Let’s take a non-nursing example here to show you what we mean. The nursing diagnosis is developed by NANDA and should be prioritized based on Maslow’s hierarchy of needs.
You wake up on Monday morning after a late night of studying for your nursing exam, and you know that you’re going to need an extra big cup of coffee. This diagnosis is key to the next step in the process: making a care plan.
ADPIE is an acronym that stands for Assessment, Diagnosis, Planning, Implementation, and Evaluation.
These are the steps of the nursing process, which are chiefly the steps to providing proper care to your patient.
When you finally make it to class, you grab your computer out of your bag and open it up, but it won’t turn on. In this case, these would be things like your first impression and vitals. You would then set SMART goals, which is an acronym that stands for specific, measurable, attainable, realistic and timely short-and long-term goals for the patient.
From here, we can move on to the implementation part of the process.Now don’t forget, when you come upon these types of questions in exams, take a breath, read and reread the entire question.After that, ask yourself, “Which part of the nursing process is this question asking me?Because it took a little longer to brew, you’re running 10 minutes late to class. When you look at your computer and have figured out the cause, you now have to make a quick plan. You decide here that you need to run to get this computer fixed by a professional.You pour that delicious, warm drink into your thermos, frantically throw it in your backpack, and book it to school. “Let’s see,” you think, “I have to call to see if the store is open, make an appointment, find out if my computer was backed up, leave school, take the bus to 33rd street, walk two blocks…”When we apply that to nursing, we make a plan based on the assessment and nursing diagnosis of our patient.Burn this into your brain for those exams when you are asked about priorities! You wouldn’t run to the computer store the first moment your computer didn’t turn on without doing some detective work, right?Just like you don’t give your patient medication before you find out what’s really going on.” Some even lust about the possibility of finishing the exam at the 75 question mark so they can be done with the agony of the dreaded “nursing boards” as quickly as possible.No one wants to pay the 0 (and up) fee to take the test again.Notice here the difference between the planning stage and the implementation stage.In the planning stage, you are simply forming the plan.