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Discussion

Care plans

Students struggle figuring out which NANDA to use for their care plan. I help them figure out several NANDAs to work with. Some nursing diagnosis are obvious for a long term care resident such as self-care deficit. But after years in their current state of health, I don't expect any improvement in their ability to bathe and dress. In this case, does it still make sense to do the care plan? The goal would be for the resident to have their self care needs met, have clean skin, no skin breakdown, no rashes etc.

Thanks!

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    Yes it would. The plan of care is utilized to help identify necessary nursing interventions and to maximize patient wellness. Just because it isn't anticipated to resolve doesn't mean it isn't part of the plan of care. Quite the contrary.

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    This is a timely subject. Our program is transitioning away from NANDA labels and focusing more on Tanner's model of clinical judgment. This shift is due to the upcoming changes in NCLEX. Keep in mind that the NCLEX test plan is being updated and NANDA labels are not part of the NCLEX. So maybe you won't have to worry about writing NANDA labels so much in the future!

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    I've always been under the assumption after 35 years as a nurse that NANDA was a means to an end. The recognition of nursing as a professional career. If this is true won't we have to come up with some other way of validating ourselves to the masses? By using Tanner's verbiage we are more accurately describing what we do in terms of the "now" verbiage of "critical thinking".

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