Nursing Process and Care Planning notes
23 notes by 15 users
This page gathers over 20 community-made notes on nursing assessment, care planning, critical thinking and documentation. The collection is mainly university-level and is for university students studying the nursing process and teachers looking for material on these topics. Choose a note to start exploring.
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- Clinical Reasoning and Decision Making41
- Nursing Assessment22
- Nursing Diagnosis23
- Nursing Outcomes and Care Planning9
- Implementing and Coordinating Nursing Care17
- Evaluating Nursing Care9
- Heart Failure Nursing Care Plans7
- COPD Nursing Care Plans6
- Stroke Nursing Care Plans7
- Cellulitis Nursing Care Plans5
- Diabetes Nursing Care Plans10
Notes
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Topic 5: Chapter 15 Critical thinking Describe the relationship between critical thinking and the nursing process. Critical thinking separates professional nurses from technical personnel. Nurses observe changes in patients, recognize potential problems, ...
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Chapter 3 Documentation · Documenting involves recording the intervention carried out to meet the patients needs · Document interventions, time care was given, and the signature and title of the person providing the care is essential · Docum...
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Sensory Alteration and the Nursing Process Week One Objectives differentiate the processes of reception, perception and reaction to stimuli; • define sensory deficit, sensory deprivation and sensory overload and discuss the factors affecting sensory alteration...
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Nursing Process: Assessment Nursing Process - allows nurses to have some type of plan before meeting a patient Nursing Care - no longer provide the same care to patients because they are all DIFFERENT (abilities, cultural backgrounds, ...
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Nursing Process: Planning Outcomes Planning Formal = conscious, deliberate activity involving decision making, critical thinking and creativity Informal = making mental notes or plans Initial Planning Begins when you first meet them Document ASAP after...
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Nursing Process: Diagnosis Diagnosing Use critical thinking to identify patterns in the data and draw conclusions about the client's health status Includes strengths, problems, and factors contributing to the problems Critical...
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Implementation & Evaluation Implementation Phase Doing, delegating and documenting Delegation and Supervision Transferring responsibility while retaining accountability Includes supervision YOU CANNOT DELEGATE: Any intervention...
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nursing Process Nursing process 5 steps, 5 characteristics- Assessment, diagnosis, planning, implementation, evaluation (potter 201)- universally applicable, outcome oriented, interpersonal/patient-centered, systematic, dynamicThe wo...
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Nursing Process: Planning Interventions Nursing Interventions Purpose: Achieve Client Outcomes Also called: nursing actions, measures, strategies and activities Based on clinical judgement and nursing knowledge = learned in clinical settings Reflect direct ...
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Concept Mapping - A Critical Thinking Approach to Care Planning Purpose of Concept Care Maps: include assisting you with critical thinking, analyzing clinical data, planning comprehensive nursing care for our patients, and providing the basis for communication with members of the ...
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Nursing process/diagnosis Nursing Diagnosis: clinical judgement about individual, family or community responses to actual and potential health problems or life processes that the nurse is licensed and competent to treatFormulating a nursing di...
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Pneumonia - created from Mind Map AssessmentFatigue Diagnosis Intervention
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Pain and Swelling - created from Mind Map Inadequate health resources related to husband losing job Educate client about the benefits of using home remedies. (i.e.- gargle salt water to decrease infection, cold compress to reduce fever, removing excess blanke...
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Georgie Smith - created from Mind Map Physiological Type 2 Diabetes Chronic Heart Failure Rheumatoid Arthritis Medications Female Hyperglycemia Obese management of high BGL insulin BSL Monitoring system Nursing education Using the stairs instead of the li...
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R THA - created from Mind Map Weakness Decreased movement Increased risk for skin breakdown Decreased sensation ROM exercise Reposition pt Q2hrs while in bed and every hour while in chair Pt ROM is return to normal by discharge Pt will remain free...
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Assessment - created from Mind Map Diagnosis Consider the Patient situation Collect cues/information
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Nursing care - created from Mind Map prevention Vaccination personal hygiene food hygiene physical examination determine the patient's occupation recent meals changes in the sense of tasteor smell, recent weight loss, and the presence of the urticaria or...
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Nursing care - created from Mind Map_1 prevention Vaccination personal hygiene food hygiene physical examination determine the patient's occupation recent meals changes in the sense of tasteor smell, recent weight loss, and the presence of the urticaria or...
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Nursing Process - created from Mind Map Nursing Assessment Nursing Diagnosis Nursing Planning
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Delegation specimen collection (urine, stool, sputum) oxygen set up pulse oximeter equipment application wall suction equipment set up emptying of wall suctions dipstick urinalysis capillary blood glucose testing shave preps phl...
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Plan of Care
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Mr. Patient: Long Term Care - created from Mind Map Assessment Diagnosing Planning
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Tanner’s Decision-Making Framework - created from Mind Map Noticing Interpreting Responding
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About nursing process and care planning notes
GoConqr OriginalNursing process and care planning notes
These notes cover stages of the nursing process as well as related topics such as critical thinking and documentation. Nursing Process: Planning Outcomes and Nursing Process: Planning Interventions focus on different parts of planning. Chapter 3 Documentation covers recording the care provided.
How to use the notes
Start with the note on the nursing process and its steps for an overview. Then read a note on a phase you want to study in more detail. Compare what it says with the notes on critical thinking or concept mapping to see how they connect with care planning.
Some notes were created from mind maps, including the note on pneumonia, which is organized around assessment, diagnosis, planning, intervention and evaluation. Use its headings to review how a care plan is organized. When you want to test your understanding or see a visual plan, switch to a quiz or mind map on the unit page.
Pick a note and use its headings to guide your study.
Frequently asked questions
Which note is a good place to start?
Start with the note on the nursing process and its steps if you want an overview. It outlines assessment, diagnosis, planning, implementation and evaluation. You can then move to a focused resource such as Nursing Process: Planning Outcomes or Nursing Process: Planning Interventions.
What topics do the notes cover?
The collection includes notes on assessment, diagnosis, planning, implementation and evaluation. It also includes material on critical thinking, documentation and concept mapping. The note created from a pneumonia mind map provides an example organized around assessment, diagnosis, planning, intervention and evaluation.
Are these notes free to use?
Yes. Every note listed here is free to open and study without an account. The resources were made by GoConqr users. A free account also lets you save quiz scores and create your own quizzes, mind maps, flashcards and notes.