Communication Throughout in Nursing Process

Assessment :

Verbal interviewing and history taking
Visual and intuitive observation of nonverbal behavior
Visual, tactile, and auditory, data gathering during physical examination
Written medical records, diagnostic tests, and literature review

Nursing Diagnosis :

Interpersonal analysis of assessment findings
Validation of health care needs and priorities via verbal discussion with client
Handwritten or computer-medicated documentation of nursing diagnosis

Planning :
Interpersonal or small-group health them planning sessions
Interpersonal collaboration with client and family to determine implementation methods
Written documentation of expect outcomes
Written or verbal referral to health team members

Implementation :

Delegation and verbal discussion with health care team
Verbal, visual, auditory, and tactile health teaching activities
Provision of support via therapeutic communication techniques
Contact with other health resources
Written documentation of client's progress in medical record

Evaluation :

Acquisition of verbal of verbal and nonverbal feedback
Comparison of actual and expected outcomes
Identification of factors affecting outcomes
Modification and update of care plan
Verbal and/or written explanation of revisions of care plan to client