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Table 3-3

Comparison of Client Concerns and Collaborative Problems

Identifying Criteria of a Client ConcernIdentifying Criteria of a Collaborative Problem
  1. The client problem is physiologic, psychosocial, or spiritual.
  2. The nurse monitors and treats.
  3. The nurse independently orders and implements the primary nursing interventions.
  1. The client problem is a physiologic complication.
  2. The nurse monitors for signs and symptoms of the complication and notifies the physician if a change occurs. (In some cases, the nurse may initiate interventions.)
  3. The physician orders the primary treatment, and the nurse collaborates to implement additional treatments that are licensed to be implemented and monitors for responses to and effectiveness of treatments.
Format and Follow-Up for Client ConcernFormat and Follow-Up for Collaborative Problems
  1. Client concern + associated with + cause
  2. Write specific client goals.
  3. Write specific nursing orders (interventions) including assessments, teaching, counseling, referrals, and direct client care.
  1. Use "Risk for complication: _____."
  2. Write nursing goals.
  3. Write which parameters the nurse must monitor, including how often. Indicate when the physician should be notified. Identify the nursing interventions to prevent the complication and those to be initiated if a change occurs.