PLANNING, IMPLEMENTATION, EVALUATION Flashcards
3 types of planning
initial, ongoing, discharge
the planning process (4)
- setting priorities
- establishing client goals or desired outcomes
- selecting nursing interventions
- writing individualized nursing intervention on care plans
life-threatening problems
high priority
health- threatening problems, i.e. acute illness and decreased coping ability because they may result in delayed development or cause destructive physical or emotional change
medium priority
arise from normal developmental needs or that requires only minimal nursing support
low priority
3 guides for setting priorities
- hierarchy of needs
- ABCs
- life preservation
describes a change in the patient’s health status or functioning
goal
outcomes in patient’s status or behavior that can be achieved fairly quickly in a matter of hours or days
short term goals
- give direction for nursing care over time, usually more than a week.
- often used for clients who have chronic health problems
long term goals
goals should be SMART, what does smart stand for?
- specific
- measurable
- attainable
- realistic
- time bounded
the goal statement is a patient behavior that demonstrates reduction of the problem identified in the nursing diagnosis
specific
write goals in observable or measurable terms whenever possible
measurable
all goals include a time at which point the patient is to be evaluated for goal achievement
time bounded
formula for writing a goal statement
- patient’s behavior
- criteria of performance
- time
- conditions
an observable activity that the patient will demonstrate
patient’s behavior
the level at which the patient will perform the behavior
criteria of performance
designated time or date when the patient should be able to achieve the behavior
time
the circumstances, if important, under which the behavior will be performed
condition
activities the nurse plans and implement to help a patient achieve identified goal
nursing interventions
any treatment based on clinical judgment and knowledge that the nurse performs to enhance patient outcomes
nursing interventions
involves carrying out actions that nurses initiate without the direction or supervision of another health care professional and that the result from their assessment of patient needs
independent / nurse-initiated interventions
involves carrying out physician prescribed orders which commonly direct the nurse to provide medications, IV therapy, diagnostic tests, treatments, diets, and activity
dependent / physician-initiated interventions
actions that the nurse carries out in collaboration with other health team members, such as physical therapists, social workers, dieticians, and physicians; those performed jointly by nurses and other members of the health care team
interdependent / collaborative interventions
components of nursing intervention (3)
PDx - diagnostics
PTx - therapeutics
PEd - education / health teaching
