Criteria

1. Assessment/Analysis

Subjective & objective data support the nursing diagnosis

Discuss the diagnostic tests to confirm, clarify, and direct patient care

Medication is listed including name, dose, class, indications, expected effect

2. Nursing Diagnosis

Ineffective gas exchange related to altered oxygen supply (obstruction of airways by secretion). Structure diagnosis in problem related to etiology (cause) as evidenced by sign and system framework.

Connect the diagnosis with clinical/assessment findings.

Discuss the prioritization of the selected diagnosis

3. Goal Statement and outcome criteria

Discuss the 2 most appropriate goals for the nursing diagnosis

Goal must be measurable with target dates and times

4. Planning

Consider observation you make to monitor the patient condition or progress

What would be done to prevent, repair or reduce the problem is included

How and what will you teach the patient

5. Intervention

Include actions that directly relate to the patient’s goal that are specific in action and frequency

Include rational for selecting the specific intervention

6. Evaluation

Discuss how you would evaluate the patient

Discuss the implication if the goals are fully, partially or not achieved and what action you would take