Quiz 13: Planning

Nursing

In the nursing process, the planning is considered as the deliberate and systematic procedure. Planning is consists of decision-making for solving the various problems. The health history, as well as the assessment data of the corresponding client, is referred by the nurse during the planning process. This is done to achieve direction in the formulation of the patient outcome and the corresponding nursing interventions. This helps in preventing, reducing and eliminating the client's health problems. In the given case study, the patient Margaret O'Brien is presented with deficient fluid volume and the consequent ineffective clearance of the airways due to the presence of viscous secretions. Excessive fatigue and pain experienced by the patient also causing the poor chest expansion. The nurse decides to apply the standardized care plan for the treatment of this patient. Following are the probable assumptions that the nurse has made before making this decision: 1. A standardized care plan is beneficial for both the client as well as the team members of health care providers as it enhances communication between the nurses and the non-nurse individuals. 2. A standardized care plan helps in conveying the nature of the nursing process to the corresponding client, which is essential in this case as given the client, is in the anxious state. 3. It facilitates the nursing procedure by reducing the time required for decision-making. The client is already in the emergency situation and hence prompt nursing interventions should be taken.

Planning is defined as a deliberate and systematic procedure of decision making in order to bring about the client's cure and improvement in the stipulated time of stay at the hospital. Planning includes appropriate nursing intervention and standardized care plans that can be customized depending on the uniqueness of the situation. Initial planning is the most essential type of planning required for the client as he has just arrived at the orthopedic section. The client also requires ongoing planning that determines the particular care procedures and nursing interventions the client requires right at the moment. Discharge planning should essentially start at the time of admission to ensure the client's preparedness to manage his health problems post discharge. Hence, the options 1, 2 and 3 are incorrect. Strategic planning refers to a process that is focused on an organizational change rather than on individual clients. Therefore, strategic planning is not relevant to the case presented and hence, is least useful regarding the case. Hence, the correct answer is option img .

In the given case study, the patient Margaret O'Brien is presented with deficient fluid volume and the consequent ineffective clearance of the airways due to the presence of viscous secretions. Excessive fatigue and pain experienced by the patient also causing the poor chest expansion. Discharge planning refers to the systematic and logical anticipation of health problems in the home front post-discharge and the associated nursing interventions to prevent them. The outcome : The outcome in the nursing care planning that contributes to the discharge planning is- the ability to express concerns and potential solutions regarding problems related to work and parenting roles. Associated nursing intervention : The associated nursing intervention is the client to express her concerns and explore solutions and preventive alternatives. Rationale : This outcome should be effective even after discharge from the hospital because cumulative anxiety and depression regarding unresolved professional and personal problems could further lead to the sleep disorder, fatigue, associated malnutrition and deficiency in self-care. The malnutrition may further promote fluid volume loss and the consequent breathing difficulty and chest pain.

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