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Planning ..phase of nursing process
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Planning ..phase of nursing process






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Planning ..phase of nursing process Planning ..phase of nursing process Presentation Transcript

  • PLANNINGSUPERVISED BY : Mrs. Lekha Singh Lecturer,(NIN)PRESENTED BY : Monika Sharma M.Sc.Nursing 1st year(NIN)
  • Till now: Introduction to nursing processAssessmentDiagnosisSetting up of goals
  • INTRODUCTIONPlanning is the third step of thenursing process, is a category ofnursing behaviours in which a nursesets a client cantered goal, expectedoutcomes and plans nursinginterventions.
  • DEFINITION: Plan is a scheme, program, or method worked out beforehand for the accomplishment of an objective. A category of nursing behaviour in which a strategy is designed to achieve the goals of care for an individual patient, as established in assessing and analyzing.
  • CONT… Planning (also called forethought) is the process of thinking about and organizing the activities required to achieve a desired goal. A nursing care plan is a part of the nursing process which outlines the plan of action that will be implemented during a patients’ medical care.
  • PURPOSE to develop the care plan that specifies the goals and interventionsto promote, maintain, restore prevent illness
  • ADVANTAGES Management by objectives Facilitate communication Strengthen nursing process
  • CONT…Facilitate quality care Minimizes uncertainities Facilitate co-ordination
  • CONT…Improves moral economy Facilitate controlling
  • STEPES OF PLANNING Prioritizing the identified nursing diagnosis Developing goals/outcomes statement Planning nursing action Documenting the nursing process
  • PLANNING NURSING CAREPlanning nursing interventions for specificnursing diagnoses means determining theactions or activities which will achieve theexpected outcome
  • Types of nursing interventionsNurse-initiated interventionsDependent-nursing interventionsCollaborative interventions:
  • Types of nursing interventionsNurse-initiated interventionse.g. elevating an oedematous extremity.
  • Types of nursing interventionsDependent-nursing interventionse.g. administration of medications, preparingclient for diagnostic test
  • Types of nursing interventionsCollaborative interventions:e.g teaching exercises to the patient (need consultation ofphysiotherapist), Teaching about diet plan(need consultation ofdietician)
  • GUIDELINES FOR WRITING PLANNING: Identify the problem E.g Potential impairment of skin integrity related to prolonged bed rest.  identifies the etiological factors E.g: Potential impairment of skin integrity related to prolonged bedrest.  identifies the signs and symptoms present E.g: Impaired skin integrity related to prolonged bedrest as evidenced by red sacral pressure point
  • GUIDELINES FOR WRITING PLANNING:  individualized to the client  based upon the goals to be achieved  should start with “TO ”.  should be cost effective (for nutrition either sprouts, anar)  Put safety first  should have scientific rationale
  • GUIDELINES FOR WRITING PLANNING: State nursing actions clearly and specifically(to increase fluid intake in patient) Make nursing actions realistic (limitations, age, developmental level, capabilities and resources available )
  • CONT…Do not plan any nursing actions which can interferewith other therapies,, involve the client in planning the nursing actionsIt should be documented
  • Characteristics Goal measurabledirected sequential flexible
  • Characteristics future continuousoriented process intellectual decision process making
  • Nursing orders The nurse writes Nursing actions or interventions in thenursing care plan as nursing orders Nursing orders describe the specific actions or activitieswhich are to be done by all nurses caring for that client.
  • Importance of writing nursing orders  communicates nursing care priorities  Identifies and co-ordinates resources  Organizes information exchanged in change of shift reports.  It enhances the continuity of care.
  • Importance of writing nursing orders  Written plans includes the expected outcome , so we can evaluate weather goal has been achieved or not.  A written care plan is blueprint of action so we can implement it easily and evaluate the client’s response to nursing actions.
  • CONCEPT MAPS: It is the visual representation of client’s problems andinterventions that shows the relationship to one another.