Sample "Care Plans"
By using an internet search engine, the student can find any number of care plan formats. This is because care plans are an organized presentation of the nursing process (a disciplined, logic-based sequence of thoughts that begins with the collection of information and ends up with actions that are evaluated as either successes or failures.
The nursing process has 5 essential steps.
1. Data collection
2. Determining the patient's problems in their order of priority
3. Clear articulation of the goals of care specific to that problem
4. A list of nursing actions/orders that are aimed at meeting specific goals.
5. An evaluation of of the effectiveness of the actions and whether or not the goals were met.
Formal care plans, however, may include other features.
Because care plans are such an adaptable tool for nursing education, individual nursing faculties may add steps that facilitate meeting their course objectives.
The nursing process has 5 essential steps.
1. Data collection
2. Determining the patient's problems in their order of priority
3. Clear articulation of the goals of care specific to that problem
4. A list of nursing actions/orders that are aimed at meeting specific goals.
5. An evaluation of of the effectiveness of the actions and whether or not the goals were met.
Formal care plans, however, may include other features.
Because care plans are such an adaptable tool for nursing education, individual nursing faculties may add steps that facilitate meeting their course objectives.
Sample Care Plan Variations:
The care plan shown below has more than 5 parts. And that's fine. Its developer wanted to illustrate (teach) the reader particular things about the pathophysiology of the disease state, and expand upon the reasons particular nursing actions were selected.
Other things that may be included in an instructional (formal) care plan are...
1. ... having students differentiate between comprehensive and focused assessment
2. ... requiring students to students differentiate between subjective and objective data
3. ... show competence in the use of established assessment tools (Gordon's Functional Health Patterns for instance).
4. ... demonstrate familiarity with the use of a NANDA-I nursing diagnoses
5. ... have the student explain the pathophysiology of the condition under consideration
6. ... discuss the evidence (with citations) that supports the chosen nursing actions.
7. ... and the list is really endless
1. ... having students differentiate between comprehensive and focused assessment
2. ... requiring students to students differentiate between subjective and objective data
3. ... show competence in the use of established assessment tools (Gordon's Functional Health Patterns for instance).
4. ... demonstrate familiarity with the use of a NANDA-I nursing diagnoses
5. ... have the student explain the pathophysiology of the condition under consideration
6. ... discuss the evidence (with citations) that supports the chosen nursing actions.
7. ... and the list is really endless
By contrast this website will keep things as simple as possible.
The Clinical Reasoning Table
The heart of the "Nursing Care Plan" (NCP) is the nursing process. The nursing process has 5 steps and those are reflected in the simple tool shown above. Nevertheless... epistemic (logical, step upon step) type of knowledge needs facts. For that reason, each sample CRT presented here will be accompanied by a discussion of the involved pathophysiology as well as the scientific rationale for many of the actions.
Don't be disappointed because you can't just copy and paste.
When you've thought your way through the nursing process in this CRT format, you are adequately prepared to turn to
NANDA-I, NIC and NOC with greater confidence. You will better understand what is wrong with your patient, why the conditions present the way they do, and what nurses can do about it.
Don't be disappointed because you can't just copy and paste.
When you've thought your way through the nursing process in this CRT format, you are adequately prepared to turn to
NANDA-I, NIC and NOC with greater confidence. You will better understand what is wrong with your patient, why the conditions present the way they do, and what nurses can do about it.