CARE PLAN/CONCEPT MAP WORKSHOP NRS 110

Critical Thinking Revisited Knowledge Experience Reflection

Components of Critical Thinking in Nursing Specific Knowledge Base Experience Critical Thinking Competencies Diagnostic Reasoning Clinical Decision Making Nursing Process Critical Thinking Attitudes Critical Thinking Standards Intellectual Standards Professional Standards

Level of Critical Thinking Basic Complex Commitment

Clicker Question What is the critical thinking competency specific to nursing practice? a. Diagnostic reasoning b. Clinical Decision Making c. Nursing Process d. Scientific Method

NURSING PROCESS Assessment Diagnosis Planning Implementation Evaluation

Break into Groups Discuss how each piece of the nursing process helps you to solve your patients health problem.

Step One: Assessment Collect data Verify data Organize data Identify patterns Record & report

Step 2: Diagnosis Analysis of assessment data leads to problem identification NANDA Label What are novice nurses responsible for?

Ineffective airway clearance related to……

Step 3: Planning Set priorities Apply standards Identify goals & outcomes Determine interventions Record the plan

Clicker Question Which patient would you assess first after finishing morning shift report? a. The patient who is being discharged in the afternoon and needs medication education. b. The patient asking for pain medication c. The patient who is going to the OR in 30 minutes d. The post-op patient with a morning BP of 90/50

What are the priorities?

Maslow’s Hierarchy of Basic Human Needs

Step 4: Implementation Put your plan into action Perform the interventions Note patient response to interventions Record & report

Step 5: Evaluation Did the plan work? Was goal achieved? What was the outcome of the care provided. Stated in measurable terms. It’s all about outcomes!

Case Scenario Mrs. Jones is an 89 yr old male who was admitted with pneumonia. He has complained that his throat and mouth are very dry. The nurse notes that he has a temperature of 101 and has dry mucous membranes. He is allowed to drink, but does not want to bother the nurse for fresh water. His urine output is low as well.

Now lets write the plan down!

Concept Map Steps Place your main issue/problem in the middle Determine key problems/concepts that have a direct relationship to the main problem Add clinical data to appropriate problem boxes Draw lines between related problems. Label with a nursing diagnosis Identify goals/outcomes Add interventions Evaluate patient response to interventions