Care plan development

The continuing care plan, developed prior to discharge from treatment into aftercare, is constructed with the different spheres and zones of recovery in mind. The ultimate goal of the continuing care plan is to help the client move into this new phase of recovery as seamlessly as possible. So, like the treatment plan (remember Chapter 4), the continuing care plan should be comprehensive but not overly intrusive, should be simple enough to follow, and should be developed collaboratively with the client prior to discharge. 

Before giving a nonnarcotic analgesic to a patient, the nurse assesses the type, onset, and location of the pain. It is important to determine if this problem is different in any way from previous episodes of pain or discomfort. If the patient is receiving a nonnarcotic analgesic for an arthritic or musculoskeletal disorder or soft tissue inflammation, the nurse should examine the joints or areas involved. The appearance of the skin over the joint or affected area or any limitation of motion is documented. The nurse evaluates the patient s ability to carry out activities of daily living. This important information is used to develop a care plan, as well as to evaluate the response to drug therapy. 

When die patient is hospitalized, the nurse develops a nursing care plan to meet the patient s individual needs. Vital signs are monitored at frequent intervals, usually 3 to 4 times daily. In some instances, such as when hypotensive episodes occur, the vital signs are taken more often. The nurse reports any significant change in the vital signs to the primary healdi care provider. 

Mr. Potter, age 57 years, is admitted to the pulmonary unit in acute respiratory distress. The primary health care provider orders IV aminophylline. In developing a care plan for Mr. Potter, you select the nursing diagnosis Ineffective Airway Clearance. Suggest Jiursing interventions that would be most important in managing this problem. 

Develop a nursing care plan for Ms. Morris, a 28-year-old, woman who is admitted to the obstetric unit with premature labor during her third trimester. This is her second child, and die has had two miscarriages. She is prescribed ritodrine for preterm labor. Analyze what nursing diagnoses would have the highest priority. Discuss how you would explore and plan to meet her emotional needs. 

A carefully planned network of shafts, drifts, and raises are the requisites of a producing underground mine. The word development stands for the preparation of this network. In normal development one can recognize four different kinds of rock excavation and they are shafts, drifts, raises and inclines. The main aim of provision of a shaft is to provide access to or a connection with underground. This access may be utilized for a variety of purposes hoisting rock and ore, personnel and material transport, ventilation, etc. Most modem shafts... 

Develop a pharmaceutical care plan for the treatment of viral hepatitis. 

What further questions would be useful to ask CS before developing a care plan ... 

Develop a patient-specific care plan for this patient. Be sure to address the patient s drug-related needs, goals of therapy, risks and benefits of potential therapies, and plan for follow-up of therapy. List the monitoring parameters for effectiveness and safety for the chosen therapy. Explain how you would counsel the patient on the chosen therapy, including the administration of an ophthalmic preparation. 

Develop a care plan for this patient for the first 7 days of his hospitalization. This plan should include the goals of therapy, specific drug recommendations, and monitoring parameters to evaluate outcome. 

Based on the information provided, develop a care plan for this patient. Include (1) treatment goals, (2) monitoring parameters for anticipated toxicities, and (3) a follow-up plan to determine response to treatment and surveillance. 

Develop a care plan based on treatment goals. If the goal is palliative care, how does treatment-related toxicity influence therapy ... 

Another external response to concerns about MCOs has been an increased interest in measuring the quality of care they deliver [35]. This interest has resulted in the development of numerous quality indicators. One example, HEDIS (Health Plan Employer Data and Information Set), is a standardized set of performance indicators used to compare health plans. Developed by the National Committee for Quality Assurance, HEDIS measures allow employers and employees to evaluate different plans. Only a small number of HEDIS indicators are related to medication use, but more drug-related indicators are likely to be added in the future. The use of quality indicators likely will increase as the measures become more refined and tested. 

Model development is intimately linked to correctly assigning model parameters to avoid problems of identifiability and model misspecification [27-29], A full understanding of the objectives of the modeling exercise, combined with carefully planned study protocols, will limit errors in model identification. Compartmental models, as much as any other modeling technique, have been associated with overzealous interpretation of the model and parameters. 

Thermal methods can be extremely useful during the course of preformulation studies, since carefully planned work can be used to indicate the existence of possible drug-excipient interactions in a prototype formulation [2]. During the course of this aspect of drug development, thermal methods can be used to evaluate compound purity, polymorphism, solvation, degradation, drug-excipient compatibility, and a wide variety of other desirable characteristics. Several recent reviews have been written on such investigations [2-6]. 

Nutrition assessment is the first step in developing a nutrition care plan and includes a clinical evaluation, anthropometric measurements, and biochemical and immune function studies. 

Many new challenges can arise after treatment for partners. A family therapist can prepare the partner for these challenges as part of a family orientation to aftercare. Such a meeting will occur around the same time as the client develops his or her continuing care plan just prior to discharge from treatment. The family therapist may address adjustment concerns that many partners experience when a client is discharged from treatment. The family therapist can prepare the partner for what to reasonably expect from the loved one after treatment ends. 

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