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Outcome Id/planning
chapter 14
Question | Answer |
---|---|
goal of outcome identification and planning step | establish priorities, id and write expected pt outcomes, select evidence based interventions, communicate the plan of care |
expected outcomes | specific, measurable criteria used to evaluate if goal is being met |
goal | aim of the nursing care/process |
Threee elements of planning | inital, ongoing, discharge |
initial planning | done by RN who does admission PE and interview. Identifies appropirate pt goals and nurisng care |
ongoing planning | main goal of this component is to keep NCP up to date. develops new nsg dx |
discharge planning | begins with admission and with intial assessment |
prioritizing nsg dx | high, medium, low priority...remember Maslow's hierarchy of needs |
high priority nsg dx | greatest threat to pt well being |
medium priority nsg dx | non life threatening dx |
low priority nsg dx | dx not specifically related to current health problem |
long term goal/outcome | reaquires more time to be achieved. May be d/c goals |
short term goal/outcome | can be accomplished in a specified period of time |
parts of measurable outcome | subject, verb, conditions, performance criteria, target time |
types of nsg interventions | nurse initiated, physician intiated, collaborative |
nurse initiated interventions | actions performed by a nurse without a MD order |
physician initated interventions | actions initiated by a docter in response to a medical dx but carried out by a nurse under doctor's orders |
collaboraative interventions | treatments intiated by other providers and carried out by a nurse |
types of plans of care | kardex,computerized, student, concept maps |