Flashcards
Chapter 13: Outcome Identification & Planning: Vocabulary
Cards in this deck (35)
- 1During outcome identification/planning the nurse works in partnership w/the patient/family to1. Establish priorities
2. Identify/write expected patient outcomes
3. Select evidence-based nursing interventions
4. Communicate the plan of nursing - 2patient outcomean expected conclusion to a patient health problem/expectations
- 3expected outcomesrefers to the measurable criteria used to evaluate the extent to which a goal has been met
- 4primary purpose of the outcome identification/planningto design a plan of care w/& for the patient, that once implemented results in prevention, reduction, or resolution of patient health problem
- 5initial planningperformed by nurse w/admission history/physical assessment. comprehensive plan addresses each problem listed in the prioritized nursing diagnoses
- 6standardized care plansprepared plans of care that identify nusing diagnoses, outcomes and related interventions common to a specific population or health problem. can be individualized.
- 7ongoing planningcarried out by nurses who interacts w/the patient. chief purpose is to keep plan up to date.
- 8discharge planningbest carried out by nurse who has worked most closely w/patient/family. in acute care, discharge planning begins when the patient is admitted for treatment
- 9high priority diagnosespose the greatest threat to the patient
- 10long-term outcomesrequire usually more than a week to be achieved
- 11Outcomes are categorized by the type of change needed by a patient. Name the types.1. Cognitive outcome
2. Psychomotor outcome
3. Affective outcome
4. Clinical outcome
5. Functional outcome
6. Quality of life outcome - 12cognitive outcomedescribe increases in patient knowledge or intellectual behavior: "W/in 1 day after teaching, the patient will list 3 benefits of continuing to apply moist compresses to leg ulcer after discharge"
- 13psychomotor outcomesdescribe the patient's achievement of new skills: "By 6/12/15, the patient will correclty demonstrate application of wet-to-dry dressing of leg ulcer"
- 14affective outcomesdescribe changes in patient values, beliefs, and attitudes. critical to the resolution of a complext patient problem: "By 6/12/15 the patient will verbalize valuing health sufficiently to practice new health behaviors to prevent recurrence of leg ulcer"
- 15clinical outcomesdescribe the expected status of health issues at certain points in time, after treatment is complete. address whether the problems are resolved or to what degree they were improved
- 16functional outcomesdescribe the person's ability to function in relation to the desired usual activities
- 17quality of life outcomesfocus on key factors that affect someone's ability to enjoy life and achieve personal goals
- 18to be measurable, outcomes should have the followingsubject, verb, conditions (optional), performance criteria, target time
- 19goasl/outcomes should be SMARTs - specific
m - measurable
a - attainable
r - realistic
t - time bound - 20for actual diagnoses, interventions seek to1. reduce/eliminate contributing factors of the diagnosis
2. promote higher-level wellness
3. monitor/evaluate status - 21for risk diagnoses interventions seek to1. reduce or eliminate risk factors
2. prevent the problem
3. monitor and elevate status - 22for possible diagnoses interventions seek tocollect additional data to rule out or confirm the diagnosis
- 23for collaborative problems, interventions seek to1. monitor for changes in status
2. manage changes in status w/nurse prescribed & physician-prescribed interventions
3. evaluate response - 246 factors to consider when choosing an intervention1. desired patient outcomes
2. characteristics of the nursing diagnosis
3. research base for the intervention
4. feasibility for doing the intervention
5. acceptability to the patient
6. capability of the nurse - 25each nursing intervention should include1. date
2. verb (action to be performed)
3. subject (who is to do it)
4. descriptive phrase (how, when, where, how often, how long, or how much) - 26comprehensive nursing interventions specify1. what observations (assessments) need to be made and how often
2. what interventions need to be done and when they must be done
3. what teaching, counseling and advocacy needs patients and families have - 27physican-initiated interventioninitiated by a physician in response to a medical diagnosis but carried out by a nurse in response to a doctor's order. both physician/nurse legally responsible.
- 28collaborative interventionstreatments initiated by other providers
- 29Evaluative statements includea statement about achievement of the desired outcome (met, partially met, not met) and list actual patient behavior as evidence.
- 30plan of nursing carepatient care plan. written guide that directs the efforts of the nursing team working w/patients to meet their health goals
- 313 types of nursing care1. nursing care related to basic human needs
2. nursing care related to nursing diagnoses
3. nursing care related to the medical/interdisciplinary plan of care - 32nursing care related to basic human needscommunicates the data about the patient's usual health habits and patterns (i.e. if a toddler is toilet trained, what words they use, etc.)
- 33nursing care related to nursing diagnosescontains outcomes/interventions for every nursing diagnosis as well as patient responses. heart of nursing care plan
- 34nursing care related to the medical/interdisciplinary plan of carecurrent medical records for diagnostic studies and treatment related to nursing care
- 35formats for plans of care1. computerized plans of nursing care
2. concept map plans of care
3. changes of shift reports
4. multidisciplinary (collaborative) plans of care
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- UNIT III: Person-Centered Care and the Nursing Process Chapter 13: Outcome Identification & Planning
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- Alexandra Bozan
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