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Funda Assignment No. 3

The document discusses various aspects of the nursing care planning process. It describes initial planning, ongoing planning, and discharge planning. It explains how standards of care and predeveloped care plans can be individualized for a comprehensive nursing care plan. Guidelines are provided for writing nursing care plans, setting priorities, using classification systems like NOC and NIC, establishing goals and outcomes, selecting interventions, and more. The overall document offers guidance on creating and implementing an individualized nursing care plan.

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Marie Fe Belleza
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72 views5 pages

Funda Assignment No. 3

The document discusses various aspects of the nursing care planning process. It describes initial planning, ongoing planning, and discharge planning. It explains how standards of care and predeveloped care plans can be individualized for a comprehensive nursing care plan. Guidelines are provided for writing nursing care plans, setting priorities, using classification systems like NOC and NIC, establishing goals and outcomes, selecting interventions, and more. The overall document offers guidance on creating and implementing an individualized nursing care plan.

Uploaded by

Marie Fe Belleza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ACTIVITY NO.

1. Identify activities that occur in the planning process.

A deliberative, systematic phase of the nursing process that involves


Decision-making and problem-solving. In planning, the nurse refers to the client's
assessment data and diagnostic statements for direction in formulating client
goals and signing the nursing interventions required to prevent, reduce, or
eliminate the client's health problems.

2. Compare and contrast initial planning, ongoing planning, and discharge


planning.

Initial planning
 Admission assessment based on the initial care.
 As nurses obtain new information and evaluate the client’s
response to care, they can individualize the initial care plan
further.

Ongoing planning

 Done by all nurses who work with the client.


 Ongoing planning also occurs at the beginning of a shift as the
nurse plans the care.

Discharge planning

 Is the process of anticipating and planning for needs after


discharge.
 Is a crucial part of comprehensive health care and should be
addressed in each client’s care plan to be given that day.

3. Explain how standards of care and predeveloped care plans can be individualized
and used in creating a comprehensive nursing care plan.
STANDARDS OF CARE

 Describe nursing actions for clients with similar medical conditions


rather than individuals, and they describe achievable rather than ideal
nursing care.

STANDARDIZED CARE PLANS are PRE-DEVELOPED

 Guides for the nursing care of a client who has a need that arises
frequently in the agency. They are written from the perspective of what
care the client can expect.

4. Identify essential guidelines for writing nursing care plans.

 Date and sign the plan.


 Use category headings
 Use standardized, approve medical or English symbols and
keyword rather than complete sentences to communicate your
ideas unless agency policy dictates otherwise.
 Be specific
 Refer to producing books or another source of information rather
than including all the steps on a written plan.
 Tailor the plan to the unique characteristics of the client by ensuring
that the client’s choice, such as preferences about the times of care
and the methods used, are included.
 Ensure that the nursing plan incorporates preventive and health
maintenance aspects as well as restorative ones.
 Ensure that the plan contains the ongoing assessment of the client.
 Include collaborative and coordination activities in the plan.
 Include plans for the client’s discharge and home care needs.

5. Identify factors that the nurse must consider when setting priorities.

 Client’s health values and beliefs.


 Client’s priorities.
 Resource available to the nurse and client.
 Urgency of the health problem.
 Medical treatment plan.

6. Discuss the Nursing Outcomes Classification, including an explanation of how to


use the outcomes and indicators in care planning.

The Classification of Nursing Outcomes is a thorough, standardized


classification of patient, family, and community outcomes created to assess the
effectiveness of nursing or other healthcare professionals' activities. NOC outcome is
assigned a four-digit identifier, indicated in this text by square brackets, and a
definition. Indicators are stated in neutral terms, and each outcome includes a five-
point scale that is used to rate the client’s status on each indicator. When using the
NOC taxonomy to write the label, the indicators that apply to the particular client, the
NOC rating at initiation, and the outcome target.

7. State the purposes of establishing client goals/desired outcomes.

Goals reflect what impacts you hope to achieve in the future they provide the
vision of the work you are doing and state what is to be accomplished. Goals are
broad statements that often have multiple strategies associated with achieving them.
A goal should be based on some of the needs that you identified. A desired outcome
is a statement that makes goals more concrete. To develop a useful set of desired
outcomes sometimes called objectives or outcome statements, you will need to
describe what specific change you hope to occur as a direct result of your program
that will help you achieve your goals.

1. Provide direction for planning nursing interventions


2. serve as criteria for evaluating client progress
3. enable the client and nurse to determine when the problem has been
resolved
4. help motivate the client and nurse by providing a sense of
achievement
8. Identify guidelines for writing goals/desired outcomes.

 Write goals and outcomes in terms of client response, not nursing


activities.
 Be sure that desired outcomes are realistic for the client’s capabilities,
limitations, and designated time span, if it is indicated.
 Ensure that the goals or desired outcomes are compatible with the
therapies of other professionals.
 Make sure that each goal is derived from only one nursing diagnosis.
 Use observable, measurable terms for outcomes.
make sure the client considers the goals or desired outcomes
important and values them.

9. Describe the process of selecting and choosing nursing interventions.

Part of the planning process is to select nursing interventions for meeting the
patient’s goals and outcomes. Once nursing diagnoses have been identified and
goals and outcomes are selected, you choose interventions individualized for the
patient’s situation.

The plan must be safe and appropriate. Achievable with the resources
available. Congruent with the client's values, beliefs, and culture. Congruent with
other therapies. Based on nursing knowledge and experience or knowledge from
relevant sciences. Within established standards of care as determined by state laws,
professional organizations.

10. Discuss the Nursing Interventions Classification, including an explanation of how


to use the interventions and activities in care planning.

The Nursing Interventions Classification (NIC) is the first comprehensive


classification of treatments that nurses perform. It is a standardized language of both
nurse-initiated and physician-initiated nursing treatments. Nursing interventions are
actions taken by the nurse to achieve patient goals and get desired outcomes for
example, giving medications, educating the patient, checking vital signs every couple
of hours, initiating fall precautions, or assessing the patient's pain levels at certain
intervals

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