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Essay Available:
Pages:
3 pages/≈825 words
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Level:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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Topic:

Maternal care plan Health, Medicine, Nursing Essay (Essay Sample)

Instructions:

Nurse care plan for postpartum patient c-section delivery

 

Care plan expectations:
No less than three no more than five diagnosis.
Each diagnosis needs two measurable and obtainable goals - One long term and one short term goal. Each goal must be measurable and obtainable.
Each Goal needs at least three interventions. As a nurse how would you attain these goals you have set.
Next, you have your nursing rationales why did you do the interventions. Where is the evidence to support what you are doing? This is where you will reference using APA format.
Cite your sources and provide reference page. At least one source (textbook).
Finally, evaluation you will say whether the goal was met or not met. If not met how/what could you do differently to make an obtainable goal.
APA format is easily located from Googling “Purdue Owl” or simply typing in your search engine

 

Ancilla College Care Plan Rubric

NAME________________________________      Date of Care____________________________

 

Score

 

10

 

5

 

3

 

1

 

0

Assessment

All areas complete, specific and accurate or write N/A.

 

1-2 sections incomplete, information specific and accurate or write

N/A

3-4 sections incomplete information is generalized and accurate or N/A

Poor use of medical or nursing terminology, misspelling, incomplete sentences

Incomplete assessment or inaccurate data

Diagnosis

NANDA approved, highest priority, individualized and in PES format.

NANDA approved, highest priority, low individualization PES format

NANDA approved, lower priority, low individualization PES format

NANDA approved, low priority, not individualized PES format

Not NANDA approved, No priority, No individualization

Planning NIC/NOC

Individualized, attainable goal with stated time frame, interventions appropriate for diagnosis

Individualized, with attainable goal, 3 or more interventions appropriate for diagnosis

Individualized, with attainable goal, interventions appropriate for diagnosis, less than 3 appropriate interventions

Generalized with attainable goal and time frame. Interventions generalized

No goal provided, not appropriate for diagnosis, incomplete

Evaluation

Every intervention reviewed & evaluated. Revisions noted when appropriate

Every intervention reviewed; no revisions provided when appropriate

Interventions were not reviewed or revisions listed are not priority focused for patient. 

Limited review no revisions listed.

Evaluations do not relate to interventions

Medications

All medication cards are completed as the example. 

Medication cards complete but not relevant to specific patient.

 Not relevant to patient or 1-2 parts of the med card is missing

3-4 parts of the med card are missing

>4 parts missing

Score

 

 

 

 

 

 

 

  • Total Score________                                                                                           Total Possible   50 points
source..
Content:


Maternal Care Plan
Name
Course Instructor
Date
Diagnosis
PES Format Outcome/Goals
Include Time FrameInterventions
Individualized/SpecificRationale
Include page numbersEvaluation
Updates/Desired OutcomeNursing Diagnosis: Anxiety
Related to: Situational crisis, perceived threat to self and the infant and interpersonal transmission.
As evidenced by: Increased tension, distress, restlessness, and sympathetic stimulation.
Diagnosis
Nursing Diagnosis: Powerlessness
Related to: A lifestyle of helplessness and interpersonal interaction.
As evidenced by: Passivity and lack of participation and involvement in making decisions on their care and treatment.
Diagnosis
Nursing Diagnosis: Sensory/ Perceptual alterations.
Related to: Excessive noise level, psychological stress, and multiple environmental stimuli.
STG: Patient is able to discuss feelings about caesarian birth and share her safety concerns on the infant and herself within hours after nursing intervention.
LTG: Patient is relaxed and comfortable 2-3 days into the nursing treatment/intervention.
Outcome/ Goals

...
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