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nursing care plan


From Wikipedia, the free encyclopedia
A nursing care plan outlines the nursing care to be provided to a patient. It is a set of actions the nurse will implement to resolve nursing problems identified by assessment. The creation of the plan is an intermediate stage of the nursing process. It guides in the ongoing provision of nursing care and assists in the evaluation of that care.

Characteristics of the nursing care plan
1.It focuses on actions which are designed to solve or minimize the existing problem.
2.It is a product of a deliberate systematic process.
3.It relates to the future.
4.It is based upon identifiable health and nursing problems.
5.Its focus is holistic.

Elements of the plan
In the USA, the nursing care plan consists of a NANDA nursing diagnosis with related factors and subjective and objective data that support the diagnosis, nursing outcome classifications with specified outcomes (or goals) to be achieved including deadlines, and nursing intervention classifications with specified interventions.

The nursing process
Care plans are formed using the nursing process. First the nurse collects subjective data and objective data, then organizes the data into a systematic pattern, such as Marjory Gordon's functional health patterns. This step helps identify the areas in which the client needs nursing care. Based on this, the nurse makes a nursing diagnosis. As mentioned above, the full nursing diagnosis also includes... read more

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