Nursing Process and Critical Thinking

Evaluation of a Nursing Care Plan  Determines to what extent to which the established outcomes have been achieved  1.Review the patient-centered goals 2.Reassess the pt. to gather data 3.Compare the actual outcome with the desired outcome  Outcome achieved, not achieved, partially achieved

Demonstrate the nursing process by preparing a nursing care plan

Explain NANDA-I, NIC, NOC  North American Nursing Diagnosis Association International (NANDA-I)  Nursing Outcomes Classification (NOC)  Nursing Interventions Classification (NIC)  Are examples of standardized languages describing diagnoses interventions, and outcomes respectively that are recognized by the ANA. The groups behind NANDA-I, NOC, NIC are working together to demonstrate links between these three standardized languages &thus to improve communication both in the United States and internationally

Outcomes Identification  Indicates the degree of wellness desired, expected, or possible to achieve  Goal Statement(nurse) vs. Outcome Statement(patient)  Guide the selection of nursing interventions  Establishes the measuring standard that is used to evaluate the effectiveness of the nursing intervention

Outcome Identification  Uses the word patient or a part of the patient as the subject  Uses measurable verbs (define, describe, list, walk, demonstrate)  Is specific for the patient and the patient’s problem  Does not interfere with medical plan of care  Is realistic for the patient/patient problem  Includes a time frame for patient reevaluation

Role of the LPN/LVN  Assessment -Observe/report significant cues  Diagnosis -Assist with determination of accurate nursing diagnosis -Gather data  Outcomes Identification/Plan -Suggest interventions -Assist with the development of patient-centered goals/outcomes  Implementation -Carry out physician/nurse orders -Evaluate effectiveness of nursing activities  Evaluation -Assist with reevaluation of the patient after interventions -Suggest alternative interventions when necessary

Nursing Diagnosis and Clinical Pathways  A clinical pathway is a multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high risk, high volume, high cost type of cases