Capturing key function‐focused care problems, nursing diagnoses, and interventions for nursing home patients using a web‐based case management system

Abstract Purpose The aim of this study is to identify the key functional care problems, NANDA‐I nursing diagnoses, and intervention plans related to function‐focused care (FFC) using a web‐based case management system for patients who present different cognitive status. Methods This study employed a retrospective descriptive research design. Data were obtained from system records on patients after the research team trained the case management system at a nursing home in Dangjin in South Chungcheong Province, South Korea. A total of 119 inpatient records were analyzed. Results The key physical, cognitive, and social functional problems, nursing diagnoses in six domains (health promotion, elimination and exchange, activity/rest, perception/cognition, coping/stress tolerance, and safety/protection), and intervention plans were identified. Conclusion The identified FFC case management information of interdisciplinary caregivers will provide evidence for the implementation of effective interventions according to a patient's functional status. Additional studies related to the establishment of a large clinical database of advanced case management systems focusing on interdisciplinary caregivers’ functional management are needed to support the prioritization of functional care.