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ITRS@IM ^RACDSS

7/23/2019 Nursing Process Bph

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@) KSSDSSGDIX

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Kmd6 58 pdkrs alh

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^lkcd ae B`rxo6 AKS Klbkp

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Arhdr ae ^kx`dix6 ^rdsdixlp caie`idh `i Sx) Hag`i`c Gdh`ckl Cdixdr

@ieargkix6 Cl`dix o`gsdle

Hkxd ae O`sxarp6 Sd~xdgbdr =, 2>;>

Acct~kx`ai6 Rdx`rdh Bkija Sdixrkl im ^`l`~`iks Dg~lapdd

B) Co`de Cag~lk`ix

Iko`o`rk~ki kjaim Tg`o`, ikjkscodhtldh ik kja sk ^km~k~ka~drk ks udrbkl`vdhbp xod ~kx`dix

C) O`sxarp ae ^rdsdix @llidss

2 gaixos ~r`ar xa khg`ss`ai Xod cl`dix `s k jia}i Bdi`mi ^rasxkx`c Op~drxra~op kih`s ai gk`ixdikicd ae gdh`ckx`ai Xkgstlas`i ae 2>> gm kih Htxksxdr`hd 4>> gcm

2 hkps ~r`ar xa khg`ss`ai' Cl`dix okh codcj't~ }`xo K^) Cl`dix xodi khu`cds ear

xrkistrdxorkl rdsdcx`ai ae xod ~rasxrkxd /XTR^) Odicd scodhtldh kih stbsd{tdixlp

khg`xxdh)

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H) ^ksx O`sxarp

;) Co`lhoaah @llidss6 Tirdcklldh

2) Khtlx @llidss6 H`kbdxds, Op~drxdis`ai Sxkmd @@, Kctxd Caraikrp Odkrx spihragd

3) @ggti`vkx`ai6 @icag~ldxd

8) ^rdu`ats Oas~`xkl`vkx`ai6 Gkp ;2,2>>? / Cpsx`x`s

4) A~drkx`ais6 Kim`a~lksxp /;;pdkrs kma

5) @iftr`ds Iaid

=) Gdh`ckx`ai xkjdi ~r`ar xa caie`idgdix6 xkgstlas`i 2>>gm!xkb kih htxksxdr`hd 4>>

gcm

?) Klldrm`ds6Iaid

D) Spsxdgs Rdu`d}

;) ODKLXO ^DRCD^X@AI'ODKLXO GKIKMDGDIX

Bdeard xod cl`dix }ks khg`xxdh ear o`s t~cag`im cpsxa'xrkistrdxorkl rdsdcx`ai ae xod

~rasxrkxd, xod cl`dix okh calhs erag xod ~ksx x}a }ddjs) Xod cl`dix oks k o`sxarp ae odkrx blacj}odi od }ks patim, d~dr`dicdh Kctxd caraikrp spihragd htr`im 2>>? kih oks tihdrmaid

kim`a~lksxp) Xod cl`dix `s klsa op~drxdis`ud kih H`kbdx`c) Xod cl`dix `s ai gk`ixdikicd ae

ks~`r`i ?> gm!xkb A)H, ldu`xdrkcdxkg/Jd~~rk 4>> gm!xkb A)H, Cla~`hamrdl/^lku` =4 gm,

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rdcaggdihdh h`dx `s o`s }kp xa jdd~ o`gsdle odklxop) Xod cl`dix bdl`duds xokx od max o`s ~rdsdix

`llidss bdcktsd ae o`s rk~`h `icrdksd ae }d`mox tix`l od max abdsd kih bd`im h`kbdx`c kmmrkukxdh

7/23/2019 Nursing Process Bph

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o`s caih`x`ai) Cl`dix }ks h`kmiasdh ae Bdi`mi ^rasxkx`c Op~drxra~op s`icd 2>>4 kih }ks

khu`sdh ear gdh`ckx`ais ae xkgstlas`i 2>>gm!xkb kih htxksxdr`h 4>> gcm xokx oa~detllp }atlh

bd xrdkxdh) Btx xod cl`dix hdudla~dh Cpsx`x`s lksx Gkp 2>;> tix`l od rdcklldh xokx od catlh odeddls `ixdrg`xxdix ~k`i }o`ld rdgau`im xod ckxodxdr) Od }ks xodi khu`sdh ear xrkistrdxorkl

rdsdcx`ai ae xod ~rasxrkxd /XTR^ lksx Ftlp btx }ks iax {tkl`e`dh diatmo bdcktsd ae o`s o`mo

mltcasd ldudls) Xod cl`dix xodi ~rd~krdh o`gsdle kih rdhtcdh o`s h`dx ear XTR^ ai Ktmtsx)Tiearxtikxdlp, o`s hacxar }dix atx ae xa}i xokx hdlkpdh o`s a~drkx`ai t~ xa xo`s gaixo) Xod

cl`dix sxkxdh xokx od oks o`s gaixolp ratx`id ae codcj't~ erag o`s hacxar kx Sx) Hag`i`c Gdh`ckl

Cdixdr)

^rdsdixlp, xod ~kx`dix `s ai ^asx'A~drkx`ud Sxkxts erag cpsxa' xrkistrdxorkl rdsdcx`ai aexod ~rasxrkxd) Xod cl`dix sxkxdh kexdr xod ed} oatrs ae strmdrp t~ai }kj`im t~ ks 00)0$

stccdss+ Xod cl`dix }ks caa~drkx`ud kih bdl`duds xokx xod odklxo ckrd xdkg okh xrdkxdh o`g

stccdssetllp) Kexdr }dkr`im aee ae kidsxods`k erag xod cl`dix, od okh tstkl cag~lk`ixs ae ~k`i}`xo k ~k`i sckld ae ?!;>) Xod cl`dix sxkxdh xokx od eddls k ticagearxkbld }`xo xod ~k`i `e od `s

iax gdh`ckxdh xokx gkhd o`g sor`dj `i h`sxrdss)

2)ITXR@X@AIKL GDXKBAL@C ^KXXDRI

Bdeard xod cl`dix }ks khg`xxdh ear o`s t~cag`im cpsxa'xrkistrdxorkl rdsdcx`ai ae xod~rasxrkxd, xod cl`dix sxkxdh xokx od dkxs 3 x`gds k hkp khodr`im ai la}'sklx, la}'ekx kih h`kbdx`c

h`dx) Xod cl`dix oks ia jia}i klldrm`ds, kih o`s ekuar`xd gdkl }atlh bd kipxo`im }`xo cacaitx

g`lj kih }`xo sagd s~`cds) Xod cl`dix sxkxdh xokx od hr`ijs gard xoki ;> mlkssds ae }kxdr k hkp)

Od rdcklldh xokx o`s lksx gdkl }ks caimdd }`xo ba`ldh dmm) Ia dcds ~drs~`rkx`ai kih eatl ahar,oks ia h`ee`ctlxp ai cod}`im kih `i hdixkl ~rabldgs) O`s }atih odkls iargkllp ks laim ks o`s

h`kbdxds `s caixralldh) Xod cl`dix `s }`xo BG@ ae 32)2 /iargkl ukltd ae7 ;?)4'28)0 `ih`ckx`imabdsd) Xod cl`dix sxkxdh xokx od klrdkhp okh lass o`s }d`mox xo`s x`gd) xod cl`dix ia laimdr rdcklldh

o`s ~rdu`ats }d`mox)

^rdsdixlp, xod cl`dix }ks I^A `i xod gari`im kih oks sxkrxdh dkx`im }`xo caimdd kih ba`ldh

dmm htr`im lticox`gd }`xo 3 ~`dcds ae mrk~ds ks hdssdrx) Xod cl`dix caistgds =4> gl ae }kxdriaxdh ai atr 5';2 gari`im so`ex lksx Ktmtsx ?, 2>;>)

3)DLG@IKX@AI ^KXXDRI

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Bdeard xod cl`dix }ks khg`xxdh ear o`s t~cag`im cpsxa'xrkistrdxorkl rdsdcx`ai ae xod

~rasxrkxd, xod cl`dix tr`ikxds ai o`s `ih}dll`im Ealdp ckxodxdr ear klgasx 2 }ddjs) Xod cl`dix

sxkxdh xokx xod ckxodxdr ckiiax bd rdgaudh bdcktsd od d~dr`dicds `ixdrg`xxdix ~k`i }`xo ar}`xoatx ha`im kipxo`im) Xod cl`dix sxkxdh xokx od tr`ikxdh `i sxrk}' calardh tr`id) Kih oks k

ba}dl gaudgdix ae aicd k hkp `i saex bra}i calardh sxaal }`xoatx h`ee`ctlxp kih tsds ae

lkkx`uds)

^rdsdixlp, xod cl`dix `s 3'}kp `ih}dll`im Ealdp ckxodxdr }`xo xtb`im kxxkcodh ai 5,>>> gl

ae ]`lj`is ear cpxaclps s )`x }ks xod cl`dixs QQ baxxld) Xod cl`dix oks rdhh`so calar ae 48>> gl

hrk`idh ai o`s tr`id bkm kih oks ia ba}dl gaudgdix iaxdh ai atr 5';2 gari`im so`ex lksx

Ktmtsx ?, 2>;>)

8)KCX@U@XP % D_DRC@SD

Bdeard xod cl`dix }ks khg`xxdh ear o`s t~cag`im cpsxa'xrkistrdxorkl rdsdcx`ai ae xod

~rasxrkxd, xod cl`dixs hk`lp kcx`u`xp }atlh bd }kxco`im xod xdldu`s`ai kih s`xx`im kll hkp ar }atlh

sagdx`gds xkjds k ik~) Xod cl`dix }atlh }klj kratih xod`r oatsd dkrlp `i xod gari`im xaddrc`sd o`gsdle)

^rdsdixlp, xod cl`dix `s ai bdh'rdsx kih eddls ~k`i bdla} o`s kbhagdi }`xo cag~lk`ixs ae

~k`i }odi od xr`ds xa gaud o`s la}dr dxrdg`x`ds)

4)CAMI@X@UD'^DRCD^XTKL

Xod cl`dix `s caisc`ats kih caodrdix, ar`dixdh xa x`gd kih hkp kih }`xo maah sdisd ae

otgar) Xod cl`dix tihdrsxkihs o`s ~ramias`s kih ks }dll ks o`s }`ed }o`co `s o`s ckrd'xkjdr) Xod

cl`dix `s k}krd erag xod ~racdhtrds xokx }ks ckrr`dh atx kih caa~drkxds ks }dll okrgai`atslp)^rdsdixlp, xod cl`dix sxkxdh xokx od eddls ~k`i kll xod x`gd, btx od bdl`duds kih `s ar`dixdh xokx xod

~k`i edlx `s `i`x`kllp iargkl kexdr xod strmdrp) Xod cl`dix `s kx dksd kx xod jia}ldhmd kih `s laaj`im

ear}krh ~as`x`udlp xa rdcaudr saai)

5)SLDD^!RDSX

Bdeard xod cl`dix }ks khg`xxdh ear o`s t~cag`im cpsxa'xrkistrdxorkl rdsdcx`ai ae xod

~rasxrkxd, xod cl`dix sldd~s lkxd kx i`mox kratih ;>6>> `i xod dudi`im kih }kjds t~ kratih = ar

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?6>> `i xod gari`im) Xod cl`dix sxkxdh xokx od }kxcods xod xdldu`s`ai kx i`mox xa gkjd o`g ekll xa

sldd~, xokx od tstkllp ldex xod xdldu`s`ai ai }odi od `s havdh aee) Xod cl`dix hads iax tsd kip

sldd~`im ~`lls) Xod cl`dix sxkxdh xokx od eddls maah t~ai }kj`im t~ kih eddls rdftudikxdh) Xodcl`dix sxkxdh xokx od okh klsa {t`cj ik~s `i xod kexdriaai, kexdr xkj`im o`s ltico }o`co oks bddi

o`s ratx`id kll hkp laim)

^rdsdixlp, cl`dix sxkxdh xokx o`s ~k`i oks m`udi o`g l`mox sldd~s) Od okh `ixdrrt~xdh sldd~sbdcktsd ae xod h`scagearx edlx, xod gai`xar`im ae o`s caih`x`ai) Xod cl`dix sxkxdh xokx xkj`im ~k`i'

rdl`dudrs odl~dh o`g ~tx xa sldd~ ear kx ldksx sdudrkl oatrs ae }`xoatx `ixdrrt~x`ai) Xod cl`dix

sxkxdh xokx od sx`ll eddls x`rdh erag xod h`scagearxs pdx od oks sx`ll }`xo o`s maah sdisd ae otgar)

=)SDLE'^DRCD^X@AI'SDLE CAICD^X

Xod cl`dix sxkxdh xokx od oks ed} rdmrdxs rdmkrh`im ai o`s odklxo ~rdsdixlp) Od sxkxdh xokx

`e od }ks kbld xa caixral o`gsdle erag xod dxdrikl ekcxars xokx okud sdix o`g xa sdudrkl

cag~l`ckx`ais stco ks o`s u`cds, h`dx kih l`edsxpld }odi od }ks patim bkcj xodi)

^rdsdixlp, xod ~kx`dix sxkxdh xokx od `s laaj`im ear}krh xa bd kx oagd, kih bd }`xo o`sekg`lp) Od sxkxdh xokx od }atlh ddrx gard deearxs ai ddrc`sd kih caix`itd ai o`s h`dx s`icd od

}ks khu`sdh bp o`s ekg`lp hacxar xa lasd }d`mox) Xod cl`dix sxkxdh xokx od `s laaj`im ear}krh xa

tr`ikxd }`xoatx kip tsd ae ki `ih}dll`im ckxodxdr kih }atlh }kxco gau`ds `i xod c`idgk xamdxodr}`xo o`s }`ed)

?)RALD'RDLKX@AISO@^

Xod Cl`dix `s xod 4xo sai ae o`s ~krdixs, k ekxodr xa o`s e`ud co`lhrdi) Od oks xordd

hktmoxdrs kih x}a sais) xod cl`dix `s k sdi`ar c`x`vdi kih k fallp mrkih'ekxodr) Xod cl`dix do`b`xs

maah `ixdr~drsaikl rdlkx`aiso`~ xa o`s ekg`lp) Od sxkxdh xokx xodrd krd ia ekg`lp {tkrrdls sa ekr)

Xod cl`dix `s k otgarats ~drsai, xokx gkhd mkud xodg a~diidss kih maah baihs) Xod cl`dixsxkxdh xokx od hdc`hds ai xod ekc`im ekg`lps gkfar hdc`s`ais }`xo xod odl~ ae o`s }`ed) Xod cl`dix

sxkxdh xokx od gtsds }`xo o`s ~rdsdix l`ed, difap`im o`s rdx`rdgdix hkps)

0)SD_TKL@XP'RD^RAHTCX@UD

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Xod ~kx`dix `s iax sdtkllp kcx`ud kih }ks c`rctgc`sdh kx xod kmd ae ;2) Xod cl`dix `s

gkrr`dh }`xo o`s }`ed ear klgasx 8> pdkrs) Xod cl`dix h`s~lkps `ix`gkxd clasd rdlkx`aiso`~ xa o`s

}`ed) Xod cl`dix sxkxds xokx od hd~dihs gasx ai odr }`ed ear xkj`im ckrd ae o`g kih `i m`u`im o`ggdh`ckx`ai kih odr kxxdix`ai kx o`g, s`icd od xdihs xa bd earmdxetl) Xod cl`dix catlh bd absdrudh

Ragkix`c, bp absdru`im o`g kih o`s }`ed oalh`im okihs)

;>) CA^@IM!SXRDSS XALDRKICD

Xod cl`dix sxkxdh xokx xod gkfar sxrdssds `i l`ed xokx od okud dicatixdrdh `s o`s ~rdsdixcaih`x`ai, bd`im h`kmiasdh ear bdi`mi ~rasxkx`c op~drxra~op, xod cl`dix khodrds xa xod

gdh`ckx ais oa~detllp bd xrdkxdh }`xoatx xod tsd ae `iuks`ud ~racdhtrds, pdx o`s caih`x`ai

kmmrkukxdh xokx od max cpsx`x`s gkj`im o`g h`ee`ctlx xa tr`ikxd }`xoatx xod tsd ae `ih}dll`imckxodxdr) Xod cl`dix sxkxdh xokx kx e`rsx, od max }dkrp erag h`srt~x`im o`s hkllp kcx`u`x`ds kih

sxkp`im ear gaixos }`xo ki `ih}dll`im ckxodxdr) Xod cl`dix sxkxdh xokx od max tsdh xa `x dudixtkllp

kih hadsix hd~rdss gtco kbatx `x) Od sxkxdh xokx od oks k lau`im ekg`lp kih k ckr`im }`ed }oakl}kps xaaj ckrd ae o`g)

^rdsdixlp, xod cl`dix cag~lk`is ae sdudrd ~k`i kih xdihdridss kratih xod kbhagdi) Xod

cl`dix tsds gdh`ckx`ais xa odl~ o`g xaldrkxd xod ~k`i) Xod cl`dix }atlh txxdr fajds kih }kxco

xdldu`s`ai }odi od `s k}kjd xa h`udrx o`s kxxdix`ai)

;;) UKLTDS!BDL@DES

Xod Cl`dix `s k Ragki Ckxoal`c) Xod cl`dix `s k B`calkia kih lauds eaah }`xo cacaitx

g`lj kih s~`cds ks }okx od max tsdh xa erag o`s bari ~rau`icd) Xod cl`dix sxkxdh xokx od bkrdlp

kxxdihs xod cotrco bdcktsd ae o`s odklxo caih`x`ai)

E) Ekg lp Kssdssgdix

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M) Odrdha'Ekg`lp @llidss:

Gkxdrikl

Xod Gaxodr s`hd ae ^kx`dixs FCI `s jia}i xa okud `iodr`xdh `llidss ae Cdru`ckl Ckicdr

Ekxodr'

Xod Ekxodr s`hd ae ^kx`dixs FCI `s jia}i xa bd op~drxdis`ud, H`kbdx`c kih j`hidp h`sdksds)

Ikgd Rdlkx`ai Kmd Sd Acct~kx`ai Dhtckx`aikl

Kxxk`igdix

]`ed ]`ed 48 Edgkld Oatsd}`ed

Hktmoxdr Hktmoxdr 2? Edgkld Gdh) Rd~)

Hktmoxdr Hktmoxdr 2= Edgkld @istrkicd

Cag~kip

Hktmoxdr Hktmoxdr 25 Edgkld Iaid

Sai Sai 22 Gkld Iaid

Sai Sai 2> Gkld 8xo pdkr

calldmd

8xo pdkr

calldmd

;sx Mrkih

Hktmoxdr

Mrkih

Hktmoxdr

;pr % 2gas Edgkld Iaid

2ih Mrkih

Hktmoxdr

Mrkih

Hktmoxdr

4 gaixos Edgkld Iaid

7/23/2019 Nursing Process Bph

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@@) HDUDLA^GDIXKL O@SXARP

Xodar`sx Kmd Xksj ^kx`dix Hdscr`~x`ai

Dr`cjsais

^spcoasac`kl

Hdudla~gdix

Mdidrkx`u`xp

us)Sxkmikx`ai

3>'54 pdkrs alh

g`hhld kmd Dr jsai-s kiklps`s ae xo`s sxkmd

}ks sxraimlp ar`dixdh xa}krhs~krdix`im) Mdidrkx`udlp

~axdix`kllp dxdihs bdpaih

aid-s a}i co`lhrdi, kih klsa xa

kll etxtrd mdidrkx`ais, }o`com`uds xod gahdl tlx`gkxdlp k

udrp gahdri mlabkllprds~ais`bld ~drs~dcx`ud) Oku`imco`lhrdi `s iax k ~rdrd{t`s`xd ear

Mdidrkx`u`xp, ftsx ks bd`im k

~krdix `s ia mtkrkixdd xokxMdidrkx`u`xp }`ll bd kco`dudh)

Ckr`im ear co`lhrdi `s xod

caggai Mdidrkx`u`xp scdikr`a,

btx stccdss kx xo`s sxkmd kcxtkllphd~dihs ai m`u`im kih ckr`im '

~txx`im sagdxo`im bkcj `ixa

l`ed, xa xod bdsx ae aid-sck~kb`l`x`ds)

Sxkmikx`ai `s ki dxdis`ai ae`ix`gkcp }o`co xtris `i}krh `i

xod earg ae sdle'`ixdrdsx kih

sdle'kbsar~x`ai) @x-s xodh`s~as`x`ai xokx rd~rdsdixs

eddl`ims ae sdle`soidss, sdle'

`ihtlmdicd, mrddh, lkcj ae

`ixdrdsx `i patim ~da~ld kih

etxtrd mdidrkx`ais, kih xod}`hdr }arlh)

Khtlxs iddh xa crdkxd ar itrxtrd

xo`ims xokx }`ll atxlksx xodg,

aexdi bp oku`im co`lhrdi arcrdkx`im k ~as`x`ud cokimd xokx

bdide`xs axodr ~da~ld) Stccdss

Xod cl`dix `s ~rdsdixlp

difap`im o`gsdle kx o`s sdi`ar

pdkrs) Xod cl`dix `s k rdx`rdhbkimja sidxrkl dg~lapdd kih

okud dkri`ims xokx od `s

~rdsdixlp gtsds ear) Xod

cl`dix `s }dll dsxkbl`sodherag rk`s`im kll o`s co`lhrdi

kih ia} ~rdsdixlp }arj`imdcd~x ear o`s patimdsx saixokx }`ll bd mrkhtkx`im xo`s

cag`im gkp) Xod cl`dix oks 2

mrkihhktmoxdrs xokx od `sudrp ok~~p xa sdd xodg }o`ld

od `s sx`ll kl`ud ks od sxkxdh)

Xod cl`dix sxkxdh xod od okhl`udh o`s l`ed ~rahtcx`udlp)

Xod cl`dix do`b`xs

mdidrkx`u`xp erag Dr`cjsais~spcoasac`kl hdudla~gdix)

Xod cl`dix sxkxdh xokx od okh

}arjdh okrh ai o`s patimdrpdkrs xa okud k sxkbld l`ed

t~ai o`s rdx`rdgdix) Xod

cl`dix rk`sdh o`s co`lhrdi }dllkih oks o`gsdle x}a

mrkihhktmoxdrs)

Od sxkxdh xokx od hadsix

okud kipxo`im xa ksj ear,dcd~x xa okud laimdr l`ed xa

s~dih o`s malhdi pdkrs }`xoo`s bdlaudh ekg`lp)

7/23/2019 Nursing Process Bph

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ldkhs xa eddl`ims ae tsdetlidss

kih kccag~l`sogdix, }o`ldek`ltrd rdstlxs `i soklla}

`iualudgdix `i xod }arlh)

@) ^OPS@CKL D_KG@IKX@AI

RDM@AIKL D_KG@IKX@AI

K) SJ@I

Bra}i sj`i, /' S}dll`im, ~`xx`im dhdgk, /' Ldss`ais, @ixkcx sj`i xtrmar, ]krg xa xatco,

Hkrj hrp scklp sj`i ai la}dr dxrdg`x`ds

B) IK@LS

/'Cltbb`im, ~`ij ik`l bdh, sgaaxo, e`rg, e`imdrik`ls kx ;5> hdmrdds kimld)

C) ODKH KIH EKCD

Cldkr sckl~,/' ~krks`xds, Spggdxr`ckl kih ratih odkh, sgaaxo, e`rg, /' Lds`ais,

~rdsdicd ae mrkp ok`rs, ~rdsdicd ae mrdp ekc`kl ok`rs)

H) DPDS

^t~`ls D{tkl, Ratih, Rdkcx`ud xa l`mox kih kccaggahkx`ai)

Bl`ij`im spggdxr`ckl, `iualtixkrp, xrkis~krdix, sgaaxo kih ga`sx caridk, ~rdsdicd ae

krcts sdi`l`s

D) DKRS

7/23/2019 Nursing Process Bph

11/29

@i d{tkl s`vd, sgaaxo, gksxa`h ~racdss dks`lp ~kl~kxdh, /' xdihdridss, }krg,/' Ldss`ais,

/' H`scokrmds

E) IASD

Sal`h ~lkcdgdix, /' iahtlds, /' gkssds,/'xdihdridss, /' s}dll`im) Calar skgd ks ekcd,

sgaaxo, spggdxr`ckl k~~dkrkicd, kih ia cokimds `i ikrds }`xo rds~`rkx`ai) ^`ij gtcask,ga`sx }`xoatx lds`ais) Iaixdihdr ai ~kl~kx`ai ae s`itsds

M) GATXO KIH ^OKRPI_

^`ij l`~s, ga`sx, sgaaxo, /' lds`ais ae btcckl gtcask, ~`ij mtgs, ga`sx sgaaxo ~`ijxaimtd, ~dkrlp }o`xd xddxo,/' tlcdrkx`ai,/' Rdhidss,/' s}dll`im,

O) IDCJ

Sgaaxo, caixralldh gaudgdixs, Rkimd ae gax`ai erag t~r`mox ~as`x`ai6 Eld`ai 7 84Dxdis`ai 7 44 Lkxdrkl kbhtcx`ai 7 8> Raxkx`ai 7 =>, xopra`h `i g`hl`id, cdru`ckl lpg~o

iahds iax ~kl~kbld)/' xdihdridss,

@) S^@ID

Iax kssdssdh

F) XOARK_ KIH LTIMS

8> brdkxods ~dr g`itxd, Xkcop~id`c, spggdxr`ckl d~kis`ai, /' ~k`i, /' Xdihdridss)

J) CKRH@AUKSCTLKR! ODKRX

0? Bdkxs ~dr g`itxd /K~`ckl, rdmtlkr) blaah ~rdsstrd ae ;3>!0>

L) BRDKSX

Spggdxr`ckl, /' Xdihdridss,/' Ldss`ais,/' Gkssds)

G) KBHAGDI

7/23/2019 Nursing Process Bph

12/29

Kbhag`ikl h`sxdix`ai, Ratih /' Rksods, /' Ldss`ais, Spggdxr`ckl, Sgaaxo, /'

Xdihdridss kih rdbatih xdihdridss, /' Gkssds

I) D_XRDGDX@DS

L`g`xdh rkimd ae Etll Rkimd ae Gax`ai, /' Xdihdridss, /' Fa`ix ^k`is, D{tkl `i S`vd,

A) MDI@XKLS

Xordd'}kp `ih}dll`im Ealdp ckxodxdr `isdrxdh bdx}ddi xod scraxtgs ear tr`ikx`ai kih

Cpsxaclps`s) /' Rdhidss, /' Lds`ais, /* Hrk`idh ^`ij`so h`scokrmds ae 4,8>> gl)

^) RDCXTG KIH KITS

Iax kssdssdh

[) IDTRALAM@CKL D_KG

Kldrx kih k}kjd, rds~aihs k~~ra~r`kxdlp, rdlkdh ~asxtrd, maah dpd caixkcx: s~ddco `s

cldkr }`xo gahdrkxd ~kcd, sgaaxo caarh`ikxd gaudgdixs)

@@)^DRSAIKL ! SAC@KL O@SXARP

Okb`xs6 Xod ~kx`dix oks xod okb`x ae xkj`im k ik~ `i xod kexdriaais, }kxco xod xdldu`s`ai kll

hkp)

Rkij!Arhdr `i xod ekg`lp6 4xo

U`cds6 Xod cl`dix sxkxdh xokx od `s ki accks`aikl hr`ijdr kih sgajds g`i`gkllp htr`im kx o`sxddikmd pdkrs)

Xrkudl6 Tirdcklldh

Dhtckx`ai Kxxk`igdix6 Bkcodlar ae E`id Krxs

Acct~kx`ai6 Rdx`rdh Bkimja Sdixrkl dg~lapdd

Sac`kl Kee`l`kx`ai6 Sdi`ar C`x`vdis Kssac`kx`ai

Cl`dixs tstkl hkp l`jd6 Kl}kps kx oagd }kxco`im xdldu`s`ai, xkj`im ik~s htr`im xod

kexdriaais, xkljs }`xo o`s rdlkx`uds, s`ldixlp ~kc`im atx o`gsdle ai xod diu`raigdix ar

sagdx`gds laajs kexdr o`s mrkih co`lhrdi)

7/23/2019 Nursing Process Bph

13/29

L`edsxpld6 Xod ~kx`dix oks sxkx`c l`edsxpld, s`xx`im ar lkp`im kll hkp) @ixdrkcx`im }`xo o`s

rdlkx`uds, }kxco`im gau`ds ar rdkh`im o`s id}s ~k~dr `s o`s hk`lp kcx`u`xp

@@@) DIU@RAIGDIXKL O@SXARP

Xod cl`dix l`uds xamdxodr }`xo o`s ekg`lp cag~asdh ae 0 oatsd oalh gdgbdrs) Xod x}a'

sxardp oatsd }`xo 2>0 s{tkrd gdxdrs `s a}idh bp xod ~kx`dix rds`h`im idkr xod o`mo}kp)

Xod cl`dix ikrrkxdh xokx `x `s k cdgdixdh oatsd }`xo 3 bdhraags kih 3 bkxo raag) Xod oatsd

`s etllp udix`lkxdh kih }dll l`x ae ? }`iha}s ai xod e`rsx elaar kih 5 }`iha}s ai xod sdcaihelaar ear xod s`vd ae 22 gdxdr) Xod`r haars ear kbatx xod s`vd ae ;?>_; gdxdr) Xod cl`dix

sxkxdh xokx xod`r strratih`ims krd }dll'ski`x`vdh) Xod`r dldcxr`c`xp st~~lp cagds erag Gdrklca

kih xod`r }kxdr st~~lp krd erag Hdd~ }dll) Xodp arhdr G`idrkl }kxdr ear hr`ij`im) Xod

cl`dixs rds`hdicd `s khukixkmdats, s`icd `x `s idkr xod ~tbl`c gkrjdx, xrkis~arxkx`ai, kx scoaalkih Oas~`xkl)

@U) AB MPID O@SXARP /IAX K^^L@CKBLD

U) ^DH@KXR@C O@SXARP

GKXDRIKL KIH B@RXO O@SXARP

B`rxo hkxd6 Iaudgbdr 24, ;084 Oas~`xkl6 AKS Klbkp /Lp`im'@ii

B`rxo }d`mox6 Tirdcklldh

7/23/2019 Nursing Process Bph

14/29

Xp~d ae hdl`udrp6 Iargkl S~aixkidats Hdl`udrp

Caih`x`ai kexdr b`rxo6 @i e`id sxkbld caih`x`ai

Gaxodr6

Cag~l`ckx`ais ae hdl`udrp6 Iaid

Kidsxods`k hrtm mtr`im lkbar6 Tirdcklldh

D~astrd xa Xdrkxamdi`c Kmdixs htr`im ^rdmikicp6 Iaid

K) LKBARKXARP RDSTLX AR E@IH@IMS6 /Iaid

7/23/2019 Nursing Process Bph

15/29

AXODR SATRCDS AE @IEARGKX@AI

HRTM SXTHP

7/23/2019 Nursing Process Bph

16/29

Hrtms Ikgd @ih`ckx`ai Haskmd Kcx`ai S`hd Deedcx!

Khudrsd Deedcx

Itrs`im

Cais`hdrkx`ai

^kx`dix Xdkco`ims

cdetra`gd Xrdkxgdix ae6Rds~`rkxarp xrkcx

`iedcx`as, sj`i kihsj`i sxrtcxtrd

`iedcx`ais, Baid kih

fa`ix iedcx`ais,Tr`ikrp xrkcx kih

mpidcalam`c`iedcx`ais)

B`ih xa

bkcxr`kl cdll }kll

gdgbrkid,

ckts`im cdll

hdkxo)

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deedcxs6

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kcx`ai)

S~dcxrtg6S`g`lkr ae xod

e`rsx mdidrkx`aicd~oklas~ar`is

btx okud o`mokcx`u`xp kmk`is

axodr mrkg'

idmkx`ud~kxoamdis)

CIS6 sd`vtrds

/O`mo hasds)

M@6

^sdthagdgbrki

ats cal`x`s,

h`krrodk, iktsdk,

uag`xx`im,

crkg~s)

Hdrg6 rksods,

trx`ckr`k,

Odgkx6 blaah

hpscrks`ks,

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kidg`k)

Lackl6 ~k`i kx

@G s`xd,

~oldb`x`skx @U

s`xd)

G`sc6 Klldrm`c

rdkcx`ais

`iclth`imkik~oplk`s kihsdrtg s`cjidss,

st~dr`iedcx`ai

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}atih,s~txtg,

tr`id kih sxaal

kx bdm`ii`im

kih htr`im

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k o`sxarp xa

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kih rdkcx`ais xa

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^drsais }`xo k

idmkx`ud

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sx`ll okud ki

klldrm`c

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ear rdikl

hpseticx`ai kih

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hasd'rdlkxdh

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dudixs)

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~kx`dix ear s`misae kih

Q@isxrtcx ~kx`dix xa

xkjd gdh`ckx`ai

kratih xod clacj kx

dudilp s~kcdh x`gds

kih xa e`i`so xod

gdh`ckx`ais

cag~ldxdlp

QKhu`sd ~kx`dix xa

rd~arx s`mis ae

st~dr`iedcx`ai/etrrp

audrmra}xo ai xod

xatimd,ukm`ikl

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h`scokrmd,laasd ar

eatl'sgdll`im sxaals

kih klldrmp

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iax`ep odklxo ckrd

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kih h`krrodk hdudla~,

ds~~dc`kllp e sxaal

caixk`is blaah,~ts ar

gtcts)khu`sd ~kx`dix

iax xa xrdkx h`krrodk

}`xoatx caistlx`im

odklxo ckrd

~raedss`aikl)

7/23/2019 Nursing Process Bph

17/29

7/23/2019 Nursing Process Bph

18/29

Hrtms Ikgd @ih`ckx`ai Haskmd Kcx`ai S`hd Deedcx!

Khudrsd Deedcx

Itrs`im

Cais`hdrkx`ai

^kx`dix Xdkco`ims

Xrkgkhal Gahdrkxd xagahdrkxdlp sdudrd

~k`i

B`ihs xa gt'a~a`h rdcd~xars)@io`b`xs rdt~xkjdae sdraxai`i kihiard~or`id `i xodCIS

CIS6 Sd`vvtrds,h`vv`idss,odkhkcod,sagialdicd,ki`dxp, CISsx`gtlkx`ai,caiets`ai,caarh`ikx`aih`sxtrbkicd,dt~oar`k,gklk`sd,idruatsidss, sldd~h`sarhdr,}dkjidss DDIX6

u`stkl

h`sxrtbkicdsCU6 uksah`lkx`aiM@6 caisx`~kx`ai,

iktsdk, kbhag`ikl~k`i,kiard`k,

h`krrodk,hrpgatxo,hps~d~s`k,e

lkxtldicd,uag`xx`imMT6 gdia~ktsklspg~xags, tr`ikrprdxdix`ai!erd{tdicp Hdrg6~rtr`xts,s}dkx`imIdtra6 op~drxai`k

G`sc6 ~ops`cklhd~dihdicd,~spcoalam`ckl

hd~dihdicd,

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kih `ixdis`xp ae~k`i bdeard kih2'3 or kexdrkhg`i`sxrkx`ai

QKssdss ba}dl

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soatlh bd

`isx`xtxdh }`xo`icrdksd ixkjd aeelt`hs kih btlj

}`xo lkkx`uds xag`i`g`vd

caisx`~kx`imdeedcxs)

QGai`xar

~kx`dix ear

sd`vtrds) Gkpacctr irdcaggdihdhhasd rkimd)

QKssdss blaah~rdsstrd kih

rds~`rkxarp rkxdbdeard kih~dr`ah`ckllphtr`imkhg`i`sxrkx`ai)

QKssdss ~rdu`ats

kiklmds`c o`sxarp)Xrkgkhal `s iaxrdcaggdihdh ear

~kx`dixshd~dihdix aia~a`hs ar }oaokud ~rdu`atslprdcd`udh a~a`hs

ear gard xoki ;}ddj)

QGkp cktsd`icrdksd sdrtg

Q @isxrtcx ~kx`dix ai

oa} kih }odi xa ksjear ~k`i gdh`ckx`ai

QGkp cktsd h`vv`idsskih hra}s`idss)Cktx`ai ~kx`dix xa kua`hhr`u`im ar axodrkcx`u`x`ds rd{t`r`imkldrxidsstix`lrds~aisdxa gdh`ckx`aiae jia}i

QKhu`sd ~kx`dix xa

cokimd ~as`x`ai sla}lpxa g`i`g`vd arxoasxkx`cop~axdis`ai

QCktx`ai ~kx`dix xa

kua`h caictrrdix tsd ae

klcaoal ar axodr CIShd~rdsskixs }`xo

xo`sgdh`ckx`aiQDicatrkmd ~k``dix xaxtri, catmo kih brdkxodhdd~lp dudrp 2 or xa

~rdudix kxdldcxk`s)

7/23/2019 Nursing Process Bph

19/29

Hrtms Ikgd @ih`ckx`ai Haskmd Kcx`ai S`hd Deedcx!

Khudrsd Deedcx

Itrs`im

Cais`hdrkx`ai

^kx`dix Xdkco`ims

Kglah`~`id Op~drxdis`ai:corai`c sxkbld kim`ik:

uksas~ksx`c/~r`ivgdxkl ar ukr`kix

kim`ik)

4 gm ; xkb ^AAH

@io`b`xs ieltae cklc`tg ai

kcrass cdllgdgbrkids xa

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ae caraikrpkrxdr`ds,

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/hdcrdksd blaah

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gpackrh`klapmdi hdl`udrp

`i ~kx`dixs }`xouksas~ksx`c

kim`ik

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RR, DCM

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h`sxdihdh idcjud`is, ltim

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kih sj`i xtrmar

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KSX, b`l`rtb`iGai`xar `e

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ae gdh`ckl rdm`gdi6

h`dx, ddrc`sd, sxrdssrdhtcx`ai, sgaj`im

cdsskx`ai kih hrtmxodrk~p

7/23/2019 Nursing Process Bph

20/29

Hrtms Ikgd @ih`ckx`ai Haskmd Kcx`ai S`hd Deedcx!

Khudrsd Deedcx

Itrs`im

Cais`hdrkx`ai

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e`br`llkx`ai, udixr`ctlkrh`lkx`ai,

st~rkudixr`ctlkr

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ae tihdrlp`im

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hkps ar gard

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gk`ixk`i k sah`tg'

rdsxr`cxdh h`dx kih

~axkss`tg

st~~ldgdixs xa

~rdudix xa`c`xp

7/23/2019 Nursing Process Bph

21/29

7/23/2019 Nursing Process Bph

22/29

ITRS@IM CKRD ^LKI

Hrtms Ikgd @ih`ckx`ai Haskmd Kcx`ai S`hd Deedcx!

Khudrsd Deedcx

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Cais`hdrkx`ai

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Cla~`hamrdlRdhtcx`ai ae

kxodrascldrax`c dudixs/gpackrh`kl

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uksctlkr hdkxo i~kx`dixs }`xo

kxodrascldras`shactgdixdh bp rdcdix

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krxdr`kl h`sdksd)Xrdkxgdix ae ~kx`dixs

steedr`im erag iai'SX sdmgdix dldukx`ai

kctxd caraikrp

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G@ `i cagb`ikx`ai}`xo ks~`r`i)

=4 gm ^A AH Blacjs KH^

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kih kmmrdmkx`ai)

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bdeard scodhtldhstrmdrp ar hdixkl

~racdhtrd

7/23/2019 Nursing Process Bph

23/29

Ctds!Iddhs Itrs`im

H`kmias`s

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sk skj`x jaksudrbkl`vdh bp xod

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ki dihasca~d)Xod dihasca~d`s isdrxdh ixa

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QKssdss xod }atih, iaxd

calar,xdxtrd,lackx`ai,xtrmar kihu`xkl s`mis

Q@isxrtcx xod ~kx`dix kih

~kx`dixs ckrd m`udr xa ~rkcx`cd

ksd~x`c xdcoi`{td earcldkis`im,hrdss`im,gdh`ckx`im

lds`ais

QGai`xar lkbarkxarp sxth`ds

Q^ragaxd a~x`gtg itxr`x`ai

}`xo o`mo {tkl`xp ~raxd`i kihstee`c`dix

cklar`ds,u`xkg`is,g`idrkl

st~~ldgdixs

QDicatrkmd khd{tkxd ~dr`ahs ae

rdsx kih sldd~

Q^ragaxd dkrlp gab`l`xp `e

~kx`dix cki xaldrkxd) Kss`sx }`xo

kcx`ud!~kss`ud kih kss`sx`udddrc`sds

QKssdss `ic`s`ai krdk ear

rdhidss,odkx,`ihtrkx`ai,s}dll`im,sd~krkx`ai kih hrk`ikmd

QEar cag~krkx`ud

bksdl`id

QRdhtcds r`sj ear

crass'caixkg`ikx`ai

QEar cokimds

`ih`ckx`ud ae odkl`im ar

`iedcx`ai!cag~l`ckx`ais

QXa a~x`g`vd odkl`im

~axdix`kl

QXa l`g`x gdxkbal`c

hdgkihs, gk`g`vd

didrmp kuk`lkbld earodkl`im kih gddx

cagearx iddhs

QXa ~ragaxd

c`rctlkx`ai kih ~rdudix

dcdss`ud x`sstd~rdsstrd

QXodsd s`mis `ih`ckxd

~ass`bld `iedcx`ai

Kx xod dih aeoatrs ae itrs`ixdrudix`ai, cl`dix }kskblxa h`s~lkp

bdoku`arcokimds xa

~ragaxd odklkih ~rdudixdkipcag~l`ckx`ai

Ctds!Iddhs Itrs`im

H`kmias`s

Rkx`aikld Makls kih

Abfdcx`uds

@ixdrudix`ais Rkx`aikld Dukltkx`ai

Stbfdcx`ud6

Kim skj`x im

stmkx sk kr` ja

kx sk xpki ja ksudrbkl`vdh bp

xod ~kx`dix

Kctxd ~k`i

rdlkxdh xa

strm`ckl

~racdhtrd ae

cpsxa'XTR^ks du`hdicdh

Ti~ldkskix

sdisarpkih dgax`aikl

d~dr`dicdkr`s`im

erag kcxtkl araxdix`kl x`sstd

Kx xod dih ae 5

oatrs ae itrs`im

`ixdrudix ai, xod

cl`dix }`ll rd~arx

klldu`kx`ai ae~k`i erag xod

@IHD^DIHDIX

QAbxk`i cl`dixs kssdssgdix ae

~k`i xa `iclthd lackx`ai,

cokrkcxdr`sx`cs, aisdx ! htrkx`ai,

erd{tdicp, {tkl`xp, `ixdis`xp, kih

QEar etxtrd bksdl`id

cag~kr`sai)

Kx xod dih ae

oatrs ae itrs

`ixdrudix`ai,

cl`dix rd~arxd

klldu`kx`ai ae

~k`i erag ~k`

7/23/2019 Nursing Process Bph

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Ctds!Iddhs Itrs`im H`kmias`s Rkx`aikld Makls kih

Abfdcx`uds

@ixdrudix`ais Rkx`aikld Dukltkx`ai

Stbfdcx`ud6

@lkim bt}ki ik

kjaim

ikjkckxodxodr

hko`l sk o`rk~

kjaim gkjk'`o`

ks udrbkl`vdh bp

xod ~kx`dix

9Sxkxdh xokx od

okhtr`ikx`im

}`xo xod tsd ae

ki `ih}dll`im

ckxodxdr ear3

gaixos

Abfdcx`ud6

9^rdsdicd ae 3'

}kp Ealdpckxodxdr

9Hpstr`k

9/* erag bdi`mi~rasxkx`c

op~drxra~op9^alptr`k

U)S

B^6 ;3>!0>

^R60?RR68>

Xdg~6 3?)3c

@g~k`rdh Tr`ikrp

Dl`g`ikx`ai

rdlkxdh xa

~rdsdicd ae

`ih}dll`im

ckxodxdr `ihtcdh

bp op~dr~lks`k ae

~rasxrkxd

absxrtcx`im xod

trdxork xokx

cktsds ~k`i ks

du`hdicdh bp

hpstr`k, ~alptr`k

kih ~rdsdicd ae

`ih}dll`im

ckxodxdr)

Bdi`mi ~rasxkx`c

op~dr~lks`k /B^O rdedrs

xa xod `icrdksd `i s`vd ae

xod ~rasxkxd `i g`hhld'

kmdh kih dlhdrlp gdi) @x `s

cokrkcxdr`vdh bp

op~dr~lks`k ae

~rasxkx`c sxragkl kih d~`xo

dl`kl cdlls, rdstlx`im i xod

eargkx`ai ae lkrmd, ek`rlp

h`scrdxd iahtlds `i xod

~dr`trdxorkl rdm`ai ae xod

~rasxkxd)

]odi stee`c`dixlp lkrmd,

xod iahtlds cag~rdss

xod trdxorkl ckikl xa cktsd

~krx`kl, ar sagdx`gds

u`rxtkllp cag~ldxd,

absxrtcx`ai ae xod trdxork,

}o`co ixdredrds xod

iargkl ela} ae tr`id) @x

ldkhs xa spg~xags ae

tr`ikrp ods`xkicp,

erd{tdix tr`ikx`ai, hpstr`k

/~k`ietl tr`ikx`ai,

`icrdksdh r`sj ae tr`ikrp

xrkcx iedcx`ais,

kih tr`ikrp rdxdix`ai

Kexdr 2'3 hkps ae

Itrs`im

@ixdrudix`ai, Xod

~kx`dix }`ll

dsxkbl`so iargkl

tr`ikrp

dl`g`ikx`ai ks

gki`edsxdh bp

kbsdicd ae

Hpstr`k, ^alptr`k

kih kih kbsdicd

ae `ih}dll`im

ckxodxodr)

@ihd~dihdix6

QRdu`d} rdstlxs ae

h`kmiasx`c sxth`ds

QDicatrkmd elt`h

`ixkjd t~ xa 3>>> ar

gl!hkp }`xo`i ckrh`kc

xaldrkicd @iclth`im

crkibdrrp ft`cd xa odl~

gk`ixk`i rdikl eticx`ai

QCodcj erd{tdixlp ear

blkhhdr h`sxdix`ai kih

absdrud ear audrela})

QDg~oks`vd

`g~arxkicd ae jdd~`im

krdk ae sj`i cldki kihhrp

QH`sctss ~ass`bld

h`dxkrp rdsxr`cx`ais

ds~dc`kllp caeedd

,klcaoal, ckrbaikxdh

hr`ijs, c`xrts, xagkxads

kih coacalkxds)

QXa hdix`ep

~rdsdicd! xp~d

ae dl`g`ikx`ai

~rabldg

Q^rdudixs

`iedcx`ai kih

eargkx`ai ae

tr`ikrp sxaids

QXa rdhtcd

r`sjae iedcx`ai

kih ktxaiag`c

op~drrdeld`k

QXa rdhtcd

`iedcx`ai arSj`i Brdkjha}i

QXa rdhtcd

r`sjae iedcx`ai

Kexdr 2'3

hkps ae

Itrs`im

`ixdrudix`ai,

xod ~kx`dix

kco`dudh

iargkl tr`id

dl`g`ikx`ai

ks gki`edsxdh

bp kbsdicd ae

hpstr`k,

^alptr`k kih

kih ae

`ih}dll`im

ckxodxodr)

7/23/2019 Nursing Process Bph

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Q@isxrtcx xa }`~d xod

krdk erag eraix xa bkcj

kih xkjd soa}drs

rkxodr xoki xtb bkxos

QGk`ixk`i ki kc`h`c

diu`raigdix ae xod

blkhhdr bp xod tsd aekmdixs stco ks U`x)C,

Gkihdlkg`id /k

tr`ikrp kix`sd~x`c

}odi k~~ra~r`kxd

Hd~dihdix6

QKhg`i`sxdr

~rdscr`bdh hrtms

Callkbarkx`ud6

QRdedr xa Gdh`ckl

Xdcoi`c`ki ear

h`kmiasx`cs

dkg`ikx`ais

QXa ~rdudix

r`sjae iedcx`ai

kih etrxodr

caixkg`ikx`ai

QXa h`scatrkmd

bkcxdr`kl

mra}xo)

QXa ~rau`hd

~okrgkcalam`ckl

rdl`de kih

oksxdis ~kx`dixsrdcaudrp

QXa hdxdrg`id

deedcx`udidss ae

hrtm xodrk~p)

7/23/2019 Nursing Process Bph

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Aima`im k~~rk`skl

Xod 58 pdkr alh cl`dix }ks k jia}i cksd ae Bdi`mi ^rasxkx`c Op~drxra~op s`icd 2>>4

}ks khu`sdh xa gdh`ckxd xkgstlas`i 2>>gm!xkb kih htxksxdr`h 4>> gcm xa oa~detllp bd

xrdkxdh }`xoatx xod tsd ae `iuks`ud ~racdhtrds, ia cag~l`ckx`ais }ks jia}i ae tix`l Gkp2>;>, xod cl`dix }ks caie`idh t~ai xod h`kmias`s ae Cpsx`x`s) Kexdr}krhs, xod cl`dix }ks

caie`idh ear h`ee`ctlxp ae tr`ikx`im kih ~k`i, xodrdbp caie`idh) Ki `ih}dll`im ckxodxdr }kstsdh ear sdudrkl gaixos bdcktsd xod ~k`i }atlh ~drs`sx t~ai rdgaukl) Xod cl`dix xodi }ks

khu`sdh ear cpsxa'xrkistrdxorkl rdsdcx`ai ae xod ~rasxkxd btx }ks hdlkpdh htd xa o`s o`mo

mltcasd ldudls) Xod cl`dix `i ~rd~krkx`ai ear ~rd~krkx`ai ae strmdrp gah`e`dh o`s h`dx xa lasd

}d`mox kih }ks rdscodhtldh ear Sd~xdgbdr 5, 2>;> kratih 064; ~g ear xod cl`dixs strmdrpai Sd~xdgbdr =, 2>;> kx ;26>> iaai)

Xod cl`dix }ks khg`xxdh ai Sd~xdgbdr 5, 2>;> }`xo u`xkl s`mis ae /B^6 ;;>!?>, ^R6 ?=,

RR6 ;= Xdg~6 35)2c ear cpsxa'XTR^) Xod cl`dix }ks ksjdh ear caisdix, cldkrkicd, kih xasdctrd ;8 baxxlds ae 5,>>> gl ae ]`lj`is) Xod cl`dix }ks `ietsdh ae H4LR ;L 3> mxxs!g`i)

xod cl`dix s gdh`ckx`ais erag xod hacxars arhdr `s Cla~`hamrdl =4 gm ; xkb ^A AH,

Kglah`~`id 4gm ; Xkb ^A AH, H`ma`i >)24 ; xkb ^A AH, Kxaruksxkx`i 8> gm xkb ^A

AH, Ldu`xdrkckxkg 4>> gm @ xkb ^A AH, U`hkml`~`x`i * Gdxearg`i /Mklutsgdx 4>!?4> gm^A, Ml`gd~dr`hd ; gm ^A AH)

Sd~xdgbdr =, 2>;>) Xod cl`dix `s ai I^A }`xo H4Lr ;L 3>mxxs!g`i `iets`im }dll) ]`xo

u`xkl s`mis ae /B^6 ;;>!?>, ^R6 5?, RR622 Xdg~6 35c xkjdi kratih ;2 iaai ~r`ar xa

xrkisedrr`im xa xod a~drkx`im raag) Xod strmdrp sxkrxdh kratih ;2634 ~g kih dihdh ;6>4 ~g)Xod cl`dix `s }`xo 3'}kp Ealdp Ckxodxdr ear cpxalps`s hrk`i`im `i blaahp elt`h) Xod cl`dix `s

}`xo apmdi `ioklkx`ai u`k ikskl ckiitlk kx 2 l`xdrs ~dr g`itxd) Xod cl`dix }ks m`udiJdxdralkc kih `ietsdh }`xo H4LR ; L_3> mxxs!g`i) }`xo u`xkl s`mis ae /B^6 ;;>!?>, ^R6;>,

RR6 2> Xdg~6 35c tihdr [;4) Kexdr}krhs, cl`dixs blaah ~rdsstrds `icrdksd xa ;8>!0> }`xo

`icrdksdh rds~`rkxarp rkxd kih ~tlsd rkxd) Xod cl`dix d~dr`dicdh d~`sahds ae edudr kih }ks

sxkb`l`vdh `i xod dudi`im) Xod cl`dix cag~lk`idh ae ~k`i }`xo ~k`i sckld ae ?!;>)

^rdsdixlp, xod cl`dix rdgk`is I^A kih ftsx rdcd`udh o`s gdkl htr`im lticox`gd) Xod

cl`dix `s ai ^ISS ;L _ ;2 o `iets`im }dll ai o`s ldex okih, }`xo CBM gai`xardh dudrp 5

oatrs ai H`kbdx`c h`dx kih gai`xar`im U`xkl s`mis dudrp 2 oatrs) Xod cl`dix `s edbr`ld kihxkcop~id`c, cag~lk`is ae ~k`i }`xo ~k`i sckld ae ?!;> kih gdh`ckxdh }`xo Xrkgkhal 4>gm

dudrp ? oatrs) Xod cl`dix `s ai 0xo mkllaai ae ]`lj`is ear o`s Cpsxaclps`s hrk`idh 4,8>> gl `i

rdhh`so calar) Cl`dixs lkxdsx u`xkl s`mis }drd /B^6 ;3>!0>, ^R6 0?, RR6 8>, Xdg~6 3?)3) xod

cl`dixs ~rdsdix gdh`ckx`ai krd Cdetra`gd 4>>gm ; xkb, B@H, Kglah`~`id 4gm ; xkb ^AAH, H`ma`i >)24 gm ^A AH, Cla~`hamrdl =4 gm ^A AH, Ldu`xdrkcdxkg 4>>gm ; xkb ^A

AH) Xdg~arkr`lp }`xooalh`im xod rdsx ae o`s gdh`ckx`ais)

7/23/2019 Nursing Process Bph

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7/23/2019 Nursing Process Bph

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B) H`scokrmd lki

Gdh`ckx`ai

@isxrtcx ~kx`dix xa xkjd gdh`ckx`ai kratih xod clacj kih xa e`i`so xod hrtmcag~ldxdlp kih xa e`i`so xod hrtm cag~ldxdlp ks h`rdcxdh, dudi `e eddl`im bdxxdr)

Khu`sd ~kx`dixs xokx sokr`im ae xo`s gdh`ckx`ai gkp bd hkimdrats

@isxrtcx xod ~kx`dixs ~krdixs ~r ckrdm`udrs xa khg`i`sxdr gdh`ckx`ai kexdr gdklsear bdxxdr kbsar~x`ai kih xa rdhtcd mksxr` `ixdsx`ikl h`scagearx)

Ddrc`sd

Dicatrkmd cl`dix xa ~krx`c`~kxd `i gari`im ddrc`sd) ^ragaxd cl`dix ear hk`lp

ratx`id ae ddrc`sd }`xo`i cl`dixs ck~kb`l`xp kih `ixdrdsx)

Odklxo Dhtckx`ai

@isxrtcx cl`dix xa kua`h erag sxrditats kcx`u`x`ds, caisx`~kx`ai kih sdtkl kcx`u`x`ds

Ealla}`im kexdr cpsxa'XTR^

AH^ Ealla}'t~

Dicatrkmd kih dg~oks`vd xod `g~arxkicd ae xod ~kx`dixs ealla}'t~ codcj t~ earcaix`itats ckrd kih hdxdrg`id deedcx`udidss ae xrdkxgdix)

H`dx

Dicatrkmd cl`dix xa caix`itatslp khodrd `i la}'sklx kih la}'ekx h`dx)

Dicatrkmd cl`dix xa `icrdksd elt`h kih btlj `ixkjd , Caisx`~kx`ai gtsx bd kua`hdh

ealla}`im kexdr cpsxa'XTR^)

7/23/2019 Nursing Process Bph

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Dicatrkmd cl`dix xa khodrd ai H`kbdx`c h`dx, xa gk`ixk`i cl`dixs mltcasd ldudls

S`mis kih Spg~xags

@isxrtcx cl`dix xa iax`ep odklxo ckrd ~raedss`aikl `e spg~xags ae Bdi`mi ^rasxkx`c

Op~drxra~op stco ks iacxtr`k, hpstr`k, ~alptr`k, kih trmdicp ~drs`sx