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Chapter 14 Vocab
Outcome Identification and Planning
17
Nursing
Undergraduate 2
09/25/2012

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Term
Outcome Identification and Planning 
Definition

Steps of the nursing process, the nurse works in partnership with the patientand family to:

  • Establish priorities
  • Identify and write expected patient outcomes 
  • Select evidence-based nursing interventions 
  • Communicate the plan of nursing care 
Term
Goal 
Definition
An aim or end. 
Term
Patient Outcome 
Definition
Is an expected conclusion to a patient health problem, or in the event of a wellness diagnosis, an expected conclusion to a patients health expectation. 
Term
Expected Outcomes
Definition
is used to refer to the more specific , measurable criteria. 
Term
Criteria
Definition
measurable criteria is used to evaluate the extent to which a goal has been met. 
Term
Initial Planning
Definition
Is developed by the nurse who performs the admission nursing history and the physical assessment. This comprehensive plan addresses each problem  listed in the prioritized nursing diagnoses and identifies appropriate patient goals and the related nursing care. 
Term
Standardized Care Plans
Definition
Are prepared plans of care that identify the nursing diagnoses, outcomes, and related nursing interventions common to a specific population or health problem. 
Term
Ongoing Planning 
Definition
Is carried out by any nurse who interacts with the patient. Purpose is to keep the plan up to date. 
Term

Nursing Outcomes Classification

(NOC)

Definition
Developed by the Iowa Outcomes Project presents the first comprehensive standardized language used to describe the patient outcomes that are responsive to nursing intervention. 
Term
Nursing Intervention
Definition
Is any treatment, based on clinical judgement and knowledge, that a nurse performs to enhance patient outcomes.
Term

Nursing Intervention Classification

(NIC)

Definition
The first comprehensive, validated list of nursing interventions applicable to all settings that can be used by nurses in multiple specialities.
Term
Consultation
Definition
A process by which two or more individuals with varying degrees if experience and expertise discuss a problem  and its solution, often proves helpful. 
Term

Plan of Nursing Care

(patient care plan)

Definition
Is the written guide that directs the efforts of the nursing team as nurses work with patients to meet their health goals. 
Term
Kardex Care Plan 
Definition
in which the plan of nursing care for each patient is concisely recorded on a folded card and placed in a centeral kardex file, where it is easily accessible. 
Term
Computerized Care Plans
Definition
as part of the electronic medical record. 
Term

Clinical Pathways

(critical pathways, Caremaps)

Definition
are tools used in case management to communicate the standarized, interdisciplinary plan of care for patients. 
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