1. NURSING HEALTH ASSESSMENT
2.PLANNING
Once a patient and nurse agree on the diagnosis, a plan of action can be developed. If multiple diagnoses need to be addressed, the Head nurse will prioritize each assessment and devote attention to severe symptoms and high factors. Each problem is assigned a clear measurable goal for the expected beneficial outcome. For this phase, nurses generally refer to the evidence based nursing outcome classification, which is asset of standardized terms and measurements for tracking patients’ wellness. The nursing intervention classification may also be used as a resource for planning.
2. IMPLEMENTATON
The implementing phase is where the nurse follows through on the decided plan of action. The plan is specific to each patient and focuses on achievable out comes. Actions involved in the nursing care plan include monitoring the patient for signs of change or improvement directly caring for the patient or performing necessary medical tasks, educating and instructing the patient about further health management, and referring or contacting the patient for follows. Implementation can take place over the cause of hours, days, weeks, or even months.