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10 Cards in this Set
- Front
- Back
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Why do we need nursing care plans?
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High standard of care Systematic approach Defines nurses role Framework for care Continuityof care for the patient |
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Benefits of having a nursing care plan
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Recognises individual Structure to care process Focus VN to achieve greatest result/most appropriate action for patient Continuity |
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What is a nursing care plan?
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Nursing process + Nursing Models = care plan |
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Nursing Process
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made up of 4 stages: Assessment - Identify problem Planning - make plans to solve the problem Implementation - take necessary steps Evaluation- reflect on outcome |
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Assessment
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Wrong info = Wrong action Lack of info = inadequate action Needs to be correct Collect info from – veterinary team, owner, physical exam, observations, clinical history What sort of info needs to be collected? Need to know what is normal for this patient, normal routines, feeding routine, sleep, exercise, personality etc. as well as current health status, ongoing/chronic illness etc. |
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Problems
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Actual - Solve/alleviate, help owner/patient to cope, make death as comfortable as possible Potential - prevent problems from being actual problems |
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Planning
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Set goals for each actual/potential problem Considerations: What, when and how to measure |
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Implementation
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This is the ‘doing’ stage Ensure sufficient notes are recorded It must be clear what decision process has taken place to justify the nursing intervention |
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“Best practice” examples of the implementation process include;
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Use evidence-based practice (current research) Adapt to your patient All interventions should be safe and take into account any possible risks Holistic approach Be respectful - to both the client and the patient Continue to assess |
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Evaluation
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Crucial stage Allows you to assess if goals have been achieved - if not why not? Q's that should be asked - Is the patient benefitting from the interventions, do the interventions need adapting, was the goal appropriate, does the goal need intervention from other member of the veterinary team. Can be formative (during) or summative (at the end) |
