chapter 18: planning nursing care Flashcards
whats involved in planning nursing care
- setting priorities based on pt. diagnosis and collaborative problems
- identifying pt. centered goals and expected outcomes
- prescribing nursing interventions appropriate for each diagnosis
priority setting
- ordering of nursing diagnosis or pt. problems to establish a preferential order for nursing interventions
- problem-focused diagnoses and problems take priority over wellness, possible risk, and health promotion problems
- helps anticipate and sequence nursing interventions when a pt. has multiple nursing diagnoses and collaborative problems
- establish priorities in relation to their ongoing clinical importance
methods for prioritizing: high
- nursing diagnosis that, if untreated, results in harm to a pt. or other
- maslow’s hierarchy of needs
methods for prioritizing: intermediate
nonemergent and not life-threatening
methods for prioritizing: low
not always directly related to a specific illness or prognosis but affect a pt. future well-being
the goal of critical thinking
- a broad statement that describes the desired change in a pt. condition, perceptions, or behaviors
- short term
- long term
- standards of care or clinical guidelines established for minimal safe practice
pt. collaboration is needed to
- better priortize goals of care
- develop a realistic and relevant plan of care
interprofessional team collaboration is increasing as a result of
- more complex needs assocated with chronic diseases
- increasing complexity of skills required to diliver care
- knowledge required to provide comprehensive care to pt.
- increasing specialization within health professions
nursing outcomes
- nursing- sensitive pt. outcome
- nursing outcomes classification
expected outcomes
speicfic measurable attainable realistic times
critical thinkign in planning nursing care
select interventions designed to help pt. the present level of health described in the goal and measured by the expected outcomes
types of interventions
- nurse initiated
- healthcare provider- initiated
- other provider-initiated
selection of interventions factors to consider
- desired pt. outcvomes
- characteristics of the nursing diagnosis
- research base knowledge for the intervention
- feasibility for doing the intervention
- acceptability to the pt.
- your own competency
what did the iowa intervention project develop
nursing interventions that provide a level of standardization to enhance communication of nursing care across health care settings and to compare outcomes
includes 3 levels: domains, classes, and interventions for ease of use
linked with NANDA international nursing diagnosis
systems for planning nursing care
health care agency care plans
- nursing care plans - interprofessional care plans
- student care plans
- care plans for the community- based settings
