Assessment includes both the art and science of nursing. Through experience and judgment the nurse will objectively and critically apply the results of the data analysis in planning, implementing, and evaluating outcomes. The nurse case manager reviews the plan of care for consensus among all parties. The plan of care is then documented incorporating legal and ethical issues. The client, significant others, or health care providers may be designated to implement interventions within the plan of care.
Evaluation is systematic and ongoing.
This provides the opportunity for continuous improvement. Nurse case managers continually evaluate each individual's health plan and challenge and attempt to overcome those obstacles that affect outcomes. Such obstacles may require the nurse case manager to reassess and revise the plan of care. Interaction is essential to successful case management. It is inherent in all phases of the nursing case management process.