Chapter 6 nursing Fundamental Flashcards
Interdisciplinary Care
Some agencies use interdisciplinary care plans,
clinical pathways, or care maps to guide care
Interdisciplinary approach to managing patient care
An outgrowth of managed care
Still uses the nursing process
Usually standardized to a medical diagnosis and
customized to each patient
⬤ Care plan not part of patient’s chart when an
interdisciplinary care plan is used; however,
nursing process still used
Implementing Care
Employees and students expected to perform
at standard of care listed in the procedure
manual.
➔ For efficient time use, consider which
interventions for a patient can be combined.
➔ Range-of-motion exercises may also be incorporated into the
bath routine.
During the implementation of the nursing process:
2) Reassessment of data is used to determine
whether the expected outcomes have been
achieved
Before Ms. Bricker, LPN, carries out any
interventions such as the administration of a
medication, she must know:
the reason for the intervention
2) the usual standard of care
3) the expected outcome
4) any potential danger
5) All of the above.
After Ms. Bricker, LPN, has given her patient medication,
she returns later to the patient’s room to evaluate the
effectiveness of the medication. She knows that in the
evaluation phase of the nursing process:
3) if the expected outcomes are considered met, the
nurse’s notes must contain data to support this
Clinical Practice
3) Revise the nursing care plan as needed.
4) Write an individualized nursing care plan for
an assigned patient.
5) Implement a nursing care plan and evaluate
care provided.
Evaluation
Based on NFLPN Standard 4c—Evaluation
➔ Once interventions have been implemented,
they must be evaluated for effectiveness in
reaching the patient’s goals or outcomes
➔ Evaluation is used to determine if the
interventions planned and implemented were
effective.
➔ Evaluation is based on data obtained from
assessment, analysis of the data, and determination as
to whether the specific expected outcomes are being
met.
➔ Patient should provide feedback about
whether the expected outcome has been met
Evaluation in Long-Term Care
and Home Health Care
Patient and family should be consulted to find
out if the care plan is meeting needs
adequately.
⬤ If expected outcomes are not being met, the
interventions are revised.
Revision of the Nursing Care Plan
⬤ If goals/outcomes are not being reached, the
plan must be revised (a continual process).
⬤ If goals are reached and the problem is
resolved, it is evaluated, signed off in the
nurses’ notes as met, and removed from the
plan of care.
Constructing a Nursing Care Plan
★ Collect patient data for a database
★ Analyze the database for potential problems
★ Choose appropriate nursing diagnoses
★ Rank the nursing diagnoses in order of
priority
★ Plan the care by defining goals and writing
expected outcomes
Constructing a Nursing Care Plan
Plan nursing care by choosing appropriate
nursing interventions.
★ Implement the nursing interventions.
★ Evaluate outcomes of each nursing
intervention; determine whether progress
toward achieving expected outcomes has
been made.
Debbie, a student nurse, is learning about care plans. She
knows all of the following are true regarding care plans
except:
3) an LPN is responsible for constructing the care plan.
Flora, an LPN, is helping her patient understand
the side effects of a medication. This is what
type of action?
3) Interdependent
