1, nursing diagnosis statement:
Prioritize the listed nursing diagnoses (or problems) according to their importance and urgency. The general principle is to have something first, then something urgent, and then something slow, so that nurses can work in a planned way according to light, heavy, slow and urgent. ?
2, set the expected goal:
Nursing goals are achievable, measurable and observable behavioral goals of patients and their families. Can guide nurses to guide, prevent and eliminate patients' health problems. It is also one of the bases for evaluation.
3, formulate nursing measures:
Nursing intervention is a specific nursing activity to prevent, alleviate and eliminate patients' health problems and help patients achieve their expected goals. These measures can be called nilstanding order, and the elements are: ① date and time. ② Behavioral verbs. ③ Specific contents and methods. ④ Signature of the planner.
Extended data:
Contents of nursing implementation:
1, continue to collect data, constantly discover new nursing problems, re-evaluate nursing objects, and formulate new plans and measures.
2, according to the content of the plan, the implementation of nursing measures.
3, oral succession and succession report, the implementation of the nursing program is carried out continuously within 24 hours, so there must be a succession exchange nursing activities.
4. Write nursing records. In the holistic nursing mode, the nursing record is recorded by PIO, which consists of three words: problem, intervention and result, taking the initials of its English name.
Baidu Encyclopedia-Nursing Practice