Nursing

Develop a nursing care plan for [patient situation]:

Patient: [age, diagnosis]
Admission reason: [why hospitalized/seen]
Assessment findings: [key observations]
Risk factors: [falls, pressure injury, etc.]
Current medications: [relevant meds]
Support system: [family/caregiver]

Nursing care plan:
- Nursing diagnoses (priority order)
- Patient goals (short and long-term, SMART)
- Nursing interventions by diagnosis
- Rationale for each intervention
- Expected outcomes
- Evaluation criteria
- Patient/family education needs
- Discharge planning considerations
- Interdisciplinary collaboration needed
- Documentation requirements
- Timeline for reassessment
- Safety considerations

Use NANDA-I, NOC, NIC frameworks.

Prepare shift handoff report for [patient(s)]:

Unit: [type of unit]
Shift: [outgoing shift]
Patient census: [number of patients]
Complex patients: [highlight critical ones]

For each patient include:
- Name, age, room, diagnosis
- Code status
- Key updates this shift
- Vital signs trends
- Pain level and management
- IV access and fluids
- Output monitoring
- Medications given/due
- Pending orders or tests
- Family concerns
- Safety issues (falls, confused, etc.)
- What the next shift needs to watch for
- What tasks need completion

Use SBAR format. Keep concise but thorough.

Create patient education plan for [topic]:

Topic: [disease, procedure, medication, etc.]
Patient: [age, diagnosis, literacy level]
Learning barriers: [language, vision, cognition]
Preferred learning style: [visual, auditory, hands-on]
Support: [who will help at home]
Timeframe: [when teaching occurs]

Education plan:
- Learning needs assessment
- Learning objectives (patient will be able to...)
- Teaching methods (demonstration, handouts, video)
- Content outline (key points)
- Teach-back verification
- Written materials provided
- Resources for home (websites, phone numbers)
- Red flags to report
- Follow-up plan
- Barriers addressed
- Family involvement
- Documentation of understanding
- Reinforcement strategy

Assess and plan fall prevention for [patient]:

Patient: [age and diagnosis]
Mobility: [ambulatory, assist, bedbound]
Cognition: [alert, confused, etc.]
Medications: [sedatives, BP meds, etc.]
History: [prior falls]
Environment: [home vs facility]

Fall risk assessment:
- Fall risk score (use validated tool)
- Intrinsic risk factors identified
- Extrinsic risk factors identified
- High-risk times (transfers, toileting, night)
- Prevention interventions (specific)
- Environmental modifications
- Assistive devices needed
- Medication review recommendations
- Patient/family education
- Monitoring plan
- Documentation requirements
- Reassessment schedule
- Post-fall protocol if occurs

Assess and manage pain for [patient]:

Patient: [age, diagnosis]
Pain location: [where]
Pain description: [character]
Pain scale: [0-10 rating]
Onset/duration: [when started]
Current management: [what's being done]
Barriers: [communication, tolerance issues]

Comprehensive pain assessment:
- PQRST assessment (Provokes, Quality, Radiates, Severity, Time)
- Functional impact (ADLs affected)
- Pain history and patterns
- Current pain medications (effectiveness)
- Non-pharmacologic interventions tried
- Allergies and contraindications
- Pain management goals (realistic)
- Multimodal approach plan
- Medication schedule optimization
- Non-pharm interventions (heat, positioning, distraction)
- Patient preferences
- Reassessment timing
- Escalation criteria
- Documentation standards

Document wound assessment and care for [wound type]:

Wound type: [pressure injury, surgical, traumatic]
Location: [anatomical location]
Patient factors: [age, nutrition, mobility]
Duration: [how long present]
Current treatment: [dressing type]

Wound documentation:
- Wound measurements (length x width x depth in cm)
- Stage/classification (if pressure injury)
- Wound bed description (% granulation, slough, eschar)
- Exudate (amount, color, odor)
- Periwound skin condition
- Undermining or tunneling (location and depth)
- Pain level at wound site
- Signs of infection
- Current treatment and rationale
- Treatment effectiveness
- Barriers to healing
- Nutritional support
- Pressure relief measures
- Photography if available
- Goals and expected outcomes
- Next dressing change due

Perform medication reconciliation for [transition point]:

Transition: [admission, transfer, discharge]
Patient: [age and diagnoses]
Source: [where getting med list]
Complexity: [number of medications]
Adherence: [compliance history]
Support: [who helps at home]

Medication reconciliation:
- Complete home medication list (name, dose, frequency, route)
- Prescription vs OTC vs supplements
- Actual taking vs prescribed
- Discrepancies identified
- Medication changes (new, stopped, changed)
- Reason for each change documented
- Allergies and reactions verified
- Drug interactions checked
- Duplicate therapy identified
- High-risk medications flagged
- Patient understanding assessed
- Teach-back on changes
- Written list provided
- Pharmacy notification
- PCP notification

Develop pressure injury prevention plan for [patient]:

Patient: [age and condition]
Mobility: [ability to reposition]
Braden score: [risk score]
Nutrition: [status]
Incontinence: [issue]
Existing injuries: [current wounds]

Prevention plan:
- Risk assessment score and interpretation
- Repositioning schedule (specific intervals)
- Support surface recommendation
- Skin inspection routine
- Moisture management
- Nutritional interventions
- Pressure-relieving devices
- Heel protection
- Education for patient/family/staff
- High-risk areas to monitor
- Documentation requirements
- Reassessment schedule
- Products needed
- Interdisciplinary involvement

Create discharge plan for [patient]:

Patient: [age, diagnosis]
Discharge to: [home, facility, etc.]
Support: [caregiver availability]
Barriers: [mobility, cognition, resources]
Follow-up: [appointments needed]

Discharge planning:
- Discharge readiness assessment
- Medications (reconciled list with instructions)
- Activity restrictions and progression
- Diet modifications
- Wound care instructions
- Equipment needs (DME ordered)
- Home health services arranged
- Follow-up appointments scheduled
- Warning signs to report
- Who to call with questions
- Transportation arranged
- Financial/insurance counseling
- Return to work/school guidance
- Patient teach-back documentation
- Caregiver competency verified
- 72-hour follow-up call plan