Care Plans

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. 

If referrals are made in conjunction with the continuing care plan, then the procedures suggested for referrals in Chapters 2 and 3 should be followed. Professional networks can be used to make appropriate referrals. Continuity of care should be provided whenever possible during the referral process, and you should check with your client to make sure that contact with the referral was made within an appropriate amount of time and that the client finds the referral helpful. 

Use the different spheres and zones to guide development of the plan. 

The plan should be comprehensive but not overly intrusive, and simple enough to follow. 

Integrate community resources with existing treatment resources. 

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Careful planning of drilling activities will avoid unnecessary expenditure or risks. The planning process is vital for achieving the objectives of a well. Usually, wells are drilled with one, or a combination, of the following objectives ... 

First we will look at the constraints in the above groupings, but they are most effectively managed In an Integrated approach, since they all act simultaneously on the profitability of the producing field. This requires careful planning and control by a centralised, integrated team, which will also be discussed. 

Risk communication will be successful only if it is carefully planned. Establish risk communication objectives, such as providing information to the... 

Ease of installation and commissioning is another reason for gas turbine use. A gas turbine unit can be tested and packaged at the factory. Use of a unit should be carefully planned so as to cause as few start cycles as possible. Frequent startups and shutdowns at commissioning greatly reduce the life of a unit. 

Domino reactions, in which a series of carefully planned reactions occurs in a single vessel, used to prepare complex biologically active organic compounds (Hall, 1994 Tietze, 1995). 

Contact temperature measurement is based on a sensor or a probe, which is in direct contact with the fluid or material. A basic factor to understand is that in using the contact measurement principle, the result of measurement is the temperature of the measurement sensor itself. In unfavorable situations, the sensor temperature is not necessarily close to the fluid or material temperature, which is the point of interest. The reason for this is that the sensor usually has a heat transfer connection with other surrounding temperatures by radiation, conduction, or convection, or a combination of these. As a consequence, heat flow to or from the sensor will influence the sensor temperature. The sensor temperature will stabilize to a level different from the measured medium temperature. The expressions radiation error and conduction error relate to the mode of heat transfer involved. Careful planning of the measurements will assist in avoiding these errors. 

For some types of production, the facility housing the equipment and machinery needed to create, move, and store product has to be designed. The pathways for raw materials and semi-finished product need to be thought out and the gangways for staff movement need careful planning to prevent hazard. 

Carefully plan the selection of interview candidates. You should first consider what resources you have available—both in time and travel costs (if relevant). As a rule of thumb, it will take one hour to interview a manager with no special responsibility for PSM or ESH, two hours for specialist managers and staff and no more than 45 minutes for operators and technicians. You must also allow an equal amount of time to write up notes and review any material collected during the interview. You can now decide how many people you can afford to interview. In selecting candidates, you should consider the following ... 

There are a number of causes for fishing operations. Many of the causes are preventable by careful planning of the drilling operation and being very watchful for the indication of possible future trouble [149]. 

A carefully planned and executed installation is extremely important and makes compressor operation and maintenance easier and safer. Key components of a compressor installation are location, foundation, and piping. 

There are many reasons to do careful planning for project costs. To begin with, if you overestimate costs you may lose the job before you begin because you are not competitive. A good plan includes the identification of sources of supplies and materials, and this careful research assures that the costs are realistic. The main function of a good budget is to monitor the costs of a project while it is in progress, and to avoid cost overruns. 

A successful test run requires a clear definition of objectives, careful planning, and proper interpretation of the results. The following steps can be used as a guide to ensure a smooth and successful test run. 

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. 

The nurse aids continuity of anticonvulsant administration by making a notation on the care plan, as well as by informing all health care team members of the importance of the drug. If the primary health care provider discontinues the anticonvulsant tiierapy, the dosage is gradually withdrawn or another drug is gradually substituted. 

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. 

Which of die following nursing diagnoses would the nurse most likely place on die care plan of a patient with AD diat is related to adverse reactions of die cholinesterase inhibitors ... 

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. 

Ms. Howard, age 86 years, has Alzheimer s disease and is a resident in a nursing home. She has a UTI and is prescribed cinoxadn (Cinobac). Discuss specific nursing tasks to include in a nursing care plan for this patient. What potential problems could be anticipated because of the Alzheimer s disease What drugs might the primary care provider prescribe for the Alzheimer s disease ... 

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