Planning Flashcards
An intentional, systematic phase of the nursing process that involves decision-making and problem-solving.
Planning
Any treatment, based upon clinical judgement and knowledge, that a nurse performs to enhance patient/client outcomes.
Nursing Intervention
- The nurse performs the admission assessment
- Should be initiated as soon as possible after the initial assessment
Initial Planning
- The nurse works with the client
- The nurse obtains new information and evaluate the client’s responses to care
- Occurs at the beginning of a shift as the nurse plans the care to be given that day
Ongoing Planning
Using ongoing assessment data, the nurse carries out daily planning for the following purposes:
- To determine whether the client’s __________ has changed
- To set _________ for the client’s care during the shift
- To decide which __________ to focus on during the shift
- To coordinate the __________ so that more than one problem can be addressed at each client contact
(1) health status
(2) priorities
(3) problems
(4) nurse’s activities
- The process of anticipating and planning for needs after discharge
- Crucial part of a comprehensive healthcare plan and should be addressed in each client’s care plan
Discharge Planning
- A strategy for action that exists in the nurse’s mind
- “Mrs. Phan is very tired. I will need to reinforce her teaching after she is rested.”
Informal Nursing Care Plan
- A written or computerized guide that organizes information about the client’s care
- Provides for continuity of care
Formal Nursing Care Plan
- Is a formal plan that specifies the nursing care for groups of clients with common needs
- e.g., all clients with myocardial infarction
Standardized Care Plan
- Tailored to meet the unique needs of a specific client
- Needs that are not addressed by the standardized plan
Individualized Care Plan
During the planning phase, the nurse must:
(a) Decide which of the client’s problems need (1) __________ which problems can be addressed by standardized plans and routine care
(b) Write (2) __________ and nursing interventions for client problems that require nursing attention beyond preplanned, routine care
(1) individualized plans
(2) individualized desired outcomes
Standards of care, standardized care plans, protocol, policies, and procedures are developed and accepted by the nursing staff in order to:
(a) Ensure that (1) __________ are met
(b) Promote efficient use of nurses’ (2) __________ by removing the need to author _________ done repeatedly on clients
(1) minimially acceptable criteria
(2) time / common activities
- Describe nursing actions for clients with similar medical conditions rather than individuals
- Describe achievable rather than ideal nursing care
Standards of Care
TRUE OR FALSE
The standards of care do not contain medical interventions
TRUE
Standards of care are written from the perspective of the nurse’s __________
responsibilities
- Are predeveloped guides for the nursing care of a client who has a need that arises frequently in the agency
- Are written from the perspective of what care the client can expect
Standardized Care Plans
- Are predeveloped to indicate the actions commonly required for a particular group of clients
- Include both the primary care provider’s orders and nursing interventions
Protocols
- Are developed to govern the handling of frequently occuring situations
- Do not become part of the care plan or permanent record
Policies and Procedures
- A written document about policies, rules, regulations, or orders regarding client care
- Give nurses authority to carry out specific actions under certain circumstances, often when a primary care provider is not presently available
Standing Order
The nurse uses (1) __________ for predictable, commonly occuring problems, and creates an (2) __________ for unusual problems
(1) standardized care plans
(2) individualized plan
The care plan is often organized into four sections:
1. __________
2. __________
3. __________
4. __________
(1) Problem or nursing diagnoses
(2) Goals or desired outcomes
(3) Nursing interventions
(4) Evaluation
Is the evidence-based principle given as the reason for selecting a particular nursing intervention
Rationale
A visual tool in which ideas or data are enclosed in circles or boxes of some shape, and relationships between these are indicated by connecting lines or arrows
Concept Map
- Is a standardized care plan that outlines tha care required for clients with common, predictable (usually medical) conditions
- Includes both nursing interventions and medical treatments
Multidisciplinary Care Plan / Collaborative Care Plans / Critical Pathways
