A Nursing Care Plan Blog And Formulating Client A Plan Care To Address The Health Conditions, Needs, Problems And Issues Based On Priorities

The Nursing Care Plan

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Nursing Care Plan Definition

A nursing care plan or NCP is a systematic method for identifying health demands of the current situation including recognizing possible needs or concerns. Nursing care plans facilitate communication between nurses, patients, and some other healthcare professionals in order to promote positive health outcomes.

The foundation of quality in the nursing profession is the planning and implementation of patient-centered nursing care.

Purpose and Significance of Nursing Care Plan

The purpose and significance of creating a nursing care plan enable the nurse to critically think about each patient, provide the same quality and kind of interventions to care for patients, properly specify which observations to make, what nursing actions to carry out, and what instructions the client or family members require.

Creating a Nursing Care Plan

First Phase - Data Collection or Assessment

The first phase in creating a nursing care plan is to establish a client database using assessment and data collecting procedures — physical assessment, health history, interview, medical records review, diagnostic studies. In this phase, the nurse can identify the related or risk factors as well as the distinguishing qualities that will be utilized to formulate a nursing diagnosis.

Second Phase - Formulating Nursing Diagnosis

North American Nursing Diagnosis Association or NANDA are a standardized method of recognizing, focusing on, and responding to particular patient requirements and reactions to genuine and high-risk situations. Nursing diagnosis/es is/are actual or future health concerns that can be avoided or treated by autonomous nursing action.

Third Phase - Prioritizing

Setting priorities is the method of deciding a preferred order for addressing nursing diagnoses and treatments. Diagnoses can be prioritized and categorized as high, medium, or low. Life-threatening issues should be prioritized.

Fourth Phase - Defining Patient Objectives and Desired Outcomes

The objectives and expected outcomes must be quantifiable and client-centered. Objectives are built by concentrating on problem avoidance, resolution, and rehabilitation. Objectives can be short-term or long-term in nature.

In an acute care situation, most objectives are short-term since the nurse's time is concentrated on the client's urgent requirements. Long-term objectives are frequently utilized with clients who have chronic health problems or who live at home, in nursing homes, or in long-term care institutions.

Fifth Phase - Nursing Interventions Selection

Nursing interventions are activities or actions that a nurse takes to help a patient meet their objectives. Interventions should be chosen with the objective of eliminating or lowering the etiology of the nursing diagnosis in mind.  

Independent nursing interventions are actions that nurses are authorized to begin based on their sound judgment and expertise. Continuous evaluation, emotional support, comfort, education, physical care, and referrals to other health care providers are all part of the work.

Dependent nursing interventions are activities performed on the orders or direction of a physician. Orders to the nurse to deliver drugs, intravenous therapy, diagnostic tests, therapies, food, and activity or rest are all included.

Collaborative interventions are acts performed by nurses in partnership with other members of the health care team, such as physicians, social workers, nutritionists, and therapists.

Sixth Phase - Presenting Rationale

Rationales also called scientific explanations, indicate why the nursing intervention for the nursing care plan was chosen.

Seventh Phase - Evaluation

Evaluating is a planned, continuing, and intentional action that assesses the patient's progress toward accomplishing objectives or desired outcomes, as well as the success of the nursing care plan. The results gained from this phase decide whether the nursing intervention should be canceled, continued, or adjusted.

Sample of Liver Cirrhosis Nursing Care Plan

Reference:

Vera, M. B. (2021, October 22). Nursing Care Plans (NCP): Ultimate Guide and Database. Nurseslabs. https://nurseslabs.com/nursing-care-plans/