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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

What is the Purpose of the Planning Phase?

To develop an individualized care plan that specifies client goals/ desired outcomes and related nursing Interventions

Activities in the Planning Phase

Consult other health professionals


Write nursing care plan and interventions


Communicate care plan to relevant health care providers

Types of Planning

Initial


Ongoing


Discharge

Explain Initial Planning

Occurs after assessment data is collected after admission

Explain Ongoing Planning

Done by all nurses engaging in the care of the client. (Beginning of a shift)

Explain Discharge Planning

Anticipating and planning for needs after discharge ( begins with clients contact and continues throughout hospitalization)

Guidelines for writing Nursing care plan

Date and sign the plan


Use category headings


Use standardized approved terminology


& symbols


Be specific

Maslow's Hierarchy of Needs

Self actualization


Esteem


Belonging


Safety


Physiological

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.

What is Included in the Planning Phase?

Goals (short term/long term)


Objectives

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)


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

Guidelines for writing objectives

S.M.A.R.T



Specific


Measurable


Achieveable


Realistic


Time sensitive

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

Nursing Interventions

Focuses on eliminating or reducing etiology of nursing Diagnosis


Treat signs/symptoms and defining characteristics

Types of Nursing Interventions?

Independent


Dependent


Collaborative

Explain Independent Interventions

Those activities that nurses are licensed to initiate on the basis of their knowledge and skills.

Explain Dependent Interventions

Activities carried out under the primary care providers ( doctors) orders or supervision. (Eg. Administering medication)

Explain collaborative interventions

Actions carried out by a nurse and another health care professionals

Components of a Independent Nursing Intervention

Date


Verb


Subject


Descriptive phase ( how, when, where, how often, how long)


When was the Nursing Interventions Classification (NIC) formed ?

1987

A comprehensive standardized language that describes the treatments that nurses perform

Nursing Interventions Classification (NIC)