PLANNING, IMPLEMENTATION, EVALUATION Flashcards
- What do you want to happen?
- How can you make it happen?
These are two key questions in ___________.
Planning
What is the goal of developing a plan of care?
To assist the patient in achieving an optimum or improved level of functioning.
Who does the nurse collaborate with in planning?
The client (patient) and other healthcare team members.
What are the four steps in planning?
- Setting priorities
- Establishing client goals/desired outcomes
- Selecting appropriate nursing interventions
- Writing individualized nursing interventions on the care plan
What is the purpose of setting priorities?
To determine which problems require immediate attention and which can be addressed later.
What three major factors guide priority setting?
- ABC’s of Life (Airway, Breathing, Circulation)
- Maslow’s Hierarchy of Needs
- Life Preservation
What should a nurse consider when setting priorities?
✔️ The most important problems to the patient
✔️ The effect of potential problems
✔️ Resources, personnel, and time needed
What is a goal in nursing care?
A desired change in the patient’s health status or functioning.
What are the two types of goals?
- Short-term (3 days to a week)
- Long-term (weeks to months)
What are the characteristics of a well-written goal?
(SMART criteria)
- S – Specific
- M – Measurable
- A – Attainable
- R – Realistic
- T – Time-bounded
FAMILIARIZE ONLY!
“Give an example of a SMART goal for a frail elderly man with a sacral pressure ulcer.”
✅ Short-term goal: The patient’s pressure ulcer will decrease in size by ¼ inch within one week.
✅ Long-term goal: The patient’s sacral area will exhibit no evidence of a pressure ulcer.
What are nursing interventions?
Planned activities implemented by nurses to help patients achieve their identified goals.
What are the three types of nursing interventions?
- Independent (Nurse-initiated)
- Dependent (Physician-initiated)
- Interdependent (Collaborative)
Actions nurses can perform without a physician’s order.
Independent (Nurse-initiated)
Actions based on a doctor’s orders.
Dependent (Physician-initiated)
Actions done with other healthcare team members.
Interdependent (Collaborative)
What three components make up nursing interventions?
- PDx (Diagnostics) – e.g., monitoring vital signs
- PTx (Therapeutic) – e.g., administering medications
- PEd (Patient Education) – e.g., teaching wound care
FAMILIARIZE ONLY!
“What are the criteria for selecting nursing interventions?”
✔️ Safe and appropriate for the patient
✔️ Congruent with other therapies
✔️ Realistic and attainable
✔️ Necessary to assess and monitor medical treatment
What does implementation involve?
✔️ Carrying out planned nursing activities
✔️ Delegating care to other healthcare team members
✔️ Documenting and validating care
✔️ Continuing data collection
What are the purposes of implementation?
✔️ Promote health
✔️ Prevent illness
✔️ Restore health
✔️ Assist in achieving health goals
What are the nurse’s roles during implementation?
✔️ Care aspects
✔️ Curative
✔️ Protective
✔️ Teaching
✔️ Patient advocate
What are the principles of implementing nursing care?
✔️ Maintaining individuality
✔️ Considering patient safety, comfort, and privacy
✔️ Using time, effort, and materials efficiently
✔️ Ensuring neatness and quality of care
What is the purpose of evaluation?
To determine the patient’s response to nursing interventions.
What are the three possible evaluation outcomes?
- Goal met
- Goal partially met
- Goal not met
What components are included in an evaluation statement?
Conclusion + Supporting Data
Give an example of an evaluation statement.
Goal partially met: Patient refused to ambulate in the morning but walked to the bathroom once in the afternoon with assistance.
