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Learning outcomes descriptions 1.3.b

Competence description VQTS:

1.3.b Is able to develop, revise and adapt the professional care plan.    

Competence (EQF)SkillsKnowledge

The professional caregiver is able to autonomously and independently develop and modify 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 plan independent nursing interventions based on the nursing diagnoses,
  • select and 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,
  • select the 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 of impaired skin integrity related to impaired tissue perfusion),
  • explain methods of therapeutic and care treatment as appropriate for the patient’s/client’s health condition,
  • describe approaches to enable patient/client 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 training 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 on the care plan,
  • explain the term “nursing care outcome”,
  • name rules regarding revisions of care plans (e.g. weekly, monthly).

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