BSN / MSN / DNP Nursing Care Plans, PICOT, Soap Notes & Pathophysiology

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Evidence-based nursing papers written by Master's-prepared RNs: NANDA-I / NIC / NOC care plans, PICOT capstone projects, and pharmacology case studies.

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Sarah L., MSN, RN · MSN in Clinical Nursing Education, University of British Columbia · CNO/BCCNM RN

NANDA-I / NIC / NOC Care Plans, Medical-Surgical Pathophysiology & Concept Maps · ★ 5.0/5 (894 papers)

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Dr. K. Tremblay, DNP · Doctor of Nursing Practice (DNP) & MN, University of Toronto (Lawrence Bloomberg Faculty)

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NANDA-I / NIC / NOC Priority Care Plan & Pathophysiology Map: Acute Decompensated Heart Failure (HFrEF)

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Awarded Grade: A+ (97%) BSN / BScN Complex Medical-Surgical Nursing (Canadian Clinical Rubric) · APA 7th Edition (Clinical)

"Priority Nursing Diagnosis 1: Decreased Cardiac Output related to impaired left ventricular myocardial contractility (LVEF 28%) and increased afterload as evidenced by bibasilar crackles, jugular venous distension, S3 gallop, and elevated NT-proBNP (4,850 pg/mL). Guided by Registered Nurses' Association of Ontario (RNAO) and Canadian Cardiovascular Society (CCS, 2024) heart failure guidelines, immediate NIC interventions prioritize titrated intravenous loop diuresis (furosemide), strict hourly fluid balance monitoring, and serum potassium/creatinine surveillance to achieve NOC target fluid equilibrium within 24 hours."

Includes a 3-column NANDA-I / NOC / NIC rationalized care table, cellular renin-angiotensin-aldosterone (RAAS) pathophysiology concept map, and Canadian lab reference values (SI mmol/L).

✓ NANDA-I / NIC / NOC Precision (35/35): Three-part PES diagnostic statements with measurable SMART outcomes.
✓ Canadian Clinical Standards (35/35): Uses SI laboratory units (mmol/L), CNO/BCCNM standards, and RNAO guidelines.
✓ Evidence-Based Rationale (30/30): Every nursing intervention supported by peer-reviewed CINAHL/PubMed rationale.

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