Determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.
Your care plan should be based on current evidence and nursing standards of care.Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.Grading CriteriaMaximum PointsCare plan demonstrated involvement of the client in the process of recognition, planning, and resolution of the problem.15Care plan included effective nursing interventions that were customized for the client and appropriate to the goal.15Care plan included diagnostic workup, medications, conservative measures, and a follow-up plan.15Care plan provided rationale for choosing a particular treatment modality.15Care plan demonstrated logical diagnosis, which was substantiated with relevant evidence.10Care plan focused on patient education, maintained a fine balance between major and minor health issues of the patient.10Care plan included nursing interventions that are specific, appropriate, and free of essential omissions.10Used APA standards consistently and accurately.10Total
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