Care Plan Storyboards

This is January 2008 material where the PC committee stopped working on it. It can be further developed in the 2010 project.

Care Provision Domain Models: Explanation & Guidance Care Plan

Storyboard: Pneumonia Care Plan Generation:

Purpose: This storyboard illustrates a pneumonia care plan containing Problems, Orders/Interventions and Expected Outcomes.

Precondition: Med surg nurse admits Mr. Everyman, an 86 year old male, with an admission diagnosis of RLL pneumonia. He was seen in an urgent care clinic with complaints of a recent onset chest discomfort, shortness of breath upon exertion and general malaise. A CXR done in the clinic showed pneumonia. Dr. X (the family practice physician seeing the patient in the clinic) has written (paper) admission orders, and assigned an admitting diagnosis of RLL pneumonia.

The following orders are placed by the physician: Admit to general Medicine Service of Dr. X. Diagnosis: RLL Pneumonia Condition:Stable Vital Signs q4h IV NS at 75cc/hr. Regular Diet as tolerated Activity as tolerated Notify me if temp above 101 degrees F. Rocephin 1 gm IV q 24 hours CBC in AM CXR in AM Blood Cultures if temp above 101 degrees F. Oxygen per nasal cannula at 3 liters per minute Maintain oxygen saturation >90%

ADT information is in the system.

The unit clerk enters the dx inform the admitting orders “RLL Pneumonia” A guideline for pneumonia exists in the system.

Events: The nurse logs into the system and sees the following problems are suggested based upon the Pneumonia guideline: (Need to do activity diagram) Risk for hypoxia (Observation of “Hypoxia” with Mood Code of “Risk”) Risk Ineffective Airway Clearance Risk for Falls related to low oxygen saturation

Susan – check Risk of in TermInfo Discuss Risk/Event Moods with Problem modeling

She selects the above problems which places them on the problem list and adds: Fluid Volume Deficit risk

The following nursing orders are suggested by the system based on the selected problems and physician admitting orders. Out of bed with assistance (linked to risk of falls) Monitor I&O (intervention linked to all IV fluid orders) Educate regarding I&O (linked to IV fluid orders) Educate regarding OOB with assistance (linked to fall risk, linked to hypoxia) Monitor oral/nasal mucous membrane status (linked to oxygen administration via NC)

Nurse Sees suggested Goals/Expected Outcomes Maintain oxygen saturation >90% (risk for Hypoxia) Maintain Hydration (linked to Oxygen administration) (Susan – check this outcome) No falls (Linked to Falls Risk) Patient understands pneumonia disease process Temperature WNL within 48 hours. CXR reveals decreased consolidation in RLL.

Nurse accepts suggested goals/expected outcomes and adds the individual goal: Maintain Nutrition

Post-condition:

Patient normothermic, decreased consolidation revealed by CXR, oxygen saturation greater than 90% on room air.  Patient discharged to home on oral antibiotics.