NURSING CARE PLAN

1. NURSING CARE PLAN
MS. POOJA SEN
NURSING LECTURER (MHN)

2. DEFINITION
Involve determining before and the strategies or
course of action to be taken before implementation
of nursing care.
MS. POOJA SEN
NURSING LECTURER(MHN)

3. PURPOSE
Nursing care plans are an important part of providing quality care.
They help to define the nurse's role in the patient's treatment.
Provide consistency of care and allow the nursing to customize its
interventions for each patients.
It promotes holistic treatment of the patients and helps define
specific goals for the patients.
Defining patients' goals.
MS. POOJA SEN
NURSING LECTURER(MHN)

4. STEPS OF NURSING CARE PLAN
MS. POOJA SEN
NURSING LECTURER(MHN)

5. NURSING CARE PLAN
CRITERIA
S- SPECIFIC
M – MEASURABLE
A – ACHIEVABLE
R – RELEVENT
T – TIME BOUND MS. POOJA SEN
NURSING LECTURER(MHN)

6. EXAMPLE OF
NURSING CARE PLAN
MS. POOJA SEN
NURSING LECTURER(MHN)

7. Nursing Diagnosis #1: Ineffective Airway Clearance (3-Part)
Subjective Data:
• “I can’t breathe properly.”
• “I feel tightness in my chest.”
• Objective Data:
• Wheezing on auscultation
• Use of accessory muscles
• Cough with thick sputum
• RR = 28 breaths/min
• O₂ sat = 89% on room air

8. Diagnosis:
•Ineffective airway clearance related to bronchospasm and
increased mucus as evidenced by wheezing, dyspnea, and ineffective
cough
Goal:
•Patient will maintain a clear airway with normal breath sounds and
effective coughing within 24–48 hours.

9. Intervention
1. Monitor respiratory rate, breath sounds, and O₂ saturation every 2–4 hours
2. Encourage fluid intake if not contraindicated
3. Administer prescribed bronchodilators and corticosteroids
4. Teach patient to perform deep breathing and coughing exercises
5. Position in high Fowler’s position
Evaluation:
•Patient is coughing effectively, O sat improved to 95%, breath
₂
sounds clearer, and respiratory rate decreased to 20 bpm.