PLANNING Flashcards
is an intentional, systematic phase of the nursing process that involves decision-making and problem-solving.
Planning
is “any treatment, based upon clinical judgment and knowledge, that a nurse performs to enhance patient/client outcomes”
nursing interventions
The nurse who performs the admission assessment usually develops the initial comprehensive plan of care. This nurse has the benefit of seeing the client’s body language and can also gather some intuitive kinds of information that are not available solely from the written database.
Initial planning
All nurses who work with the client do ongoing planning. As nurses obtain new information and evaluate the client’s responses to care, they can individualize the initial care plan further.
Ongoing planning
the process of anticipating and planning for needs after discharge, is a crucial part of a comprehensive healthcare plan and should be addressed in each client’s care plan.
discharge planning
is a strategy for action that exists in the nurse’s mind.
Informal nursing care plan
is a written or computerized guide that organizes information about the client’s care.
Formal nursing care plan
is a formal plan that specifies the nursing care for groups of clients with common needs.
Standardize Care plan
is tailored to meet the unique needs of a specific client needs that are not addressed by the standardized plan.
Individualized care plan
are predeveloped to indicate the actions commonly required for a particular group of clients.
Protocols
are developed to govern the handling of frequently occurring situations.
Policies and procedure
is a written document about policies, rules, regulations, or orders regarding client care.
Standing order
Because student care plans are a learning activity as well as a plan of care, they may be lengthier and more detailed than care plans used by working nurses.
Student care plan
_________is the evidence-based principle given as the reason for selecting a particular nursing intervention. Students may also be required to cite supporting literature for their stated ___________
rationale
Computers are increasingly being used to create and store nursing care plans. The computer can generate both standardized and individualized care plans.
Computerized care plan
is a standardized plan that outlines the care required for clients with common, predictable—usually medical—conditions.
Multidisciplinary care plan
is the process of establishing a preferential sequence for addressing nursing diagnoses and interventions.
priority setting
On a care plan, the ________________describe, in terms of observable client responses, what the nurse hopes to achieve by implementing the nursing interventions.
goals or desired outcomes
are stated in neutral terms, and each outcome includes a five-point scale (a measure) that is used to rate the client’s status on each indicator.
indicator
are those activities that nurses are licensed to initiate on the basis of their knowledge and skills.
independent interventions
are activities carried out under the orders or supervision of a licensed physician or other healthcare provider authorized to write orders to nurses.
dependent interventions
are actions the nurse carries out in collaboration with other health team members, such as physical therapists, social workers, dietitians, and primary care providers.
Collaborative interventions