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 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 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. 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 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 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 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 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 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. 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. 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 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 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 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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