This course is going to show you the most effective way to write a Nursing Care Plan and how to use Nursing Care Plans in the clinical setting. PLUS, we are going to give you examples of Nursing Care Plans for all the major body systems and some of the most common disease processes.
Nursing care plans are stressful, time consuming, and pretty much feel like a terrible waste of time. Many nursing school graduates come out of school celebrating that they will never have to write another nursing care plan.
So why did we make this course?
There is a transition that occurs during the first year or so of practicing as a nurse. By the end of their first year, the new nurse can walk into a room, do a quick survey around and know within a couple minutes exactly how the shift will go.
What has happened?
The new nurse has developed clinical thinking skills without even knowing it. They are able to build nursing care plans in their mind within just a couple of minutes.
So, while you won't be required to create long form text documents covering desired outcomes, subjective and objective data, etc . . . you will learn how to do all of that quickly as almost a sixth sense.
This course takes a different approach to nursing care plans. We do not include NIC, NOC, or NANDA . . . why? Really, you are never going to use these outside of nursing school. Instead, we take the medical diagnosis and collect subjective and objective data. With that information, we walk you through interventions you might consider in caring for the patient.
Each care plan example is developed by an expert practicing nurse who has actually taken care of similar patients. While we can't take away the pain of writing care plans in nursing school - this course is designed to help you develop clinical thinking skills that you can take with you on to the nursing floor.
Nursing care plans outline a patients most critical needs and steps of action to improve outcomes based on those needs. All of this information is backed-up with evidence and data both objective and subjective.
Care plans help a nurse prioritize actions. Once data is gathered, the nurse can begin prioritizing actions with the intent on improving the patients outcomes.
The most critical elements of a nursing care plan are:
When all of this combines, it provides a sort of game plan that allows the nurse to prioritize actions.
We suggest 5 steps for writing nursing care plans:
What you’ll notice is that the five steps align with the nursing process. While the nursing process might feel redundant in nursing school, care plans provide the perfect place to implement the steps of the nursing process.
Think of nursing care plans as the nursing process in action. The final step of the nursing process is to EVALUATE. Depending on the outcome of the evaluation phase of the nursing process determines if/when you need to update your nursing care plan. If the patient has obtained the desired outcomes, there is no need to update. However, if the patient has not yet obtained the desired outcomes, you should update the care plan.
This is how nursing works. We continually collect data on our patients and adjust our care to provide them the desired outcomes.
Subjective data is information that we gather from the patient (subject). This is data that we can not gather from charts or lab tests – the patient must share this information. In other words, you can not user your 5 senses to obtain.
Examples of subjective data: