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Actually hpna has an awesome flip book that helps with care plans and recerts. Message me privately if this is Greek to you. I struggle with care plans every day. We mainly use alt. in resp status, pain, alt in elimination, alt in skin, ineffective coping, dnr status, and hospice care plans. Hope this helps!
I am familiar with creating hospice POCs using a NANDA model - with or without the actual NANDA language.
Because the POC is managed by the RN it makes sense that it is developed with nursing dx rather than medical dx
This IS normal for hospice. In hospice the medical POC is only a part of the total POC.