Linda S. Williams / Paula D. Hopper Copyright © F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Chapter 1 Critical Thinking and the Nursing Process

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Critical Thinking The Use of Those Cognitive Skills or Strategies That Increase the Probability of a Desirable Outcome

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Other Terms  Reasoning  Reflection  Common Sense  Problem Solving  Analysis  Inquiry

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Critical Thinking Attitudes  Intellectual Humility  Intellectual Courage  Intellectual Empathy  Intellectual Integrity  Intellectual Perseverance  Faith in Reason  Intellectual Sense of Justice

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Which Are Good Sources of Information?  Nursing Textbook    Nursing Journal  Medical Journal  Ladies’ Home Journal

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Problem Solving 1. Gather Data 2. Identify Problem 3. Determine Outcomes 4. Plan 5. Implement Plan of Care 6. Evaluate Care

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Vigilance The Act of Being Attentive, Alert, and Watchful

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nursing Process  Assess  Diagnose  Plan  Implement  Evaluate

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition LPN Nursing Process Role  Collect Data  Collaborate with RN to  Formulate Nursing Diagnoses  Determine Outcomes, Plan Care  Implement Interventions  Assist in Evaluation

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Subjective Data Collection  Chief Complaint  WHAT’S UP?  Health History  Personal Habits  Family Role/Support Systems  Cultural/Spiritual Beliefs

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition WHAT’S UP?  W – Where Is it?  H – How Does It Feel?  A – Aggravating and Alleviating Factors  T – Timing  S – Severity  U – Useful Other Data  P – Patient’s Perception of Problem

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Data Collection  Objective Data  Inspect  Palpate  Percuss  Auscultate

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Auscultation

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Subjective or Objective?  Left Leg Lesion 2 X 3 cm  “I Feel Nauseated”  Patient Complains of Chest Pain  Heart Rate 72 Beats per Minute

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Documentation  Accurate  Concise  Objective

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Diagnosis  Nursing  Medical  Collaborative

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nursing Diagnosis  Problem  Etiology  Signs and Symptoms

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Plan of Care  Prioritize Diagnoses  Develop Outcomes  Identify Interventions  Prioritize Actions

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Maslow’s Hierarchy of Human Needs

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Outcomes  Measurable  Realistic  Include Time Frame

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Interventions  Goal Directed  Take  Treat  Teach

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Implementation  Communication  Implementation  Documentation

Copyright © F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Evaluation  Was Outcome Met?  Did Interventions Work?  Is Revision Needed?