Adult Health - Exam 2 Study Guide - Nursing Process: Planning Outcomes Questions All Solved.
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Course
Collaborative Adult Health
Institution
Collaborative Adult Health
The discharge plan may be developed in a timely manner and involve the family and a multidisciplinary team, but if the patient does not agree with the plan, it will not be successful. - Answer ...
Know the definitions of initial, ongoing, and discharge planning. What do they all have in commo...
Adult Health - Exam 2 Study Guide -
Nursing Process: Planning Outcomes
Questions All Solved.
The discharge plan may be developed in a timely manner and involve the family and a multidisciplinary
team, but if the patient does not agree with the plan, it will not be successful. - Answer ...
Know the definitions of initial, ongoing, and discharge planning. What do they all have in common (what
are they based on)? - Answer *Initial planning* begins with the first patient contact. It refers to the
development of the initial comprehensive care plan, which should be written as soon as possible after
the initial assessment. The nurse who performs the admission assessment has the benefit of personal
contact (rather than relying completely on the written database), has the best information about the
patient, and, ideally, is the one who should initiate the care plan. You may sometimes need to begin care
planning even though the initial database is incomplete. For example, the patient may require
emergency care before
assessment is complete. Or another patient may need your immediate attention. In such situations,
develop a preliminary plan with whatever information you have. You can complete and refine the plan
when you are able to perform a more detailed assessment.
*Ongoing planning* refers to changes made in the plan as you evaluate the patient's responses to care
or as you obtain new data and make new nursing diagnoses.
*Discharge planning* is the process of planning for self-care and continuity of care after the patient
leaves a healthcare setting. Many patients are discharged despite ongoing need for nursing care and
complex treatments. If appropriate services are not provided or if family members perform care
incorrectly, the patient may experience delayed recovery or complications that require further treatment
or hospital readmission. This means that nurses must prepare family members to perform tasks such as
bathing, changing sterile dressings, and monitoring intravenously administered medications. If family
members are not available or if skilled nursing care is needed,
arrangements must be made for home healthcare or transfer to a skilled nursing or rehabilitation facility.
Sometimes a case manager is assigned, but often staff nu
Know how to individualize a care plan by identifying specific problems, outcomes, and interventions and
the frequency of those interventions to meet the patient's needs. - Answer Nurses use *individualized
nursing care plans* to address nursing diagnoses unique to a particular client. These care plans refl ect
, the independent component of nursing practice, and therefore best demonstrate the nurse's critical
thinking and clinical expertise. In addition to including goals and nursing orders that you write specifially
for a patient, a complete individualized care plan may contain standardized single-problem care plans.
*Standardized plans* focus on the common problems and interventions needed by most patients. They
do not address unusual problems and may not meet a patient's individual needs. You should always
adapt standardized plans by adding the necessary nursing diagnoses, goals/outcomes, and nursing
orders not included in the standardized documents.
*Expected outcomes* are derived directly from the nursing diagnosis. Therefore, they will be
appropriate only if you identify the nursing diagnosis correctly. The problem clause (the clause at the
left) of a nursing diagnosis describes the response or health status you wish to change. A desired
outcome states the opposite of the problem and implies this response is what the interventions are
intended to achieve.
The NOC is a standardized vocabulary of more than 385 nursing-sensitive outcomes developed by a
research team at the University of Iowa. In the NOC vocabulary, an *outcome* is "an individual, family,
or community state, behavior, or perception that is measured along a continuum in response to nursing
interventions" (Moorhead et al., 2008, p. 35). Thus, the NOC is versatile because it is appropriate for use
in all specialty and practice areas.
Each NOC outcome consists of an *outcome label, indicators,* and a *measurement scale.* The
*outcome label* (usually referred to as "the outcome") is broadly stated (e.g., Decision Making, Mobility
Know the differences and definitions of short-term and long term goals - Answer *Short-term goals*
are those you expect the patient to achieve within a few hours or days. They are important:
■ In situations in which the patient may be discharged before you can evaluate progress toward long-
term goals (e.g., as in a day surgery).
■ SITUATIONS FOR USE
~ Acute care
~ Day surgery
~ Clinics
~ Focus on immediate needs
~ Students
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