Registered Nursing Program
NURS 260 Medical-Surgical Nursing Across the Lifespan
Care Plan
Aims:
1. Demonstrates efficient communication with sufferers throughout the lifespan by therapeutic communication methods, lively listening, and applicable terminology. (CLO three)
2. Demonstrates confidentiality of affected person info. (CLO Four)
three. Elicits affected person values, preferences, and expressed wants as a part of medical interview, implementation of care plan and analysis of care. (CLO 6)
Four. Demonstrates respect and sensitivity for numerous sufferers and affected person preferences, values, and desires in offering compassionate care, recognizing personal values and beliefs. (CLO 6)
5. Acknowledges limits and limits of therapeutic patient-centered, nursing care and scope of follow. (CLO 6)
6. Demonstrates information of primary scientific rules and nursing ideas when making use of nursing intervention and requirements of care to sufferers throughout the lifespan. (CLO Four)
Scholar’s Identify:_______________________________________________ Date:__________________________
Affected person Age:__________________ Intercourse:______________________
Affected person’s Medical Analysis:_____________________________________________________________________
Subjective Knowledge Goal Knowledge
Embody all information that the affected person gives you (ache degree/location, affected person descriptions, and many others.)
Embody all information that you simply collected or noticed (bodily Assessment, very important indicators, urinary output, laboratory values, affected person behaviors, and many others.)
Primarily based in your subjective/goal Assessment information, write your NANDA Nursing Analysis on the line under (https://nurseslabs.com/class/nursing-care-plans/nursing-diagnosis/):
____________________________________________________________________________________________________________________
Full desk under:
SMART Aim Nursing Interventions Rationale Analysis
Should embody all elements of SMART (particular, measurable, achievable, related, well timed).
Instance: Affected person will keep an SpO2 degree above 90% on room air by 9/21/19 at 2300.
Record three (three) interventions that may Help the affected person to attain this purpose.
Instance: Nurse will encourage ambulation thrice each day. Present causes as to how every of those three (three) interventions will Help the affected person to attain this purpose (embody citations from respected supply).
Instance: Ambulation helps to advertise airway clearance and forestall atelectasis. State whether or not the purpose was met, not met, or partially met with rationale.
Instance: Aim not met as evidenced by affected person requiring 2L of oxygen to maintain an SpO2 degree above 90% at 2300 on 9/21/19.
1.
1.
2.
three. 1.
2.
three. 1.
References
Western Dakota Tech
Registered Nursing Program
NURS 260 Medical-Surgical Nursing Across the Lifespan
Idea Map/Care Plan Rubric
Standards/Factors 2.5 1.25 zero
Documentation of Knowledge Contains medical analysis with pathophysiology, medicines, diagnostics, therapies, and goal/subjective Assessment. Doesn’t embody 1-Four elements. Lacking 5 or extra elements.
Relationships Proven Pertinent relationships proven between elements of the idea map. Relationships are proven however complicated or not related. Relationships will not be proven.
Ease of Readability Straightforward to observe; clear and helpful. Complicated to readers; disorganized. Idea map doesn’t make sense; irrelevant to consumer.
Integration of Consumer Exhibits a excessive degree of understanding of the complete consumer image. Exhibits a reasonable degree of understanding of the complete consumer image. Doesn’t present understanding of the complete consumer image.
Nursing Analysis Nursing analysis is a NANDA nursing analysis, is written accurately, and comprises all elements (r/t, AEB). Nursing analysis is just not a NANDA nursing analysis.
OR
Nursing analysis is a NANDA nursing analysis however is just not written accurately or is lacking elements. Nursing analysis is just not included.
OR
Affected person identifiers used.
SMART Aim SMART purpose is patient-centered and comprises all elements (particular, measurable, achievable, related, and well timed). SMART purpose is just not patient-centered and/or is lacking 1-Four elements. SMART purpose is just not included.
OR
SMART purpose is lacking all 5 elements.
OR
Affected person identifiers used.
Nursing Interventions/ Rationale At the least three interventions that Help the written purpose are listed with applicable rationale. All interventions are nurse-centered. One-two interventions that helps the written purpose are listed with applicable rationale and/or interventions will not be nurse-centered. Nursing interventions and/or rationale is just not included.
OR
Interventions don’t Help the written purpose.
OR
Affected person identifiers used.
Analysis Analysis states whether or not the purpose was met, not met, or partially met and rationale was supplied. Analysis states whether or not the purpose was met, not met, or partially met however is lacking rationale.
OR
Rationale is given however analysis doesn’t state whether or not the purpose was met, not met, or partially met.
OR
Analysis doesn’t handle the particular written purpose. Analysis is just not included.
OR
Affected person identifiers used.
Connection Idea map and care plan correspond with one another. Idea map and care plan are distantly associated. Idea map and care plan are disconnected.
References References listed in APA format for all cited materials. References not listed in APA format. References not listed.
