continuous contact to develop the nursing actions; stages
of patient preparation to develop health care actions
independent of nursing supervision.
In order to implement patient care, Orem(12)
proposes three moments. In the first, the initial contact
with the patient, the nurse meets the individual with health
care needs. This contact has to be established, legitimized,
and adequate according to the evidence required by
nursing. Patient interaction is the source to identify the
requisites, systems and new self-care demands, as well
as diagnosis and nursing prescriptions.
In the second step, the nurse creates a system that
contemplates the therapeutic demands and ways to care
for the patient. The continuation of care is sustained
with the help of family members or those responsible
for the care, who will act now and in the future. The
patients potential for self-care is, then, evaluated. It is
the moment to acknowledge, organize, and document
the effective value of nursing.
The third step is the preparation of the patient, family
or person responsible for the self-care to become
independent from the nurses actions. This person acts
as a guide for the nursing prescription. In this moment,
an agreement is established with the patient about his
needs and the factors that could possibly interfere in
this new adjustment. Next, the actions established
according to the care demand are documented.
continuous contact to develop the nursing actions; stagesof patient preparation to develop health care actionsindependent of nursing supervision.In order to implement patient care, Orem(12)proposes three moments. In the first, the initial contactwith the patient, the nurse meets the individual with healthcare needs. This contact has to be established, legitimized,and adequate according to the evidence required bynursing. Patient interaction is the source to identify therequisites, systems and new self-care demands, as wellas diagnosis and nursing prescriptions.In the second step, the nurse creates a system thatcontemplates the therapeutic demands and ways to carefor the patient. The continuation of care is sustainedwith the help of family members or those responsiblefor the care, who will act now and in the future. Thepatients potential for self-care is, then, evaluated. It isthe moment to acknowledge, organize, and documentthe effective value of nursing.The third step is the preparation of the patient, familyor person responsible for the self-care to becomeindependent from the nurses actions. This person actsas a guide for the nursing prescription. In this moment,an agreement is established with the patient about hisneeds and the factors that could possibly interfere inthis new adjustment. Next, the actions establishedaccording to the care demand are documented.
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