planning nursing care
College: Third year
Nurse established "high" priority...
Nurse established "Intermediate" priority...
Nurse established "Low" priority...
Maslow's Hierarchy of Needs (High-to lowest priority)
Goals and Expected outcomes are:
Specific statements of patient behavior or physiological responses that you set to resolve a nursing diagnosis or collaborative problem.
During planning you select goals and outcomes for each nursing diagnosis to provide a clear focus for the type of interventions needed to care for your patient and then to evaluate the effectiveness of these interventions.
The goals and outcomes need to meet established intellectual standards by being relevant to patient needs, specific, singular, observable, measurable, and time limited.
A broad statement that describes a desired change in a patient's condition or behavior. Time-limited
Ex: Diagnoses (deficient knowledge, regarding postoperative care) A goal of care for this diagnosis ("Patient expresses understanding of postoperative risks") The goal requires making Mr. Jacobs aware of the risks associated with his type of surgery.
In setting goals the time frame depends on
Nursing-sensitive patient outcome
There are seven guidelines to follow when writing goals and expected outcomes. List them:
1. Patient-centered goal
2. Singular goals/outcomes
Critical Thinking in planning nursing care
Treatments or actions based on clinical judgement and knowledge that nurses perform to meet patient outcomes.
--Choosing suitable nursing interventions involves critical thinking and your ability to be competent in 3 areas:
1. Knowing the scientific rationale for the intervention
2. Possessing the necessary psychomotor and interpersonal skills
3. Being able to function within a particular setting to use the available health care resources effectively.
Types of Interventions
-Independent nursing interventions
-Dependent nursing interventions
The six factors that nurses use to select nursing interventions for a specific patient.
Nursing care plan
Includes nursing diagnoses, goals and/or expected outcomes, specific nursing interventions, and a section for evaluation findings so any nurse is able to quickly identify a patient's clinical needs and situation.
--Sometimes takes several forms- nursing Kardex, standardized care plans, and computerized plans.
Define the purpose of the nursing care plan
Interdisciplinary care plans
Describe a Student care plan
How do SWCP differ from care plans used in hospitals?
- A student care plan helps you apply knowledge gained from the nursing and medical literature and the classroom to a practice situation.
-Students typically write a plan of care for each nursing diagnosis.
-The student care plan is more elaborate than a care plan used in a hospital or community agency because its purpose is to teach the process of planning care.
What are the components of a well written nursing intervention?
Describe Critical Pathways
Patient care management plans that provide the multidisciplinary health care team with the activities and tasks to be put into practice sequentially (over time), their main purpose is to deliver timely care at each phase of the care process for a specific type of patient.
Clearly defines transition points in patient progress and draws a coordinated map of activities by which the health care team can help to make these transitions as efficient as possible.
Improve continuity of care because they clearly define the responsibility of each health care discipline.
A concept map provides a visually graphic way to show the relationship between patient's nursing diagnoses and interventions.
- When planning care for each nursing diagnosis, analyze the relationships among the diagnoses. Draw dotted lines between nursing diagnoses to indicate their relationship to one another.
List six responsibilities of the nurse when seeking consultation
1.Identify the general problem area
2. Direct the consultation to the right professional
3. Provide the consultant with relevant information about the problem area
4. Do not prejudice or influence the consultants
5. Be available to discuss the findings and recommendations
6. Incorporate the recommendations into the plan of care
The Nursing Interventions Classification (NIC) taxonomy
dependent nursing interventions
nursing care plan
nursing-sensitive client outcome