N104: Essentials of Nursing Care - Health Safety

N104: Essentials of Nursing Care – Health Safety Study Guide

1.3 Planning As with each phase of the nursing process, the planning phase is always a deliberative process. The nurse develops an initial plan; this initial plan is constantly updated to reflect new data, new problems, or progress toward the completion of a goal. Discharge planning begins at the time of admission and involves the anticipation and planning for the patient’s needs when discharged. The planning phase of the nursing process includes: • Prioritization of nursing diagnoses • Establishing goals or expectedoutcomes • Identification of nursing interventions that will help a patient achieve the goals • Documentation of the plan of care with measurablecriteria Nursing Diagnosis Prioritization Prioritization of the nursing diagnoses must be based on two considerations: first, what is the most critical or life-threatening problem and second, what problem does the patient consider most critical. A useful mechanism to use for establishing the urgency of a problem is by using Maslow’s hierarchy of needs with the most basic needs requiring the attention first. Using this methodology, problems would be prioritized in the order from the bottom of the hierarchy to the top: • Basic physiological needs (breathing, sleep, excretion, food, etc.) would be classified as the most urgent • Safety needs (security of body, stability, laws, protection, etc.) • Problems related to love and belonging (friendship, family, sexual intimacy, etc.) • Esteem needs (self-esteem, achievement, respect of others, etc.) • Self-actualization needs (creativity, morality, spontaneity, etc.) Maslow's hierarchy of needs:

©2017 Achieve Test Prep Identification of Goals or Expected Outcomes A goal or expected outcome for the patient is a statement of a measurable change in the behavior or Page 13 of 135