Thinking about going to Nursing School? Some terms may need to be translated into more formal medical phrases. Sometimes, nursing students are intimidated by the care plan process, and often feel overwhelmed when faced with their first care plan. Conditions or modifiers.
Every nursing intervention needs a nursing rationale. In traditional nursing care plans especially those being taught to nursing students, the interventions have corresponding rationales or reasons for implementation.
Example: Before discharge, patient will demonstrate nutritional ingestion sufficient for daily metabolic needs as manifested by improving weight measurement and enhanced energy levels.
Planning and delivering individualized or patient-centered care is the basis for excellence in nursing practice.
Nurses from different shifts or different floors can use the data to render the same quality and type of interventions to care for clients, therefore allowing clients to receive the most benefit from treatment.
This will help future nurses evaluate and treat patients more efficiently. The planned interventions aim to provide solutions for the diagnosis made. Lastly, make sure that the client considers the goals important and values them to ensure cooperation.
Ensure that goals are compatible with the therapies of other professionals. Review the care plan to make sure all of the information is correct.
The medical record is used by the insurance companies to determine what they will pay in relation to the hospital care received by the client.