planning Flashcards
establishing priorities
uses determinations of urgency/ importance
helps sequence nursing interventions
classifications of priorities
high - emergent
intermediate
low - affect patients future well being
priorties in practice
assess patient
identify problems
prioritize problems
identify desired outcomes
identify interventions
prioritize interventions
deliver care
evaluate interventions
Goal
a broad statement that describes the desired change in patients condition or behavior
an aim, intent or end
expected outcome
measurable change that must be achieved to reach goal
many times, several must be met to meet a single goal
goals with patients involved
always partner with pt while setting goal
mutual goals include family
act as patient advocate
patient centered goal
patient highest possible level of wellness and independence in function based on patient needs, abilities, and resources
nursing sensitive patient outcome
measurable patient, family or community state largely influenced by and sensitive to nursing interventions
writing goals and outcomes
use Smart specific measurable attainable realistic timed
critical thinking in planning
need to know
scientific rationale for the intervention
possess the necessary psychomotor and interpersonal skill
be able to function within a setting to use haelth care resources
types of interventions
nurse initiated
physician initiated
collaborative
nurse initiated
independent - actions that a nurse initiates
physician initiated
dependent - require an order from a other health care professional
collaborative
interdependent - require combined knowledge, skill, and expertise of multiple health care professionals
nursing care plan
nursing diagnoses, goals and expected outcomes, and nursing interventions, and a section for evaluation findings so any nurse is able to quickyly identify a patients clincal needs and situation
reduce risk for incomplete incorrect or inaccurate care