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
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