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Meg Gulanick PhD APRN FAAN - Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8e

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The bestselling nursing care planning book on the market, Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8th Edition covers the most common medical-surgical nursing diagnoses and clinical problems seen in adults. It includes 217 care plans, each reflecting the latest evidence and best practice guidelines. NEW to this edition are 13 new care plans and two new chapters including care plans that address health promotion and risk factor management along with basic nursing concepts that apply to multiple body systems. Written by expert nursing educators Meg Gulanick and Judith Myers, this reference functions as two books in one, with 147 disorder-specific and health management nursing care plans and 70 nursing diagnosis care plans to use as starting points in creating individualized care plans.

  • 217 care plans --- more than in any other nursing care planning book.
  • 70 nursing diagnosis care plansinclude the most common/important NANDA-I nursing diagnoses, providing the building blocks for you to create your own individualized care plans for your own patients.
  • 147 disorders and health promotion care plans cover virtually every common medical-surgical condition, organized by body system.
  • Prioritized care planning guidance organizes care plans from actual to risk diagnoses, from general to specific interventions, and from independent to collaborative interventions.
  • Nursing diagnosis care plans format includes a definition and explanation of the diagnosis, related factors, defining characteristics, expected outcomes, related NOC outcomes and NIC interventions, ongoing assessment, therapeutic interventions, and education/continuity of care.
  • Disorders care plans format includes synonyms for the disorder (for easier cross referencing), an explanation of the diagnosis, common related factors, defining characteristics, expected outcomes, NOC outcomes and NIC interventions, ongoing assessment, and therapeutic interventions.
  • Icons differentiate independent and collaborative nursing interventions.
  • Student resources on the Evolve companion website include 36 of the books care plans - 5 nursing diagnosis care plans and 31 disorders care plans.
  • Three NEW nursing diagnosis care plans include Risk for Electrolyte Imbalance, Risk for Unstable Blood Glucose Level, and Risk for Bleeding.
  • Six NEW health promotion/risk factor management care plans include Readiness for Engaging in a Regular Physical Activity Program, Readiness for Enhanced Nutrition, Readiness for Enhanced Sleep, Readiness for Smoking Cessation, Readiness for Managing Stress, and Readiness for Weight Management.
  • Four NEW disorders care plans include Surgical Experience: Preoperative and Postoperative Care, Atrial Fibrillation, Bariatric Surgery, and Gastroenteritis.
  • NEWHealth Promotion and Risk Factor Management Care Planschapter emphasizes the importance of preventive care and teaching for self-management.
  • NEW BasicNursing Concepts Care Planschapter focuses on concepts that apply to disorders found in multiple body systems.
  • UPDATED care plans ensure consistency with the latest U.S. National Patient Safety Goals and other evidence-based national treatment guidelines.
  • The latest NANDA-I taxonomy keeps you current with 2012-2014 NANDA-I nursing diagnoses, related factors, and defining characteristics.
  • Enhanced rationales include explanations for nursing interventions to help you better understand what the nurse does and why.

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Nursing Care Plans
Diagnoses, Interventions, and Outcomes

Eighth Edition

Meg Gulanick, PhD, APRN, FAAN

Professor, Marcella Niehoff School of Nursing, Loyola University Chicago, Chicago, Illinois

Judith L. Myers, RN, MSN

Assistant Professor of Nursing, Grand View University, Des Moines, Iowa

Nursing Care Plans Diagnoses Interventions and Outcomes 8e - image 1

Table of Contents
Copyright

Nursing Care Plans Diagnoses Interventions and Outcomes 8e - image 2

1600 John F. Kennedy Blvd.

Ste 1800

Philadelphia, PA 19103-2899

NURSING CARE PLANS ISBN: 978-0-323-09137-4

Copyright 2014 by Mosby, an imprint of Elsevier Inc.

Copyright 2011, 2007, 2003, 1998, 1994, 1990, 1986 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing Diagnoses: Definitions and Classification 2012-2014 2012, 2009, 2007, 2005, 2003, 2001, 1998, 1996, 1994 NANDA International. Used by arrangement with Blackwell Publishing Limited, a company of John Wiley and Sons, Inc. In order to make safe and effective judgments using NANDA-I nursing diagnoses it is essential that nurses refer to the definitions and defining characteristics of the diagnoses listed in the work.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Library of Congress Cataloging-in-Publication Data

Nursing care plans : diagnoses, interventions, and outcomes / [edited by] Meg Gulanick, Judith L. Myers. 8th ed.

p. ; cm.

Includes bibliographical references and index.

ISBN 978-0-323-09137-4 (pbk. : alk. paper)

I. Gulanick, Meg. II. Myers, Judith L.

[DNLM: 1. Patient Care PlanningHandbooks. 2. Nursing CareHandbooks. 3. Nursing DiagnosisHandbooks. 4. Outcome Assessment (Health Care)Handbooks. WY 49]

610.73dc23

2012023327

Vice President: Loren Wilson

Executive Content Strategist: Lee Henderson

Senior Content Development Specialist: Rae L. Robertson

Publishing Services Manager: Jeff Patterson

Senior Project Manager: Anne Konopka

Design Direction: Amy Buxton

Printed in the United States of America

Last digit is the print number: 9 8 7 6 5 4 3 2 1 Contributors We wish to express our ongoing gratitude to those who contributed - photo 3

Contributors

We wish to express our ongoing gratitude to those who contributed to previous editions of this book, especially the following:

Virginia B. Bowman

Judy Lau Carino

Debra L. Cason

Pamela Cianci

Marianne T. Cosentino

Sandra Coslet

Paula Cox-North

Jennifer L. Crosby

Gail DeLuca

Lisa C. Dobogai

Amy Dolce

Linda Flemm

Patricia J. Friend

Katrina Gallagher

Nadia Goraczkowski-Jones

Rebecca Hagensee

Mary Ellen Hand

Margo S. Henderson

Connie Huberty

Judi Jennrich

Linda Kamenjarin

Tamara M. Kear

Catherine A. Kefer

Vicki A. Keough

Lucina Kimpel

Katherine T. Leslie

MariJo Letizia

Mary Jo Mikottis

Shelby J. Neel

Linda Denise Oakley

Linda Ohler

Kelly Oney

Judy K. Orth

Sue Penckofer

Joanne Pfeiffer

Dottie Roberts

Kathy G. Supple

Terry D. Takemoto

Geraldine Tansey

Stacy VandenBranden

Carol White

Jeffrey Zurlinden

We also want to acknowledge the prior editors of this classic book: Deidra Gradishar, Susan Galanes, Audrey Klopp, and Michele Knoll Puzas, who provided the foundation for Nursing Care Plans: Diagnoses, Interventions, and Outcomes as it is known today.

Reviewers

Sophia Beydoun, RN, MSN, Nursing Instructor
Henry Ford Community College
Dearborn, Michigan

Diane Daddario, MSN, ACNS-BC, RN-BC, CMSRN, Clinical Nursing Instructor
Pennsylvania College of Technology
Williamsport, Pennsylvania
Psychiatric Nurse
Geisinger Medical Center
Danville, Pennsylvania

Jennifer Duhon, RN, MS, Director of Assisted Living
Lutheran Senior Services
Peoria, Illinois

Nancy W. Ebersole, RN, PhD, Associate Professor of Nursing
Salem State University
Salem, Massachusetts

Arline El-Ashkar, MSN, RN, CAN, Director of Clinical Resources
University of MassachusettsLowell
Lowell, Massachusetts

Linda P. Grimsley, DSN, RN, Assistant Vice President for Academic Affairs and Associate Professor
Albany State University
Albany, Georgia

LaWanda Herron, PhD, MSN, FNP-BC, Assistant Director and Instructor, Associate Degree Nursing Program
Holmes Community College
Grenada, Mississippi

Jamie Lynn Jones, MSN, RN, CNE, Assistant Professor
University of Arkansas at Little Rock
Little Rock, Arkansas

Mary Lou Roark, MSN, RN, Nursing Instructor, Associate Degree Nursing Program
Ashland Community and Technical College
Ashland, Kentucky

Denise Sevigny, MSN, RN, CNE, Associate Professor
Sentara College of Health Sciences
Chesapeake, Virginia

Preface

Nursing Care Plans: Diagnoses, Interventions, and Outcomes is a well-established and premier resource book used by nurses to plan care for an increasingly diverse population of patients. This book continues to be the most comprehensive care planning book on the market, with 217 care plans covering the most common nursing diagnoses and clinical problems in medical-surgical nursing patients. The care plans focus on patients with both acute and chronic medical conditions in the acute care, ambulatory, and home care settings.

) has been added that provides eight additional care plans with their focus on Health Promotion and Risk Factor Reduction. These care plans include: health-seeking behaviors, readiness for engaging in a regular physical activity program, readiness for enhanced immunization status, readiness for enhanced nutrition, readiness for enhanced sleep, readiness for managing stress, readiness for smoking cessation,

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