Nursing Care Plan Guide

Assessment of Universal Self Care Requisites

Assessment Planning Evaluation

Universal self care requisites Nursing diagnosis Expected outcomes Nursing interventions Rationale Outcome assessment
DEFINITION: DEFINITION: DEFINITION: DEFINITION: DEFINITION: DEFINITION:

(USCR) the category of self- Problem: statement Desired or expected Direction for nursing action Scientific Responses to or results of
care requites that are basic of the patient’s risk outcomes or designed to assist the client principles, nursing interventions. An
and common to all humans for or actual health resolution of nursing and/or significant other to meet theories, or assessment of relative data
and are constantly present; problem that the diagnosis. the expected outcomes. concepts is made. These outcome
these needs must be met to nurse is licensed and Nursing actions are specific, underlying assessments describe how
achieve optimal health and accountable to treat. “Patient will” realistic, and individualized for nursing the patient looks, feels or
well-being. These are eight a particular patient. interventions: behaves after nursing
universal self-care requisites: Etiology: factors or action has been
(1) Air “related to” or to _____________. Components of nursing action: Document all implemented.
(2) Food “associated with” the 1. Precision action verb. reference
(3) Water patient’s problem. 2. Content area sources with May include proposed
(4) Elimination a. What-the actual author, title modifications or present
(5) Activity and rest Signs and symptoms: measure edition, and plan for improvement of
(6) Solitude and social manifestations of performed. page. nursing care.
interaction problem identified. b. Where-specific
(7) Prevention of hazards area.
(8) Normalcy c. How-the means by
which measures
Self-care agency (SCA)- will be adopted.
assets or abilities of an d. When-the time
individual to perform self-care. element, how long
or how often the
Self-care deficit (SCD)-deficit nursing action is to
relationship that exists when occur.
the demand for self-care 3. Categories of Interventions
exceeds the person’s ability to A-assessment
perform self-care. C-care & comfort
measures
Nursing system: the series of T-teaching
organized concrete action
performed by nurses in Independent, dependent,
collaboration with the patient. collaborative, and supportive-
There are three types of educative nursing actions are
nursing systems: to be considered when writing
(1) Wholly compensatory the plan.
(2) Partly compensatory
(3) Supportive-educative