Ch. 5: Planning Outcomes (patient centered)-MJ

Question 1

Define: The process of planning for self-care and continuity of care after the patient leaves a healthcare setting

Answer 1

Discharge planning

Question 2

When does discharge planning begin?

Answer 2

At the initial assessment

Question 3

T/F: All clients need discharge planning

Answer 3

True

Question 4

What does discharge planning require?

Answer 4

Collaboration

Question 5

Comprehensive discharge planning involves significant collaboration. Ideally it is done ____, not for, the patient–patient insolvent is important for achieving desired outcomes

Answer 5

Done WITH the patient

Question 6

What are the two types of planning?

Answer 6

Informal and formal

Question 7

Informal or formal planning: Making mental notes or plans (while preforming the heat-to-toe assessment and checking basic vitals)

Answer 7

Informal

Question 8

Informal or formal planning: Conscious, deliberate activity involving decision making

Answer 8

Formal planning

Question 9

With which planning (formal or informal) do we think “CARE PLANS!!!” ?

Answer 9

Formal

Question 10

T/F: Nursing care plans are different than a medical plan

Answer 10

True

Question 11

Nursing care plans are holistic, _____ care

Answer 11

Goal oriented

Question 12

Goals (expected outcomes) are ____ and time-able. They are the ___ we hope to see in the patient.

Answer 12

Measurable; changes

Question 13

What are the two types of goals we have for our patients?

Answer 13

Short term and long term

Question 14

Short term goals can be achieved in ______

Answer 14

A few hours or a few days

Question 15

What are some situations in which we use short term goals?

Answer 15

Acute surgery
Day surgery
Clinics
Student nurses use them for their patients
Evaluation of process toward long-term goals

Question 16

Long term goals are changes that occur over _______. They are made based on the optimal level of functioning given health status and resources.

Answer 16

A week, month, or more

Question 17

What are some situations in which we make long-term goals?

Answer 17

Home healthcare
Extended care facilities
Rehab centers
Chronic illness
Conditions that are managed, not cured

Question 18

Goals should be SMART. What does that mean?

Answer 18

Specific
Measurable
Achievable 
Realistic
Timely

Question 19

Goals include an action verb that the client will perform, do, or say. What are some example action verbs?

*Action verbs should be concrete, observable, and appropriate

Answer 19

Apply
Choose
Demonstrate
Explain
List
Measure
Select
Turn
Transfer
Verbalize

(there are obviously many example action words, pg. 97 has more examples)

Question 20

What is the difference between outcome and goal?

Answer 20

Outcome= used alone, means any patient response (positive or negative) to interventions

Goal= referring to a positive patient response
(other words to use synonymously with goal are expected outcome, desired outcome, predicted outcome)

Question 21

How do we write a goal for our patient in our care plan?

Answer 21

“The patient will….”

Example: The patient will walk to the doorway with the help of one person by 2:00p.m on Tuesday.

Question 22

What does NOC mean?

Answer 22

Nursing outcomes classification

Question 23

The NOC is standardized vocabulary of ______

Answer 23

385 nursing-sensitive outcomes

Question 24

What is an outcome?

Answer 24

An individual, family, or community state behavior, or perception that is measure along a continuum in response to nursing interventions

Question 25

T/F: The NOC can be used in only some speciality and practice areas.

Answer 25

FALSE. It can be used in ALL speciality and practice areas!