00:01
Welcome to the planning
phase of the ADPIE process.
00:04
If you guys remember when
we're talking about ADPIE,
we're talking about also known as
our nursing process.
00:12
So we're talking about
the nursing process.
00:14
Don't forget that we have
the P part of the pie,
which is the planning phase.
00:19
Now before this, of course,
we've assessed our patient,
we formed
a nursing diagnosis.
00:24
Now, that we have
a priority problem,
we can create a plan.
00:28
So we're creating that plan.
00:30
We're going to establish
priorities for our patient.
00:33
We're also going to create goals
that way we have these
to evaluate from.
00:38
And don't forget,
in this phase
interventions from the nurse
are key,
because these are going to help us
reach these goals.
00:44
Now, with the
planning phase,
we also create what we call
expected outcomes for the patient.
00:50
Now, we're hoping our interventions
are going to improve
our patient condition.
00:54
And then we can look at these
expected outcomes,
and see
did we meet these or not?
Now, when we talk about
our planning phase,
it's important, of course,
to establish priorities.
01:04
We have a lot of priority issues,
but we need to establish
a sequence
for our nursing interventions.
01:11
So, we've got to think, hey,
which ones do we need to do first?
Which needs are the most emergent
and need to be addressed?
So of course, highly emergent issues
are something that we of course,
have to treat promptly,
because this can be a safety issue.
01:26
It could result in an oxygenation,
maybe a circulation issue.
01:31
And of course,
don't forget your airway.
01:33
If you remember,
back to your basics of nursing
as those ABCs,
airway, breathing, circulation.
01:39
So there's anything
that can impair this,
of course, this is number one,
we've got to treat this first.
01:46
Now, if we have a highly
emergent situation, or a priority,
of course,
these will go first.
01:51
But they're also very important
intermediate priorities
we need to consider.
01:57
Now, of course, these aren't
necessarily, non-emergent.
02:00
Maybe they're not life sustaining,
but they do need prompt attention.
02:04
A great example of that
is going to be pain, right?
Because this can affect our patient
in a number of ways.
02:10
So this necessarily isn't
going to affect the patient's
airway or oxygenation,
for example,
but it is something that has to do
with the patient's mobility,
their ability to be compliant
with treatment.
02:23
So pain is a great intermediate
issue to think about,
and right after
our highly emergent things
that we need to address.
02:31
And also don't of course,
forget about nutrition.
02:34
This is going to help sustain
and to support
our needs of our patient.
02:39
And then if we've addressed those,
we have our lower priority issues.
02:43
These are health needs that maybe
we need address in the long-term,
or be working towards
for the future.
02:49
This could be anything to do
with education, for example,
about maybe the patient's
disease process,
maybe physical therapy,
rehabilitation,
or any sort of
health maintenance
and prevention for our patients.
03:04
Once again, establishing
priorities we've assessed,
we formed our nursing diagnosis,
and prioritized our patient needs.
03:11
Now with that diagnosis,
we always have to take a look
and reevaluate is this still
priority for our patient.
03:19
And when we're talking
about our priorities,
we need to consider
the ethical considerations,
also the interventions
and strategies
in creating priorities,
And also our patient,
making sure that they're included
in regard to their plan of care.
03:34
So now, let's take a look
at prioritization
in our practice.
03:37
Now, if you take a look
at this slide set is really,
there's a lot of information, right?
What I really,
want you to focus on
if you see all of that
in the middle,
those bullet points in the screen,
this really is our ADPIE process.
03:51
This is our assess,
our diagnosis, planning,
implementation,
and our evaluation phase.
03:58
And again, as a nurse,
we typically do this organically
throughout this shift
to address a patient need.
04:04
But just look
at all of these factors
on the outside of this
middle circle here,
this middle square,
these are all things
that can affect our ability
to prioritize care
for a patient.