Nursing 104

N104: Essentials of Nursing Care – Health Safety Study Guide A patient will typically have several nursing diagnoses. Once developed, the nurse and healthcare team must prioritize the list and plan the care in collaboration with the patient and family. 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 expected outcomes • 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:

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