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One of the premier reference books for geriatric nurses in hospital, long-term, and community settings, this 4th edition has been thoroughly updated to provide the most current, evidence-based protocols for care of common clinical conditions and issues in elderly patients. Designed to improve the quality, outcomes, and cost-effectiveness of health care, these guidelines are the result of collaboration between leading practitioners and educators in geriatric nursing and New York University College of Nursing. Protocols for each clinical condition have been developed by experts in that particular area, and most have been systematically tested by over 300 participating hospitals in \"Nurses Improving Care for Health System Elders\" (NICHE). Evidence is derived from all levels of care, including community, primary, and long-term care. A systematic method in compliance with the AGREE appraisal process was used to rate the levels of evidence for each protocol. Protocols are organized in a consistent format for ease of use, and each includes an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, each protocol is embedded within chapter text, which provides the context and detailed evidence for the protocol. Each chapter contains resources for further study.

Formulation as a Basis for Planning Psychotherapy Treatment utilizes a step-by-step structure and copious case illustrations to teach psychiatrists, residents in psychiatry and psychology, social workers, and marriage and family counselors how to plan treatment after the initial diagnosis. This new edition arrives two decades after the first, with revised content, updated case studies, and new insights gleaned over the author's noteworthy career. Clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualization of the information obtained from a clinical assessment. Although formulation systems vary by different schools of psychotherapy, the author has adopted and here explores a systematic approach based on an integrative effort. This system of configurational analysis combines concepts derived from psychodynamic, interpersonal, cognitive-behavioral, and family system approaches. After an overview of psychological change processes, each of the five steps of configurational analysis is covered systematically: • Step one involves selecting and describing the patient's currently most important symptoms, signs, problems, and topics of concern. For example, symptoms may consist of trouble sleeping or feelings of depression; signs may include discordant verbal and physical expression; problems may include reluctance to go to work or care for family members; and topics of concern might be unresolved grief the patient feels helpless to process without assistance. Since both patient and therapist want to know if these observable phenomena are changing, this list is modified as treatment progresses.• Step two entails describing states in which the patterns of phenomena do and do not occur, with attention to patterns of shifts in states, especially maladaptive state cycles. The therapist is taught how to aggregate and organize this information by describing states of mind -- for example, undermodulated (e.g., unthinking rage) or overmodulated (e.g., numbness and lack of affect).• Step three involves describing the challenging topics that patients may both approach and avoid because they are conflicted or unresolved, as well as the obstacles patients may create to divert attention from those topics. For example, patients may avoid a topic or shift attention from it by changing the subject and so forth.• Step four entails describing the organizing roles, beliefs, and scripts of expression and action that seem to organize repetitions in each state, with an effort made to identify dysfunctional attitudes and how these may have evolved from past attachments and traumas. • Finally, step five involves figuring out how to stabilize working states by enhancing the therapeutic alliance and helping the patient contain and master emotional attitudes. At this point, the clinician plans how to counteract avoidances by direction of attention and promotes adaptive social cognitive capacities. From surface observation to deeper inferences, Formulation as a Basis for Planning Psychotherapy Treatment transcends DSM diagnoses, helping clinicians to use information gleaned in the immediacy of the moment to make sound, sensitive, and effective psychotherapeutic decisions.

The fourth edition of Medical-Surgical Care Planning is fully reviewed and revised for nursing students, educators, and practicing nurses. This complete reference contains almost 100 comprehensive clinical care plans for adult patients in medical-surgical units. It covers common disorders, diagnostic and therapeutic interventions, and surgical procedures. The book covers both problems addressed with the cooperation of other members of the health care team and those that require independent nursing actions. New to this edition are care plans for acute alcohol withdrawal, hypertensive crisis, Parkinson's disease, sickle cell disease, transplantation, and end of life. A Brandon-Hill Recommended Title.

Background Nursing care plans require clinical reasoning, prioritization, and patient-centered decision-making, which distinguishes them from more general AI-generated educational texts. As large language models such as ChatGPT are increasingly used to support nursing education and care planning, it is essential to evaluate the readability, reliability, and quality of the nursing care plans they produce. Purpose This study aims to evaluate the readability, reliability, and quality of nursing care plan texts generated by ChatGPT. Methods The study sample consisted of 50 texts generated by ChatGPT (version 4.0) based on selected nursing diagnoses from NANDA 2021–2023. These texts were evaluated using a descriptive criteria form, the DISCERN tool, and readability indices including the Flesch Reading Ease Score (FRES), Simple Measure of Gobbledygook (SMOG), Gunning Fog Index, and Flesch-Kincaid Grade Level (FKGL). Results The analysis demonstrated that the nursing care plans generated by ChatGPT showed a moderate level of quality and reliability. However, the readability levels were generally higher than what is desirable for clinical and educational use, indicating that the texts may be difficult for some users to understand without adaptation. The findings also suggest that the presence of verifiable references contributes positively to the overall quality and reliability of the generated care plans. Conclusion Evaluating the readability, reliability, and quality of AI-generated nursing care plans is essential for ensuring their safe and meaningful use in nursing education and clinical practice. These findings highlight the importance of guiding and refining AI-supported care planning to better align with professional standards and patient-centered care needs.

Background The quality of generative nursing diagnoses and plans reported in existing research remains a topic of debate, and previous studies have primarily utilized ChatGPT as the sole large language mode. Purpose To explore the quality of nursing diagnoses and plans generated by a prompt framework across different large language models (LLMs) and assess the potential applicability of LLMs in clinical settings. Methods We designed a structured nursing assessment template and iteratively developed a prompt framework incorporating various prompting techniques. We then evaluated the quality of nursing diagnoses and care plans generated by this framework across two distinct LLMs(ERNIE Bot 4.0 and Moonshot AI), while also assessing their clinical utility. Results The scope and nature of the nursing diagnoses generated by ERNIE Bot 4.0 and Moonshot AI were similar to the “gold standard” nursing diagnoses and care plans.The structured assessment template effectively and comprehensively captures the key characteristics of neurosurgical patients, while the strategic use of prompting techniques has enhanced the generalization capabilities of the LLMs. Conclusion Our research further confirms the potential of LLMs in clinical nursing practice.However, significant challenges remain in the effective integration of LLM-assisted nursing processes into clinical environments.

The Adolescent Psychotherapy Treatment Planner, Fifth Edition is fully revised to meet the changing needs of mental health professionals. This time-saving resource now reflects DSM-5 diagnostic suggestions and detailed evidence-based treatment plan language required by many public funding sources, private insurers, and accrediting agencies. The Fifth Edition features treatment organized around more than 30 main presenting problems, including conduct disorder, chemical dependence, low self-esteem, suicidal ideation, ADHD, sexual acting out, and eating disorders. Its easy- to-use format helps clinicians to locate treatment plan components by behavioral problem.

Care Planning in Children and Young People's Nursing addresses a selection of the most common concerns that arise when planning care for infants, children and young people within the hospital and community setting. Clear and detailed, this text reflects both the uniqueness and diversity of contemporary children's nursing and utilizes images and case studies to provide a holistic insight into the practice of care planning through the reporting of best available evidence and current research, policy and education. Divided into sections for ease of reference, Care Planning in Children and Young People's Nursing explores both the theory and practice of care planning. Chapters on the principles of care planning include issues such as managing risk, safeguarding children, ethical and legal implications, integrated care pathways, interprofessional assessment, and invaluable parent perspectives. Additional chapters on the application of planning care examine the practical aspects of a wide range of specific conditions including cystic fibrosis, obesity, cardiac/renal failure and HIV/AIDS. Each chapter is interactive, with questions, learning activities and points for discussion creating an engaging and enquiry-based learning approach. Care Planning in Children and Young People's Nursing is a definitive resource, reflecting innovative practice which is suitable for undergraduate and postgraduate nurse education.

Background: Aging populations are driving a shift in emphasis toward enhancing chronic disease care, reflected in Catalonia’s regional plan which prioritizes standardized nursing care plans in primary care settings. To achieve this, the ARES-AP program was established with a focus on harmonizing standards and supporting routine nursing clinical decision-making. This study evaluates nurses’ perceptions of ARES-AP’s standardized care plans for chronic diseases. Methods: A mixed-methods approach based on an ad hoc questionnaire (n = 141) and a focus group (n = 14) was used. Quantitative data were statistically analysed, setting significance at p < 0.05. Qualitative data were explored via content analysis. Results: ARES-AP training was assessed positively. The resources for motivational interviewing and care plans for the most prevalent chronic diseases were rated very positively. This study identified key factors influencing program implementation, including facilitators such as structured information and nursing autonomy, barriers such as resistance to change, motivators such as managerial support, and suggested improvements such as technological improvements and time management strategies. Conclusions: This study identifies areas for improvement in implementing standardized nursing care plans, including additional time, motivation, enhanced IT infrastructure, and collaboration among primary care professionals. It enhances understanding of these plans in primary care, especially in managing chronic diseases in aging populations. Further research should assess the program’s long-term impact on chronic patients. This study was not registered.