Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
|
3 types of planning?
|
Initial Planning
Ongoing Planning Discharge Planning |
|
|
What is initial planning?
|
initial assessment
|
|
|
What are the purposes of ongoing planning?
|
1. to determine whether the client's health status has changed
2. to set priorities for the client's care 3. to decide which problems to focus on during the shift 4. to coordinate the nurse's activities so that more than one problem can be addressed at each client contact |
|
|
Discharge planning-
|
the process of anticipating and planning for needs after discharge.
|
|
|
informal nursing care plan-
|
strategy for action that occurs in the nurses mind.
Ex. "the patient looks exhausted. i shall reinforce her teachings after she is rested." |
|
|
Formal Nursing Care Plan-
|
written or computerized guise that organizes info about the client's care.
|
|
|
Standardized care plan-
|
Formal plan that specifies the nursing care for groups of clients with common needs.
Provide detailed interventions, include checklists, kept with individualized care plan, etc |
|
|
Individualized care plan-
|
tailored to meet unique needs of client
|
|
|
Why are policies and procedures developed?
|
to govern the handling of frequently occurring situations
|
|
|
Standing order-
|
written document about policies, rules, regulations, or orders regarding client care.
|
|
|
Rationale-
|
Evidence-Based principle given as the reason for selecting a particular nursing intervention.
|
|
|
Multidisciplinary care plan-
|
Standardized plan that outlines the care required for clients with common, predictable-usually medical-conditions.
**also referred to as collaborative care plan or critical pathways |
|
|
Guidelines for writing nursing care plans:
|
1. Date and sign the plan
2. Use category headings 3. Use approved symbols and signs 4. Be specific 5. Refer to books and other resources to include ALL steps on a written plan. 6. Fit it to meet the client 7. Incorporate preventative measures 8. Contains ongoing assessment 9. Include collaborative and coordination activities 10. Include discharge/home care needs. |
|
|
The planning process:
|
-Set priorities
-Establish client goal/desired outcomes -Select nursing interventions and activities -Writing individualized nursing interventions on care plan |
|
|
What to consider when setting priorities:
|
1. Client's health, value, beliefs
2. Client's priorities 3. Resources available to the nurse and client 4. Urgency of the health problem 5. Medical treatment plan |
|
|
Indicator-
|
the specific patient state that is most sensitive to nursing interventions and for which measurement procedures can be defined.
|
|
|
Desired outcomes/goals sever what purpose:
|
1. provide direction for planning nursing interventions
2. serve as criteria for evaluating client progress 3. enable the client and nurse to determine when the problem has been resolved 4. help motivate the client and nurse by providing a sense of achievement |
|
|
Goals are derived from the client's nursing diagnoses- Primarily from the diagnostic label.
True or False? |
True.
|
|
|
goal/desired outcome statement should have the following:
|
1. Subject
2. Verb 3. Conditions or modifiers 4. Criterion of desired performance |
|
|
What are the types of nursing interventions?
|
independent, dependent, collaborative.
|
|
|
Collaborative Intervention-
|
actions nurses carries out in collaboration with other health team members, such as physical therapist, social workers, dietitians, and PCP.
|
|
|
What does the nurse write interventions for?
|
Observations, preventions, treatments, and health promotions.
|
|
|
Nursing interventions classicication (NIC):
|
Taxonomy of nursing interventions
|
|
|
What are the 3 levels to NIC
|
Level 1 Domains
Level 2 Classes Level 3 Interventions |
