PLANNING Flashcards
a deliberative, systematic phase of the nursing process that involves decision making and problem solving.
Planning
What are the three types of planning?
- Initial Planning
- Ongoing Planning
- Discharge Planning
initiated as soon as possible after the initial assessment
Initial planning
Daily planning based on ongoing assessment data
Ongoing planning
Anticipating and planning for needs after discharge
Discharge planning
Developing Care Plans
* Informal Nursing Care Plan: A strategy for action that exists in the nurse’s mind.
* Formal Nursing Care Plan: A written or computerized guide organizing client care information.
* Standardized Care Plan: Specifies nursing care for groups of clients with common needs.
* Individualized Care Plan: Tailored to meet the unique needs of a specific client.
A strategy for action that exists in the nurse’s mind.
Informal nursing care plan
A written or computerized guide organizing client care information.
Formal nursing care plan
Specifies nursing care for groups of clients with common needs.
Standardized care plan
Tailored to meet the unique needs of a specific client.
Individualized care plan
What are the standardized approaches to care planning?
- PROTOCOLS indicate actions required for a particular group of clients.
- POLICIES and PROCEDURES govern frequently occurring situations.
- STANDING ORDER are written documents about policies regarding client care.
Formats for Nursing Care Plans
1. Problem/Nursing Diagnoses
2. Goals/Desired Outcomes
3. Nursing Interventions
4. Evaluation
what are the 4 formats for nursing care plans?
- Problem/Nursing Diagnoses
- Goals/Desired Outcomes
- Nursing Interventions
- Evaluation
Guidelines for Writing Nursing Care Plans
1. Date and sign the plan.
2. Use category headings.
3. Use standardized symbols and key words.
4. Be specific.
5. Refer to procedure books for details.
6. Tailor the plan to the unique characteristics of the client.
7. Incorporate preventive and health maintenance aspects.
8. Ensure ongoing assessment of the client.
9. Include collaborative and coordination activities.
10. Include plans for discharge and home care needs.
what are the planning process?
- Setting priorities
- Establishing client goals/desired outcomes
- Selecting nursing interventions and activities
- Writing individualized nursing interventions on care plans.
it is the process of establishing a preferential sequence for addressing nursing diagnosis and interventions
Priority Setting
What are the four factors in setting priorities?
- Client’s health values and beliefs.
- Client’s priorities.
- Urgency of the health problem.
- Medical treatment plan.
Purpose of Goals/Desired Outcomes
1. Provide direction for planning nursing interventions.
2. Serve as criteria for evaluating client progress.
3. Enable the client and nurse to determine when the problem has been resolved.
4. Help motivate the client and nurse.
“Client will raise right arm to shoulder height by Friday.”
Short-term goal
“Client will regain full use of right arm in 6 weeks.”
Long-term goal
Components of Goal/Desired Outcome Statements
- Subject
- Verb
- Conditions or Modifiers
- Criterion of Desired Performance
A noun, the client.
Subject
Specifies an action the client is to perform.
Verb
Explain circumstances under which the behavior is to be performed.
They explain what, where, when, or how.
Conditions or Modifiers
Indicates the standard by which performance is evaluated.
may specify time or speed, accuracy, distance, and quality
Criterion of Desired Performance
Guidelines for Writing Goals/Desired Outcomes
1. Write in terms of client responses, not nursing activities.
2. Ensure outcomes are realistic.
3. Ensure compatibility with other therapies.
4. Make sure each goal is derived from one nursing diagnosis.
5. Use observable, measurable terms.
6. Ensure the client values the goals/outcomes.
what are the three types of nursing intervention?
- Independent Interventions
- Dependent Interventions
- Collaborative Interventions
Activities initiated by nurses based on their knowledge and skills.
Independent interventions
Activities carried out under orders from licensed providers
Dependent interventions
action scared out in collaboration with other health members
Collaborative interventions
Criteria for Choosing Nursing Interventions
* Must be safe and appropriate for the individual.
* Achievable with available resources.
* Congruent with the client’s values and beliefs.
* Congruent with other therapies.
* Based on nursing knowledge and experience.
* Within established standards of care.
