PLANNINGSUPERVISED BY : Mrs. Lekha Singh Lecturer,(NIN)PRESENTED BY : Monika Sharma M.Sc.Nursing 1st year(NIN)
Till now: Introduction to nursing processAssessmentDiagnosisSetting 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 interventionsNurse-initiated interventionsDependent-nursing interventionsCollaborative interventions:
Types of nursing interventionsNurse-initiated interventionse.g. elevating an oedematous extremity.
Types of nursing interventionsDependent-nursing interventionse.g. administration of medications, preparingclient for diagnostic test
Types of nursing interventionsCollaborative 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 actionsIt should be documented
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.