CONCEPT MAP
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE.  THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE.
                                                    PLAN OF CARE:                                                                                        Use your top two priorities

NANDA NURSING DIAGNOSIS use NANDA definition Expected outcomes of care (Goals)          Interventions       Patient response        Goal evaluation
NRS DX:
Problem Statement: 
 
 
 
 
 
 
 
 
R/T: (What is the cause of the symptom)
 
 
 
 
 
 
 
 
Manifested by: (Specific symptoms)
 
 
 
 
 
 
 
 
 		 Short term goal:  Create a SMART goal that relates to hospital stay/shift/day.
 
 
 
 
 
 
 
 
 
 
 
 
Long term goal:  Create a SMART goal that is appropriate for discharge.
 		 This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)
 
Interventions for short-term goal:
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3.
 
 
 
 
Interventions for long term goal:
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2.
3.
 
 		 Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)
 
 
 
Reassess for short-term goal:
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2.
3.
 
 
 
 
 
Reassess for long-term goal:
1.
2.
3.
 		 Was it met or not met there is no partially met.

 

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