CONCEPT MAP

PLANNING

Client's health values and

beliefs.
formal standardi
zed Client's priorities
Resource.s available to the
nurse and client.
Setting Urgency of the health problem.
informal Medical treatment plan.
individu
alized
Priorities factors

end product Provide direction for planning nursing

interventions
Serve as criteria for evaluating client's
progress
Purpose Enable the client and nurse to
activities Establishing
determine when the problem has been
DEVELOPING OF NURSING restored
PLANNING client Help motivate the client and nurse by
CARE PLANS goals/desired providing a sens of achievement.
outcomes
Subject
components
Verb
Conditions or modifiers
Criterion of desired outcomes
FORMAT
may be Short-term goals
GUIDELINES FOR WRITING Long-term Goals

Selecting
nursing INDEPENDENT
interventions INTERVENTIONS
and Types
Date and sign the plan activities
Discharge Use category headings Computeri DEPENDENT
Use standardized/ Student zed INTERVENTIONS
Types
Planning approvedmedical or English Care Care
symbols and key words rather Plans Plans considering the COLLABORATIVE
than complete sentences to consequences INTERVENTIONS
communicate your ideas unless
agency policy dictates
otherwise. CRITERIA Safe and appropriate for the individual's age,
Be specific health, and condition
Ongoing Refer to procedure books achievable with the resources available
Planning or other sources of Congruent with client's values, beliefs, and
Initial information rather than culture
Planning including the steps on a Based on nursing knowledge and experience or
written plan. knowledge from relevant sciences.
Tailor the plan to the Within established standards of care as
unique charcteristics of determined by state laws, professional
the client by ensuring that
the client's choices, such
as prefernces about the
tmes of care and methods
used, are included.
Ensure that the nursing
plan incorporates
preventive and health
maintenance aspects as
well as restorative ones.
Ensure that the plan Writing OBSERVATIONS
contains ongoing process. individualized
Relationship
PREVENTION
assessment of the client nursing of nursing
INTERVENTIONS
Include collaborative and interventions interventions
TREATMENTS
coordination activities in on care to problem ENHANCEMENT OR
the plan plans
Include plans forthe status PROMOTION
client's discharge and INTERVENTIONS
home care needs.
 CONCEPT MAP

IMPLEMENTING AND EVALUATING

cognitive interpers Technical

skills onal Reassessing Determining Implementing
skills skills the nurse's Supervising Documenting
the need for the nurse's
intervention the delegate nursing
client assistance care activities
Implementing skills
Process of implementing

Just before The nurse may require GUIDELINES: If care has been
IMPLEMENTING assistance for the Base nursing delegated to other After carrying out
implementing an following reasons: intervention on health care the nursing
intervention, the The nurse is scientific knowledge, personnel, the activities, the
nurse must reassess unable to nursing research and nurse responsible nurse completes
the client to make implement the professional standards the implementating
sure the intervention of care. for the client's
is still needed. Even nursing activity Clearly understand the overall care must phase by recording
though an order is safely or intervention to be ensure that the the interventions
written on the care efficiently alone. implemented and activities have and client
Assistance would question any that are been implemented responses in the
plan, the client's reduce stress on not understood. according to the nursing progress
condition may have the client Adapt activities to the care plan. notes.
consists of doing and changed. The nurse. lacks individual client.
the knowledge or Implement self-care
documenting the Provide teaching,
activities that are the skills to support and comfort.
specicif nursing actions implement a Be holistic.
needed to carry out the particular nursing Respect the dignity of
interventions. activity. the client and enhance
the client's self-
IMPLEMENTING esteem
Encourage clients to
participate actively in
AND implementing the
nursing intervention.
EVALUATING is a planned, ongoing, purposeful
activity in which clients and health
care professionals determine:
The client's progress toward
achievement of goal outcomes.
The effectiveness of the
nursing care plan.
Continuing,
Collecting Comparing Relating Drawing modifying,
data related the data nursing conclusions or
Components to the with desired activities about terminating
desired outcomes outcomes problem the
outcomes status nursing
care plan
Process of evaluating

client responses

EVALUATING POSSIBLE
Using the clearly The nurse use After drawing
stated, precise, and CONCLUSIONS: The third phase conclusions about
measurable desired The goal was met; determines whether judgements about goal
achievement to the status of the
outcomes as a guide that is the client the nursing activities determine whether client's problems,
the nurse collects response is the had any relation to the care plan was the nurse modifies
data so that same as the the outcomes. It effective in resolving the care plan is
Evaluating the quality of Quality conclusions can be desired outcome. should never be , reducing or indicated.
nursing care Assurance drawing whether goals The goal was
partially met;
assumed that nursing
activity was the cause preventing client before making
have been met. problems. modifications, the
That is, either of or the only factor nurse must
short-term in meeting partially determine the
goaloutcome was meeting, or not effectiveness of the
Nursing Nursing achieved but the meeting the goal. plan as a whole.
Quality
Sensitive Improvement Audit
components
lkong-term goal Each step of the
was not. nursing process
Indicators The goal was not should be critiqued.
met.
Structure Process Outcome