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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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Acute Kidney Injury VI: Nursing Management01:22

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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Guidelines for Writing Outcome01:11

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Planning Nursing Care II01:29

Planning Nursing Care II

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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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Updated: Sep 9, 2025

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Patients' Priorities and Goals of Care During Intensive Care Unit Recovery: A Multicenter Cohort Study.

Elizabeth Smith1, Pamela MacTavish2, Martin Shaw3

  • 1Elizabeth Smith is a senior nurse, intensive care unit, Glasgow Royal Infirmary, Glasgow, United Kingdom.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|August 31, 2025
PubMed
Summary
This summary is machine-generated.

Critical illness survivors have diverse recovery goals, including physical, social, and emotional needs. Understanding these patient-centered goals is crucial for effective recovery programs and future research.

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Area of Science:

  • Critical care medicine
  • Patient recovery
  • Health services research

Background:

  • Patients face multifaceted challenges post-critical care, impacting physical, emotional, social, and cognitive well-being.
  • Limited data exists on patient-identified goals for intensive care unit (ICU) recovery.

Purpose of the Study:

  • To explore patient goals during critical illness recovery using data from a multicenter ICU recovery program.
  • To inform future research and care delivery models by understanding optimal care pathways.

Main Methods:

  • A multicenter, descriptive cohort study involving patients attending critical care recovery services post-discharge.
  • Patients established personal goals of care with healthcare professionals during program attendance.
  • Framework analysis was employed to evaluate the set goals of care.

Main Results:

  • 151 patients were recruited from 3 Scottish hospital sites.
  • 134 patients (88.7%) set 314 personal goals.
  • Goals encompassed physical, health management, emotional/psychosocial, education/employment/purpose, and social/interpersonal domains, relating to both chronic disease and acute recovery.

Conclusions:

  • Critical illness survivors express varied recovery goals addressing physical, social, and emotional needs.
  • Clinicians and researchers must incorporate these patient-centered goals into interventional research design.
  • Aligning research with patient expectations is vital for successful critical care recovery initiatives.