PLANNING Flashcards
It is an intentional, systematic phase of the
nursing process that involves decision-making and
problem-solving.
PLANNING
A treatment, based upon clinical
judgment and knowledge, that a nurse performs to
enhance patient/client outcomes.
NURSING INTERVENTION
In planning, the nurse will refer to the client’s _________ and _________ for direction in formulating client goals and designing the nursing
interventions required to prevent, reduce, or eliminate
the client’s health problems.
ASSESSMENT DATA AND DIAGNOSTIC STATEMENTS
Authors that propose nursing
intervention is “any treatment, based upon clinical
judgment and knowledge, that a nurse performs to
enhance patient/client outcomes”
Butcher, Bulechek, Dotcherman, 2018
NOTE: Nurses do not plan for the
client but encourage the client to participate actively to
the extent possible
A type of planning that the nurse perform the admission assessment. In this way the nurse has the benefit of seeing the client’s body language and can also gather some intuitive kinds of information.
Initial Planning
Analyze the scenario and determine what kind of planning:
A patient is admitted to the hospital with a diagnosis of pneumonia. During the phase, the nurse conducts a comprehensive assessment, which includes obtaining the patient’s medical history, performing a physical examination, and reviewing laboratory results (e.g., chest X-ray, blood tests). Based on the assessment findings, the nurse identifies nursing diagnoses such as “ineffective airway clearance,” “impaired gas exchange,” and “risk for infection.” The nurse then formulates a care plan, which may include interventions such as administering antibiotics, providing supplemental oxygen, and encouraging deep breathing exercises to promote lung expansion
Initial Planning
Analyze the scenario and determine what type of planning: As the patient with pneumonia approaches discharge from the hospital, the nurse begins discharge planning to facilitate a smooth transition home. The nurse assesses the patient’s readiness for discharge, evaluates their understanding of self-care instructions, and identifies any barriers to adherence or follow-up care. For instance, the nurse may arrange for a home health nurse to visit the patient after discharge to monitor their recovery, administer medications, and provide additional education on managing symptoms and preventing recurrence. The nurse also ensures that the patient has access to necessary resources, such as prescriptions, medical equipment (e.g., oxygen tank), and follow-up appointments with primary care providers or specialists, to support their ongoing recovery and prevent readmission.
Discharge
Analyze the scenario and determine what type of planning:
As the patient with pneumonia progresses through treatment, the nurse conducts ongoing assessments to monitor their respiratory status and overall condition. If the patient’s oxygen saturation improves and respiratory distress decreases, the nurse may revise the care plan accordingly. For example, the nurse may adjust the oxygen therapy, reduce the frequency of respiratory treatments, and initiate mobility exercises to prevent complications such as atelectasis or pneumonia-associated weakness. Ongoing planning also involves collaborating with the healthcare team to ensure coordinated care and address any new concerns or changes in the patient’s condition.
Ongoing Planning
A crucial part of a comprehensive healthcare plan and should be addressed in each client care
Discharge Planning
What is the end of planning phase of the nursing process?
Informal and formal care plan
A strategy for action that exist in the nurse mind?
Informal nursing care plan
A written or computerized guide that organizes information about the client’s care. The most obvious benefit
of a formal written care plan is that it provides for continuity of care.
Formal nursing care plan
A formal plan that specifies the nursing care for groups of clients with common
needs
Standardized care plan
describe nursing actions for clients with similar medical conditions rather than individuals, and they describe achievable rather than ideal
nursing care.
Standards of care
Predeveloped guides for
the nursing care of a client who has a need that arises frequently in the agency.
Standardized of care
They are written from the perspective of the nurse’s responsibilities.
Standards of care
Reminder: protocols are step by step instructions for a specific situations in a healthcare
Policies: Policies are like the rules and guidelines for how things work in a healthcare setting.
Predeveloped to indicate the actions commonly required for a particular group of clients
Protocols
Developed to govern the
handling of frequently occurring situations.
Policies and procedures
a written document about policies, rules, regulations, or orders regarding client care.
It give nurses the authority to carry out
specific actions under certain circumstances, often
when a primary care provider is not immediately available.
Standing order
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
Comprehensive and coordinated plan of care developed collaboratively by a team of healthcare professionals from different disciplines, such as doctors, nurses, therapists, social workers, and others
Multidisciplinary care plan
