The Care Plan and its Application in the Clinical Setting

The Nursing care plan is an absolute necessity
in the clinical setting. Proper application of the care
plan may feel like a puzzle for the nurse who does not
understand. This simple, colorful ebook outlines
the importance of the care plan and how to apply
it in the clinical setting.
Typically, patient assessment is done on admission,
at the beginning of the shift and as ordered per MD.
Nursing diagnoses will revolve around a doctor's
diagnosis. This will be determined following
examination and necessary tests.
There are problems that may surface after the initial
assessment. An example of this is, the stroke patient
who falls three days after being admitted to the hospital
and sustains a fracture. Or the patient who had surgical
intervention and days later develops postoperative pneumonia.
Regardless of when the problem begins, assessment, documentation,
implementation and date the problem is resolved is of paramount importance.
It is important to recognize that in each clinical situation, the potential
or risk for a particular problem, does not mean it has to happen. The
problems that are addressed in the care plan may be avoided with a
good standard of nursing care as well as patient and family teaching.
The goal of this informative ebook is to help
the nurse, whether new or experienced, understand how the
care plan is applied in the clinical setting. It is in no way
intended as a substitute for your Institution's policies and
procedures and MD orders. It is therefore important to follow
your Institution's policies and procedures when preparing the
care plan.
CONTENTS
1. What is the care plan?
2. Application of ADPIE (the Nursing Process) in the clinical setting.
3. Sample of the application of the care plan in the clinical setting.
4. Examples of diagnostic tests that may be ordered by the doctor.
5. Application of the care plan and potential problems of the surgical patient:
- Anxiety, pain, infection,
- Hypothermia, cardiac dysrhythmias, paralytic ileus
- Postoperative pneumonia
- DVT ( deep vein thrombosis)
8. Care planning of the preeclamptic patient
9. Care planning of the patient with Abruptio placenta
10.Care planning of the patient in liver failure
11.Care planning of the patient with liver transplantation,
patient and family education
12. Prograf, Cellcept, Imuran and uses
13. Care planning of the stroke or brain injured patient
- seizures, cranial nerve damage, EVD and ICP monitoring
14. Patient and family education of the brain injured patient
15. Care planning of the diabetic patient, family and patient education
16. Hypoglycemia in the diabetic patient
17. Care planning of the patient with heart damage, CHF (Congestive Heart Failure)
18. Chest pain assessment
19. Care planning of the patient on Anticoagulation Therapy
20. Care planning of the patient in the patient in respiratory distress