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Learning outcomes descriptions 1.3.b

Competence description VQTS:
1.3.b   To be able to develop, revise and adapt the professional care plan.  
Competence (EQF)SkillsKnowledge

The professional caregiver autonomously and self-responsibly develops and modifies individual plans for professional care. 








































The professional caregiver is able to:

  • involve the patient/client and relevant others in the development of the professional care plan,
  • select and to plan independent nursing interventions based on the nursing diagnoses,
  • select and to initiate collaborative interventions based on the nursing diagnoses,
  • plan nursing care interventions in cooperation with the patient/client and relevant others,
  • set priorities and the time of interventions,
  • choose necessary methods and resources needed to conduct care according to the professional care plan,
  • define short-term and long-term care objectives and nursing care outcomes in cooperation with the patient/client and relevant others and implement measures to reach them,
  • initiate changes in the professional care plan depending on the patient’s/client’s condition,
  • implement care diagnoses in the development of individual care plans,
  • revise professional care plans based on gathered data and nursing diagnoses,
  • implement ambient assistant systems.

The professional caregiver is able to:

  • explain legal regulations and consequences regarding care plans (see also CA.B.3),
  • explain the objectives of implementing care plans,
  • explain diseases and their symptomatology regarding short-term and long-term objectives for the professional care plan (e.g. impaired verbal communication related to decreased circulation to brain, risk for impaired skin integrity related to impaired tissue perfusion),
  • explain methods of therapeutic and care treatment adequate to the patient’s/client’s health condition,
  • describe approaches to enable patient’s/client’s and relevant others to conduct self-care in chronic diseases,
  • explain classification and outcome systems (e.g. NIC, NOC),
  • explain methods of conducting complex care according to evidence-based practice,
  • describe methods of individual and group education and behavioural strategies in diseases demanding complex treatments and long-term care planning (e.g. stomata, mastectomy, organ transplantation, mechanical ventilation at home, Diabetes Mellitus) (see also CA.6.2),
  • explain the influence of care diagnoses to the care plan,
  • explain the term nursing care outcome,
  • name rules regarding revisions of care plans (e.g. weekly, monthly).

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