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This clinical packet provides a structured framework, guidelines, and templates to assist nurses in systematically applying the nursing process to create effective and individualized patient care plans, from initial assessment to evaluation.
The packet contains several components:
Nurse Careplan Guide (The Nursing Process "ADPIE"): This is the central document, outlining the five steps of the nursing process.
Nursing Diagnosis Section: This part details how to formulate a nursing diagnosis, emphasizing the "problem related to etiology as evidenced by signs and symptoms" structure.
Nursing Goal Section: Explains how to create SMART goals (Specific, Measurable, Attainable, Realistic, Time-bound) for patient outcomes, with an example.
Nursing Intervention Section: Guides on developing nursing interventions that are relevant, benefit the patient, are within the nurse's scope, and are evidence-based, providing examples.
Concept Map Template: A visual tool to help organize patient information and connect nursing diagnoses, interventions, and outcomes.
Nursing Diagnosis Template: A structured form for writing out individual nursing diagnoses.
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