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23 Cards in this Set
- Front
- Back
Explain the Planning Phase |
It determines: How to prevent, reduce or resolve the identified priority client problem. How to support client strength and how to implement nursing Interventions in an organized, individualized and goal - directed manner |
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What is the Purpose of the Planning Phase? |
To develop an individualized care plan that specifies client goals/ desired outcomes and related nursing Interventions |
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Activities in the Planning Phase |
Consult other health professionals Write nursing care plan and interventions Communicate care plan to relevant health care providers |
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Types of Planning |
Initial Ongoing Discharge |
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Explain Initial Planning |
Occurs after assessment data is collected after admission |
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Explain Ongoing Planning |
Done by all nurses engaging in the care of the client. (Beginning of a shift) |
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Explain Discharge Planning |
Anticipating and planning for needs after discharge ( begins with clients contact and continues throughout hospitalization) |
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Guidelines for writing Nursing care plan |
Date and sign the plan Use category headings Use standardized approved terminology & symbols Be specific |
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Maslow's Hierarchy of Needs |
Self actualization Esteem Belonging Safety Physiological |
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Factors to consider when assigning priorities |
Client health value and beliefs Client priorities Resource available to nurse and client Urgency of health problem Medical treatment plan. |
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What is Included in the Planning Phase? |
Goals (short term/long term) Objectives |
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Components of Goals / Desired outcome Statement |
Subject - client, noun, part of the client Verb- action to be performed Condition / behavior / modifier - Circumstances under which action is to be performed Performance criterion - standard by which performance is measured ( time, speed, quality, accuracy, distance) |
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Guidelines for writing Goal / Outcome Statements |
Write in terms of the clients responses Must be realistic Ensure compatibility with the therapies of other professionals Derive from only one nursing Diagnosis Use observable measurable terms |
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Guidelines for writing objectives |
S.M.A.R.T Specific Measurable Achieveable Realistic Time sensitive |
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What is the Nursing Outcomes Classification (NOC)? |
A comprehensive, standardized, classification of patients / client outcomes developed to evaluate the effects of interventions provided by nurses or other health care professionals |
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Nursing Interventions |
Focuses on eliminating or reducing etiology of nursing Diagnosis Treat signs/symptoms and defining characteristics |
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Types of Nursing Interventions? |
Independent Dependent Collaborative |
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Explain Independent Interventions |
Those activities that nurses are licensed to initiate on the basis of their knowledge and skills. |
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Explain Dependent Interventions |
Activities carried out under the primary care providers ( doctors) orders or supervision. (Eg. Administering medication) |
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Explain collaborative interventions |
Actions carried out by a nurse and another health care professionals |
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Components of a Independent Nursing Intervention |
Date Verb Subject Descriptive phase ( how, when, where, how often, how long) |
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When was the Nursing Interventions Classification (NIC) formed ? |
1987 |
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A comprehensive standardized language that describes the treatments that nurses perform |
Nursing Interventions Classification (NIC) |