Creating an effective care plan involves several steps:
Prioritization: Identify and prioritize the most critical issues based on the assessment data. Goal Setting: Develop specific, measurable, attainable, relevant, and time-bound (SMART) goals. Interventions: Plan nursing interventions that will help achieve the set goals. These interventions can be independent, requiring no physician order, or collaborative, requiring coordination with other healthcare professionals. Documentation: Document the care plan in the patient's medical record for future reference and continuity of care.