Chapter 13 Focused Study Tips:

Focused Study Tips:

1. Planning is: the process of designing nursing activities requiredto prevent, reduce, or eliminate a client’s health problems.

Planning is the 3rd step in the nursing process.

The end product in planning is to prevent, reduce, or eliminate a client’s health problemsPlanning involves the nurse, the client, support persons, andother caregivers.

2. 3 types of planning: 1. Initial Planning

Planning should be initiated as soon as possible after the initial assessment.2. Ongoing Planning

Is done by all nurses who work with the client. As nurses obtain new information and evaluate the client's responses to care, they can individualize the initial care plan further.

3. Discharge PlanningThe process of anticipating and planning for needs after discharge. Discharge planning starts at the moment the client is admitted into the unit.

3. Differentiate between protocols, policies, procedures, and standing orders:Protocolsare developed to indicate the action commonly required for a particular group of clientsPolicies and Proceduresare developed to govern the handling of frequently ocurring situations.Standing orderis a written document about policies, rules, regulations, or orders regarding client care. Standing orders give nurses authority to carry out specific actions under certain circumstances, often when a priary care provider is not immediately available.

4. What are the 10 guidelines for writing nursing care plans? 1. Date and sign the plan. 2. Use category headings. 3. Use standardized/approved medical or English symbolsand key words rather than complete sentences to communicateyour ideas unless the agency policy dictates otherwise4. Be specific5. Refer to procedure books or other sources of informationrather than including all the steps on a written plan. 6. Tailor the plan to the unique characteristics of theclient by ensuring that the client’s choices, such as preferences

about the times of care and the methods used,are included7. Ensure that the nursing plan incorporates preventive andhealth maintenance aspects as well as restorative ones. .8. Ensure that the plan contains ongoing assessment of theclient 9. Include collaborative and coordination activities in theplan10. Include plans for the client’s discharge and home careneeds. Each step is important because in order to get the end result you must do each step. Omitting a step would change or alter the outcome.

5. What is meant by the activity of priority setting in the planning process? What factors need to be considered when assigning priorities? Nursing diagnoses are assigned high, medium, and low priorities in consultation with the client, if health permits. Prioities are set according to the current state of health of the client. The current situation is addressed by prioritizing the most critical issue down to the other iuuses currently going on

6. What is the purpose of desired goals and or outcomes? Is to observe the patient and see if they have been able to achieve the desired outcomes or goals. The goal is to to prevent, reduce, or eliminate a client’s health problems.