1. Nursing Planning
PRESENTED BY: ROOPIKA CHAUHAN

2. Introduction:
It is an purposeful activity which involves critical
thinking. It is the determination of what is to be
done, when is to be done ,where is to be done and
who will do and also how to evaluate the result.
Planning involves the interaction with client, with
family and members of health care team, review the
pertinent literature, modifies care and record
relevant information.

3. Definition:
According to Cozier (1975)
“Planning is a deliberative systematic
phase of the nursing process that involves
decision making and problem solving.”

4. According to Kropt:
“Planning is defined as the selecting and
carrying out series of action assigned to
active stated goals.”

5. 1.Assessing
5.Evaluating 2.Diagnosis
4.Impleme 3.Planning
nting •Priortize problem
•Formulate goals
•Select nursing
intervention
•Write Nsg intervention

6. Purpose of planning
•Give direction to client care
activities.
•Enhance the continuity of care.
•Permit the delegation of
specific activities.

7. Types of planning
•Initial planning
•Ongoing planning
•Discharge planning

8. A) Initial Planning:-
The nurse who performs the
admission assessment usually
develops the initial comprehensive
plan of care.
Planning should be initiated as soon
as possible after the initial assessment
because of trend toward shorter
hospital stay.

9. B)Ongoing Planning:-
The ongoing planning is done by all nurses
who give care to the client. They carry out
daily planning by using ongoing assessment
C)Discharge Planning:-
Discharge planning is a crucial part of
comprehensive health care and should be
addressed in each client’s care plan. It is
process of planning about the need of the
client which occur after the discharge of
client

10. The Planning Process
“Planning is the where nurses
determines how to provide
nursing care in an organised,
individualized, goal directed way.”

11. It consist of four phases
•Setting priorities.
•Establishing client goal/ desired
outcomes.
•Selecting the nursing strategies/
intervention.
•Writing individualized nursing
intervention on care plan.

12. a)Setting priorities
“Priority setting is the process of
establishing a preferential
sequence for addressing nursing
diagnosis and intervention.”

13. Priorities are classified as :-
a)High priority
b)Intermediate priority/Medium
priority
c)Low priority

14. Maslow’s hierarchy of need

15. b)Establishing client
goal/Desired outcome
The term goal and desired
outcomes are used
interchangeably, some references
also use the term expected
outcome, predicted outcomes
outcome criteria and objectives.

16. What is a goal?
“Goal are the statement
of expected outcome of
nursing intervention.”

17. Types of goal
Short term Long term
goal goal
Eg. Ineffective Eg. Long term goal for a
airway clearance client with an ineffective
related to the effect airway clearance may be to,
of sedation. “Remain free of upper
respiratory infection for 6
months.’’

18. Expected outcomes
e.g.- If the nursing diagnosis is
potential impaired skin integrity
related to irritating stomal changes or
discharge.
The expected outcome is the, "Skin
around stoma free of redness,
excoriation throughout
hospitalization.”

19. Component of goals/Desired
outcome
•Subject
•Verb
•Condition or Modifiers
•Criterion of desired performance

20. C) Selecting nursing
interventions and activities
Collaborative Independent
Intervention Intervention
NURSING
INTERVENTION
Dependent
Intervention

21. Selection of Intervention
a)Characteristics of the nursing
diagnosis.
b) Expected outcomes
c) Research base
d) Feasibility
e) Acceptability to the client
f) Mutually decided nursing goals

22. Writing individualized nursing
intervention:
 Nursing intervention on the care plan are
dated when they are written and reviewed
regularly at intervals that depend on
individuals need.
The format of written intervention is similar
to that of outcome: Verb, condition and
modifiers plus time element.

23. E.g.:- Assist client with tub bath at
7:00 daily or Administer analgesic 30
minutes prior to physical therapy.

24. Nursing care plan in
various setting
•In hospital setting
•In community health setting
•Discharge planning

25. How to write nursing care plan:
Column Ist:-Assessment
Column IInd:- Nursing diagnosis according
to the priority actual and potential.
Column IIIrd:- Expected outcome are
written in this according to the Nsg diagnosis.
Column IVth:- It include nursing care
Intervention which is planned.
Column Vth:- The scientific Rationale for a
specific intervention is written.
Column VIth:- Evaluation.