A nursing care plan is drawn by outlining the nursing care that will have to be provided for the treatment of patients. The plan is basically a list of actions, which the nurse would be applying to resolve, identified nursing problems through assessment. The plan assists continuing nursing care actions provisions and the care evaluation process.
The main characteristics of a quality nursing care plan can be summed up as follows:

• The main aim of plan is to minimize or solve existing problem suffered by the patient.
• The plan continues with other systematic process.
• The actions of the plan are based on future implementation.

The plan is based on known nursing and health problems.

The preparation of the Nursing Care Plan is solely set of goals, based on the main points of Assessment, Diagnosis, Planning, Intervention and Evaluation of clients nursing care.

The following Sample Nursing Care Plan is for the patient, who has problems of Cognitive and Communication. You can also formulate your own client care plan for the actions that has to be followed for the nursing care of your patient.

Sample Nursing Care Plan:

Patient Information

Name                                     Medical Record                             Room No

Helen Crawford                   Memory Impaired…..                             27

Date

8/10/2009

Problem/Action

COGNITIVE AND COMMUNICATION

Cognitive function level is altered due to …..  of ……

• Client has problems with decision making, inability to comprehend and memory problems.
• Also find it problematic to being understood or understand, whatever is said to him.

Goal

• Client would be oriented to continuous care for 2 months.
• Client will start recovering and able to show improvement sign on a daily basis
• Client will start understanding whatever is said to him
• Client memory start showing improvement
• Demonstrate ability to comprehend

Approach/Intervention

• Introduce yourself and inform the patient what action you are planning.
• To help name recognition, start calling client by name in every interaction.
• Not to complicate his memory, tell him just one idea, thought or command.
• Maintain same routine everyday to prevent confusion.
• Avoid presenting conflicting ideas for his easy grasp.
• Simply ask in affirmative yes or negative no to understand the need of the client.
• Use simplest form of oral and concrete language, while communicating with the client
• Assist in improving  decision making skill
• Psychiatric evaluation if indicated

Disp

Resolve/Review

Popularity: 5% [?]

Related posts:

1. Nursing Care Plan to achieve Client Care Goal A nursing care plan is drawn by outlining the nursing...
2. Nanda Nursing Care Plans for your Client A Nursing Care Plans informs about the nursing care that...
3. Mental Health Nursing to Assuage Psychiatric Disorders and Problems Mental health Nursing is related to the pivotal role of...
4. Nursing Research for Effective Nursing Assessments The fundamentals of nursing practice are the base for the...
5. Predictors of Nursing Home Admission, a fast changing trend In the United States of America, the admission of certain...