ADPIED is an acronym representing the six phases of the nursing process. Pronounced “add-pied,” it’s considered standard-of-care for nurses and helps you remain professional and effective.
Thesix phases are:
When you first encounter a patient, you will be expected to perform an assessment to identify the patient’s health problem(s) as well as their physiological, psychological, and emotional state. To do this, you will typically conduct an interview and take patient vitals. To make sure the information you collect is easily referenced by others, you will note all parts of your assessment in the patient’s chart.
Once you’ve completed your assessment, you will take all the gathered information into consideration and diagnose the patient’s condition and medical needs. This doesn’t mean you identify a specific disease or ailment. Rather, your diagnosis will identify a general cause of symptoms (e.g., constipation, hypothermia, anxiety) and/or any risks the patient faces (e.g., shock, stroke, tissue death).
Once you, any supervising medical staff, and the patient agree on the diagnosis, you will plan a course of treatment that takes into account short- and long-term goals. Most treatment plans will include interventions conducted by the medical staff (e.g., suturing, medication prescription, IV fluids) followed by steps taken by the patient to ensure proper recovery.
Implementation is when you put the treatment plan into effect. This typically begins with the medical staff performing any needed medical interventions. Then, the patient follows the plan for optimum recovery. As a nurse, you will be expected to monitor the implementation to ensure the patient is following through. If they aren’t—or if the follow-through is ineffective—you’ll want to reevaluate the plan.
We learn what works and what doesn’t by evaluating what we’ve done previously. As such, evaluation is the last, but in no way least, important step in ADPIE. Once a patient completes their treatment, you and the rest of the medical staff should review the steps taken, determine whether they worked as expected, and identify any problems that can be corrected in the future.
Putting down in written all the Nursing procedures carried out in electronics or paper for records purpose and to ensure continuity of care.
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