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 Plans ( NCP )

1 -Informal nursing care plans : in mind

2 -Formal NCP: written or computerized

For clients with certain condition like myocardial

infarction.:3- Standardized NCP

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 whenSetting 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

• should be SMART: 2- verb

•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

Thanks for sharing

القادمة : المحاضرةImplementing pages 100- 102

Evaluating pages 102- 104