Complete Care Plan

Associated care plan completed

None -- done

Additional research, collaboration, consultation.

Additional Risk Factors

Very specific evaluation

Collaborative or nursing issues that are important but may, by necessity, be delayed

Priority identification -- anticipate problem prior to formalizing plan

Review, Revise, Assess

Fluid and continuous

Depending on treatment outcome

Surgery or treatment may accentuate

(Carpenito-Moyet, 2009, 25-31)

Process and Planning -- The nursing care plan is a guide, but is meant to be fluid and responsive to the patient's individual needs, issues, and potential emergencies. Both subjective and objective data are collected, and then organized into a systematic plan. This helps each member of the healthcare team glean the appropriate information at any time. More important, it allows the charge nurse to identify and comment on specific areas of concern in order to avoid future problems whenever possible. The basic PES Nursing Diagnosis is used (Problem, Etiology,...
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