JMU School of Nursing - NSG 352L

Directions for Preplanning Form ADVANCED

Fall 2017

Careplan

NURSING EXPECTED PATIENT ASSESSMENT ACTION TEACHING

DIAGNOSES OUTCOMES interventions: interventions: interventions:
(consider orders, (consider home
(note priority for Be sure they are S. (assess /
safety, allergies, regimens,
each below) M. A. R. T. (Specific, monitor for )
code status, fall procedures,
measureable,
(Be sure to use risk, etc.) discharge plan,
achievable/
related to and etc.)
attainable, relevant
as evidenced
and time-bound)
by)

Acute pain r/t Pt will describe pain Assess severity Nurse will Teach patient to
recent hip of 0-3 out of 10 by and location of acknowledge self-report and
replacement 10/15 pain reports of pain monitor pain
surgery AEB immediately.
pain reports
pain as 8/10, Assess Teach patient at-
patient grimaces precipitating Nurse will home pain relief
when moving or and relieving prescribe techniques
transporting factors analgesics as besides
and pt noted, I needed by medication
have terrible patient
pain in my right
side.
Nurse will apply
ice to the
affected area as
needed

Risk for Patient describes Assess patients Nurse will

impaired skin measures to protect bony monitor
Teach patient to
integrity r/t tissue by 10/13 prominences for patients back
self-turn every 2
impaired signs of and bony
hours
mobility due to impaired tissue prominences
recent hip Patient reports any integrity once a shift
surgery and pain altered sensation or

1
 JMU School of Nursing - NSG 352L
Directions for Preplanning Form ADVANCED
Fall 2017

pain related to Monitor Teach patient

tissue impairment patients level of the importance
Nurse will rotate
distress of nutrition in
patient every 2
preventing tissue
hours to prevent
damage
tissue damage
Assess patients
nutritional
status
Nurse will
encourage
patient to eat all
of their meals to
ensure proper
nutrition