What EXACTLY is a care plan? - page 4
There are a lot of posts on this site about care plans; however, while I can somewhat guess what they are, I was wondering if someone could explain them to me. What are they? When in Nursing School... Read More
0Oct 14, '12 by reesedatdudeQuote from mikeicurnThank you for this mikeicurn!! This really helped me out because I'm doing my first care plan now and I constantly got mixed up due to me trying to treat the doctor's diagnosis versus actually coming up with nursing diagnoses to help the patient feel better, leaving treating the actually medical diagnosis to the doctors. Thanks again!!!Careplans are a little different in school than in the workplace. The ones you do in school are more detailed, because you need to learn what you are doing before you start filling out the "short form" versions. They are usually meant as more of a teaching method so you learn how to use labs, medications and medical diagnoses to apply nursing diagnoses. So, of course they take longer to fill out.
You will learn in school that there are doctor's diagnoses (such as sepsis, cancer, anemia, etc...), and nursing diagnoses. The careplan is filled out by the nurse who is admitting the patient, and every nurse who assumes care afterwords reviews, and if necessary, revises the care plan. This is meant to insure consistant care is given by all nurses.
For example, if I admit an elderly patient who has orthostatic hypotension (their blood pressure drops with they stand up), they would be in danger of falling. A nursing diagnosis might be "risk of injury due to falls related to hypotension". So, then I would apply the necessary interventions to try to prevent the injury. Such as "bed alarm in place", "call button within reach", etc... This would all be called out in the care plan. So when you took over care of the patient you would review the careplan, and initial it. This stays in the patient's chart.
There is an organization called NANDA North American Nursing Diagnosis Association. They put out a list of standard nursing diagnoses. This is the standard my school used and I would imagine a lot of other schools use as well.
Good luck in school, I hope this helps.Last edit by reesedatdude on Oct 14, '12 : Reason: quoted mikeicurn
1Oct 14, '12 by Esme12, ASN, BSN, RN Senior ModeratorQuote from reesedatdudeThe care plan is the document to help everyone "know" how to care for the patient the same was and "know" what to look out for.......keeping everyone on the same page.Thank you for this mikeicurn!! This really helped me out because I'm doing my first care plan now and I constantly got mixed up due to me trying to treat the doctor's diagnosis versus actually coming up with nursing diagnoses to help the patient feel better, leaving treating the actually medical diagnosis to the doctors. Thanks again!!!
It a "recipe" tailored for that patient. Check these threads out....I have given a ton of information.
A site search for Care PLans