Ch. 5: Planning Outcomes (patient centered)-MJ Flashcards
Define: The process of planning for self-care and continuity of care after the patient leaves a healthcare setting
Discharge planning
When does discharge planning begin?
At the initial assessment
T/F: All clients need discharge planning
True
What does discharge planning require?
Collaboration
Comprehensive discharge planning involves significant collaboration. Ideally it is done ____, not for, the patient–patient insolvent is important for achieving desired outcomes
Done WITH the patient
What are the two types of planning?
Informal and formal
Informal or formal planning: Making mental notes or plans (while preforming the heat-to-toe assessment and checking basic vitals)
Informal
Informal or formal planning: Conscious, deliberate activity involving decision making
Formal planning
With which planning (formal or informal) do we think “CARE PLANS!!!” ?
Formal
T/F: Nursing care plans are different than a medical plan
True
Nursing care plans are holistic, _____ care
Goal oriented
Goals (expected outcomes) are ____ and time-able. They are the ___ we hope to see in the patient.
Measurable; changes
What are the two types of goals we have for our patients?
Short term and long term
Short term goals can be achieved in ______
A few hours or a few days
What are some situations in which we use short term goals?
Acute surgery
Day surgery
Clinics
Student nurses use them for their patients
Evaluation of process toward long-term goals
Long term goals are changes that occur over _______. They are made based on the optimal level of functioning given health status and resources.
A week, month, or more
What are some situations in which we make long-term goals?
Home healthcare Extended care facilities Rehab centers Chronic illness Conditions that are managed, not cured
Goals should be SMART. What does that mean?
Specific Measurable Achievable Realistic Timely
Goals include an action verb that the client will perform, do, or say. What are some example action verbs?
*Action verbs should be concrete, observable, and appropriate
Apply Choose Demonstrate Explain List Measure Select Turn Transfer Verbalize
(there are obviously many example action words, pg. 97 has more examples)
What is the difference between outcome and goal?
Outcome= used alone, means any patient response (positive or negative) to interventions
Goal= referring to a positive patient response
(other words to use synonymously with goal are expected outcome, desired outcome, predicted outcome)
How do we write a goal for our patient in our care plan?
“The patient will….”
Example: The patient will walk to the doorway with the help of one person by 2:00p.m on Tuesday.
What does NOC mean?
Nursing outcomes classification
The NOC is standardized vocabulary of ______
385 nursing-sensitive outcomes
What is an outcome?
An individual, family, or community state behavior, or perception that is measure along a continuum in response to nursing interventions
T/F: The NOC can be used in only some speciality and practice areas.
FALSE. It can be used in ALL speciality and practice areas!
