11 CORE COMPETENCIES IN NURSING

1. SAFE AND QUALITY NURSING CARE

2. MANAGEMENT OF RESOURCES AND ENVIRONMENT'S
3. HEALTH EDUCATION
4. LEGAL RESPONSIBILITY
5. ETHIC/MORAL RESPONSIBILITY
6. PERSONAL AND PROFESSIONAL DEVELOPMENT
7. QUALITY IMPROVEMENT
8. RESEARCH
9. RECORD MANAGEMENT
10. COMMUNICATION
11. COLLABORATION AND TEAMWORK

Appendectomy

1. Risk for infection

2. Acute pain
3. Knowledge deficient (learning need) regarding condition, prognosis, treatment
regimen, self-care, and discharge needs

Peritonitis

1. Risk for infection (septicemia)

2. Deficient fluid volume (mixed)
3. Acute pain
4. Risk for imbalanced nutrition, less than body requirements
5. Anxiety or fear (specify level)
6. Knowledge deficient (learning need) regarding condition, prognosis, treatment
regimen, self-care, and discharge needs

Cholecystitis with Cholelithiasis

1. Acute pain
2. Risk for deficient fluid volume
3. Risk for imbalanced nutrition, less than body requirements
4. Knowledge deficient (learning need) regarding condition, prognosis, treatment
regimen, self-care, and discharge needs

Cholecystectomy

1. Ineffective breathing pattern

2. Risk for deficient fluid volume
3. Impaired skin or tissue integrity
 4. Knowledge deficient (learning need) regarding condition, prognosis, treatment
regimen, self-care, and discharge needs

View Sample NCP for Cholecystectomy

Gastritis, acute

1. Acute pain
2. Risk for deficient fluid volume [isotonic]

Gastritis, chronic

1. Risk for imbalanced nutrition less than body requirements

2. Knowledge deficient (learning need) regarding pathophysiology, psychologic
factors, therapy needs and potential complications.

Hernia, hiatal

1. Chronic pain
2. Knowledge deficient (learning need) regarding disease process/transmission,
treatment needs and future expectations.

Constipation

1. Constipation
2. Acute pain
3. Knowledge deficient (learning need) regarding dietary needs, bowel function, and
medication effect.

View Sample NCP for Constipation

Irritable Bowel Syndrome

1. Acute pain
2. Constipation
3. Diarrhea

Hemorrhoids

1. Acute pain
2. Constipation

View Sample NCP for Hemorrhoids

Hemorrhoidectomy
 1. Acute pain
2. Risk for urinary retention
3. Knowledge deficient (learning need) regarding therapeutic treatment and potential
complications.

Upper Gastrointestinal/ Esophageal Bleeding

1. Deficient fluid volume (isotonic)

2. Risk for ineffective tissue perfusion
3. Fear or anxiety (specify level)
4. Acute or chronic pain
5. Knowledge deficient (learning need) regarding condition, prognosis, treatment
regimen, self-care, and discharge needs

Subtotal Gastrectomy/ Gastric Resection

1. Risk for imbalanced nutrition, less than body requirements

2. Knowledge deficient (learning need) regarding condition, prognosis, treatment
regimen, self-care, and discharge needs

Inflammatory Bowel Disease: Ulcerative Colitis, Regional Enteritis (Crohn’s

disease, Ileocolitis)

1. Diarrhea
2. Risk for deficient fluid volume
3. Imbalanced nutrition, less than body requirements
4. Anxiety (specify level)
5. Acute pain
6. Ineffective coping
7. Knowledge deficient (learning need) regarding condition, prognosis, treatment
regimen, self-care, and discharge needs

Fecal Diversions: Post operative Care of Ileostomy and Colostomy

1. Risk for impaired skin integrity

2. Disturbed body image
3. Acute pain
4. Impaired skin or tissue integrity
5. Risk for deficient fluid volume
6. Risk for imbalanced nutrition less than body requirements
7. Disturbed sleeping pattern
8. Risk for diarrhea or constipation
9. Risk for sexual dysfunction
10. Knowledge deficient (learning need) regarding condition, prognosis, treatment
regimen, self-care, and discharge needs