00:01
Hey guys, welcome
to the series of ADPIE
also known as
the nursing process.
00:07
You're going to hear this a lot
through your nursing school,
and we do this a lot organically
as a nurse on the unit.
00:13
But we're going to talk
about this process,
and how it can help you
in your clinical setting?
So the first step of ADPIE
is nursing assessment.
00:22
And as you guys
have been taught
nursing assessment is so important
in regards to patient care.
00:28
So, we're going to talk
about this process,
and why it's relevant to you?
So let's talk about
the nursing process first.
00:35
This is a five-step approach of
how you provide care to a client.
00:40
So when we
talk about five-steps,
it is the A, the D,
the P, the I, and the E.
00:47
The ADPIE.
00:49
So we're briefly going to talk about
these steps first.
00:52
Just to introduce
the nursing process to you.
00:55
And of course,
we're going to use a pie image.
00:57
It's only fitting.
00:59
So we're going to use this
to discuss our ADPIE concepts.
01:03
So let's take a look
at the first piece of the pie
called assessment.
01:07
As you all know,
this is where we gather information
about the client's condition.
01:11
Now,
we're going to do this
by like a head to toe assessment,
for example,
gathering information
from our patient,
the medical records
that are available,
and even the family members
that are around our patients.
01:23
And the assessment piece is the part
we're going to focus on today.
01:27
So once we start
with our assessment,
just explain a process first.
01:31
We use our assessment to decide
what the problem is as a nurse.
01:36
Here, we're basically
trying to figure out
what the priority problem is.
01:41
So we use a common language
called a nursing diagnosis.
01:45
It's not a medical diagnosis
to use common language.
01:49
So, nurse to nurse,
we know
what the priority problem is
for the patient.
01:54
So, here's an example of this.
01:56
Maybe your patient has
an impaired breathing issue.
01:59
So the patient may have a
medical diagnosis of pneumonia,
but as a nurse,
this is not within our scope
to diagnose.
02:07
So therefore, we use a
nursing common language
called nursing diagnosis
to discuss the patient issue.
02:15
Next, we're going to make
a plan for our patients
once we've identified
that priority problem.
02:21
So the plan is going to look like
a plan of care,
goals for our patients,
specific actions or interventions,
to help improve
that patient outcome.
02:30
And also, set some outcomes of where
we want our patient to get to
and how much better
we want them to be.
02:37
So next is what I call
the action phase.
02:40
This is the I of the pie,
the implementation phase.
02:43
This is where we actually perform
those interventions
to help improve
our patient's condition.
02:50
And lastly, and most importantly,
is the evaluation phase.
02:55
This is if where we determine
in that planning phase.
02:58
Did we meet these goals,
or not?
Do we need to change things up?
Did those outcomes,
were those met?
If not, we restart over
on that ADPIE process.
03:10
So again, today, we're going to
focus on the piece of assessment,
the A of the pie.
03:15
So in the
assessment process,
this is where the nurses are
going to gather information,
we're going to identify
those major health problems
that contribute to the patient's
overall health and well being.
03:29
So let's talk about assessment.
03:31
Guys, this is a big piece
of what we do
and a big foundational piece
of what we do as a nurse.
03:38
So when you think about
assessment,
I want you to think
that there's a
critical thinking approach to this.
03:44
So of course,
it's collecting information,
but we also have to verify
that information, right?
It's got to be
the right information.
03:52
Then we've got to analyze
the information that we have.
03:56
So we're talking about
collecting information.
03:59
Who do we collect it from?
Well, the best source guys
is the client.
04:03
Always, we're going to tell you
the best source of information,
of course
it's the client themselves.
04:08
This could mean from the assessment
information we get from the client,
or what the client tells us
is the issue.
04:15
And our secondary sources,
which is our backup
or supporting sources
is of course going to be
the family member that maybe
knows the patient really well
or lives with the patient.
04:25
The health care providers, and
the medical record information.
04:30
Now, once we gather
all those primary, secondary
sources of information,
we've got to actually use
our critical thinking skills,
and interpret that info,
and see how it applies
to our patient condition.