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
13. STEPES OF PLANNING
Prioritizing the identified
nursing diagnosis
Developing goals/outcomes
statement
Planning nursing action
Documenting the nursing
process
16. PLANNING NURSING CARE
Planning nursing interventions for specific
nursing diagnoses means determining the
actions or activities which will achieve the
expected outcome
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
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.
