Planning PrioritizedIndependent and Evaluation Prioritized (outcome/goal) collaborative nursing Goal Met, Gordon’s Nursing Diagnosis Measureable goal interventions; include Rationale partially met, Functional Health (at least 2) during your shift further assessment, (use APA citations) or not Met Care Patterns (at 1 per intervention and teaching & Explanation Nursing diagnosis) (at 4 per goal) Current Medications Nursing Medications Dose(& range) Mechanism of Common side considerations (with APA Class/Purpose Route Frequency If out of range, action effects Specific to this citations why? Onset of action client
Prioritized Gordon’s Functional Health Care Patterns Nursing Diagnosis (at least 2) Planning (outcome/goal) Measureable goal during your shift (at 1 per Nursing diagnosis) PrioritizedIndependent and collaborative nursing interventions; include further assessment, intervention and teaching (at 4 per goal) Rationale (use APA citations) Evaluation Goal Met, partially met, or not Met & Explanation Current Medications Medications (with APA citations Class/Purpose Route Frequency Dose(& range) If out of range, why? Mechanism of action Onset of action Common side effects Nursing considerations Specific to this client
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