JMU

School of Nursing
Spring 2017
NSG 352L Preplanning Form with Detailed Careplan
NURSING EXPECTED PATIENT Assessment Action interventions: Teaching interventions:
DIAGNOSES OUTCOMES interventions: (consider orders, safety, (consider home
allergies, code status, regimens, procedures,
(Be sure to use related Be sure they are S. M. A. R. (assess / monitor for )
fall risk, etc.) discharge plan, etc.)
to and as evidenced T. (Specific, measureable,
by) achievable/ attainable,
relevant and time-bound)
Activity intolerance r/t Pt. will ambulate to bathroom Monitor patients ability Offer bathroom assisting Encourage progress with
imbalance between 3 times before the end of the to perform activity. every 2 hours. positive feedback.
oxygen supply and clinical day.
Assess skin integrity Allow patient to take Instructing the client on
demand AEB pt. need to
every day. time when ambulating techniques for avoiding
lay in bed or stay in
in order to remain activity intolerance, such
chair to maintain ability
comfortable. as controlled breathing
to breathe normally.
techniques.

Imbalanced nutrition: Pt. will attempt to eat 75% of Monitor for signs of Aid the patient during Help the patient to
less than body lunch during clinical day. hypoglycemia. the meal, as needed. identify the area to
requirements r/t loss of change that will make the
Observe for potential Ask the patient if pain
appetite AEB pt. greatest contribution to
barriers to eating. medication is needed
disinterest in eating all improve nutrition.
prior to meal.
of breakfast.
Teach the patient how
good nutrition will aid
healing and a faster
recovery process.
Ackley B.J., Ladwig G.B, Makic M.F. (2017). Nursing Diagnosis Handbook: an evidence-based guide to planning care, Eleventh
Edition. St. Louis: Elsevier.
 JMU School of Nursing
Spring 2017
NSG 352L Preplanning Form with Detailed Careplan