302 THE NURSING PROCESS IN A NURSE-MANAGED CARE A nurse-managed pregnancy care is best described as the nurse ~taldng ownership" of the delivery of pregnancy sesv_iccs. Her roles include being a practitioner, health cduc,1tor. nnd coordinator. This means that the nurse has a level of expertise and decision rnakinp, capabrnty to work with the client and family in attaining the expected outcomes nfc:1re. \Nhether she works "'rith the clien. l tb1·ough a clinic 01· a hon1e visit, Lhe nrni11 responsihility of ensuring that the woman is a hie to undergo a l'isk assessment, receive visi H;pccilic screenings tesls, education, immuni zations ot· supplen1ents and interventions. The use of nurse-m::in::igc dl care is also part of unple1nenting current evidence that women benefit most when there is continuity of care. The nurse will also bridge the gap of making effective refena]s so that women know where to go and what to do in the focc of complications in pregnancy. NURSING ASSESSMENT AND DIAGNOSES Nursing assessment identify human responses to states of health and illness which become the focus of nursing interven tions. Gordon 's Functional Health Pattern is a typology that links assessment and human responses to actual or potential health problems. ·nie use of available standards of care \'I. ill be very helpful when making the assessment tools. The Board of Nursing, throngl1 Resolution 459 cecently approved the Standards of Mother and Child Nursing Practice for the Guidance/Observance of Nurses engaged in the practice of Mother and Child nursing as initiated by the Materna l Child Nursing Association of the Philippines (MCNAP). ln the DOH, all personnel use a standard form in assessment called HMBR, a tool to identify risk factors, danger signs and to help deliver appropriat e measures. lt is kept by tbe woman and is brought to the clinic every visit. Nursing has progressed in such a way that we have standardized language to communicate the results of assessment and clinical judgment (nursing diagnoses), nursing ou1co1m:s and nursing interventions. It makes it easy for nurses to talk about somethi rig when we use a standard language. It is also a great step that will help nurses charge for their services. Allen (2000, p. 26) presents a way of clustering data using the framework by Gordon to include subjective and objective cues. This method hastens the identification of nursing diagnoses. Students and nurses with beginning skills in maternal care find this way of clustering data vei:y useful and practical. A sample is presented on the next page: 