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Yoost Chapter 8: Planning

Terms in this set (21)

Planning
third step of nursing process; setting of resident goals that are prioritized
Maslow's Hierarchy of Needs
helps to organize the most urgent to less urgent needs; suggests that basic needs, such as physiologic needs, must be met before higher needs, such as self-esteem
Physiologic needs
airway patency, breathing, circulation, oxygen level, nutrition, fluid intake, body temperature regulation, warmth, elimination, shelter, sexuality, infection, pain level
Safety and security needs
Physical safety, psychological security
Love and belonging needs
compassion of care provider, information from family and significant others, strength of support system
self-esteem needs
need to feel good about oneself and to believe others hold one in high regard
self-actualization needs
the pursuit of knowledge and beauty or whatever else is required for the realization of one's unique potential
How to differentiate between life-threatening concerns vs routine care
By using the ABCs of life support (airway breathing and circulation), the steps of the nursing process; requires the nurse to have the ability to recognize the existence of crises, have extensive knowledge of current best practice, and have excellent professional skills
Conflicting Priorities
Nurse priority versus patient priority
- Differing beliefs and values
- May not understand the other's perspective

Nurse-patient collaboration in the goal-setting process can help to alleviate the incidence of conflicting priorities.

Planning that includes patient teaching is a core nursing responsibility.
- If patients do not understand what has been taught, the potential for goal achievement is diminished.
Goal Characteristics
Specific and measurable
Defined time period
Cover key result areas
Challenging but realistic
Linked to rewards
Realistic (goal characteristics)
consider the patient's physical, mental, and spiritual condition in relation to the ability to attain goals
Patient-Centered (goal characteristics)
written specifically for the patient; the goal should specify the activity the patient is to exhibit or demonstrate to indicate goal attainment; written to reflect patient, not nursing, activity
Measurable (goal characteristics)
specific, with numeric parameters or other concrete methods of judging whether and the patient's condition
Time-limited (goal characteristics)
need to include a time for evaluation; the time depends on the intervention and the patient's condition
Long Term Goals (LTG)
describe how each of the problems in the problem list will finally be resolved, expected functional outcomes
-final product to be achieved
short term goal
goals that are achievable in less than a week
Outcome Identification
an individual, family, or community state, behavior, or perception that is measured along a continuum in response to nursing interventions
involves listing observable behaviors or items that indicate attainment of a goal
Goal Attainment
refers to the goal of mutual understanding between two conversational partners
independent nursing interventions
actions that a nurse initiates without supervision or direction from others
dependent nursing interventions
actions that require an order from a physician or another health care professional
collaborative interventions
interdependent nursing actions performed jointly by nurses and other members of the health care team
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