NURSING CARE PLANS & DOCUMENTATION
Author: Lynda Carpenito-Moyet, R.N., M.S.N., C.R.N.P.
Publisher: Lippincott Williams & Wilkins
Publication Date: 2009
Publisher: Lippincott Williams & Wilkins
Publication Date: 2009
ISBN 10: 0781770645
ISBN 13: 9780781770644
Edition: 5th
ISBN 13: 9780781770644
Edition: 5th
Description:
The Fifth Edition of Nursing Care Plans and Documentation provides nurses with a comprehensive guide to creating care plans and effectively documenting care. This user-friendly resource presents the most likely diagnoses and collaborative problems with step-by-step guidance on nursing action, and rationales for interventions. New chapters cover moral distress in nursing, improving hospitalized patient outcomes, and nursing diagnosis risk for compromised human dignity. The book includes over 70 care plans that translate theory into clinical practice.
Table of Contents
Front Matter
UNIT I Introduction to Care Planning
- Step 1: Assessment
- Step 2: Same Day Assessment
- Step 3: Create Your Initial Care Plan
- Step 4: Additional Problems
- Step 5: Review Standard Plan
- Step 6: Review the Nursing Diagnoses on the Standard Plan
- Step 7: Prepare the Care Plan (Written or Printed)
- Step 8: Initial Care Plan Completed
- Step 9: Additional Risk Factors
- Step 10: Evaluate the Status of Your Client (After You Provide Care)
- Step 11: Document the Care on the Agency’s Forms, Flow Records, and Progress Notes
THE BIFOCAL CLINICAL PRACTICE MODEL
DOCUMENTATION OF NURSING CARE
11 STEPS TO CARE PLANNING
THE ILL ADULT: ISSUES AND RESPONSES
RESPONSE TO THE SURGICAL EXPERIENCE
REDUCING MORAL DISTRESS IN NURSES
UNIT II Clinical Nursing Care Plans
SECTION 1 Medical Conditions
Generic Medical Care Plan for the Hospitalized Adult Client
CARDIOVASCULAR AND PERIPHERAL VASCULAR DISORDERS
RESPIRATORY DISORDERS
METABOLIC AND ENDOCRINE DISORDERS
GASTROINTESTINAL DISORDERS
RENAL AND URINARY TRACT DISORDERS
NEUROLOGIC DISORDERS
HEMATOLOGIC DISORDERS
INTEGUMENTARY DISORDERS
MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS
INFECTIOUS AND IMMUNODEFICIENT DISORDERS
NEOPLASTIC DISORDERS
CLINICAL SITUATIONS
SECTION 2 Surgical Procedures
Generic Care Plan for the Surgical Client
Abdominal Aortic Aneurysm Resection
Amputation
Arterial Bypass Grafting in the Lower Extremity
Breast Surgery (Lumpectomy, Mastectomy)
Carotid Endarterectomy
Cataract Extraction
Colostomy
Coronary Artery Bypass Grafting
Cranial Surgery
Enucleation
Fractured Hip and Femur
Hysterectomy
Ileostomy
Laminectomy
Laryngectomy
Neck Dissection
Nephrectomy
Radical Prostatectomy
Thoracic Pulmonary Surgery
Total Joint Replacement (Hip, Knee, Shoulder)
Urostomy
SECTION 3 Diagnostic and Therapeutic Procedures
REFERENCES/BIBLIOGRAPHY
APPENDIX A LIST OF NIC INTERVENTIONS AND NOC OUTCOMES
Topics within this title:
- Abdominal Aortic Aneurysm
- Acquired Immunodeficiency Syndrome
- Acute Kidney Failure
- Aneurysm
- Aortic Aneurysm
- Arthritis
- Arthritis, Infectious
- Asthma
- Atherosclerosis
- Cancer
- Cataract
- Cerebrovascular Accident
- Chronic Illness
- Cirrhosis
- Deep Venous Thrombosis
- Diabetes
- Diabetes Mellitus
- Enterocolitis
- Fractures
- Hepatitis
- Hypertension
- Hypothyroidism
- Infectious Arthritis
- Inflammatory Bowel Disease
- Joint Disease
- Kidney Disease
- Kidney Failure
- Laryngectomy
- Leukemia
- Lupus
- Mechanical Ventilation
- Multiple Sclerosis
- Myasthenia Gravis
- Neurogenic Bladder
- Neurologic Disorders
- Obesity
- Osteomyelitis
- Osteoporosis
- Pancreatitis
- Parkinson Disease
- Peptic Ulcer
- Pneumonia
- Pressure Ulcers
- prostatectomy
- Pulmonary Disease
- Sclerosis
- Seizure
- Seizure Disorders
- Septic Arthritis
- Spinal Cord Injury
- Stroke
- Syndrome
- Systemic Lupus Erythematosus
- Thrombosis
- Ulcer
- Ulcers
- Unconsciousness
- Venous Thrombosis
- Ventilation
- Virus