The document discusses the planning step of the nursing process. Planning involves setting client-centered goals and expected outcomes, and planning nursing interventions. It is done by prioritizing identified nursing diagnoses, setting measurable goals, and planning nurse-initiated, dependent, and collaborative interventions. Guidelines for writing the plan include making actions specific, realistic, sequential, and flexible. Nursing orders describe actions to be done and communicate care priorities. Concept maps visually show the relationship between problems and interventions. Overall, planning is an important step to develop an organized care plan to promote health and prevent illness.

2. PLANNING
SUPERVISED BY : Mrs. Lekha Singh
Lecturer,(NIN)
PRESENTED BY : Monika Sharma
M.Sc.Nursing 1st year(NIN)

4. Till now:
 Introduction to nursing process
Assessment
Diagnosis
Setting up of goals

5. INTRODUCTION
Planning is the third step of the
nursing process, is a category of
nursing behaviours in which a nurse
sets a client cantered goal, expected
outcomes and plans nursing
interventions.

6. 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.

7. 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.

8. PURPOSE
to develop the care plan that specifies the goals and
interventions
to promote, maintain, restore prevent illness

9. ADVANTAGES
Management by objectives
Facilitate communication
Strengthen nursing process

10. CONT…
Facilitate quality care
Minimizes uncertainities
Facilitate co-ordination

11. CONT…
Improves moral
economy
Facilitate controlling

13. STEPES OF PLANNING
Prioritizing the identified
nursing diagnosis
Developing goals/outcomes
statement
Planning nursing action
Documenting the nursing
process

14. PRIORITISING NURSING
DIAGNOSIS

15. SETTING GOALS

16. PLANNING NURSING CARE
Planning nursing interventions for specific
nursing diagnoses means determining the
actions or activities which will achieve the
expected outcome

17. Types of nursing interventions
Nurse-initiated interventions
Dependent-nursing interventions
Collaborative interventions:

18. Types of nursing interventions
Nurse-initiated interventions
e.g. elevating an oedematous extremity.

19. Types of nursing interventions
Dependent-nursing interventions
e.g. administration of medications, preparing
client for diagnostic test

20. Types of nursing interventions
Collaborative interventions:
e.g teaching exercises to the patient (need consultation of
physiotherapist), Teaching about diet plan(need consultation of
dietician)

21. 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

22. 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

23. 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 )

24. CONT…
Do not plan any nursing actions which can interfere
with other therapies,
, involve the client in planning the nursing actions
It should be documented

25. Characteristics
Goal measurable
directed
sequential flexible

26. Characteristics
future continuous
oriented process
intellectual decision
process making

27. Nursing orders
 The nurse writes Nursing actions or interventions in the
nursing care plan as nursing orders
 Nursing orders describe the specific actions or activities
which are to be done by all nurses caring for that client.

28. 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.

29. 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.

30. CONCEPT MAPS:
It is the visual representation of client’s problems and
interventions that shows the relationship to one another.

32. RECAPTULIZATION

33. BIBLIOGRAHY