openin bo
încludl e9 eHeS eqnS no Stals
Vaging y t osq COvity2Duti9 not-
included in it
P InSextjo) 9upp.oysiory ntn h e
ectwYD
Tnsen4fom ablets intb the y09ing.
Ohjectiom-InjeCtlom s me ealthe moBt
CmMm mUt. dmug admlhlStao»
Tn his mLItdmy dMiS QomlniStre d intn
the bocb akThon ai4cio ofenina
wth the:help niddle_and ninaeTt
in_
0ut the d 1 9 aiven
Megn9_in HiS
1uicfmn in the bod via agrkffcial openi
ina o h e omjous site ap draadmIni
Hocore
Strotiom e îmjectio ean he follasing
. , "

12--1
Li Indna permal Tt a a tjpe al Înfect im in
-
 tniigo.
two
made
betweep
is
comparison

ry term
a
like the pard.
bearded

leopard.
/
likea iransplantea

n r o n e r t i e s a r :
direcily
h I R )

ha

ohfc h caug is gdministres ndb thie sk

e patieht he n a sérmaln fection
(Siven at 19 englé he niadle whtch_e
uSedtarthhe intradexmal_njectim
Specific
EXBCCh vacoine e qiven irace mai
Suutaneosg In this tyee a nsecetion
orua is administred Umaler
the skin ws the patieht he aubcsaheouS
injectim is given at us angle
X n 9uline dTug i ugually adminietred
Subcu taneousl
Megseg aRRT3 VaEcine s 1ven su
Cutaneous

Git)toa Muscular- In hfa type el injection

dug
f s administied dmectly
intothe mugele a the padient The ånta
miusCulax infectim ts ven'a 9 angle
Liv Inhoa Venous- Inhis tupe. la infectfom the
Odminfstyed direet
inho the blonol h e patieAti a s
Punatuing aM ein miaalte TV
infectiom mOS t:icomm m
AY:TApidl

VTyaHrteyia Tn HiS TYpe:e injection

anydoug- adminictned
disrectly mho the hlomd yio puntAîng
S e s S Cammm0nyueed
because asika
blod Hlaa_fe yery 00pio and pnct
maY cauSe seve blaDd Lo9S
a n terH

EXfremox9 astery G Usecl to îrta drienal

injectom4Fca dialygis
V)Tntra thica/Tntro 6pinal-Tn this tye
injecton olzu
N
6 ódminietred into fhe cpinal Cd by
punctuiYg Pt beloO: dhe evele LertEbm.
T n h i ot_druA 9 adminisfred Lhtn
he CSE.
itgthial
ExeAgesthesisi n iuce bythe

(yi)ytroOescouS- Tn his ype Înjectin

crug administrecd dmect|
int the îpînt potiet
Px Hydm coa Som oMug f9 adminietr@a by
intsa 0S8eotus in fection fgy fheimtfent
Grthenits
(Viii) Tynhca Camlia l=I ths tPe injec tiom
agmiStKeddirecth
nco he heart elthe patient
Ex-Adenalin'niëctiom 1S8iven by lnt
Cogdiac K Fhe partent e Cáxdac
aTrest
 19-u-16 (140)
* Riahta drug administradton-
To Qdministmed an hug -io the pafent a
muraemust alloa the pinaipleadya
Caelmfnis to tim, Thege prnciple
be xePae sented as çiX Ights dug
acministsqtom._
IDRight Paffent-The nuxse must îmSure
that -he dmig f9 giYen
nheTight poatient OCurong fo cloCtor 's

Rght daug-he nrSe mugt însue hat he

_chatua uohich î being given to
the patient fs xight s this nuxse muat
Tead doctos e nmle

9 Right Dose-The nimse shoulcd calculate and

administxed the aight dosezeh
he dau prescaibed bu dhe do-tes
) Rght Rout - The. nurse must selecteá th
g ht pUt a hedr
administrofon accocoing to the doctor's

Riaht Tîme- TheHiminah the osua

adminiShratfom must also be

6) By Riaht Pexscm-Any dug shayld he.acminietat

tohe pa-feht by Qn aurhozfzed
 pSOn_mlyi t meana 2 hie
Qulhosiz ed"Ke .aniuhe nuTBe hould
Admiy iSHre d he olrugo the potfent