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Nursing Care Plan Deficient Knowledge

MEDSURG Hypothyroidism Nursing Care Plan Deficient  KnowledgeNursing Care Plan Deficient  Knowledge Definition:Absence or deficiency of cognitive information related to a specific topic is a professional judgment based on the application of clinical knowledge which determines potential or actual experiences and responses to health problems and life processes. The list of nanda nursing diagnosis can be applied to individuals, families or communities. Included with the list of nanda nursing diagnosis is an array of commonly applied interventions from which the caregiver can choose to implement to the given patient. Standardized nursing language is a body of terms used in the profession that is considered to be understood in common. The use of common terms promotes patient safety by allowing nurses to quickly and efficiently understand the aspects of a patient’s needs. The use of standardized terms allows nursing staff to avoid sifting through long narratives in order to determine a particular patient’s needs and planned course of care. Nursing Care Plan Deficient  Knowledge

Defining Characteristics

  • Inability to follow through with directions
  • Inability to perform well on a test
  • Inappropriate or exaggerated behaviors (hysteria, hostility,agitation, apathy)
  • Verbalization of the problem

Related Factors

  • Cognitive limitation
  • Lack of recall
  • Information misinterpretation
  • Unfamiliarity with information
  • Lack of exposure resources
  • Lack of interest in learning

Assessment Focus

  • Activity
  • Nutrition
  • Communication
  • Sleep
  • Coping
  • Values/beliefs
  • Knowledge

Expected Outcomes The Patient Will

  • Communicate desire to understand disease state and need for treatment.
  • Demonstrate ability to perform new health-related procedures.
  • Set realistic learning goals within target dates.
  • State intention to make needed modifications in lifestyle.

Suggested Noc Outcomes

Cognition; Concentration; Information Processing; Knowledge: Dis-ease Process; Knowledge; Health Behaviors; Knowledge: Healt Resources; Knowledge: Illness Care; Stress Level

Interventions And Rationales

Determine: Determine level of knowledge and skills patient already possesses about his or her health status; motivation to understand what is needed to improve health status; obstacles to learning; sup-port systems; usual coping patterns; beliefs about health and treat-ment of disease; ethnicity; financial resources. Assessment informa-tion will assist in identifying appropriate interventions.Perform: Establish an environment of mutual trust and respect to enhance learning. Consistency between action and words, combined with the patient’s self-awareness ability to share this awareness with others, and receptiveness to new experiences form the basis of a trusting relationship. 215 Develop with patient specific learning goals with target dates.Involving patient in planning meaningful goals encourages compliance.Select teaching strategies that will enhance teaching/learning effec-tiveness, such as discussion, demonstration, role-playing, and visual materials. Provide all the equipment needed for the patient to learn This reduces frustration, aids learning, and minimizes dependence b promoting self-care.Inform: Teach those skills that the patient must incorporate into daily living. Have patient do return demonstration of each skill to aid in gaining confidence.When teaching, go slowly and repeat frequently. Offer small amounts of information and present it in various ways. By building cognition, patient will be better able to complete self-care measures.Include family members.Demonstrate to family members how each self-care measure is broken down into simple tasks to enhance patient’s success and fos-ter a sense of control.Attend: Encourage family members to participate in and have patience toward learning process (patient may need to repeat new skills multiple times) to help create a therapeutic environment after discharge.Manage: Have patient incorporate learned skills into care while still in the hospital. This allows practice and time for feedback.Provide patient and/or family with names and telephone numbers of resource people or community agencies so that care is continuous and follow-up is possible after discharge.If financial hardship interferes with the ability of the family to provide equipment and supplies, offer a referral to a social worker to improve the family’s access to financial assistance.

Suggested Nic Interventions

Behavior Management; Behavior Modification; Decision-Making Support; Energy Management; Family Support; Financial Resource Assistance; Health Education; Healthcare Information Exchange:Risk Identification; Learning Facilitation; Support System Enhance-ment; Teaching Procedure/Treatment

Reference

Shen, Q., et al. (2006, May–June). Evaluation of a medication education pro-gram for elderly hospitalized inpatients. Geriatric Nursing, 27(3), 184–192.