Care planning Flashcards
What do nursing care plans do?
Identify treatment goals in partnership with patients
Make recovery positive and constructive with everyone working towards the same goal
Ensure expectations are achievable and realistic
Promote autonomy, illness awareness and recovery
Help provide holistic care including cultural considerations
What is the nursing diagnosis
This is about identifying and prioritising an issue and the cause of that issue.
A nursing diagnosis has a formula to follow: Issue related to cause
It is not medically diagnosing a condition.
The key difference is when you first meet a patient, they may not yet have a diagnosis but will still have issues/concern that require nursing intervention.
For example: increased blood pressure related to dehydration.
Or distress related to auditory hallucinations.
Or constipation related to increase of clozapine dose.
Interventions and rationales
Once a goal has been identified, interventions are needed to help achieve the goal.
A range of interventions can be useful to identify the most effective means to achieve the goal (aim for three).
An accompanying rationale to support the intervention is important. This demonstrates your knowledge and enables you to explain why you are using a specific intervention to your patient.
For example:
Intervention: To take all prescribed laxatives and use PRN laxatives if BNO after two days.
Rationale: Current use of prescribed laxative regime is designed to promote peristalsis and soften stools to make bowel motions easier to pass.
