Nursing Care Plan Chart - Assessment Of Universal Self Care Requisites
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4NURSING CARE PLAN GUIDE
ASSESSMENT OF UNIVERSAL SELF CARE REQUISITES
DEFINITION: Organized and systematic process of collecting data from a variety of sources to evaluate the health status of a patient.
ASSESSMENT
PLANNING
EVALUATION
Universal Self Care Requisites
Nursing Diagnosis
Expected Outcomes
Nursing Interventions
Rationale
Outcome Assessment
DEFINTION:
DEFINITION:
DEFINITION:
DEFINITION:
DEFINTION:
DEFINTION:
(USCR) the category of self-care
Problem: statement of the patient's
Desired or expected outcomes or
Direction for nursing action
Scientific principles, theories or
Responses to or results of nursing
requites that are basic and common
risk for or actual health problem that
resolution of nursing diagnosis.
designed to assist the client and/or
concepts underlying nursing
interventions. An assessment of
to all humans and are constantly
the nurse is licensed and accountable
significant other to meet the
interventions:
relative data is made. These
present; these needs must be met to
to treat.
"Patient will" __________________
expected outcomes. Nursing actions
outcome assessments describe how
achieve optimal health and well-
_____________________________
are specific, realistic, and
Document all reference sources with
the patient looks, feels or behaves
being. There are eight universal
Etiology: factors "related to" or
_____________________________
individualized for a particular
author, title edition and page.
after nursing action has been
self-care requisites:
"associated with" the patient's
patient.
implemented.
problem.
or
(1)
AIR
Components of nursing actions:
May include proposed modifications
(2)
FOOD
Signs and Symptoms:
to ___________________________
1. Precision action verb
or present plan for improvement of
(3)
WATER
manifestations of problem identified.
_____________________________
2.
Content area
nursing care.
(4)
ELIMINATION
_____________________________
a. What-the actual measure
(5)
ACTIVITY AND REST
performed
(6)
SOLITUDE AND
b. Where - specific area
SOCIAL INTERACTION
c. How- the means by which
(7)
PREVENTION OF
measures will be adopted
HAZARDS
d. When - time element, how
(8)
NORMALCY
long or how often the
nursing action is to occur
Self-Care Agency (SCA) - assets or
3.
Categories of Interventions
abilities of an individual to perform
A - assessment
self-care.
C - care & comfort measures
T - teaching
Self-Care Deficit (SCD) - deficit
relationship that exists when the
Independent, dependent,
demand for self-care exceeds the
collaborative, and supportive -
person's ability to perform self-care.
educative nursing actions are to be
considered when writing the plan
Nursing System: the series of
organized concrete action performed
by nurses in collaboration with the
patient. There are three types of
nursing systems:
(1)
wholly compensatory
(2)
partly compensatory
(3)
supportive-educative
(Rev. 5/04)
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