This requires that the systems and processes necessary to meet the requirements of this standard also meet the requirements of the Partnering with Consumers Standard and the Communicating for Safety Standard. Meaningful implementation of this standard requires attention to the processes for partnering with patients in their own care and for safely managing transitions between episodes of care. Target screening, assessment, comprehensive care planning and delivery processes to improve the safety and quality of care delivered to the population that the organisation serves.Īlthough this standard refers to actions needed within a single episode of patient care, it is essential that each single episode or period of care is considered as part of the continuum of care for a patient. Take a flexible approach to standardisation so that safety and quality systems support local implementation and innovation. Processes for delivering comprehensive care will vary, even within a health service organisation. Communicate and work as a team (that is, between members of the healthcare team).Work in partnership with patients, carers and families to adequately identify, assess and manage patients’ clinical risks, and find out their preferences for care.Provide continuous and collaborative care.The purpose of this standard is to address the cross-cutting issues underlying many adverse events. The nurse will administer Lortab 7.5/325mg PO every 4 hours as needed for pain rating greater than 3.Safety and quality gaps are often reported as failures to provide adequate care for specific conditions, or in specific situations or settings, or to achieve expected outcomes in certain populations. The nurse will assess the patient’s energy level every shift and range of motion in upper and lower extremities. The nurse will within 24 hours assist the patient to the bedside chair. The nurse will have the patient perform every 2 hours upper and lower body strengthening exercises.-The nurse will consult physical therapy per md order to assist patient with activity intolerance. Patient’s pain rating will be less than 3 on 1-10 scale within 8 hours. The patient’s range of motion (ROM) will increase to 5 in right and left upper extremities along with left lower extremities and increase to a 4 in right lower extremity. The patient will be able to ambulate with assistance to bedside chair within 24 hours.-The patient will report an increase level of energy within 24 hours to the nurse. 98.8, and Pain 8 on 1-10 scale stating pain in right leg. Pt vitals signs are: HR 89, BP 120/80, O2 Saturation 97% on RA, Temp. The patient’s range of motion in all other extremities is rated about 3-4 and 2 in right lower extremity. The patient’s right leg is in a cast from thigh to ankle. The patient has not be out of bed since the day before surgery. Otherwise, scroll down to view this completed care plan.Īs the nurse on day shift, you receive a patient who is 65 years old and is post-opt day 3 from a right femur repair. If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Nursing Care Plan for: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM) The most important part of the care plan is the content, as that is the foundation on which you will base your care. Some hospitals may have the information displayed in digital format, or use pre-made templates. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. ![]() Do not treat a patient based on this care plan.Ĭare Plans are often developed in different formats. ![]() ![]() Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions. What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
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