Chapter 82: Pediatric Nursing Plans

Rolden: Now... Let's proceed with nursing plans....

A nursing care plan gives nurses direction and information when it comes to providing patient care. Pediatric nursing care plans, like other nursing care plans, contain a number of components, all of which may be altered or slightly changed depending on need or case scenario. The basic function of a nursing care plan is to elaborate on diagnosis, risk factors, interventions, rationales and outcomes in regard to patient care, according to Nursing Care Plans.

Diagnosis

A care plan may be formulated by diagnosis, which gives the pediatric nurse a variety of categories to choose from, including ineffective breathing, decreased cardiac output, deficient fluid volume or impaired gas exchange, just to name a few. The nurse preparing a pediatric care plan must have a proper diagnosis in order to complete a well-formulated and planned course of action for patient care.

Nursing Outcome

Once the diagnosis is determined, the nurse will need to determine desired outcomes following treatment. For example, if a newborn infant was diagnosed with insufficient fluid balance, the nursing outcomes would be, ideally, hydration and fluid balance. Each diagnosis will offer alternative outcomes or effective types of treatment that may remedy or alleviate the condition presented.

Interventions

A pediatric, or any other form of nursing care plan, should also specify interventions. Interventions are processes that a nurse can take to rectify or reduce a problem. Continuing with the infant with deficient fluid volume, some possible interventions may include fluid resuscitation, fluid management and fluid monitoring.

Ongoing Assessment

The nurse developing a pediatric care plan needs to continually assess the patient for changes in condition. For example, after obtaining a patient history and again using the deficient fluid volume for an infant, intake or output of fluids will be directed in the assessment portion of the care plan. So will accurately measuring input and output and monitoring and accurately documenting vital signs such as blood pressure. Other forms of assessment may be to check the amount of urine flow as well as its color and regularly check the infant's temperature. Fevers or febrile conditions may accelerate decrease in body fluid production and retention.

Therapeutic Interventions

This portion of the care plan will describe what the nurse can or will do to improve the patient's condition. For example, a fluid intravenous line, known as an IV, may be recommended for the fluid-deficient infant.

Continuity of Care

The nursing care plan should also contain plans to educate the patient or parents for quality care and prevention of dehydration in the future.

Kierra: It's still about nursing... And... I don't want and I've never said I want to be a pediatrician... I've changed my mind... I want to be a surgeon... It's cool

Rolden *sighs* Why you didn't tell me earlier???!!!

Kierra: You didn't ask me

Rolden *sighs* Alright... I have some books their on how to be a surgeon... Etc....

Kierra: Wow! You have so many... Maybe your bag is heavy but how did you....

Rolden: I borrowed all the books from a friend, That's why my bag is big, because it has tons of books

Kierra: Thanks (You did that all just to help me, Thank you Rolden)...

It became as their regular routine... Rolden went to Kierra's house every weekends, thursdays, and fridays... Just to help her in studying...

Then...

Astef: Dear, Looks like that I need to stay here for two months, there's a problem here. Wait for me, ok?

Kierra: Ok, Dear... Take care... *call ended* Hhmm... I can spend more time with Rolden then... (Even though it's wrong)