Refer to the ANA Recognized Terminologies and Data Element Sets and develop a Standardized Care Map for a NANDA Nursing Diagnosis of your choice. Include the following:
- A brief introduction/overview to your chosen diagnosis, why you are interested in it and why it is necessary to develop a standardized care map for all nurses.
- List the NANDA Nursing Diagnoses, Definition and Classification
- List appropriate nursing interventions from the Nursing Interventions Classification System (NIC)
- Summary/Conclude the assignment with the anticipated nursing outcomes from the Nursing Outcomes Classification System (NOC)
Expert Solution Preview
Introduction:
Developing a standardized care map is crucial in ensuring that all nurses provide consistent and efficient care to their patients. The use of ANA Recognized Terminologies and Data Elements Sets is essential in this process as it enables nurses to accurately document patient data, interventions and outcomes. In this assignment, we will focus on developing a standardized care map for a NANDA Nursing Diagnosis of our choice.
Answer:
NANDA Nursing Diagnosis: Risk for Falls
Definition: Risk for injury to self or others because of an assumed or identified risk for falling.
Classification: Safety/Protection
Nursing Interventions:
1. Assess the patient’s risk factors for falls, such as age, gender, medications, medical conditions and previous falls.
2. Implement fall prevention measures, such as bed rails, non-slip socks, bed alarms and visual signage.
3. Educate the patient and family on the importance of fall prevention, including safe ambulation techniques and the use of assistive devices.
4. Monitor the patient’s mobility status and assist with activities of daily living as needed.
5. Communicate with the interdisciplinary team on the patient’s fall risk status and implement a collaborative approach to fall prevention.
Anticipated Nursing Outcomes:
1. The patient will remain free from falls during the hospitalization period.
2. The patient will demonstrate an understanding of fall prevention measures and techniques.
3. The patient will use assistive devices as needed to promote safe mobility.
4. The interdisciplinary team will work collaboratively to prevent falls and promote patient safety.
Conclusion:
Developing a standardized care map for NANDA Nursing Diagnoses is crucial in promoting consistent and efficient care for patients. By using ANA Recognized Terminologies and Data Elements Sets, nurses can accurately document patient data, interventions and outcomes, improving communication and collaboration among the healthcare team. In this assignment, we focused on developing a standardized care map for Risk for Falls and highlighted the importance of fall prevention measures, patient education, and interdisciplinary collaboration in promoting patient safety.
