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RLT
Care Planning
This is about identifying client goals and expected
outcomes, which if achieved prevent, reduce or
eliminate the problems identified in the nursing
diagnoses and identify the interventions necessary.
The plan of care is then communicated.
It should be underpinned by a framework – which one
are you using?
How many nursing models have you heard of? Write
down which ones you remember and how they
worked.
Can you identify similarities between the
two?
Why might this be?
• Maintaining a safe environment
• Communicating
• Breathing
• Eating and drinking
• Eliminating
• Personal cleansing and dressing
• Eliminating
• Controlling body temperature
• Working and Playing
• Mobilising
• Sleeping
• Expressing sexuality
• Dying
Care Planning
Initial Planning
Ongoing Planning
Discharge Planning
OREM
• Sufficient intake of air
• Sufficient intake of water
• Sufficient intake of food
• Satisfactory eliminative functions
• Activity balanced with rest
• Balance between solitude and
social interaction
• Prevention of hazards to human
life, human functioning and human
well being
• Promotion of human functioning
and development within social
groups in accordance with human
potential, known human limitations
and the desire for normalcy.
The written plan should be
goal-orientated, efficient, effective and
individualised.
Why Care Plan?
Good care planning and care plans can
help nurses to demonstrate that
decisions about care were based on
comprehensive assessment of the
patient, systematic nursing diagnosis,
planning of care, evidence based
implementation of care checking and rechecking
and evaluating.
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Appendices