Transcript Phase 3 of Nursing Process

Phase 3 of Nursing Process
Planning
Definition of Planning
Is a deliberative , systematic phase of the
nursing process that involves: decision
making and problem solving
Planning is based on assessment findings
and diagnostic statements in order to
plan nursing interventions
Types of planning
1- Initial •
2- Ongoing •
3- Discharge planning •
Classification system of nursing Care
( NCP ) Plans
1- Informal nursing care plans : in mind
2- Formal NCP: written or computerized
For clients with certain condition like
3- Standardized NCP:myocardial infarction.
4- Individualized NCP
5- Multidisciplinary care plans
Guidelines for writing NCP
1- dated and signed •
2- uses headings •
3- uses standard English terms •
4- Specific 5- includes discharge planning •
6- fits clients unique situation and preferences •
7- includes collaborative activities,etc. •
Steps of the planning process
1- Setting priorities •
2- Establishing goals and outcomes •
3- Selecting planned nursing interventions •
4- writing individualized nursing interventions •
1- Setting priorities
1- High priority •
2- medium priority •
3- low priority •
Setting priorities and Maslow
Needs urgency are based on Maslow's •
Hierarchy of needs; which are:
1- Physiologic needs e.g., air
2- Safety and security 3- Love & belonging
4- Self esteem
5- Self Actualization
Factors that nurse considers when
Setting priorities
1- health values and beliefs of the client
2- clients priorities
3-resources available
4- urgency of health problem
5- medical treatment plans
Step 2: Establishing goals/outcomes
This means setting goals in terms of •
observable client responses what the nurse
hopes to achieve by implementing the nursing
intervention.
Goals are two types
1- short term goals = in acute care setting •
because mostly immediate goals
2- long term goals : in rehabilitation centres •
and home cares
Components of goal statements
1- subject •
2- verb :should be SMART •
3- Condition or modifier: what? When? how? •
4- Criterion of desired outcome : standards of •
time; quality ,distance ;and accuracy.
How to select nursing interventions in
planning care?
1- Plan interventions which are directed •
towards the causative (etiologic) origin of the
problem, if possible
2- Plan interventions that manages signs and •
symptoms which are considered defining
characteristics of the problem.
Criteria for choosing nursing
interventions
1- safe and appropriate •
2- value considering •
3- within available resources •
4- goes with institutional policies •
5- goes with nursing knowledge, etc. •
6- doesn’t conflict with other professionals roles •
Types of interventions
1- Observation interventions e.g. auscultate •
lungs to make sure no oedema develops
2- Prevention interventions: cough to prevent •
atelectasis of distal alveoli
Types of interventions
3- treatment interventions: use incentive •
spirometry to increase gas exchange
postoperatively
4- Health promotion interventions : discuss •
importance of daily physical activity for health
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: ‫المحاضرة القادمة‬
Implementing pages 100- 102
Evaluating pages 102- 104