TYPES OF PLANNING:

Planning begins with the first contact with the patient and continues until the professional
nursing-patient relationship ends, usually when the health care center ria discharges the
patient.

INITIAL PLANNING:

Planning should begin as soon as possible after the initial assessment, especially given
the tendency to shorten hospital stays.

CONTINUOUS PLANNING:

As nursing professionals gain new knowledge training and evaluate the patient's
responses to care, they can further individualize the initial care plan. cial. Ongoing
planning also takes place at the beginning. pio of a shift, when the nursing professional
plans the care he will administer that day. Based on the data that is updated, the nursing
professional carries out daily planning with the following purposes:

1. Determine if the patient's health status has experienced mentioned some change.

2. Establish priorities in the patient's care plan cient during the shift.

3. Decide which problems to focus on during the shift.

4. Coordinate nursing activities so that more than one problem can be addressed in each
contact with the patient.

DISCHARGE PLANNING:

Discharge planning, the process of anticipating and planning for post-discharge needs, is
an essential part of comprehensive health care and should be addressed in every patient
care plan.

. Effective discharge planning begins with the first contact with the patient and involves a
comprehensive and ongoing assessment to obtain information about the patient's ongoing
needs.

DEVELOPMENT OF NURSING CARE PLANS

The final product of the planning phase of the nursing process is a formal or informal care
plan. An informal nursing care plan is an action strategy that exists in the mind of the
nursing professional. A formal nursing plan is a written or computerized guide that
organizes information about patient care. cient.

A standardized care plan is a formal plan that specifies nursing care for groups of
patients with common needs. An individualized care plan is a plan that has been
personalized to meet the unique needs of a specific patient. ities that are not addressed in
the standardized care plan. When nursing professionals use the patient's nursing
diagnoses to set goals and select nursing interventions, the result tado is a holistic and
individualized care plan that will respond to the patient's specific needs.
A patient's comprehensive care plan is made up of several different documents that:

A) They describe the cui systematic givens essential to face the ne basic needs.

B) They respond to nursing diagnoses and interdependent problems.

C) They specify nursing responsibilities to carry out the medical care plan.

STANDARDIZED APPROACHES TO CARE PLANNING

Standards of care define nursing activities intended for patients with similar medical
problems rather than for individuals, and describe achievable care, rather than concern
ideal nursing dice. They establish the interventions for which nursing professionals are
responsible; They do not contain medical interventions. Standards of care are typically
facility records and are not part of the patient's plan of care, but may be referenced in the
patient's plan of care.

Standardized care plans are preprinted guides for the nursing care of a patient who has a
need that arises frequently in the facility. They are re given from the perspective of the
care that the patient can expect.

Standardized care plans:

• They are kept with the patient's individualized care plan in the nursing unit. When the
patient is discharged, they become part of the medical history per se. maintenance of this
one.

• Provide detailed interventions and contain additional nes or cancellations to the center's
standards of care.

Like standards of care and care plans Standardized data, protocols are pre-printed
documents that indicate the actions that are typically necessary for a specific group of
patients. Depending on the center, protocols may or may not be included in the history
per patient maintenance.

Guidelines and procedures are developed to direct responses to frequently occurring

situations. The guides are institutional records and are not part of the care plan or the
permanent history of the patient. cient.

A standardized protocol is a written document relating tive to guides, rules, regulations

or orders in relation to the care patient data. Standardized protocols provide They give
nursing professionals the authority to carry out specific interventions under certain
circumstances, often when a doctor is not immediately available. The teacher sional
nursing uses standardized care plans two for those predictable problems that occur
regularly, and handwrite an individualized plan for rare problems or for problems that
require special attention.

FORMATS FOR NURSING CARE PLANS

Although the formats differ from one center to another, the care plan is usually organized
into four columns or categories:

a) nursing diagnoses
b) objectives/expected results

c) nursing prescriptions

e) evaluation.

Some cen Others use a three-column plan in which evaluation is done in the objectives
column or in sick notes est: others have a five-column plan, which adds a co column for
assessment data before the nursing diagnoses column.

STUDENT CARE PLANS

Because student care plans are an ac Learning activity in addition to a care plan, may be
more extensive and detailed than the care plans used by practicing nurses. for help When
students learn to write care plans, educators may require that more than one plan be
handwritten. They can also modify the three-, four-, or five-column plan by adding a
column for “Logical Rationale” behind the nursing prescriptions column. The fun logical
datum is the scientific principle provided as the reason for selecting a given nursing
intervention.

COMPUTERIZED CARE PLANS

Computers are increasingly used to store nursing care plans. For an individualized plan,
the diags are chosen adequate predictions of a menu proposed by the computer. Next, the
computer shows a list of possible objectives and nursing interventions for these
diagnoses. cos; The nursing professional selects those that are appropriate charts for the
patient and key in any goal or intervention nursing service that does not appear on the
menu. The care plan can be read on screen or an updated working copy can be printed.

MULTIDISCIPLINARY CARE PLANS (INTERDEPENDENT)

A multidisciplinary care plan is a standard plan that describes the care necessary for
patients with frequent and predictable disorders, usually of a type
I say. These plans, also
known as care plans two interdependent or critical pathways, establish a sequence
care that must be administered each day for the scheduled duration of admission for the
specific type of disorder.

The plan is usually organized with a column for each day, listing the interventions that
need to be carried out and the patient outcomes that need to be achieved on that day. The
multidisciplinary care plan has as many columns as preset days are assigned to the
diagnostic group related behavior (GDR) of the patient.