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Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Ethical Dilemmas II01:30

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Integrating Advance Care Planning Into Practice.

Laura E Dingfield1, Joshua B Kayser2

  • 1Palliative Care Service, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Chest
|March 12, 2017
PubMed
Summary
This summary is machine-generated.

Advance care planning (ACP) ensures patient-centered care for advanced respiratory diseases. New CPT codes incentivize earlier and more frequent ACP discussions, improving patient outcomes and reducing surrogate burden.

Keywords:
advance care planningadvanced respiratory diseasebillingcoding

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Area of Science:

  • Pulmonology
  • Palliative Care
  • Healthcare Policy

Background:

  • Advanced respiratory diseases are progressive and life-limiting.
  • Patients may lose decision-making capacity as their condition worsens.
  • Advance care planning (ACP) is crucial for aligning care with patient values.

Purpose of the Study:

  • To review the benefits and barriers of ACP in advanced respiratory disease.
  • To provide guidance on utilizing new CPT codes for ACP reimbursement.
  • To encourage earlier and more frequent ACP discussions.

Main Methods:

  • Literature review on ACP benefits and barriers.
  • Analysis of new CPT codes (99497, 99498) for ACP.
  • Discussion of clinical implementation strategies.

Main Results:

  • ACP ensures care aligns with patient goals, reducing surrogate stress.
  • Barriers include time constraints and provider comfort.
  • New CPT codes aim to incentivize ACP.

Conclusions:

  • ACP is vital for patients with advanced respiratory disease.
  • Addressing barriers and utilizing new CPT codes can improve ACP.
  • Early and frequent ACP enhances patient-centered end-of-life care.