growth and development plan

Description

Points Received/

Total Points Possible

Comments

Diagnosis #1

Diagnosis #2

Totals

Patient Information and Health Assessments

· Complete patient demographics, health assessments, and interventions

____/ 3

Growth and Development:

· Identify expected physical, cognitive and psychosocial stages of development and compare to patient’s actual stages of development

____/ 6

Safety Assessment, Discharge Plan, Teaching Needs:

· Include expected and actual needs

____/ 3

Nursing Diagnosis (Include ALL 3 Dx):

· Reflects the primary diagnosis

· Appropriate for patient scenario as well as priority level

· In acceptable NANDA format

· Includes all parts stem, R/T, AEB

__ __/ 3

Assessment:

· Appropriate for chosen diagnosis

Includes objective & subjective historical support diagnosing data

____/3

+ ____/3

= ____/ 6

Patient Outcomes:

· Specific to the patient diagnosis

· Contains the following 4 criteria:

measurable, attainable, realistic, and timed

· All criteria present for patient’s expected outcome

____/3

+ ____/3

= ____/ 6

Intervention/Implementation:

· Includes interventions/ nursing actions directly relating to pt. outcomes

· Specific in action, frequency and contain rationale

· # of interventions is appropriate to help pt./ family meet their outcomes

____/3

+ ____/3

= ____/ 6

Evaluation:

· Includes all data that is listed as criteria in outcomes

· Outcomes are determined to be met, partially met, or not met

· If outcome was not met/ partially met, plan of care is revised/ continued & new evaluation date/time is set

____/3

+ ____/3

= ____/ 6

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