http://www.nursewords.com/can-somebody-help-me-to-make-a-nursing-care-plan/ dictionary of nursing abbreviations and acronyms Fri, 10 Feb 2012 14:43:11 -0600 http://wordpress.org/?v=2.8.6 hourly 1 http://www.nursewords.com/can-somebody-help-me-to-make-a-nursing-care-plan/comment-page-1/#comment-145 fattynat Sun, 27 Dec 2009 21:06:46 +0000 http://www.nursewords.com/can-somebody-help-me-to-make-a-nursing-care-plan/#comment-145 1,you need to state the patients needs. 2, you need to state how you will meet the patients needs. 3, you need to record whats needs to be done. hope this helps 1,you need to state the patients needs.
2, you need to state how you will meet the patients needs.
3, you need to record whats needs to be done.
hope this helps

]]> http://www.nursewords.com/can-somebody-help-me-to-make-a-nursing-care-plan/comment-page-1/#comment-144 RBRN Sun, 27 Dec 2009 20:33:35 +0000 http://www.nursewords.com/can-somebody-help-me-to-make-a-nursing-care-plan/#comment-144 1) State your nursing diagnosis e.g., "Alteration in Comfort (or whatever is the #1 concern.)" (state evidences) 2) Patient Goal-e.g., Patient will present with decreased c/o pain or discomfort AEB rating of below 3 on pain scale by 12/6/2006 or before discharge. 3) Your nursing plan of action to help pt. achieve goal 4) Evaluation of nursing actions and outcomes 5) Goal met or not met Your actions: Rate pt. pain scale on admission Administer medications as ordered Evaluate effect q 4 hours. Encourage (amt.) increased fluid intake Record I & O Monitor lab values Provide comfort measures Etc. Evaluate pain level 1) State your nursing diagnosis e.g., “Alteration in Comfort (or whatever is the #1 concern.)” (state evidences)
2) Patient Goal-e.g., Patient will present with decreased c/o pain or discomfort AEB rating of below 3 on pain scale by 12/6/2006 or before discharge.
3) Your nursing plan of action to help pt. achieve goal
4) Evaluation of nursing actions and outcomes
5) Goal met or not met
Your actions: Rate pt. pain scale on admission
Administer medications as ordered
Evaluate effect q 4 hours.
Encourage (amt.) increased fluid intake
Record I & O
Monitor lab values
Provide comfort measures
Etc.
Evaluate pain level

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