To view full questions and answers, please kindly visit our site: https://hapiland.net/7275/top-27-free-cna-practice-test-questions-online-2015-planning-nursing-care/
are useful for learning the problem solving technique, the nursing
process, skills, or written communication, and organizational skills
needed for nursing care. This helps you apply knowledge gained from the
nursing and medical literature and the classroom to practice situations.
Once EX of a form of care plan developed by students is the 6 column
format. Starting from left to right the 6 columns include: 1. assessment
data relevant to corresponding diagnosis 2. goals 3. outcomes
identified for the pt 4. im
actions that require an order from a physician or another health care
professional. These are based on the physicians or health care providers
response to treat or manage a medical diagnosis. EX; inserting a
catheter.
involves setting priorities, identifying pt centered goals, and
expected outcomes, and prescribing individualized nursing interventions.
Ultimately during implementation you interventions resolve the pts
problems and achieve the expected goals and outcomes.
a measurable pt, family, or community state, behavior, or perception
largely influenced by and sensitive to nursing interventions. For the
nursing profession to become a full participant in clinical eval
research, policy department, and interdisciplinary work, nurses need to
identify and measure pt outcomes influenced by nursing interventions.
The Iowa Intervention Project has done just that. These outcomes have
labels for describing the focus of nursing care and include indicators
to use in evaluating the
the pt/family unit must be able to independently provide the majority
of health care. You design a plan to 1. educate the pt/family about the
necessary care techniques and precautions 2. teach the pt/family how to
integrate care within family activities 3. guide the pt/family on how to
assume a greater % of care over time. Finally the plan includes nurses
and pt/family eval of expected outcomes.
pt care management plans that provide the multidisciplinary health
care team with the activities and tasks to be put into practice
sequentially (over time); their main purpose is to deliver timely care
at each phase of the care process for a specific type of pt. This
clearly defines transition points in pt progress and draws a coordinated
map of activities by which the health care team can help to make these
transitions as efficient as possible.
is a measurable criteria to evaluate a goal achievement. Once an
outcome is met, you then know that a goal has been at least partially
achieved. Sometimes several expected outcomes must be met for a single
goal.
a process by which you seek the expertise of a specialist such as your
nursing instructor, a physician, or a clinical nurse educator to
identify ways to handle problems in pt management or the planning and
implementation of therapies.
1. Pt-centered goal: reflects a pts highest possible level of wellness
and independence in function. It is realistic and based on pt needs and
resources. Time frame depends on the nature of the problem, etiology,
overall condition of the pt, and treatment setting.2. Short term goal:
an objective behavior or response that you expect a pt to achieve in a
short time, usually less than a week. In an acute care setting you often
set goals for over a course of just a few hours. 3. Long-term goal: is
an objective
There are 3 categories of nursing interventions: nurse-initiated,
physician- initiated, and collaborative interventions. Some pts require
all 3 while others just need 2.
include contributions from all disciplines involved in pt care. this
is designed to improve the coordination of all pt therapies and
communication among all disciplines. A nursing care plan reduces risk
for incomplete, incorrect, or inaccurate care. As the pts problems and
status change, so does the plan.
includes nursing diagnoses, goals and/or expected outcomes, specific
nursing interventions, and a section for eval findings so any nurse is
able to quickly identify a pts clinical needs and situation.
this model includes 3 levels: domains, classes, and interventions for
ease of use. Domains are the highest level-using broad terms to organize
the more specific classes and interventions. The second level includes
30 classes which offer useful clinical categories to reference when
selecting interventions. The third level includes 542 interventions,
defined as any treatment based on clinical judgement and knowledge that a
nurse performs to enhance pt outcomes. NIC interventions are also
linked with NANDA-I n
Choosing suitable nursing interventions involves critical thinking and
your ability to be competent in 3 areas:1. knowing the scientific
rationale for the intervention 2. possessing the necessary psychomotor
and interpreted skills3. being able to function within a particular
setting to use the available health care resources effectively.
are therapies that require the combines knowledge, skill, and
expertise of multiple health care professionals. When preparing for
physician-initiated or collaborative interventions, do not automatically
assume what they are having you do is correct. Put some thought into
there intervention to make sure it is correct for this pt. EX: make sure
the pt can have the medicine your suppose to give them by making sure
it mixes with what meds they are already taking.
Always partner with pts when setting their individualized goals.
Mutual goal setting includes the pt and family in prioritizing the goals
of care and developing a plan of action. For pts to part-take in goal
setting, they need to be alert and have some degree of independence in
completing activities of daily living, problem solving, and decision
making.
Goals and expected outcomes are specific statements of pt behavior or
physiological responses that you set to resolve a nursing diagnosis or
collaborative problem. During planning you select goals and outcomes for
each nursing diagnosis to provide a clear focus for the type of
interventions needed to care for your pt and to then evaluate the
effectiveness of these interventions.
Intervention-Environmental management: Comfort EX of activities:1.
create a clam and supportive environment2. provide a safe and clean
environment3. adjust room temp to that most comfortable setting for pt4.
avoid drafts, heating, cooling5. prevent unnecessary interruptions of
rest6. monitor skin7. provide prompt attention to call bells.
a specific measurable change in a pts status that you expect to occur
in response to nursing care. Expected outcomes direct nursing care
because they are the desired physiological, psychological, social,
developmental, or spiritual responses that indicate resolution of a pts
health problems. A pts willingness and capability to reach an expected
outcome improves his or her likelihood of achieving it. Taken from both
short and long term goals, outcomes determine when a specific
pt-centered goal has been met.
begin with your own understanding of a pts clinical problems. First
step is to identify the general problem area. Second direct the
consultation to the right professional such as another nurse. Third
provide the consult with relevant info about the problem area. Fourth,
do not influence consultants. Fifth, be available to discuss the
consultants findings and recommendations. Finally incorporate the
consultants recommendations into the care plan.
is a broad statement that describes a desired change in a pts condition or behavior.
the change of shift report is the standard practice used for off going
nurses leaving a shift to communicate information about the pts plan of
care to oncoming pt care personnel. At the end of the shift you discuss
your pts plans of care and their overall progress with the next
caregivers. Thus all nurses are able to discuss current and relevant
info about each pts plan of care. Now called nursing handoff.
actions that a nurse initiates. These are autonomous actions based on
scientific rationale. EX: decreasing pain by making a pt comfortable in
bed and instructing pts in side effects of meds. According to the Nurse
practice acts in a majority of states, independent nursing interventions
pertain to activities of daily living, health education, and promotion
and counseling.
offers you a visual representation of all pt nursing diagnoses and
allows you to diagram interventions for each. You see the relationship
between the diagnoses and often how a single intervention often applies
to more than one health problem. They group and categorize nursing
concepts to give you a holistic view of your pts health care needs and
help you make better clinical decisions in planning care.
Many factors within the health care environment affect your ability to
set priorities. EX: available resources, staffing levels, policies and
procedures, and interruptions of other health care providers all can
change the order in which things are done. Also pts conditions are
always changing which means the priorities are always changing. The
nature of nursing work challenges your ability to cognitively attend to a
given pts priorities when you care for more than one pt. Often you
complete an assessment an
1. have info ready before calling. EX; medical record, notes2. assess
the pt yourself before calling3.understand why you are calling and think
of some possible solutions4. Be prepared to summarize what you think
the problem is.
Consultation occurs when you identify a problem that you are unable to solve using personal knowledge, skills, and resources.
No comments:
Post a Comment