Assessment data for nursing diagnosis
Assessment data for nursing diagnosis
Include your answers from Question 1a here Subjective data
This information should come primarily from Appendix for Assessment 4document as you are preparing a care plan for when Joi is discharged
Objective data
This information here could be gained from the whole case study however the focus is on Appendix Ic as you are preparing a care plan for when Joi is discharged
Further assessment data to collect (& how you would collect it):
What information might be useful to know as you prepare your care plan
Nursing Problem 1
Nursing Diagnosis 1
Nursing Problem 1.
Planning/Expected Outcomes
Nursing Problem 1 Short Term goals( Using SMART goals) Nursing Problem 1
Provide 2 short term goals for Nursing Problem 1
1.
2.
Long Term Goals (Using SMART goals) Nursing problem 1
Provide 2 long term goals for Nursing problem 1
1.
2.
Nursing interventions
& specific rationales for these interventions
What are you going to do & why are you performing the above interventions? Nursing problem 1
Provide as many nursing interventions as required for the problem. Provide a rationale as to why you will perform this intervention.
Realistic evaluation Improvement
data Nursing Problem 1 How would you know if the interventions were effective?
You are required to state the types of data that would indicate this.
Deterioration data Nursing Problem
How would you know if the interventions were not effective?
You are required to state the types of data that would indicate this.
Nursing Problem 2
Complete the table as above for your 2nd nursing problem
Nursing diagnosis 2
Nursing Problem 2
Planning/Expected Outcomes
Nursing Problem 2 Short Term goals( Using SMART goals) Nursing Problem 2
1.
2.
Long Term Goals (Using SMART goals) Nursing problem 2
1.
2.
Nursing interventions
& specific rationales for these interventions
Nursing problem 2
Realistic evaluation Improvement data Nursing Problem 2
Deterioration data Nursing Problem 2
Collaborative Problem 1
Complete the table as above for your 1st collaborative problem
Diagnosis Collaborative problem 1
Planning / Expected outcomes
Short term goal (using SMART goals) Collaborative problem 1
1.
2.
Long term goal (using SMART goals) Collaborative problem 1
1.
2.
Nursing interventions & specific rationales for interventions
Collaborative problem 1
Realistic evaluation
Improvement data
Collaborative Problem 1
Deterioration data Collaborative Problem 1
Collaborative Problem 2
Complete the table as above for your 2nd collaborative problem
Diagnosis Collaborative problem 2
Planning / Expected outcomes
Short term goal (using SMART goals) Collaborative problem 2
1.
2.
Long term goal (using SMART goals) Collaborative problem 2
1.
2.
Nursing interventions & specific rationales for interventions
Collaborative problem 2.
Realistic evaluation
Improvement data
Collaborative Problem 2
Deterioration data Collaborative Problem 2
References
Add your references
