Pediatric Care Plan
The process of determining a patient’s needs and promoting holistic care is documented in a nursing care plan, usually by a five-step structure. A care plan guarantees collaboration between nurses, patients, and other healthcare professionals.
A nursing care plan’s objective is to record the patient’s needs, preferences, and planned nursing interventions (or implementations) for addressing those needs. The care plan ensures continuity of care and is a part of the patient’s health record. The primary causes for creating a care plan are as follows:
A focus on the patient
A care plan aids nurses and other care team members in scheduling various parts of patient care. Additionally, it gives them a tool for critical and integrative thinking that promotes the patient’s physical, psychological, social, and spiritual well-being. A care plan facilitates the process of assigning a patient to a nurse who has appropriate knowledge and expertise when it is necessary. Patients will be more engaged in their care and rehabilitation if they have specific objectives to meet.
collaboration between nursing teams
Creating a care plan enables a group of nurses (doctors, assistants, and other healthcare professionals) to share information, formulate perspectives, and work together to give the patient the best care possible.
compliance and documentation
A carefully drafted care plan enables nurses to assess the effectiveness of the care and to document any proof that the care was provided. This is critical to ensure the most effective care delivery and to give healthcare professionals documentation.
Assessment, diagnosis, outcomes and planning, implementation, and evaluation are the five steps of a care plan.
Step 1: Evaluation
Critical thinking abilities and data gathering is needed for the initial stages of designing a care plan. For the assessment step, many healthcare institutions employ a variety of formats. The information you will gather in this section will typically be subjective (like verbal statements) and objective (such as height and weight and intake/output). The patients, their caregivers, family members, or friends may be the source of the personal information.
The vital signs, visible body problems, medical history, and present neurological functioning of the patient can all be recorded by nurses. By automatically entering some of this information from earlier data, digital health records may aid in the assessment process.
Second step: diagnosis
The North American Nursing Diagnosis Association (NANDA) defines a nursing diagnosis as “a clinical judgment about the human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group, or community.” You will create a nursing diagnosis using the data that has been gathered.
Nursing diagnosis is the basis for selecting nursing interventions to attain particular outcomes. Maslow’s Hierarchy of Wants, which recognizes and prioritizes human needs, is the foundation for a nursing diagnosis. For instance, when it comes to nursing behaviors, physiological demands (such as food, water, and sleep) take precedence over love and belonging, self-esteem, and self-actualization since they are more essential to survival.
You will develop objectives (Step 3) based on the diagnosis to use nurse interventions to help the patient (Step 4).
Step 3: Planning and Outcomes
The planning phase follows the diagnosis phase. Here, you will create SMART goals based on principles of evidence-based practice (EBP) (more on this later). As you develop goals for the patient to accomplish desired and realistic health outcomes for the short and long term, you will take into account their general state, diagnosis, and other pertinent facts.
Step 4: Put into practice
After you have established goals for the patient, it is essential to implement those goals by carrying out the steps that will help the patient get there. The nurse interventions listed in the care plan are carried out during the implementation stage. You will create nursing interventions that the nurse, following evidence-based practice guidelines or doctors, will prescribe.
The seven domains into which treatments fall are family, behavioral, physiological, complex physiological, community, safety, and health system interventions. During each shift, you must carry out several fundamental interventions, including pain assessment, altering the resting posture, listening, cluster care, preventing falls, and hydration intake.
Step 5: Assessment
The health professional (a doctor or a nurse) will assess if the intended outcome has been achieved in the final phase of a care plan. Using this knowledge, you will change the care plan.
Pediatric Care Plan
please i need a pediatric care plan thank you for Monday