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Submitted By srudde76
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Ida Jean Orlando

Ida Jean Orlando's Deliberative Nursing Process is set in motion by the behavior of the patient. According to the theory, all patient behavior can be a cry for help, both verbal and non-verbal, and it is up to the nurse to interpret the behavior and determine the needs of the patient. The Deliberative Nursing Process has five stages: assessment, diagnosis, planning, implementation, and evaluation.
In the assessment stage, the nurse completes a holistic assessment of the patient's needs.
The diagnosis stage uses the nurse's clinical judgment about health problems.
The planning stage addresses each of the problems identified in the diagnosis.
In the implementation stage, the nurse begins using the nursing care plan.
In the evaluation stage, the nurse looks at the progress of the patient toward the goals set in the nursing care plan.
This is the ADPIE that we use every day.
Nursing care has to be flexible. Not only does a nursing care plan depend on the needs of the patient at the time of admittance, but it also needs to be able to change when and if any complications come up during the treatment and recovery process. Ida Jean Orlando's Deliberative Nursing Process directly addresses this need for flexibility, and helps nurses focus on the patient rather than simply sticking to a nursing care plan no matter what.

Specialty areas
Emergency Nurse- a. How to get there- ASN or BSN b. Pass NCLEX c. You need two years before you can take a licensure exam d. Emergency nursing certification from the Board of Certification for Emergency Nursing (BCEN) e. You can get certified in emergency (CEN), flight (CFRN), pediatric emergency (CPEN), and critical care ground transport (CTRN) nursing. f. The BCEN requires re-certification every four years by taking a computer exam or getting enough continuing education hours. g. Work

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