Care Plans
Means of communicating and organizing the actions of a constantly changing nursing staff.
What is a care plan?
I would like to keep my pain at a 3/10
What is a patient goal?
You will need to call for assistance before getting up from bed or chair and your bed and chair alarms will be set...
What is Falls education?
Ambulation x 3, up in chair, shower
What are PCT recommendations?
combines evidence-based practice, the patient story, and standardized assessments into one patient centered plan of care across all care settings and disciplines
What is Elsevier?
Improves continuity of care, improved communication, decreased communication errors...
What are advantages of a care plan?
Pain control using oral medications
What is a discharge goal?
You will rate your pain on a scale of 0-10 with 0 being no pain and 10 being the worst pain you have ever felt...
What is pain education
Stand-by assist, no use of assistive devices needed
What are PT/OT recommendations?
standardizes nursing terminology and develops, researches, disseminates and refines nursing nomenclature
What is North American Nursing Diagnosis Association (NANDA)
Anytime anything changes....
What is how often should a care plan be updated?
When will I get to go home? Will there be any restrictions?
What are questions for the Care Team?
It is important that you change position at least every two hours...
What is pressure injury education?
Miralax for BM, cough drops, use of IS
What are Care Team recommendations?
Lippincott, NIH, AJN
What are reliable internet websites?
Doctor's recommendations, patient needs, nursing judgement...
What are sources of information for the care plan?
Patient drank 2 cups of ice water (720ml) and voided 300ml
What is intake and output?
Report dark stools, blood in urine, unusual bruising or bleeding, or pinpoint red spots on the skin, to the nurse or HCP immediately...
What is risk for bleeding education?
Patient should receive pain medication scheduled after surgery to keep pain manageable...
What are nursing recommendations?
Fundamentals of Nursing, Davis's Drug Guide for Nurses
What are nursing textbooks/drug handbooks?
Physical therapist, occupational therapist, respiratory therapist, wound/ostomy nurse, dietary...
What is who else is involved with care planning?
1200ml, 1500ml, 2000ml per 24 hour period
What are fluid restrictions?
medication usage, administration times, dosage, route, side effects/interactions, allergies, etc…
What is first-dose education?
Use of IS every hour when awake...
What is a RT recommendation?
latest point-of-care drug and clinical information
What is Lexicomp?