psychiatric clients. The following is an example of a nursing his-diagnoses (e.g., there may be a relationship between the nursing relationship. tory and assessment tool that may be used to gather informa-the part of the user, and they permit viewing the “whole picture” without generating a great deal of paperwork. Because they re-flbetween these nursing diagnoses should be drawn to show the also are valuable guides for the documentation of client care. Doenges, Moorhouse, and Murr (2008) state, as they endeavor to provide high-quality nursing care to their presented in Figure 1-2.diagnoses of pain or anxiety and disturbed sleep pattern). A line tion about the client during the assessment phase of the nursing ect the steps of the nursing process, concept map care plans ing skills, and to facilitate the creative process of planning client This is to help you learn how to apply the nursing process and umns of traditional clinical care plan forms, some students never develop a holistic view of their clients and fail to visualize how each client need interacts with other identifiConcept map care plans allow for a great deal of creativity on nique or learning tool [concept mapping] has been developed to assist you in visualizing the linkages, enhance your critical think-much time and energy may be spent focusing on ficare (p. 35). An example of one format for a concept map care plan is tain more detail than what you see in the hospital plans of care. The purpose of this book is to assist students and staff nurses As students, you are asked to develop plans of care that often con-create individualized client care plans. However, even though ed needs. A new tech- lling the col-
Room number: Sex: Marital status: I. General InformationClient name: Dominant language: Chief complaint: Race: Doctor: Height/weight: Age: ● process. signifi & current): NURSING HISTORY AND ASSESSMENT TOOL^ City of residence: Allergies: Name and phone no. of Vital signs: TPR/BP Diagnosis (admitting Diet: cant other:
4 ● THE FOUNDATION FOR PLANNING PSYCHIATRIC NURSING CARE
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