title: [HIGH-RISK CHRONICALLY ILL PATIENTS: DIAGNOSTICS, RESULTS AND NURSING INTERVENTIONS UPON DISCHARGE].
abstract: It is after the implementation of the new nursing evaluation/ planning care registers (PCE) in the medical record and the updating of the document/circuit of the All-clear Ensuing Care Report (ICCA) with NANDA, NOC, NIC (NNN) in the first months of the year 2013, that we are contemplating the fulfillment of a descriptive/cross-section study so as to know diagnostics, results and nursing interventions upon discharge of high-risk chronically ill patients and qualitatively in medical hospitalization units and in palliative care. The results obtained at a quantitative level, with an implementation degree of 83 and 94 per cent, respectively, are extremely encouraging. Regarding the quality of care planning, we have identified for the first time in our hospital both the NANDA, the NOC and NIC with the prevalence degree in the units studied.
authors.forename: Constancio
authors.initials: C
authors.lastname: Martinez López
authors.forename: Rafael López
authors.initials: RL
authors.lastname: Martinez de Pinillos
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Pereira Torres
authors.forename: Ana Isabel Castro
authors.initials: AI
authors.lastname: San Pedro
authors.forename: Dolores
authors.initials: D
authors.lastname: Heras Agudo
authors.forename: Ascensión
authors.initials: A
authors.lastname: Robledo González
authors.forename: Carmen
authors.initials: C
authors.lastname: Olmo Alonso
authors.forename: Natalia
authors.initials: N
authors.lastname: Trujillo Orcha
mesh_terms: D000369:Aged, 80 and over; D002908:Chronic Disease / Q000451:nursing*; D003430:Cross-Sectional Studies; D006801:Humans; D009736:Nursing Process; D010351:Patient Discharge; D011996:Records; D018570:Risk Assessment