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13 Cards in this Set

  • Front
  • Back
planning phase
write a NCP with two diagnostic labels, one projected expected outcome
for each diagnostic label and
two interventions for each diagnostic label
NCP
must include diagnostic labels selected from a list that is relevant to the assigned overriding, required and selected areas of care.
Overriding areas of care
overriding areas of care are to be incorporated into all PCS's and include: Asespis,
Caring, Emotional Jeopardy,
Mobility and Physical jeopardy
Required areas of care
There are two required areas of care and they must be included in each PCS: Fluid
Management and Vital Signs
Selected areas of care
selected areas of care include
three groups: Assessment, Management, other selected areas of care
Selected areas of care:
Assessment
Abdominal Assessment
Neurological Assessment
Peripheral Vascular Assess
Respiratory Assessment
Skin Assessment
Selected areas of care:
Management
Comfort Management
Muscuskeletal Management
Oxygen Management
Pain Management
Respiratory Management
Wound Management
Other selected areas of care:
Drainage and Specimen collection
Enteral Feeding
Irrigation
Medications
Patient teaching
Implementation Phase
During this phase you will put
your plan of care into action
Timed critical elements
Fluid Mamagement ( first 20 minutes with a running IV)

Enteral Feeding (first 20 min.
if continuous feeding in progress.
CDM ( Clinical Decision Making)
A problem solving process,
identifies patient problems,
selection of a course of action of nursing intervention of the patient response and progression based on theory
Physical Jeopardy
Any action or inaction that
threatens the patients physical
well being
Emotional Jeopardy
Any action or inaction which
threatens the emotion well being of the patient or significant others