Question

How do we write a nursing care plan for vsim pediatric assimilation Eva Madison

Answer 1

Nursing care plan

Following steps are important while writing a nursing care plan for a patient .

Step 1- Data collection and it's assessment.

This includes creating a client database by using assessment techniques and data collection methods .it includes physical assessment , health history , interview with doctors, medical records review and diagnosis . While writing this step the nurse can also identify the releted risk factors and defining characteristics of disease .

Step 2- Data analysis and organisationt

Now that from first step we have all the data of patients we now analyze ,cluster and organise the data to write diagnostic care plan .

Step 3 - Formulating the nursing diagnosis

We use NANDA nursing diagnosis as a way to identify , to focus ,and to deal with specific client needs and their reposes to actual high risk problem .

Step 4 - setting priorities

It's a process of establishing a preferncial sequences for addressing a nursing diagnosis of a patient . This step begin with planning of which nursing diagnosis requires attention first . So all the diagnosis ranks as high , medium and low priorities .

Step 5 - Establishing client goals and desired outcome of diagnosis

It describes as what nurse hopes to achieve by implementing the nursing interventions and derived from client diagnosis .the goal setting provide a direction to diagnosis and thus a goal can be short term goal or long term goal .

Step 6 - selecting nursing interventions

It's has all the activities and action that a nurse perform to help the patient to achieve his goal . The intervention chosen should also focus on risk factors and help in eliminating or reducing it .

Step 7 - Providing rationale

It is proper scientific explanation of reasons for which a perticular interventions are chosen for diagnosis.

Step 8 - Evaluation

It is planned , ongoing and purpose ful activity in which client progress to achieve the desired goals . It is the main step as most of the conclusion are drawn form this step

Step 9 - putting on paper

The client nursing plan now properly recorded according to hospital policy and used as electronic medical records history