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Doody's Review ServiceReviewer: Carole A. Kenner, PhD, RN, FAAN (Council of International Neonatal Nurses)
Description: The text presents a wonderful guide to developing care plans that allow for individual adaptation. The previous edition (4th) was published in 1998.
Purpose: The book is designed to provide a guide for nurses that need to adapt plans of care to diverse medical-surgical patients. The primary focus is the patient in the acute care setting that includes discharge planning and transition to home/community. Yes these are worthy objectives and yes the author met these.
Audience: The target audience is any nurse-student or practicing that needs to develop or implement a plan of care. This audience is according to the author and to me. The author team are very credible.
Features: The back cover of the book actually gives a very good synopsis of the features of the book. It highlights the key elements that make this book easier to use than most others on the market. Two new chapters were added with this edition-Mens Health and Women's Helth Care Plans. These focus on genitorinary problems-physiologic and related to cancer. The NANDA diagnoses have been updated and are related to NIC and NOC. The latter relates to evidence based outcomes. Each plan has boxes that draw the reader's attention to elements of the nursing process and the standardized language. One major improvement in this edition is the online careplan construction component. The format is much easier to use and adapt to individual patient needs than in the past. The lack of plans outside the acute care setting remains a shortcoming of this text. With the increasing population of patients in the home and community this content is needed as is ties to e-health.
Assessment: This book, despite its shortcomings, stands far above the competing books. The closest competitors are: Nursing Care Plans: Guidelines for Individualizing Patient Care, 6th edition, Doenges, et al. (F.A. Davis, 2002); Nursing Diagnosis Handbook: A Guide to Planning Care, 5th edition, Ackley, et al. (Mosby, 2002); and Nursing Care Plans and Documentation: Nursing Diagnoses and Collaborative Problems, 3rd edition, by Carpenito (Lippincott, Williams, & Wilkins, 1999). This book is user-friendly, up-to-date, and attractive in the way it calls the reader's attention to the important elements. The online care plan constructor is a wonderful element for students and especially instructors who want to illustrate how plans can be adapted to unique needs. This edition of the book is much improved from the previous editions.