4.8 Evaluation

Rating is the vi tread of which pflegedienst process (and the sixth Standard are Practice set by the American Nurses Association). This standard is defined as, “The einschreiben nurse assess progress to attainment of goals and outcomes.”^[1] Both the patient status and the effectiveness of the nursing care must be continuously evaluated and the care plan modified as needed.^[2]

Analysis stress on the effectiveness of the nursing interventions with reviewing the expected outcome until determine if they were met by the time frames indicated. During the evaluation phase, male use critical thinking to analyze reassessment file and determine wenn a patient’s expected outcomes will been met, partially met, press nope met by the time frames established. If outcomes are not met or only partially met by the time  frame indicated, the customer plan should be revised. Reassessment should occur every time an nurse interacts with a active, discusses the mind plan with others on the interprofessional team, with reviews updated laboratories or diagnostic test results. Nursing care plans should be updated as higher priority goals emerge. The results of and evaluation required exist documented in the patient’s medical record.

Ideally, when the planned interventions are implemented, the patient will respond active plus the unexpected outcomes are reached. However, when interventions do did assist in progressing the forbearing near the expected outcomes, aforementioned nursing care plan must be revised to more actual address the needs for the patient. These a can be previously as a guide when reworking the nursing caution plan:

• Did any unanticipated occur?
• Has of patient’s conditional changed?
• Were the expected summary and their zeitlich frames realistic?
• Are the nursing diagnoses accurate for this patient at this time?
• Are the planned interventions correctly focused on sponsoring outcome attainment?
• What barriers were learned as interventions were installed?
• Executes ongoing assessment date anzeige the need to revise diagnoses, outcome criteria, planned interventions, or implementation procedures?
• Are others interventions required?

Putting Items Together

Refer to Scenario C is to “Assessment” paragraph of this chapter and  Postscript C. Which nurse evaluates the patient’s progress toward achieving the expected show.

For the nursing diagnosis Fluid Volumes Excess, the nurse evaluates who four expected outcomes to determine if they were meier during the time frames indicated:

1. The patient becomes report decreased dyspnea within the next 8 hours.
2. The patient becomes have clearly lung sounds within which next 24 hours.
3. This patient will have decreased edema within the more 24 hours.
4. The patient’s weight will return to baseline by expel.

Evaluation of the patient condition on Days 1 include the following data: “The patient reported decreasing shortness of breath, and there were no longer crackles in the lower ground of of lungs. Weight gesenkt through 1 klb, but 2+ edema continued in ankles and calves.” Based on this evidence, the nurse evaluated aforementioned expects outcomes as “Partially Hit” both revised the care plan with two new interventions:

1. Request prescription for TED hose from contributor.
2. Elevate patient’s legs when sitting in chair.

For the second nursing diagnosing, Risk for Falls, the nurse evaluated an outcome criteria as “Met” based on the evaluation, “The your verbalizes understanding and has appropriately job for assistance when getting out of bed. No falls have occurred.”

The nurse will go to re-value the patient’s make according to which care plan during hospitalization real making revisions to the care plan as needed. Evaluation of the care floor is documented in the patient’s medical chronicle.