Maternal-ChildSim

Amanda
ATTACHED FILE(S)
Rasmussen UniversityName:Date:
Care Plan #
Rasmussen University
CON
CEPT MAP
Pathophysiology – (to the cellular level)
Medical Diagnosis
PreEclampsia
Signs & Symptoms/Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies)(What symptoms does your client present with?)
Complications
Treatment (Medical, medications, intervention and supportive)
Causes/Risk Factors (chemical, environmental, psychological, physiological and genetic)

.
REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE.THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE.
PLAN OF CARE: Use your top two priorities

NANDA NURSING DIAGNOSIS use NANDA definition

Expected outcomes of care (Goals)

Interventions

Patient response

Goal evaluation

NRS DX:
Problem Statement:
R/T: (What is the cause of the symptom)
Manifested by: (Specific symptoms)

Short term goal
:Create a SMART goal that relates to hospital stay/shift/day.

Long term goal
:Create a SMART goal that is appropriate for discharge.

This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)
Interventions for short-term goal:
1.
2.
3.
Interventions for long term goal:
1.
2.
3.

Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)
Reassess for short-term goal:
1.
2.
3.
Reassess for long-term goal:
1.
2.
3.

Was it met or not met there is no partially met.
PLEASE GIVE REFERENCES
Summer 2021 JM 9

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