awacke1 commited on
Commit
d230c76
1 Parent(s): 11e63b2

Create new file

Browse files
Files changed (1) hide show
  1. Context.txt +484 -0
Context.txt ADDED
@@ -0,0 +1,484 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ Writing the best nursing care plan requires a step-by-step approach to correctly complete the parts needed for a care plan.
2
+
3
+ This tutorial has the ultimate database and list of nursing care plans (NCP) and NANDA nursing diagnosis samples for our student nurses and professional nurses to use — all for free!
4
+
5
+ A care plan’s components, examples, objectives, and purposes are included with a detailed guide on writing an excellent nursing care plan or a template for your unit.
6
+
7
+ What is a nursing care plan?
8
+ Types of Nursing Care Plans
9
+ Objectives
10
+ Purposes of a Nursing Care Plan
11
+ Components
12
+ Care Plan Formats
13
+ Student Care Plans
14
+ Writing a Nursing Care Plan
15
+ Step 1: Data Collection or Assessment
16
+ Step 2: Data Analysis and Organization
17
+ Step 3: Formulating Your Nursing Diagnoses
18
+ Step 4: Setting Priorities
19
+ Step 5: Establishing Client Goals and Desired Outcomes
20
+ Short Term and Long Term Goals
21
+ Components of Goals and Desired Outcomes
22
+ Step 6: Selecting Nursing Interventions
23
+ Types of Nursing Interventions
24
+ Step 7: Providing Rationale
25
+ Step 8: Evaluation
26
+ Step 9: Putting it on Paper
27
+ Nursing Care Plan List
28
+ Basic Nursing and General Care Plans
29
+ Surgery and Perioperative Care Plans
30
+ Maternal and Newborn Care Plans
31
+ Pediatric Nursing Care Plans
32
+ Cardiac Care Plans
33
+ Endocrine and Metabolic Care Plans
34
+ Gastrointestinal
35
+ Genitourinary
36
+ Hematologic and Lymphatic
37
+ Infectious Diseases
38
+ Integumentary
39
+ Mental Health and Psychiatric
40
+ Neurological
41
+ Musculoskeletal
42
+ Ophthalmic
43
+ Respiratory
44
+ References and Sources
45
+
46
+ What is a nursing care plan?
47
+
48
+ A nursing care plan (NCP) is a formal process that correctly identifies existing needs and recognizes potential needs or risks. Care plans provide communication among nurses, their patients, and other healthcare providers to achieve health care outcomes. Without the nursing care planning process, the quality and consistency of patient care would be lost.
49
+
50
+ Nursing care planning begins when the client is admitted to the agency and is continuously updated throughout in response to the client’s changes in condition and evaluation of goal achievement. Planning and delivering individualized or patient-centered care is the basis for excellence in nursing practice.
51
+
52
+ Types of Nursing Care Plans
53
+ Care plans can be informal or formal:
54
+ An informal nursing care plan is a strategy of action that exists in the nurse‘s mind.
55
+ A formal nursing care plan is a written or computerized guide that organizes the client’s care information.
56
+
57
+ Formal care plans are further subdivided into standardized care plans and individualized care plans: Standardized care plans specify the nursing care for groups of clients with everyday needs. Individualized care plans are tailored to meet the unique needs of a specific client or needs that are not addressed by the standardized care plan.
58
+
59
+ Objectives
60
+ The following are the goals and objectives of writing a nursing care plan:
61
+
62
+ Promote evidence-based nursing care and to render pleasant and familiar conditions in hospitals or health centers.
63
+
64
+ Support holistic care which involves the whole person including physical, psychological, social and spiritual in relation to management and prevention of the disease.
65
+ Establish programs such as care pathways and care bundles. Care pathways involve a team effort in order to come to a consensus with regards to standards of care and expected outcomes while care bundles are related to best practice with regards to care given for a specific disease.
66
+
67
+ Identify and distinguish goals and expected outcome.
68
+ Review communication and documentation of the care plan.
69
+ Measure nursing care.
70
+ Purposes of a Nursing Care Plan
71
+ The following are the purposes and importance of writing a nursing care plan:
72
+
73
+ Defines nurse’s role. It helps to identify the unique role of nurses in attending the overall health and well-being of clients without having to rely entirely on a physician’s orders or interventions.
74
+ Provides direction for individualized care of the client. It allows the nurse to think critically about each client and to develop interventions that are directly tailored to the individual.
75
+ Continuity of care. Nurses from different shifts or different floors can use the data to render the same quality and type of interventions to care for clients, therefore allowing clients to receive the most benefit from treatment.
76
+ Documentation. It should accurately outline which observations to make, what nursing actions to carry out, and what instructions the client or family members require. If nursing care is not documented correctly in the care plan, there is no evidence the care was provided.
77
+ Serves as guide for assigning a specific staff to a specific client. There are instances when client’s care needs to be assigned to a staff with particular and precise skills.
78
+ Serves as guide for reimbursement. The medical record is used by the insurance companies to determine what they will pay in relation to the hospital care received by the client.
79
+ Defines client’s goals. It does not only benefit nurses but also the clients by involving them in their own treatment and care.
80
+ Components
81
+ A nursing care plan (NCP) usually includes nursing diagnoses, client problems, expected outcomes, and nursing interventions and rationales. These components are elaborated below:
82
+
83
+ Client health assessment, medical results, and diagnostic reports. This is the first measure in order to be able to design a care plan. In particular, client assessment is related to the following areas and abilities: physical, emotional, sexual, psychosocial, cultural, spiritual/transpersonal, cognitive, functional, age-related, economic and environmental. Information in this area can be subjective and objective.
84
+ Expected client outcomes are outlined. These may be long and short term.
85
+ Nursing interventions are documented in the care plan.
86
+ Rationale for interventions in order to be evidence-based care.
87
+ Evaluation. This documents the outcome of nursing interventions.
88
+ Care Plan Formats
89
+ Nursing care plan formats are usually categorized or organized into four columns: (1) nursing diagnoses, (2) desired outcomes and goals, (3) nursing interventions, and (4) evaluation. Some agencies use a three-column plan wherein goals and evaluation are in the same column. Other agencies have a five-column plan that includes a column for assessment cues.
90
+
91
+ 3-column nursing care plan format
92
+ 3 Column Care Plan Template
93
+ 4-Column Nursing Care Plan Format
94
+ A 4-column care plan format
95
+ Below is a document containing sample templates for the different nursing care plan formats. Please feel free to edit, modify, and share the template.
96
+
97
+ Download: Nursing Care Plan Templates and Formats
98
+ Student Care Plans
99
+ Student care plans are more lengthy and detailed than care plans used by working nurses because they are a learning activity for the students.
100
+
101
+ 5-Column Nursing Care Plan Format
102
+ Student nursing care plans are more detailed.
103
+ Care plans by student nurses are usually required to be handwritten and have an additional column for “Rationale” or “Scientific Explanation” after the nursing interventions column. Rationales are scientific principles that explain the reasons for selecting a particular nursing intervention.
104
+
105
+ Writing a Nursing Care Plan
106
+ How do you write a nursing care plan (NCP)? Just follow the steps below to develop a care plan for your client.
107
+
108
+ Step 1: Data Collection or Assessment
109
+ The first step in writing a nursing care plan is to create a client database using assessment techniques and data collection methods (physical assessment, health history, interview, medical records review, diagnostic studies). A client database includes all the health information gathered. In this step, the nurse can identify the related or risk factors and defining characteristics that can be used to formulate a nursing diagnosis. Some agencies or nursing schools have their own assessment formats you can use.
110
+
111
+ Step 2: Data Analysis and Organization
112
+ Now that you have information about the client’s health, analyze, cluster, and organize the data to formulate your nursing diagnosis, priorities, and desired outcomes.
113
+
114
+ Step 3: Formulating Your Nursing Diagnoses
115
+ NANDA nursing diagnoses are a uniform way of identifying, focusing on and dealing with specific client needs and responses to actual and high-risk problems. Actual or potential health problems that can be prevented or resolved by independent nursing intervention are termed nursing diagnoses. We’ve detailed the steps on how to formulate your nursing diagnoses in this guide: Nursing Diagnosis (NDx): Complete Guide and List
116
+
117
+ Step 4: Setting Priorities
118
+ Setting priorities is the process of establishing a preferential sequence for addressing nursing diagnoses and interventions. In this step, the nurse and the client begin planning which nursing diagnosis requires attention first. Diagnoses can be ranked and grouped as having a high, medium, or low priority. Life-threatening problems should be given high priority.
119
+
120
+ A nursing diagnosis encompasses Maslow’s Hierarchy of Needs and helps to prioritize and plan care based on patient-centered outcomes. In 1943, Abraham Maslow developed a hierarchy based on basic fundamental needs innate for all individuals. Basic physiological needs/goals must be met before higher needs/goals can be achieved such as self-esteem and self-actualization. Physiological and safety needs provide the basis for the implementation of nursing care and nursing interventions. Thus, they are at the base of Maslow’s pyramid, laying the foundation for physical and emotional health.
121
+
122
+ Maslow’s Hierarchy of Needs
123
+
124
+ Basic Physiological Needs: Nutrition (water and food), elimination (Toileting), airway (suction)-breathing (oxygen)-circulation (pulse, cardiac monitor, blood pressure) (ABCs), sleep, sex, shelter, and exercise.
125
+ Safety and Security: Injury prevention (side rails, call lights, hand hygiene, isolation, suicide precautions, fall precautions, car seats, helmets, seat belts), fostering a climate of trust and safety (therapeutic relationship), patient education (modifiable risk factors for stroke, heart disease).
126
+ Love and Belonging: Foster supportive relationships, methods to avoid social isolation (bullying), employ active listening techniques, therapeutic communication, sexual intimacy.
127
+ Self-Esteem: Acceptance in the community, workforce, personal achievement, sense of control or empowerment, accepting one’s physical appearance or body habitus.
128
+ Self-Actualization: Empowering environment, spiritual growth, ability to recognize the point of view of others, reaching one’s maximum potential.
129
+ The client’s health values and beliefs, client’s own priorities, resources available, and urgency are some of the factors the nurse must consider when assigning priorities. Involve the client in the process to enhance cooperation.
130
+
131
+ Step 5: Establishing Client Goals and Desired Outcomes
132
+ After assigning priorities for your nursing diagnosis, the nurse and the client set goals for each determined priority. Goals or desired outcomes describe what the nurse hopes to achieve by implementing the nursing interventions derived from the client’s nursing diagnoses. Goals provide direction for planning interventions, serve as criteria for evaluating client progress, enable the client and nurse to determine which problems have been resolved, and help motivate the client and nurse by providing a sense of achievement.
133
+
134
+ Desired Goals and Outcomes
135
+ Example of goals and desired outcomes. Notice how they’re formatted/written.
136
+ One overall goal is determined for each nursing diagnosis. The terms goal, outcome, and expected outcome are often used interchangeably.
137
+
138
+ According to Hamilton and Price (2013), goals should be SMART. SMART goals analysis strategy stands for – Specific, Measurable, Attainable, Realistic, and Time-Bound goals.
139
+
140
+ Specific. It should be clear, significant and sensible in order for a goal to be effective.
141
+ Measurable or Meaningful. Making sure a goal is measurable makes it easier to monitor progress and know when it reached the finish line.
142
+ Attainable or Action-Oriented. Goals should be flexible but still remains possible.
143
+ Realistic or Results-Oriented. This is important to look forward to effective and successful outcomes by keeping in mind the available resources in hand.
144
+ Timely or Time-Oriented. Every goal needs a designated time parameter and deadline to focus on and something to work toward.
145
+ Hogston (2011) suggests using the REEPIG standards to ensure that care is of the highest standards. By this means, nursing care plans should be:
146
+
147
+ Realistic. Given available resources.
148
+ Explicitly stated. Be clear in precisely what must be done so there is no room for misinterpretation of instructions.
149
+ Evidence-based. That there is research that supports what is being proposed.
150
+ Prioritized. The most urgent problems being dealt with first.
151
+ Involve. Involve both the patient and other members of the multidisciplinary team who are going to be involved in implementing the care.
152
+ Goal centered. That the care planned will meet and achieve the goal set.
153
+ Short Term and Long Term Goals
154
+ Goals and expected outcomes must be measurable and client-centered. Goals are constructed by focusing on problem prevention, resolution, and rehabilitation. Goals can be short-term or long-term. Most goals are short-term in an acute care setting since much of the nurse’s time is spent on the client’s immediate needs. Long-term goals are often used for clients who have chronic health problems or live at home, in nursing homes, or in extended-care facilities.
155
+
156
+ Short-term goal – a statement distinguishing a shift in behavior that can be completed immediately, usually within a few hours or days.
157
+ Long-term goal – indicates an objective to be completed over a longer period, usually over weeks or months.
158
+ Discharge planning – involves naming long-term goals, therefore promoting continued restorative care and problem resolution through home health, physical therapy, or various other referral sources.
159
+ Components of Goals and Desired Outcomes
160
+ Goals or desired outcome statements usually have four components: a subject, a verb, conditions or modifiers, and criterion of desired performance.
161
+
162
+ Components of Desired outcomes and goals
163
+ Components of goals and desired outcomes in a nursing care plan.
164
+ Subject. The subject is the client, any part of the client, or some attribute of the client (i.e., pulse, temperature, urinary output). That subject is often omitted in writing goals because it is assumed that the subject is the client unless indicated otherwise (family, significant other).
165
+ Verb. The verb specifies an action the client is to perform, for example, what the client is to do, learn, or experience.
166
+ Conditions or modifiers. These are the “what, when, where, or how” that are added to the verb to explain the circumstances under which the behavior is to be performed.
167
+ Criterion of desired performance. The criterion indicates the standard by which a performance is evaluated or the level at which the client will perform the specified behavior. These are optional.
168
+ When writing goals and desired outcomes, the nurse should follow these tips:
169
+
170
+ Write goals and outcomes in terms of client responses and not as activities of the nurse. Begin each goal with “Client will […]” help focus the goal on client behavior and responses.
171
+ Avoid writing goals on what the nurse hopes to accomplish, and focus on what the client will do.
172
+ Use observable, measurable terms for outcomes. Avoid using vague words that require interpretation or judgment of the observer.
173
+ Desired outcomes should be realistic for the client’s resources, capabilities, limitations, and on the designated time span of care.
174
+ Ensure that goals are compatible with the therapies of other professionals.
175
+ Ensure that each goal is derived from only one nursing diagnosis. Keeping it this way facilitates evaluation of care by ensuring that planned nursing interventions are clearly related to the diagnosis set.
176
+ Lastly, make sure that the client considers the goals important and values them to ensure cooperation.
177
+ Step 6: Selecting Nursing Interventions
178
+ Nursing interventions are activities or actions that a nurse performs to achieve client goals. Interventions chosen should focus on eliminating or reducing the etiology of the nursing diagnosis. As for risk nursing diagnoses, interventions should focus on reducing the client’s risk factors. In this step, nursing interventions are identified and written during the planning step of the nursing process; however, they are actually performed during the implementation step.
179
+
180
+ Types of Nursing Interventions
181
+ Nursing interventions can be independent, dependent, or collaborative:
182
+
183
+ Types of Nursing Interventions
184
+ Types of nursing interventions in a care plan.
185
+ Independent nursing interventions are activities that nurses are licensed to initiate based on their sound judgement and skills. Includes: ongoing assessment, emotional support, providing comfort, teaching, physical care, and making referrals to other health care professionals.
186
+ Dependent nursing interventions are activities carried out under the physician’s orders or supervision. Includes orders to direct the nurse to provide medications, intravenous therapy, diagnostic tests, treatments, diet, and activity or rest. Assessment and providing explanation while administering medical orders are also part of the dependent nursing interventions.
187
+ Collaborative interventions are actions that the nurse carries out in collaboration with other health team members, such as physicians, social workers, dietitians, and therapists. These actions are developed in consultation with other health care professionals to gain their professional viewpoint.
188
+ Nursing interventions should be:
189
+
190
+ Safe and appropriate for the client’s age, health, and condition.
191
+ Achievable with the resources and time available.
192
+ Inline with the client’s values, culture, and beliefs.
193
+ Inline with other therapies.
194
+ Based on nursing knowledge and experience or knowledge from relevant sciences.
195
+ When writing nursing interventions, follow these tips:
196
+
197
+ Write the date and sign the plan. The date the plan is written is essential for evaluation, review, and future planning. The nurse’s signature demonstrates accountability.
198
+ Nursing interventions should be specific and clearly stated, beginning with an action verb indicating what the nurse is expected to do. Action verb starts the intervention and must be precise. Qualifiers of how, when, where, time, frequency, and amount provide the content of the planned activity. For example: “Educate parents on how to take temperature and notify of any changes,” or “Assess urine for color, amount, odor, and turbidity.”
199
+ Use only abbreviations accepted by the institution.
200
+ Step 7: Providing Rationale
201
+ Rationales, also known as scientific explanations, explain why the nursing intervention was chosen for the NCP.
202
+
203
+ Nursing Interventions and Rationale
204
+ Sample nursing interventions and rationale for a care plan (NCP)
205
+ Rationales do not appear in regular care plans. They are included to assist nursing students in associating the pathophysiological and psychological principles with the selected nursing intervention.
206
+
207
+ Step 8: Evaluation
208
+ Evaluating is a planned, ongoing, purposeful activity in which the client’s progress towards achieving goals or desired outcomes and the effectiveness of the nursing care plan (NCP). Evaluation is an essential aspect of the nursing process because conclusions drawn from this step determine whether the nursing intervention should be terminated, continued, or changed.
209
+
210
+ Step 9: Putting it on Paper
211
+ The client’s NCP is documented according to hospital policy and becomes part of the client’s permanent medical record which may be reviewed by the oncoming nurse. Different nursing programs have different care plan formats. Most are designed so that the student systematically proceeds through the interrelated steps of the nursing process, and many use a five-column format.
212
+
213
+ Nursing Care Plan List
214
+ This section lists the sample nursing care plans (NCP) and NANDA nursing diagnoses for various disease and health conditions. They are segmented into categories:
215
+
216
+ Basic Nursing and General Care Plans
217
+ Miscellaneous nursing care plans examples that don’t fit other categories:
218
+
219
+ Cancer (Oncology Nursing)
220
+ End-of-Life Care (Hospice Care or Palliative)
221
+ Geriatric Nursing (Older Adult)
222
+ Surgery (Perioperative Client)
223
+ Systemic Lupus Erythematosus
224
+ Total Parenteral Nutrition
225
+ Surgery and Perioperative Care Plans
226
+ Care plans that involve surgical intervention.
227
+
228
+ Amputation
229
+ Appendectomy
230
+ Cholecystectomy
231
+ Fracture
232
+ Hemorrhoids
233
+ Hysterectomy
234
+ Ileostomy & Colostomy
235
+ Laminectomy (Disc Surgery)
236
+ Mastectomy
237
+ Subtotal Gastrectomy
238
+ Surgery (Perioperative Client)
239
+ Thyroidectomy
240
+ Total Joint (Knee, Hip) Replacement
241
+ Maternal and Newborn Care Plans
242
+ Nursing care plans about the care of the pregnant mother and her infant. See care plans for maternity and obstetric nursing:
243
+
244
+ Abruptio Placenta
245
+ Cesarean Birth
246
+ Cleft Palate and Cleft Lip
247
+ Dysfunctional Labor (Dystocia)
248
+ Elective Termination
249
+ Gestational Diabetes Mellitus
250
+ Hyperbilirubinemia
251
+ Labor Stages, Induced and Augmented Labor
252
+ Neonatal Sepsis
253
+ Perinatal Loss
254
+ Placenta Previa
255
+ Postpartum Hemorrhage
256
+ Postpartum Thrombophlebitis
257
+ Prenatal Hemorrhage
258
+ Prenatal Substance Dependence/Abuse
259
+ Precipitous Labor
260
+ Preeclampsia and Gestational Hypertensive Disorders
261
+ Premature Dilation of the Cervix
262
+ Prenatal Infection
263
+ Preterm Labor
264
+ Puerperal Infection
265
+ Pediatric Nursing Care Plans
266
+ Nursing care plans (NCP) for pediatric conditions and diseases:
267
+
268
+ Acute Glomerulonephritis
269
+ Acute Rheumatic Fever
270
+ Apnea
271
+ Benign Febrile Convulsions
272
+ Brain Tumor
273
+ Bronchiolitis
274
+ Bronchopulmonary Dysplasia (BPD)
275
+ Cardiac Catheterization
276
+ Cerebral Palsy
277
+ Child Abuse
278
+ Cleft Lip and Cleft Palate
279
+ Congenital Heart Disease
280
+ Congenital Hip Dysplasia
281
+ Croup Syndrome
282
+ Cryptorchidism (Undescended Testes)
283
+ Cystic Fibrosis
284
+ Diabetes Mellitus Type 1
285
+ Dying Child
286
+ Epiglottitis
287
+ Febrile Seizure
288
+ Guillain-Barre Syndrome
289
+ Hospitalized Child
290
+ Hydrocephalus
291
+ Hypospadias and Epispadias
292
+ Intussusception
293
+ Juvenile Rheumatoid Arthritis
294
+ Kawasaki Disease
295
+ Meningitis
296
+ Nephrotic Syndrome
297
+ Osteogenic Sarcoma (Osteosarcoma)
298
+ Otitis Media
299
+ Scoliosis
300
+ Spina Bifida
301
+ Tonsillitis and Adenoiditis
302
+ Umbilical and Inguinal Hernia
303
+ Vesicoureteral Reflux (VUR)
304
+ Wilms Tumor (Nephroblastoma)
305
+ Cardiac Care Plans
306
+ Nursing care plans about the different diseases of the cardiovascular system:
307
+
308
+ Angina Pectoris (Coronary Artery Disease)
309
+ Cardiac Arrhythmia (Digitalis Toxicity)
310
+ Cardiac Catheterization
311
+ Cardiogenic Shock
312
+ Congenital Heart Disease
313
+ Heart Failure
314
+ Hypertension
315
+ Hypovolemic Shock
316
+ Myocardial Infarction
317
+ Pacemaker Therapy
318
+ Endocrine and Metabolic Care Plans
319
+ Nursing care plans (NCP) related to the endocrine system and metabolism:
320
+
321
+ Acid-Base Balance
322
+ – Respiratory Acidosis
323
+ – Respiratory Alkalosis
324
+ – Metabolic Acidosis
325
+ – Metabolic Alkalosis
326
+ Addison’s Disease
327
+ Cushing’s Disease
328
+ Diabetes Mellitus Type 1
329
+ Diabetes Mellitus Type 2
330
+ Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)
331
+ Eating Disorders: Anorexia & Bulimia Nervosa
332
+ Fluid and Electrolyte Imbalances:
333
+ – Fluid Balance: Hypervolemia & Hypovolemia
334
+ – Potassium (K) Imbalances: Hyperkalemia and Hypokalemia
335
+ – Sodium (Na) Imbalances: Hypernatremia and Hyponatremia
336
+ – Magnesium (Mg) Imbalances: Hypermagnesemia and Hypomagnesemia
337
+ – Calcium (Ca) Imbalances: Hypercalcemia and Hypocalcemia
338
+ Gestational Diabetes Mellitus
339
+ Hyperthyroidism
340
+ Hypothyroidism
341
+ Obesity
342
+ Thyroidectomy
343
+ Gastrointestinal
344
+ Care plans (NCP) covering the disorders of the gastrointestinal and digestive system:
345
+
346
+ Appendectomy
347
+ Cholecystectomy
348
+ Cholecystitis and Cholelithiasis
349
+ Gastroenteritis
350
+ Gastroesophageal Reflux Disease (GERD)
351
+ Hemorrhoids
352
+ Hepatitis
353
+ Ileostomy & Colostomy
354
+ Inflammatory Bowel Disease
355
+ Intussusception
356
+ Liver Cirrhosis
357
+ Pancreatitis
358
+ Peritonitis
359
+ Peptic Ulcer Disease
360
+ Subtotal Gastrectomy
361
+ Genitourinary
362
+ Care plans related to the reproductive and urinary system disorders:
363
+
364
+ Acute Glomerulonephritis
365
+ Acute Renal Failure
366
+ Benign Prostatic Hyperplasia (BPH)
367
+ Chronic Renal Failure
368
+ Hemodialysis
369
+ Hysterectomy
370
+ Mastectomy
371
+ Menopause
372
+ Nephrotic Syndrome
373
+ Peritoneal Dialysis
374
+ Prostatectomy
375
+ Urolithiasis (Renal Calculi)
376
+ Urinary Tract Infection
377
+ Vesicoureteral Reflux (VUR)
378
+ Hematologic and Lymphatic
379
+ Care plans related to the hematologic and lymphatic system:
380
+
381
+ Anaphylactic Shock
382
+ Anemia
383
+ Aortic Aneurysm
384
+ Deep Vein Thrombosis
385
+ Disseminated Intravascular Coagulation
386
+ Hemophilia
387
+ Leukemia
388
+ Lymphoma
389
+ Sepsis and Septicemia
390
+ Sickle Cell Anemia Crisis
391
+ Infectious Diseases
392
+ NCPs for communicable and infectious diseases:
393
+
394
+ Acquired Immunodeficiency Syndrome (AIDS) (HIV Positive)
395
+ Acute Rheumatic Fever
396
+ Dengue Hemorrhagic Fever
397
+ Herpes Zoster (Shingles)
398
+ Influenza (Flu)
399
+ Pulmonary Tuberculosis
400
+ Integumentary
401
+ All about disorders and conditions affecting the integumentary system:
402
+
403
+ Burn Injury
404
+ Dermatitis
405
+ Pressure Ulcer (Bedsores)
406
+ Mental Health and Psychiatric
407
+ Care plans for mental health and psychiatric nursing:
408
+
409
+ Alcohol Withdrawal
410
+ Anxiety and Panic Disorders
411
+ Bipolar Disorders
412
+ Major Depression
413
+ Personality Disorders
414
+ Schizophrenia
415
+ Sexual Assault
416
+ Substance Dependence and Abuse
417
+ Suicide Behaviors
418
+ Neurological
419
+ Nursing care plans (NCP) for related to nervous system disorders:
420
+
421
+ Alzheimer’s Disease
422
+ Brain Tumor
423
+ Cerebral Palsy
424
+ Cerebrovascular Accident (Stroke)
425
+ Guillain-Barre Syndrome
426
+ Meningitis
427
+ Multiple Sclerosis
428
+ Parkinson’s Disease
429
+ Seizure Disorder
430
+ Spinal Cord Injury
431
+ Musculoskeletal
432
+ Care plans related to the musculoskeletal system:
433
+
434
+ Amputation
435
+ Congenital Hip Dysplasia
436
+ Fracture
437
+ Juvenile Rheumatoid Arthritis
438
+ Laminectomy (Disc Surgery)
439
+ Osteoarthritis
440
+ Osteoporosis
441
+ Rheumatoid Arthritis
442
+ Scoliosis
443
+ Total Joint (Knee, Hip) Replacement
444
+ Ophthalmic
445
+ Care plans relating to eye disorders:
446
+
447
+ Cataracts
448
+ Glaucoma
449
+ Macular Degeneration
450
+ Respiratory
451
+ Care plans for respiratory system disorders:
452
+
453
+ Asthma
454
+ Bronchiolitis
455
+ Bronchopulmonary Dysplasia (BPD)
456
+ Chronic Obstructive Pulmonary Disease (COPD)
457
+ Cystic Fibrosis
458
+ Hemothorax and Pneumothorax
459
+ Influenza (Flu)
460
+ Lung Cancer
461
+ Mechanical Ventilation
462
+ Near-Drowning
463
+ Pleural Effusion
464
+ Pneumonia
465
+ Pulmonary Embolism
466
+ Pulmonary Tuberculosis
467
+ Tracheostomy
468
+ References and Sources
469
+ Recommended reading materials and sources for this NCP guide:
470
+
471
+ Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M., & Zanotti, M. (2019). Nursing diagnosis handbook e-book: an evidence-based guide to planning care. Elsevier Health Sciences.
472
+ Björvell, C., Thorell-Ekstrand, I., & Wredling, R. (2000). Development of an audit instrument for nursing care plans in the patient record. BMJ Quality & Safety, 9(1), 6-13. [Link]
473
+ Carpenito-Moyet, L. J. (2009). Nursing care plans & documentation: nursing diagnoses and collaborative problems. Lippincott Williams & Wilkins.
474
+ DeLaune, S. C., & Ladner, P. K. (2011). Fundamentals of nursing: Standards and practice. Cengage learning.
475
+ Gulanick, M., & Myers, J. L. (2016). Nursing Care Plans: Diagnoses, Interventions, and Outcomes. Elsevier Health Sciences. [Link]
476
+ Lee, T. T. (2004). Evaluation of computerized nursing care plan: instrument development. Journal of Professional Nursing, 20(4), 230-238.
477
+ Lee, T. T. (2006). Nurses’ perceptions of their documentation experiences in a computerized nursing care planning system. Journal of Clinical Nursing, 15(11), 1376-1382.
478
+ Stonehouse, D. (2017). Understanding the nursing process. British Journal of Healthcare Assistants, 11(8), 388-391.
479
+ Yildirim, B., & Ozkahraman, S. (2011). Critical thinking in nursing process and education. International journal of humanities and social science, 1(13), 257-262.
480
+
481
+ Categories
482
+ Nursing Care Plans
483
+ Tags
484
+ assessment, Care Plan, Client Centered, Collaborative Interventions, Data Analysis, Data Collection, Dependent Nursing Interventions, Diagnosis, Discharge Planning, Evaluation, Formal Nursing Care Plan, Goal, Independent Nursing Interventions, Individualized Care Plans, Informal Nursing Care Plan, Interdependent Nursing Intervention, Intervention, Long-Term Goals, Maslow's Hierarchy of Needs, Measurable Nursing Intervention, Nursing Care Plan, Nursing Care Plans, Nursing Diagnosis, Planning, Rationale, Short-Term Goals, Standardized Care Plans