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Nursing Care Plan - Ronna

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					Nursing Care Plan
‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻫﺎی ﻧﺮﺳﻨگ‬




                       AFAMS
              Nursing Care Plan
              ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻫﺎی ﻧﺮﺳﻨگ‬
Learning Objective: Nursing    ‫ﺍﻫﺪﺍﻑ آﻤﻮﺯﺵ: ﺷﺎگﺮﺩﺍﻥ ﻧﺮﺳﻨگ ﺩﺍﻧﺶ‬
students will gain an             ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻫﺎی ﻧﺮﺳﻨگ ﺭﺍ ﺑﺪﺳﺖ‬
understanding of the nursing                        .‫ﺧﻮﺍﻫﻨﺪ آﻮﺭﺩ‬
care plan process.                ‫ﺯﻣﺎﻥ ﻣﻌیﻦ ﺷﺪﻩ ﺑﺮﺍی ﺗکﻤیﻞ ﺍیﻦ‬
Estimated Time to Complete:                              :‫ﻟکچﺮ‬
150 minutes.                                         .‫051 ﺩﻗیﻘﻪ‬




                                                         AFAMS
       Terminal Learning Objective
            ‫ﺍﻫﺪﺍﻑ ﻧﻬﺎﺋی آﻤﻮﺯﺵ‬
At the completion of this       ،‫ﺑﺎ ﺗکﻤیﻞ ﻧﻤﻮﺩﻥ ﺍیﻦ ﺩﺭﺱ‬
   lesson, the student will      ‫ﺷﺎگﺮﺩ ﺩﺭ ﺳﺎﺧﺘﺎﺭ پﻼﻥ‬
   be able to construct       ‫ﻣﺮﺍﻗﺒﺖ ﻫﺎ ی ﻣﺮیﻀﺎﻥ ﻗﺎﺩﺭ‬
   nursing care plans for                   .‫ﺧﻮﺍﻫﺪ ﺑﻮﺩ‬
   patients.




                                                 AFAMS
        Enabling Learning Objective
             ‫ﺍﻫﺪﺍﻑ ﺗﻮﺍﻧﺎﺋی آﻤﻮﺯﺵ‬
a. Become familiar with the         ‫. ﻣﻌﺮﻓی ﺩﺭﺑﺎﺭﻩ ﺑﻨیﺎﻥ گﺬﺍﺭی‬a
    founder of modern nursing                       ‫ﺟﺪیﺪ ﻧﺮﺳﻨگ‬
b. Define the nursing process       ‫. ﺗﻌﺮیﻒ پﺮﻭﺳﻪ ﻫﺎی ﻧﺮﺳﻨگ‬b
c. State the nursing care       ‫. ﺟﻬﺖ ﻣﺮﺍﻗﺒﺖ ﺍﺯ ﻣﻮﺩﻝ ﻫﺎی ﻧﺮﺳﻨگ‬c
    model                       ‫. ﺗﻌﺮیﻒ پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻫﺎی ﻧﺮﺳﻨگ‬d
d. State the important points    ‫ﺷﻨﺎﺧﺖ ﻋﻨﺎﺻﺮکﻠیﺪی ﺍﺯپﻼﻥ ﻫﺎی‬
    of the nursing model of
    care                                       ‫ﻣﺮﺍﻗﺒﺖ ﻫﺎی ﻧﺮﺳﻨگ‬
e. Define nursing care plan        ‫. ﺗﻌﺮیﻒ پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ‬e
f. Identify key components of       ‫. ﻋﻨﺎﺻﺮ کﻠیﺪی پﻼﻥ ﻣﺮﺍﻗﺒﺖ‬f
    the nursing care plan                 ‫ﻧﺮﺳﻨگ ﺭﺍ ﻣﺸﺨﺺ ﺳﺎﺯیﺪ‬




                                                       AFAMS
                 Florence Nightingale
                   ‫ﻓﻠﻮﺭﺍﻧﺲ ﻧﺎیﺖ ﺍﻧگﻞ‬
• Often credited as                ‫• ﺍﻭچﻨﺪیﻦ ﻣﺮﺍﺗﺐ ﻣﻨﺤیﺚ‬
  being the founder of             ‫ﺑﻨیﺎﻥ گﺬﺍﺭ ﻧﺮﺳﻨگ ﺟﺪیﺪ‬
  modern nursing                          ‫ﺍﻋﺘﺒﺎﺭپیﺪﺍ ﻧﻤﻮﺩﻩ‬
• Florence entered                   1845 ‫• ﻓﻠﻮﺭﻧﺲ ﺩﺭﺳﺎﻝ‬
  nursing in 1845,                      ‫ﺷﺎﻣﻞ ﺑﺮﻧﺎﻣﻪ ﻧﺮﺳﻨگ‬
  despite the intense            ‫گﺮﺩیﺪ، ﺑﺮﻋﻼﻭﻩ ﻣﻮﺭﺩ ﺧﺸﻢ‬
  anger and distress of          ‫ﻭﻗﻬﺮ ﺷﺪیﺪ ﻓﺎﻣیﻞ ﻣﺨﺼﻮﺻ‬
  her family,                         ‫ﻣﺎﺩﺭ ﺧﻮﺩ ﻗﺮﺍﺭ گﺮﻓﺖ‬
  particularly her
  mother



                                                  AFAMS
                  Florence Nightingale
                    ‫ﻓﻠﻮﺭﺍﻧﺲ ﻧﺎیﺖ ﺍﻧگﻞ‬
In this, she rebelled              ‫ﺑﻪ ﺍیﻦ ﺩﻟیﻞ، ﺍﻭ ﺩﺭﻣﻘﺎﺑﻞ‬
   against the                       ‫ﺗﻮﻗﻌﺎﺕ ﻧﻘﺶیک ﺯﻥ ﺩﺭ‬
   expected role for                      ‫ﻭﺿیﻌﺖ ﺯﻧﺪﻩگی‬
   a woman of her                   ‫ﺧﻮیﺶﺷﺎیﺴﺘگی ﻧﺸﺎﻥ‬
   status, which was                   ‫ﺩﺍﺩ، کﻪ ﺍیﻦ ﻧﻤﺎیﻨﺪﻩ‬
   to become a wife                 ‫گی ﺍﺯ ﻣﺎﺩﺭ ﻭﺧﺎﻧﻢ ﺑﻮﺩﻥ‬
   and mother.                                   .‫آﻦﻣیکﻨﺪ‬




                                                 AFAMS
                  Florence Nightingale
                    ‫ﻓﻠﻮﺭﺍﻧﺲ ﻧﺎیﺖ ﺍﻧگﻞ‬
Nightingale worked                   ،‫ﺑﺮﻋﻼﻭﻩ ﻣﺪﺍﺧﻼﺕ ﻓﺎﻣیﻞ‬
  hard to educate                   ‫ﻧﺎیﺖ ﺍیﻨگﻞ ﺩﺭﻣﻀﺎﻣیﻦ‬
  herself in the art and          ‫ﻋﻠﻢ ﻭ ﻫﻨﺮ ﺩﺭﺑﺎﺭﻩ ﺍی ﻧﺮﺳﻨگ‬
  science of nursing in                ‫ﺯﺣﻤﺖ ﻭ کﻮﺷﺶ ﻧﻤﻮﺩﻩ‬
  spite of opposition             ‫ﻭﺧﻮﺩﺭﺍ ﺗﻌﻠیﻢ ﻣیﻨﻤﻮﺩ، ﻭ ﺍﻭ‬
  from her family and                ‫ﻣﺤﺪﻭﺩکﻨﻨﺪﻩ ﺭﻣﺰﺍﺟﺘﻤﺎﻋی‬
  the restrictive                     ‫ﺑﺮﺍی ﺯیﺎﺩ ﺍﺯ ﺯﻥ ﻫﺎ ﺑﻮﺩ‬
  societal code for
  affluent young
  English women




                                                  AFAMS
                Florence Nightingale
                  ‫ﻓﻠﻮﺭﺍﻧﺲ ﻧﺎیﺖ ﺍﻧگﻞ‬
During the Crimean                      ‫ﺩﺭﺟﺮیﺎﻥ ﻣﺒﺎﺭﺯﺍﺕ‬
  campaign, Florence                “‫کﺮﺍﻣیﻦ، ﺍﻭ ﻟﻘﺐ”ﺑﻠﺒﻞ‬
  Nightingale gained             ‫ﻓﻠﻮﺭﻧﺲ ﺭﺍ ﺍﺯﺍﻥ ﺧﻮﺩ کﺮﺩ‬
  the nickname "The               ‫”ﺧﺎﻧﻢ ﻫﻤﺮﺍﻩ ﺑﺎ چﺮﺍﻍ“، ﺍﺯ‬
  Lady with the Lamp",            ‫یک ﻋﺒﺎﺭﺕ ﻣﺸﺘﻖ ﺷﺪﻩ ﻭﺑﻪ‬
  deriving from a                     ‫ﺍﺧﺒﺎﺭ ﺑﻨﺎﻡ ﺗﺎیﻢ ﺍﺭﺍیﻪ‬
  phrase in a report in                      ‫گﺮﺩیﺪﻩ ﺍﺳﺖ‬
  The Times:




                                                AFAMS
                  Florence Nightingale
                    ‫ﻓﻠﻮﺭﺍﻧﺲ ﻧﺎیﺖ ﺍﻧگﻞ‬
She is a ‘ministering angel’ in       ‫ﺍﻭیک ﻓﺮﺷﺘﻪ کﻤک کﻨﻨﺪﻩ ﺩﺭﺷﻔﺎﺧﺎﻧﻪ ﻫﺎ‬
  these hospitals, and as her         ‫ﻣیﺒﺎﺷﺪ، ﺍﻭﺧﻮﺩﺭﺍ ﺑﻪ ﻋﻨﻮﺍﻥ ﻣﺜﺎﻝ ﻇﺮﺍﻓﺖ‬
  slender form glides quietly            ‫ﺩﺭ ﺑیﻦﺩیگﺮﺍﻥ ﺷکﻞ ﻣیﺪﺍﺩ، چﻬﺮﻩ‬
  along each corridor, every           ‫ﻫﺎیﻫﺮیک ﺍﺯ ﺳﺮﺑﺎﺯﺍﻥ ﺍﺯﺩیﺪﺍﺭﺍﻭﻧﺮﻡ‬
  soldier’s face softens with
                                       ‫ﻭﺳپﺎﺳگﺬﺍﺭ ﺑﻨﻈﺮﻣیﺮﺳیﺪ،ﺯﻣﺎﻧیکﻪ‬
  gratitude at the sight of her.
  When all the medical officers      ،‫ﺗﻤﺎﻡ ﺍﻓﺴﺮﺍﻥ ﺻﺤیﻪ ﺍﺳﺘﺮﺍﺣﺖ ﻣیﻨﻤﻮﺩﻧﺪ‬
  have retired for the night and          ‫ﺷﺐﺗﺎﺭیک ﻭﺧﺎﻣﻮﺵ ﺯﻣیﻨﻪ ﺍﺣﺴﺎﺱ‬
  silence and darkness have             ‫ﺭﺍﺣﺖ ﺑﺨﺶ ﺭﺍ ﺑﺎﻻی ﺗﻌﺪﺍﺩ کﺜیﺮ ﺍﺯ‬
  settled down upon on the               ‫ﻣﺮیﻀﺎﻥﻣیگﺬﺍﺷﺖ، ﺍﻭ ﻫﻤﺮﺍﻩ ﺑﺎیک‬
  multitude of sick patients, she       ‫ﻟﻤپ یﺎ چﺮﺍﻍکﻮچک ﺑﻪ ﺩﺳﺖ ﺩﺭﻋﺎﻟﻢ‬
  can be seen alone, with a little                  .‫ﺗﻨﻬﺎیی ﺑﻪ ﻧﻈﺮ ﻣیﺮﺳیﺪ‬
  lamp in her hand, making her
  solitary rounds.

                                                              AFAMS
                 Florence Nightingale
                   ‫ﻓﻠﻮﺭﺍﻧﺲ ﻧﺎیﺖ ﺍﻧگﻞ‬
She offers specific                   ‫ﺍﻭﺑﻌﻀی ﺍﺯ ﺗﻮﺿیﺤﺎﺕ ﻭ‬
  descriptions and                     ‫ﻫﺪﺍیﺎﺕ ﺭﺍ ﺩﺭﺭﺍﺳﺘﺎی‬
  guidance about                        ‫پیﺸﺒﺮﺩ ﻓکﺘﻮﺭ ﻫﺎی‬
  optimizing                            ‫ﻣﺤیﻄی ﺑﺮﺍی ﺑﻬﺒﻮﺩ‬
  environmental factors to
                                 ‫ﺑﺨﺸیﺪﻥ ﺩﺭﺗﺴﻬیﻞ ﻭﺍﻟﺘیﺎﻡ‬
  improve patient comfort
  and facilitate health and    .‫ﻣﺮیﺾ ﺭﺍپیﺸﻨﻬﺎﺩ ﻣیﻨﻤﻮﺩ‬
  healing. She discusses air            ، ‫ﺍﻭچگﻮﻧگی آﺐ ﻫﻮﺍ‬
  quality, water quality,           ‫ﺳﺮﻭﺻﺪﺍ، ﺭﻭﺷﻨی،ﺭژیﻢ‬
  noise, light, and diet and         ‫ﻏﺬﺍﺋی ﻭ ﺗﻐﺬیﻪ ﺭﺍﺑﺮﺍی‬
  nutrition.                              ‫ﻣﺮیﺾ ﻣﻮﺭﺩﺑﺤﺚ‬
                                                 ‫ﻗﺮﺍﺭﻣیﺪﺍﺩ‬



                                                 AFAMS
                 Florence Nightingale
                   ‫ﻓﻠﻮﺭﺍﻧﺲ ﻧﺎیﺖ ﺍﻧگﻞ‬
• Nightingale believed             ‫• ﻓﻠﻮﺭﻧﺲ ﺑﺎﻭﺭ ﺩﺍﺷﺖ کﻪ ﺗﻌﺪﺍﺩ‬
  high death rates were due       ‫ﺯیﺎﺩ ﻣﺮگ ﻭ ﻣیﺮ ﺑﻌﻠﺖ ﺗﻐﺬیﻪ‬
  to poor nutrition, lack of          ‫ﻧﺎکﺎﻓی، ﻋﺪﻡ ﺳﻬﻮﻟیﺖ ﻟﻮﺍﺯﻡ‬
  supplies and                     ‫ﻭکﺎﺭﺑیﺶ ﺍﺯﺣﺪ ﺳﺮﺑﺎﺯﺍﻥ ﺑﻮﺩﻩ‬
  overworking soldiers                                     ‫ﺍﺳﺖ‬
• She collected evidence        ‫• ﺍﻭﺷﻮﺍﻫﺪ ﺭﺍ ﺑﺪﺳﺖ آﻮﺭﺩ کﻪ ﺗﻠﻒ‬
  which proved most of the      ‫ﺷﺪ ﻥ ﺗﻌﺪﺍﺩ ﺳﺮﺑﺎﺯﺍﻥ ﺭﺍﺩﺭ ﺷﻔﺎﺧﺎﻧﻪ‬
  soldiers at the hospital
                               ‫ﺍﺯ ﺑﺎﻋﺚ ﺿﻌیﻔﺖ ﺑﻮﺩﻥ ﺣﺎﻟﺖ ﺯﻧﺪﻩ‬
  were killed by poor
  living conditions.                        ‫گی ﺍﺯﻏﺮﺑﺖ ﻣیﺪﺍﻧﺴﺖ‬




                                                    AFAMS
                Florence Nightingale
                  ‫ﻓﻠﻮﺭﺍﻧﺲ ﻧﺎیﺖ ﺍﻧگﻞ‬
This experience                  ‫ﺍیﻦ ﺗﺠﺎﺭﺏ ﺩﺭ ﻣﻘﺎﻡ ﻭﺷﻐﻞ‬
  influenced her later            ،‫کﻮچک ﺍﻭﺗﺎﺛیﺮﻣیگﺬﺍﺭﺩ‬
  career, when she               ‫ﺍﻭ ﺩﺭﻫﺮ ﺯﻣﺎﻥ ﺍﺯﻭﺿیﻌﺖ‬
  advocated sanitary               ‫ﺯﻧﺪﻩگی ﺑﻬﺪﺍﺷﺘی ﺑﺴیﺎﺭ‬
  living conditions as              ‫ﺯیﺎﺩ ﺍﻫﻤیﺖ ﻗﺎیﻞ ﺑﻮﺩ‬
  of great importance.




                                             AFAMS
 Florence Nightingale’s Nursing Model
    ‫ﻣﻮﺩﻝ ﻫﺎی ﻧﺮﺳﻨگ ﺍﺯ ﻓﻠﻮﺭﻧﺲ ﻧﺎیﺐ ﺍﻧگﻞ‬
• Facilitate the body’s      ‫• ﻭﺟﻮﺩ یﺎ ﺟﺴﻢ ﺭﺍ ﺑﺎ ﺗﺮﺗیﺐ‬
  reparative processes        ‫ﻧﻤﻮﺩﻥ پﺮﻭﺳﻪ ﺩﺭﺳﺖ ﺑﺮﺍی‬
  by arranging the                ‫ﻣﺮیﺾ ﺩﺭیک ﻣﺤیﻂ‬
  patient’s environment          ‫ﺗﺮﺗیﺐ ﻭ ﺗﺴﻬیﻞ ﺳﺎﺯیﺪ‬
• This includes air                    ‫ﺍﺯ‬
                            ‫• ﺍیﻦ ﻣﺘﺸکﻞ چگﻮﻧگی آﺐ‬
  quality, water quality,      ، ‫ﻭﻫﻮﺍ ، ﺳﺮﻭﺻﺪﺍ، ﺭﻭﺷﻨی‬
  noise, light, and diet    .‫ﺭژیﻢ ﻏﺬﺍﺋی ﻭ ﺗﻐﺬیﻪ ﻣیﺒﺎﺷﺪ‬
  and nutrition.




                                            AFAMS
   The Nursing Model as adapted from
           Florence Nightingale
 ‫ﻣﻮﺩﻝ ﻧﺮﺳﻨگ ﻣﻨیﺤﺚ ﺗﻮﺍﻓﻖ ﺍﺯ ﻓﻠﻮﺭﻧﺲ ﻧﺎیﺖ ﺍیﻨگﻞ‬
                   ‫ﻣیﺒﺎﺷﺪ‬
The patient’s                  ‫ﻣﺤیﻂ ﻣﺮیﺾ ﺑﺎیﺪ ﻣﻄﺎﺑﻖ‬
  environment is               ‫ﺑﻪ ﺣﺎﻟﺖ ﻣﺮیﺾﺟﻠﻮگیﺮی‬
  arranged to include            ،‫گﺮﺩﺩ کﻪ ﺷﺎﻣﻞ، ﺗﻐﺬیﻪ‬
  appropriate noise                 ،‫ﺣﻔﻆ ﺍﻟﺼﺤﻪ، ﺭﻭﺷﻨی‬
  control, nutrition,              ‫ﺭﺍﺣﺘی، ﺟﺎﻣﻌﻪ ﺳﺎﺯی ﻭ‬
  hygiene, lighting,                   ‫ﺍﺭﺯﻭﻣﻨﺪی ﻣیﺒﺎﺷﺪ‬
  comfort, socialization
  and hope.




                                              AFAMS
                   Nursing Model
                       ‫ﻣﻮﺩﻝ ﻫﺎی ﻧﺮﺳﻨگ‬

Involves assessing a                    ‫ﺍیﻦ ﺷﺎﻣﻞ ﺿﺮﻭﺭیﺎﺕ‬
   patient's                                ‫ﺍﻧﻔﺮﺍﺩی ﻣﺮیﺾ ﻭ‬
   individual needs                        ‫ﺗﻄﺒیﻖ ﻣﺮﺍﻗﺒﺖ ﻫﺎی‬
   and implementing                     ‫ﺧﺎﺹ ﻭﻣﻨﺎﺳﺐ ﻃﺒی ﺭﺍ‬
   appropriate                           ‫ﺑﺮﺍی ﻣﺮیﻀﺎ ﻥ ﺍﺳﺖ‬
   patient care.




                                                     AFAMS
                 Nursing Model
                 ‫ﻣﻮﺩک ﻫﺎی ﻧﺮﺳﻨگ‬
Must have measurable goals    ،‫ﺑﻨﻈﻮﺭپیﺸﺒﺮﺩ ﺗﺪﺍﻭی ﺗﻮﺳﻂ ﻧﺮﺱ ﻫﺎ‬
  in order to evaluate            ‫ﺩﺍکﺘﺮﺍﻥﻭﺩیگﺮپﺮﺳﻮﻧﻞﻣﺴﻠکی‬
  treatment by nurses,            ‫ﻃﺒی ﺑﺎیﺪ ﻗﺎﺑﻞ ﺍﻧﺪﺍﺯﻩگیﺮی ﺑﺎﺷﺪ‬
  doctors and other               ‫چﻄﻮﺭﻣﻮﺩﻝ ﻫﺎی ﻧﺮﺳﻨگ ﺭﺍ ﺑﺎﻻی‬
  healthcare professionals
                                    ‫ﻣﺮیﻀﺎﻥ ﺑﺎیﺪ ﺗﻄﺒیﻖ گﺮﺩﺩ؟‬
How is the nursing model             ‫ﺟﻮﺍﺏ: ﺑﻮﺍﺳﻂ پﺮﻭﺳﻪ ﻧﺮﺳﻨگ‬
  applied to patients?
Answer: Through the nursing
  process




                                                       AFAMS
 Nursing Model is connected to the Nursing
                   Process
  ‫ﻣﻮﺩﻝ ﻫﺎی ﻧﺮﺳﻨگ ﺑﺎپﺮﻭﺳﻪ ﻧﺮﺳﻨگ ﺩﺭﺍﺭﺗﺒﺎﻁ ﺍﺳﺖ‬
• The nursing process is the         ‫ﻣﻌﻨی ﻭﻣﻔﻬﻮﻡ پﺮﻭﺳﻪ ﻧﺮﺳﻨگ‬
  means by which nurses              ‫ﻋﺒﺎﺭﺕ ﺍﺯ ﺗﻘﺪیﻢ ﻣﺮﺍﻗﺒﺖ ﻫﺎ ﺍﺯ‬
  deliver care to patients,             ‫ﻃﺮﻑ ﻧﺮﺱ ﺑﺮﺍی ﻣﺮیﻀﺎﻥ‬
  supported by nursing           ‫ﻣیﺒﺎﺷﺪ، ﺍیﻦ ﺣﻤﺎیﻪ ﺍﺯ ﻣﻮﺩﻝ ﻫﺎی‬
  models                             ‫ﻧﺮﺳﻨگ ﺗﻮﺳﻂ ﺗﻤﺮکﺰ ﻧﺮﺳﻨگ‬
• It is patient centered, goal       ‫ﻣیﺒﺎﺷﺪ، ﻫﺪﻑ ﺍﺯ ﻣیﺘﻮﺩ ﺟﻬﺖ‬
  oriented method of caring              ‫یﺎﺑی ﺍﻧﺘﻘﺎﻝ ﺍیﻦ ﺍﺳﺖ کﻪ‬
  that provides a frame work       ‫چﻮکﺎﺕ کﺎﺭی ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ‬
  to the nursing care                             ‫ﺭﺍ آﻤﺎﺩﻩ ﻣیﺴﺎﺯﺩ‬




                                                        AFAMS
                     Nursing Process
                      ‫پﺮﻭﺳﻪ ﻧﺮﺳﻨگ‬
Involves Five Major Steps:                         :‫پﻨچ ﻣﺮﺍﺣﻞ ﻋﻤﺪﻩ ﺷﺎﻣﻞ‬
   – Assessment (what does the ‫– ﺍﺭﺯیﺎﺑی )ﻣﺮیﺾ ﺑکﺪﺍﻡچیﺰﺿﺮﻭﺭﺕ‬
      patient need?)                                         (‫ﺩﺍﺭﺩ؟‬
   – Nursing diagnosis (of          ‫– ﺗﺸﺨیﺺ ﻧﺮﺳﻨگ )ﺗﺸﺨیﺺ ﻫﺎی‬
      human response needs that ‫ﻧﺮﺳﻨگ ﻧیﺎﺯ ﺑﻪ پﺎﺳﺦ ﺑیﺸﺘﺮ ﺩﺍﺭﺩ‬
      nurses can manage)               (‫کﻪ ﻧﺮﺱ ﺑﺘﻮﺍﻧﺪ ﻣﺮﺍﻗﺒﺖ ﻧﻤﺎیﺪ‬
   – Planning (how to fix the        ‫– پﻼﻥ گﺬﺍﺭی )چﻄﻮﺭ ﻣیﺘﻮﺍﻧیﻢ‬
      problem?)                           ( ‫ﻣﺸکﻼﺕ ﺭﺍ ﺭﻓﻊﻧﻤﺎییﻢ؟‬
   – Implementation/intervention ‫– ﺗﻄﺒیﻖ/ ﻣﺪﺍﺧﻠﻪ ) گﺬﺍﺷﺘﻦ پﻼﻥ ﺩﺭ‬
      (putting plan into action)                              (‫ﻋﻤﻞ‬
   – Evaluation (did the plan                             )
                                 (‫– ﺍﺭﺯیﺎﺑی آیﺎ پﻼﻥ ﺗﺎﺛیﺮگﺬﺍﺭﺑﻮﺩﻩ‬
      work)

                                                              AFAMS
      Nursing Process: Assessment
                   ‫پﺮﻭﺳﻪ ﻧﺮﺳﻨگ: ﺍﺭﺯیﺎﺑی‬
Assessment can be defined       ‫ﺍﺭﺯیﺎﺑی ﻣﻤکﻦ پﺮﻭﺳﻪ ﻧﺮﺳﻨگ‬
  as 'the first stage of the    ،‫ﺭﺍ ﺩﺭﻣﺮﺣﻠﻪ ﺍﻭﻝ ﺗﻌﺮیﻒ ﻧﻤﺎیﺪ‬
  nursing process, in             ‫ﺣﺎﻟﺖ ﺻﺤی ﻣﺮیﺾ ﺩﺭ کﺪﺍﻡ‬
  which data about the            ‫ﺩیﺘﺎ ﺟﻤﻊ ﺍﻭﺭی گﺮﺩیﺪﻩ ﻭ ﺍﺯ‬
  patients health status is
                                      ‫گﺪﺍﻡ پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﺩﺭﺳﺖ‬
  collected and from
  which a care plan may                   )
                                ‫ﺻﻮﺭﺕ گﺮﻓﺘﻪ ﺍﺳﺖ ﺩیکﺸﻨﺮی‬
  be devised' (Oxford                         ‫ﺍﻭکﺴﻔﻮﺭﺩ ﺑﺮﺍی‬
  Dictionary for Nurses,                    (1998‫پﺮﺳﺘﺎﺭﺍﻥ‬
  1998).




                                                      AFAMS
        Nursing Process: Assessment
                   ‫پﺮﻭﺳﻪ ﻧﺮﺳﻨگ: ﺍﺭﺯیﺎﺑی‬

Assessments should not only    ‫ﺍﺭﺯیﺎﺑی کﻪ ﺗﻮﺳﻂ ﺧﻮﺩ ﻣﺮیﺾ‬
  focus on the needs           ‫ﺑیﺎﻥﻣیگﺮﺩﺩ ﻧﺒﺎیﺪ ﺗﺤﺖ ﺗﻤﺮگﺰ‬
  presented by the patient,     ‫ﻗﺮﺍﺭگیﺮﺩ، ﺍﻣﺎﺩﺭﺗﻮﺍﻧﺎیی ﻭﻗﻮﺕ‬
  but on the strengths and     ‫کﻪ ﺗﻌﻠﻖ ﺑﻪ ﻧیﺎﺯﻣﻨﺪی ﺑﺮﺍی ﺭﻓﻊ‬
  abilities that the patient    ‫ﻣﺸکﻞ ﺍﻭﻣیگﺮﺩﺩ، ﻣﻤکﻦ ﺷﺎﻣﻞ‬
  may contribute towards                        ‫ﺍﺭﺯیﺎﺑی ﺑﺎﺷﺪ‬
  resolving his/her needs.




                                                       AFAMS
         Nursing Process: Planning
          ‫پﺮﻭﺳﻪ ﻧﺮﺳﻨگ: پﻼﻥ گﺬﺍﺭی‬
• The nurse develops a plan     ‫• ﻧﺮﺱ پﻼﻥ ﺧﻮﺩﺭﺍ ﺑﺮﺍیپیﺶ‬
  to assist the patient to      ‫ﺑﺮﺩ کﻤک ﺑﺮﺍی ﻧیﺎﺯﻣﻨﺪ ی ﻫﺎی‬
  meet needs identified in       ‫ﺷﻨﺎﺧﺘﻪ ﺷﺪﻩ ﻣﺮیﺾ ﺩﺭ پﺮﻭﺳﻪ‬
  the assessment process                 .‫ﺍﺭﺯیﺎﺑی ﺍﻧﺠﺎﻡ ﻣیﺪﻫﺪ‬
• Planning is broken down         ‫• پﻼﻥ ﺭﺍ ﺑﻪ ﺳﻪ ﻣﺮﺣﻠﻪ ﺗﻘﺴیﻢ‬
  into three stages, setting   ‫ﻣیﻨﻤﺎیﻢ، ﻗﺮﺍﺭ ﺩﺍﺩﻥ ﺍﻭﻟﻮیﺖ، ﺑﻨﺎ‬
  priorities, establishing        ‫کﺮﺩﻥ ﺍﻫﺪﺍﻑ ﻭ پﻼﻥ گﺬﺍﺭی‬
  goals and planning nursing                  ‫ﻣﺪﺍﺧﻼﺕ ﻧﺮﺳﻨگ‬
  interventions




                                                      AFAMS
Nursing Process: Planning--setting priorities
 ‫پﺮﻭﺳﻪ ﻧﺮﺳﻨگ: پﻼﻥ گﺬﺍﺭی – ﻗﺮﺍﺭ ﺩﺍﺩﻥ ﺍﻭﻟیﺖ ﻫﺎ‬

 • Gain an understanding          ‫• ﺩﺭیﺎﻓﺖ ﺗﻔﺎﻫﻢ ﻭ ﻧﻈﺮیﺎﺕ‬
   of the patients'                                 ‫ﻣﺮیﺾ‬
   perspectives                 ‫• ﺑﺎﻻی ﻣﺸکﻼﺕ کﻪ ﻣﺮیﺾ‬
 • Focus on the problems      ‫ﺍﺣﺴﺎﺱ ﻣیﻨﻤﺎیﺪ ﻭیﺎ ﺍیﻨکﻪ ﺩﺭ‬
   the patient feels are of        ‫ﺍﻭﻟﻮیﺖ ﻗﺮﺍﺭ ﺩﺍﺭﺩ ﺗﻤﺮکﺰ‬
   highest priority unless      ‫ﻧﻤﺎیﺪ، ﺟﺰ ﺍیﻨکﻪ ﺧﻮﺩ ﺍیﺸﺎﻥ‬
   they interfere with             ‫ﺩﺭ ﺗﺪﺍﻭی ﻣﺪﺍﺧﻠﻪ ﻣیﻨﻤﺎیﻨﺪ‬
   treatment




                                                     AFAMS
Nursing Process: Planning--establishing goals
  ‫پﺮﻭﺳﻪ ﻫﺎی ﻧﺮﺳﻨگ: پﻼﻥ گﺬﺍﺭی--ﺗﺎﺳیﺲ ﺍﻫﺪﺍﻑ‬
  • A nursing goal is 'a         ‫•ﻫﺪﻑ ﺍﺯ ﻧﺮﺱ ﺍیﻦ ﺍﺳﺖ کﻪ ﺑﻪ آﻦ‬
    statement of what the          ) ‫ﻣﺪﺍﺧﻠﻪ کﻪ ﻗﺼﺪ ﺩﺍﺭﺩ ﻧﺎﺋیﻞآیﺪ‬
    nursing intervention is                ‫ﺩیکﺸﻨﺮی ﺍکﺴﻔﻮﺭﺩ ﺑﺮﺍی‬
    intended to achieve’                         ( 1998 ‫پﺮﺳﺘﺎﺭﺍﻥ‬
  • Goals should be simple,     ،‫• ﺍﻫﺪﺍﻑ ﺑﺎیﺪ ﺳﺎﺩﻩ ﺑﺎﺷﺪ، ﻗﺎﺑﻞ ﺍﻧﺪﺍﺯﻩ‬
    measurable, achievable,     ‫ﺩﺳﺖ یﺎﻓﺘﻨی، ﻭﺍﻗﻌی ﻭ ﺑﻪ ﻭﻗﺖ ﺑﺮﺍﺑﺮ‬
    realistic and time scaled                                   ‫ﺑﺎﺷﺪ‬




                                                             AFAMS
Nursing Process: Planning--planning nursing
                interventions
‫پﺮﻭﺳﻪ ﻫﺎی ﻧﺮﺳﻨگ: پﻼﻥ گﺬﺍﺭی--پﻼﻥ گﺬﺍﺭی ﻣﺪﺍﺧﻼﺕ‬
                    ‫ﻧﺮﺳﻨگ‬
A nursing intervention       ‫ﻣﺪﺍﺧﻠﻪیک ﻧﺮﺳﻨگ ﻣﻤکﻦ‬
  can be described as       ‫ﻫﻤﺮﺍﻩ ﺑﺎ ﻓﻌﺎﻟیﺖ ﻣﺨﺼﻮﺹ‬
  'specific activities      ‫کﻪ ﺗﻮﺳﻂ پﻼﻥ ﻭ ﺗﻄﺒیﻖ‬
  which the nurse plans           ‫ﻧﺮﺱ ﺑﻤﻨﻈﻮﺭکﻤک‬
  and implements in         ‫ﺩﺭپیﺸﺒﺮﺩیﺎﺭﺳیﺪﻥ ﺑﻪیک‬
  order to help the         ‫ﻫﺪﻑ ﺑﺎیﺪ ﺗﺸﺮیﺢ ﺻﻮﺭﺕ‬
  patient to achieve a                      ‫گیﺮﺩ‬
  goal'




                                           AFAMS
Nursing Process: Planning--planning nursing
                interventions
‫پﺮﻭﺳﻪ ﻫﺎی ﻧﺮﺳﻨگ: پﻼﻥ گﺬﺍﺭی--پﻼﻥ گﺬﺍﺭی ﻣﺪﺍﺧﻼﺕ‬
                    ‫ﻧﺮﺳﻨگ‬
Interventions are a set of       ‫ﻣﺪﺍﺧﻼﺕیک ﻣﺠﻤﻮﻋﻪ ﺍﺯﺭﻫﻨﻤﺎیی‬
   instructions for the staff   ‫ﺑﺮﺍی کﺎﺭﻣﻨﺪﺍﻥ ﺻﺤی ﻣیﺒﺎﺷﺪ کﻪ‬
   to follow when                     ‫ﺩﺭﺯﻣﺎﻥ ﺍﻧﺠﺎﻡ ﻭﻇﺎیﻒ ﺑﺘﻮﺍﻧﺪ‬
   delivering care to the        ‫ﻣﺮﺍﻗﺒﺖ ﺧﻮیﺶ ﺭﺍ ﺑﺮﺍی ﻣﺮیﺾ‬
   patient. They must be            ‫ﺗﻘﺪیﻢ ﻧﻤﺎیﺪ . ﺍﻧﻬﺎ ﺩﺭﺍﺷﺘﺒﺎﻫﺎﺕ‬
   specific to combat              ‫ﻟﻔﻈی ﺧﻮیﺶ ﺑﺎیﺪ ﺩﻗیﻖ ﺑﺎﺷﻨﺪ‬
   misinterpretation.




                                                          AFAMS
  Nursing Process: Planning--planning
         nursing interventions
  ‫پﺮﻭﺳﻪ ﻫﺎی ﻧﺮﺳﻨگ: پﻼﻥ گﺬﺍﺭی--پﻼﻥ گﺬﺍﺭی ﻣﺪﺍﺧﻼﺕ‬
                     ‫ﻧﺮﺳﻨگ‬
• Nursing interventions can        ‫یکیپیﺸﻨﻬﺎﺩ‬  ‫• ﻣﺪﺍﺧﻼﺕ ﻧﺮﺳﻨگ ﺗﻮﺳﻂ‬
  be instructions ordered by a            ‫ﺍﺯ ﺍﻋﻀﺎﺋی ﻣﺠﻤﻊ ﺗیﻢ ﺩﺳپﻠیﻦ‬
  member of the multi-                     ‫ﻣﺮﺍﻗﺒﺖ ﺻﺤی ﺩﺭﺧﻮﺍﺳﺖ ﺷﻮﺩ‬
  disciplinary health care         ‫• ﺍﻋﻀﺎﺋی ﻣﺠﻤﻊ ﺗیﻢ ﺩﺳپﻠیﻦ ﻣﺮﺍﻗﺒﺖ‬
  team                              ،‫ﺻﺤی ﺑﻄﻮﺭ ﻧﻤﻮﻧﻪ ﻗﺮﺍﺭ ﺫیﻞ ﻣیﺒﺎﺷﺪ‬
• Multi-disciplinary health                ،‫ﺻﺤﺒﺖ ﺑﺎ ﻣﺘﺨﺼﺺ گﻔﺘﺎﺭی‬
  care team members are for             ‫ﻣﺘﺨﺼﺺ ﺣﺎﻟﺖ ﺟﺴﻤی، ﻣﺘﺨﺼﺺ‬
  example, speech therapist,                       ‫ﺭژیﻢ ﻏﺬﺍﺋی ﻭﻏیﺮﻩ‬
  physical therapist, dietician,
  etc.



                                                          AFAMS
 Nursing Process: Nursing Care Plan
  ‫پﺮﻭﺳﻪ ﻫﺎی ﻧﺮﺳﻨگ: پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ‬

• Directs the patient’s nursing     ‫• ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ ﺭﺍ ﺑﺮﺍی ﻣﺮیﺾ‬
  care from admission to              ‫ﺍﺯﺯﻣﺎﻥ پﺬیﺮﺵ ﺗﺎ ﺯﻣﺎﻥ ﺧﺮﻭﺝ‬
  discharge
                                     ‫• ﺍیﻦ ﺣﺎﻟﺖ ﻭﺍﺑﺴﺘﻪ ﺑﻪ ﺗﺸﺨیﺺ‬
• It is based on nursing          ‫ﻧﺮﺳﻨگ ﺑﻮﺩﻩ کﻪ ﺑﻌﺪﺍﺯ ﻣﺮﻭﺭﺩﺭیﺎﻓﺖ‬
  diagnoses that have been
                                         ‫ﻫﺎی ﺍﺭﺯیﺎﺑی ﺗﻨﻈیﻢ ﻣیﺸﻮﺩ‬
  formulated after reviewing
  assessment findings             ‫•ﺍگﺮ ﺑیﺸﺘﺮ ﺍﺯیک ﺗﺸﺨیﺺ ﻧﺮﺳﻨگ‬
                                   ‫ﺑﺎﺷﺪ، ﺑﺮﺍی ﻫﺮ ﺗﺸﺨیﺺ ﻧﺮﺳﻨگیک‬
• If more than one nursing
  diagnosis, assign a priority          ‫ﺗﻘﺪﻡ ﻓﻌﺎﻟیﺖ ﺭﺍ ﺍﻧﺘﺨﺎﺏﻧﻤﺎییﺪ‬
  to each nursing diagnosis



                                                           AFAMS
 Nursing Care Plan: Nursing Diagnosis
    ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻣﺮیﺾ: ﺗﺸﺨیﺺ ﻧﺮﺳﻨگ‬

• Nurse must analyze          ‫• ﻧﺮﺱ ﺑﺎیﺪ ﻭﺿﻌیﺖ ﻣﺮیﺾ ﺭﺍ‬
  patient’s condition FIRST           ‫ﺩﺭﻗﺪﻡ ﺍﻭﻝ ﺗﺤﻠیﻞ ﻧﻤﺎیﺪ‬
• Use established list of       ‫• ﺍﺯ ﻟﺴﺖ ﺗﺎﺳیﺲ ﺷﺪﻩ ﺗﺸﺨیﺺ‬
  nursing diagnosis                      ‫ﻧﺮﺳﻨگ ﺍﺳﺘﻔﺎﺩﻩ ﻧﻤﺎیﺪ‬
• Based on Human response        ‫• ﻭﺍﺑﺴﺘﻪ ﺑﻪ ﻭﺍکﻨﺶ یﺎ ﻣﺸکﻞ‬
  or problem                            ‫ﺑﺸﺮ)ﻣﺮیﺾ( ﻣیﺒﺎﺷﺪ‬
                              ‫- ﺑﻄﻮﺭﻣﺜﺎﻝ: ﺣﺠﻢ ﻣﺎیﻌﺎﺕ ﺭﺍ‬
   – Example: Excess Fluid                 ‫ﺍﻓﺰﺍیﺶ ﺩﻫیﺪ‬
     Volume




                                                     AFAMS
Nursing Care Plan: Nursing Diagnosis
   ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻣﺮیﺾ: ﺗﺸﺨیﺺ ﻧﺮﺳﻨگ‬
 • Part 2 list factors that      ‫• ﻗﺴﻤﺖ ﺩﻭﻡ، ﻓکﺘﻮﺭ ﻫﺎی کﻪ ﺑﺎﻻی‬
   influence the patient        ‫ﻭﺿﻌیﺖ ﻣﺮیﺾ ﺗﺎﺛیﺮ گﺬﺍﺭ ﺍﺳﺖ‬
   condition                                           ‫ﻟﺴﺖ ﻧﻤﺎیﺪ‬
 • Connect the factors to the   ‫• ﻓکﺘﻮﺭ ﻫﺎی ﺗﺸﺨیﺼی ﺭﺍ ﺑﺎ ﻟیﺒﻞ‬
   diagnostic label with the           ‫ﻭ ﻣﺮﺣﻠﻪ ﻣﺮﺑﻮﻁ ﺍﺭﺗﺒﺎﻁ ﺩﻫیﺪ‬
   phrase “related to” (R/T)    ‫- ﻣﺜﺎﻝ: ﺣﺠﻢ ﻣﺎیﻌﺎﺕ ﻣﺮﺗﺒﻂ‬
   - Example: Excess fluid                  ‫ﺑﻪ ﺍﻓﺰﺍیﺶ ﺍﺧﺬ ﺳﻮﺩیﻢ‬
   volume R/T increased
   sodium intake




                                                        AFAMS
Nursing Care Plan: Nursing Diagnosis
   ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻣﺮیﺾ: ﺗﺸﺨیﺺ ﻧﺮﺳﻨگ‬
• Part 3, list signs and          ‫• ﻗﺴﻤﺖ ﺳﻮﻡ، ﺍﻋﺮﺍﺽ ﻭﻋﻼیﻢ کﻪ‬
  symptoms discovered during
  the assessment that help       ‫ﺩﺭ ﺟﺮیﺎﻥ ﺍﺭﺯیﺎﺑی ﺩﺭیﺎﻓﺖ ﺷﺪﻩ‬
  define the diagnostic label           ‫ﻭکﻤک ﺩﺭﺗﺸﺮیﺢ ﺗﺸﺨیﺺ‬
• May list them beneath the                .‫ﻣیﻨﻤﺎیﺪ ﺭﺍ ﻟﺴﺖﻧﻤﺎییﺪ‬
  diagnostic statement and            ‫• ﻣﻤکﻦ ﺩﺭﻗﺴﻤﺖ پﺎﺋیﻦ ﺟﻤﻠﻪ‬
  connect them with the
  phrase “as evidenced by”      ‫ﺗﺸﺨیﺼﻪ یﺎﺩﺩﺍﺷﺖ ﺷﺪﻩ ﻭ ﻫﻤﺮﺍﻩ ﺑﺎ‬
  (AEB)                                ‫ﻣﺮﺍﺣﻞ ﺍﻭ ﻣﻨﺤیﺚیک ﻣﺪﺭک‬
  - Example: Excess fluid                         ‫ﻧگﻬﺪﺍﺭیﻧﻤﺎییﺪ‬
  volume R/T increased                   ‫• ﻣﺜﺎﻝ: ﺑی ﺍﻋﺘﺪﺍﻟی ﺍﺧﺬ ﺣﺠﻢ‬
  sodium intake AEB edema,
  weight gain, shortness of      ‫ﻣﺎیﻌﺎﺕ، ﻣﺮﺗﺒﻂ ﺍﺳﺖ ﺑﻪ ﺍﺧﺬ ﺑیﺶ‬
  breath, and S3 heart sounds       ‫ﺍﺯ ﺣﺪ ﺳﻮﺩیﻢ ﻗﺮﺍﺭ ﺷﻮﺍیﺪ ﺫیﻞ‬
                                     ‫ﺍﺫیﻤﺎ، ﺍﻓﺰﺍیﺶ ﻭﺯﻥ، کﻮﺗﺎﻫی‬
                                   S3 ‫ﺩﺭﺗﻨﻔﺲ ﻭ آﻮﺍﺯ ﺳﻮﻡ ﻗﻠﺒی یﺎ‬
                                                           AFAMS
                Nursing Care Plan
                     ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ‬
• Should be written for each     ‫• ﺑﺎیﺪ ﺑﺮﺍی ﻫﺮﻣﺮیﺾ ﺗﺤﺮیﺮ‬
  patient                                               ‫ﺷﻮﺩ‬
• Is a living document —           ‫•آیﺎ ﺍﺳﻨﺎﺩ ﺯﻧﺪﻩ گﺎﻧی ﻣﺮیﺾ‬
  which can be changed and         ‫ﻣﻮﺟﻮﺩ ﺍﺳﺖ– ﻣﻤکﻦ ﺗﻐیﺮﺍﺕ‬
  evaluated on a daily basis   ‫ﺭﻭﺯﺍﻧﻪ ﻣﺮیﺾ ﺍﺭﺯیﺎﺑی ﺷﻮﺩ کﻪ‬
  as the patients condition        ‫ﻣﺮﺑﻮﻁ ﺑﻪ ﻭﺿﻌیﺖ ﻭﺗﻐیﺮﺍﺕ‬
  and abilities change           .‫ﺩﺭﺗﻮﺍﻧﺎﺋی ﻣﺮیﺾ ﺭﺍ ﻧﺸﺎﻥ ﺩﻫﺪ‬




                                                       AFAMS
                  Nursing Care Plan
                       ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ‬

To ensure nursing care plan is        ‫ﺑﺮﺍی ﻣﻄﻤﺌیﻦ ﺑﻮﺩﻥ ﻣﺮﺍﻗﺒﺖ ﻭﺍﻗﻌی‬
  realistic, accurate and        .....‫ﻧﺮﺳﻨگ، ﺑﺎیﺪ ﺩﺭﺳﺖ ﻣﻔیﺪ ﺑﺎﺷﺪ‬
  helpful it must be…                       ( ‫–ﺳﺴﺘﻤﺘیک ) ﺍﺻﻮﻟی‬
   – Be systematic                                  ‫– ﻭﺍﻗﻌی ﺑﺎﺷﺪ‬
   – Be realistic                                   ‫– ﻭﺍﺿﻊ ﺑﺎﺷﺪ‬
   – Be clear                                        ‫– ﺩﻗیﻖ ﺑﺎﺷﺪ‬
   – Be specific                                   ‫– ﻣﺨﺘﺼﺮ ﺑﺎﺷﺪ‬
   – Be brief




                                                            AFAMS
               Nursing Care Plans
                ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ‬
Have three parts:                           ‫ﺩﺍﺭﺍی ﺳﻪ ﻗﺴﻤﺖ ﻣیﺒﺎﺷﺪ‬
   – Goals (expected outcomes)          ( ‫-ﺍﻫﺪﺍﻑ ) ﺗﻮﻗﻊ ﻧﺘیﺠﻪ‬
   – Nursing Interventions         (‫- ﻣﺪﺍﺧﻼﺕ ﻧﺮﺳﻨگ )ﺍﻗﺪﺍﻣﺎﺕ‬
     (actions)                   ‫- ﺍﺭﺯیﺎﺑی ﺍﻫﺪﺍﻑ ﺑﺮآﻮﺭﺩﻩ ﺷﺪﻩ‬
   – Evaluation of established
     goals




                                                       AFAMS
            Nursing Care Plan: Goals
              ‫پﻼﻥ ﻣﺮﺍﻗﺐ ﻧﺮﺳﻨگ: ﺍﻫﺪﺍﻑ‬
• Goals establish criteria against   ‫• ﺍﻫﺪﺍﻑ ﻃﺮیﻘﻪ ﺭﺍ ﺗﺎﺳیﺲ ﻣیﻨﺎیﺪ کﻪ‬
  which you’ll judge further         ‫ﺷﻤﺎ ﺑیﺸﺘﺮ ﺩﺭﺍﻗﺪﺍﻣﺎﺕ ﻧﺮﺳﻨگ ﻗﻀﺎﻭﺕ‬
  nursing actions                                                ‫ﺧﻮﺍﻫیﺪ‬
• Avoid setting an initial goal that          ‫• ﺍﺯﺗﻨﻈیﻢ ﺍﻫﺪﺍﻑ ﻣﻘﺪﺍﻣﺎﺗی کﻪ‬
  is impossible to achieve                ‫ﻏیﺮﻗﺎﺑﻞ ﺩﺳﺘﺮﺳی ﻣیﺒﺎﺷﺪ ﺍﺟﺘﻨﺎﺏ‬
  -Example: 69 yr old female                                      ‫ﻭﺭﺯیﺪ‬
  w/hemorrhagic stroke                 ‫- ﻣﺜﺎﻝ: ﺧﺎﻧﻢ 96 ﺳﺎﻝ ﺩﺭﺣﺎﻟﺖ ﺳکﺘﻪ‬
   – Goal: “patient will ambulate                 (‫ﻣﻐﺬی )ﺧﻮﻧﺮیﺰی ﻣﻐﺬی‬
      without assistance”             ‫– ﺍﻫﺪﺍﻑ: ”ﻣﺮیﺾ ﺑﺪﻭﻥ کﻤک ﻗﺪﻡ‬
   – Better goal: “patient will                            “‫ﺧﻮﺍﻫﺪ ﺯﺩ‬
      maintain joint movement and       ‫– ﺍﻫﺪﺍﻑ ﺑﻬﺘﺮ: ”ﻣﺮیﺾ ﺣﺮکﺎﺕ‬
      range of motion”                     ‫ﻣﻔﺼﻞ ﻭﺩﺍﻣﻨﻪ ﺣﺮکﺖ ﺧﻮﺩﺭﺍ‬
                                                     ‫ﺑﺮﻗﺮﺍﺭﺧﻮﺍﻫﺪ کﺮﺩ‬
                                                                AFAMS
Nursing Care Plan: Nursing Interventions
                (Actions)
 (‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ: ﻣﺪﺍﺧﻼﺕ ﻧﺮﺳﻨگ )ﻋﻤﻞ کﺮﺩ‬
• Should describe what the          ‫• ﺑﺎیﺪ ﺗﺸﺮیﺢ ﺷﻮﺩ کﻪ ﻧﺮﺱ چﻪ‬
  nurse will perform in order    ‫کﺎﺭ ﺑﺮﺍی ﺑﻬﺒﻮﺩی ﻭﺿﻌیﺖ ﻣﺮیﺾ‬
  to improve the patient’s                         ‫ﺍﻧﺠﺎﻡ ﺧﻮﺍﻫﺪ ﺩﺍﺩ‬
  condition                                       ‫ﺑﺎیﺪ‬
                                   ‫• ﻣﺪﺍﺧﻼﺕ ﺍﺯچگﻮﻧگی ﻣﻌﻘﻮﻟﻪ‬
• Interventions should reflect   ‫ﺍﻣکﺎﻥ پﺰیﺪ ﺩﺭﺗﻨﻈیﻢ کﺎﺭی ﺷﻤﺎ‬
  what is reasonably possible                      ‫ﺍﻧﻌکﺎﺱ ﻧﻤﺎیﺪ‬
  in your setting.               ‫- ﻣﺜﺎﻝ: ﺩﺍﻣﻨﻪ ﺣﺮکﺖ ﻏیﺮ‬
                                  ‫ﻓﻌﺎﻝ ﻫﻤﺮﺍ ﺑﺎ ﺗﻤﺮیﻦ ﺩﺭﻣﺮﺍﻗﺒﺖ ﻫﺎی‬
  -Example: passive range        ‫پیﺶ ﺍﺯ چﺎﺷﺖ ، ﺑﻌﺪﺍﺯ چﺎﺷﺖ ﻭیک‬
  of motion exercises with                              ‫ﺑﺎﺭ ﺩﺭ ﺷﺐ‬
  a.m. care, p.m. care and
  once during the night.


                                                          AFAMS
 ‫‪Nursing Care Plan: Evaluation of Established‬‬
                    ‫‪Goals‬‬
  ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻣﺮیﺾ: ﺍﺭﺯیﺎﺑی ﺍﻫﺪﺍﻑ ﺗﺎﺳیﺲ ﺷﺪﻩ‬
‫‪• Set a time to evaluate the‬‬     ‫• ﺑﺮﺍی ﺍﺭﺯیﺎﺑی ﺍﻫﺪﺍﻑ ﺗﺎﺳیﺲ ﺷﺪﻩیک‬
  ‫‪established goal‬‬                             ‫ﺯﻣﺎﻥ ﺭﺍ ﻣﺸﺨﺺ ﻧﻤﺎیﺪ‬
‫‪• Use the measures you‬‬                 ‫• ﻣﻘﺪﺍﺭ ﻭﻇیﻔﻪ ﻣﺤﻮﻟﻪ کﻪ ﺑﺮﺍی‬
  ‫‪designated for goal‬‬                   ‫ﺷﻤﺎﺳپﺮﻩ ﺷﺪﻩ ﺍﺳﺘﻔﺎﺩﻩﻧﻤﺎییﺪ ﻭ‬
  ‫‪achievement to state your‬‬          ‫ﺍﺯﺭﺳیﺪﻥ ﺑﻪ ﻫﺪﻑ ﻭﺩﺭﺑﻬﺒﻮﺩ ﺩﺭﺟﻪ‬
  ‫‪patient's degree of success‬‬       ‫ﻣﺮیﺾ ﺍﻇﻬﺎﺭ کﺎﻣیﺒﺎﺑی ﺭﺍ ﺩﺍﺷﺘﻪ‬
  ‫‪- Example: “the patient‬‬                                      ‫ﺑﺎﺷیﺪ‬
  ‫‪evaluated her pain as 4 on a‬‬   ‫- ﻣﺜﺎﻝ: ﺧﻮﺩ ﻣﺮیﺾ ﺩﺭﺩ ﺧﻮﺩ‬
  ‫”‪10-point scale‬‬                    ‫ﺭﺍ ﺍﺯ ﻧﻘﻄﻪ ﻣیﺰﺍﻥ ﺩﺭﺟﻪ 01 ﺑﻪ 4‬
                                                   ‫ﺍﺭﺯیﺎﺑی ﻣیﻨﻤﺎیﺪ‬




                                                             ‫‪AFAMS‬‬
    Nursing Care Plan: Evaluation of
           Established Goals
   ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻣﺮیﺾ: ﺍﺭﺯیﺎﺑی ﺍﻫﺪﺍﻑ ﺗﺎﺳیﺲ‬
                    ‫ﺷﺪﻩ‬
• Draw conclusions on the        ‫• ﻧﺘیﺠﻪ ﺍﺯﻣﺪﺍﺧﻼﺕ ﻧﺮﺳﻨگ ﺭﺍ‬
  interventions used related           .‫ﺩﺭﺧﺎﺗﻤﻪ ﺗﺮﺳیﻢ ﻧﻤﺎیﺪ‬
  to the outcome                      ‫- ﻣﺜﺎﻝ: ”کﻤک‬
                               ‫ﺩﺭﻭﺿیﻌﺖ ﺩﺍﺩﻥ ﻣﺮیﺾ ﺑیﺎﻧگﺮ‬
  -Example : "Helping the
                                    “‫کﺎﻫﺶ ﺩﺭﺩ ﻣﺮیﺾ ﺍﺳﺖ‬
  patient reposition himself
  reduced his pain”




                                                     AFAMS
    Nursing Care Plan: Evaluation of Established
                       Goals
    ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻣﺮیﺾ: ﺍﺭﺯیﺎﺑی ﺍﻫﺪﺍﻑ ﺗﺎﺳیﺲ‬
•   Consider changes or
                        ‫ﺷﺪﻩ‬ ‫• ﺑﺮﺍی ﻣﺪﺍﺧﺎﺕ ﻧﺮﺳﻨگ کﻪ‬
    additions to the                ‫ﻣﻤکﻦ ﺭﺳیﺪﻥ ﺑﻪ ﻫﺪﻑ ﺭﺍ‬
    interventions that          ‫ﺍﻧکﺸﺎﻑ کﻨﺪ ، ﺑﺎیﺪ ﺗﻐیﺮﺍﺕ‬
    might improve goal          ‫ﻭﺍﻓﺰﺍیﺶ ﺩﺭﻭﺿیﻌﺖ ﻣﺮیﺾ‬
    achievement.                            ‫ﺭﺍ ﻣﻼﺣﻈﻪ کﺮﺩ‬
    - Example:                 ‫- ﻣﺜﺎﻝ: ﻭﺿیﻌﺖ ﺩﺍﺩﻥ‬
    “Repositioning the         ‫ﺩﻭﺑﺎﺭﻩ ﻣﺮیﺾ ﺩﺭ ﻫﺮ ﺩﻭ ﺳﺎﻋﺖ‬
    patient every two hours          ‫ﻣیﺰﺍﻥ ﺩﺭﺩ ﺭﺍ کﻪ ﺍﻭﺭﻧﺞ‬
    should reduce the                   ‫ﻣیﺒﺮﺩ کﺎﻫﺶ ﻣیﺪﻫﺪ‬
    amount of pain the
    patient experiences”


                                                   AFAMS
       Nursing Care Plan Exercise
         ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﺗﻤﺮیﻨی ﻧﺮﺳﻨگ‬
• Break up into three        ‫• ﺑﻪ ﺳﻪ گﺮﻭپ ﺗﻘﺴیﻢ ﻣیﺸﻮﺩ‬
  groups                    ،‫• ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺳﻨﺎﺭیﻮ ﻣﺮیﺾ‬
• Using patient scenario,   ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﺭﺍ ﺍﻧکﺸﺎﻑ ﺩﻫیﺪ‬
  develop a care plan       ‫• ﻣﻮﻓﻘیﺖ ﺗیﻢ ﺩﺭ پﻼﻥ ﻣﺮﺍﻗﺒﺖ‬
• Winning care plan team




                                                  AFAMS
              Review of Key Points
                ‫ﻣﺮﻭﺭ ﻧکﺎﺕ کﻠیﺪی‬
• Founder of modern            ‫ﺑﻨیﺎﻥ گﺬﺍﺭ ﻧﺮﺳﻨگ ﻣﺪﺭﻥ‬     •
  nursing                                      (‫)ﺟﺪیﺪ‬
• Nursing process                  ‫پﺮﻭﺳﻪ ﻫﺎی ﻧﺮﺳﻨگ‬       •
• Nursing care model               ‫ﻣﻮﺩﻝ ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ‬     •
• Important points of the       ‫ﻧکﺎﺕ ﻣﻬﻢ ﻣﺮﺍﻗﺒﺖ ﻣﻮﺩﻝ‬     •
  Nursing model of care                         ‫ﻧﺮﺳﻨگ‬
• Nursing care plan               ‫پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻧﺮﺳﻨگ‬       •
• Parts of nursing care plan   ‫ﻗﺴﻤﺖ پﻼﻥ ﻣﺮﺍﻗﺒﺖ ﻫﺎی‬       •
                                                ‫ﻧﺮﺳﻨگ‬



                                                 AFAMS

				
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posted:8/5/2014
language:Chinese
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