Care Planning

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Table of Contents
Introduction:................................................................................................................... 3
Analysis:....................................................................................................................... 3
Conclusion..................................................................................................................... 7
References:.................................................................................................................... 8
Appendix:...................................................................................................................... 9

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Introduction:
The prime objective of this particular essay is to demonstrate the role of nurses in health care for
developing person centered care plan with the help of ASPIRE framework. For identification of
the evidence based practices for the nurses a care plan will be used in this essay which will be
attached in the appendix section. Through the help of ASPIRE framework, the different stages of
nursing process including assessment, systematic nursing diagnosis, planning, implementation,
recheck and evaluation will be effectively evaluated in accordance to a real case study example
(Fulmer, 2000). According to Nursing and Midwifery Council (NMC) code, (2015) it can be
observed that the nurses should have responsibility to ensure effective care for the care receiver.
The care plan will be developed for Clara, a 22 years old woman who was admitted in a hospital
for her panic attack on a morning. Clara experienced palpitation problem with tightness in chest
and tingling fingers and lips during panic attack. After diagnosis of the panic attack, the doctor
discharged her at that evening. Clara has felt the difference after she started smoking. She usually
smokes 10 15 cigarettes per day. She has experienced another various problems including sore
throats, colds, headache, tiredness and constipation.

Analysis:
According to Hanks, (2005) the nursing process can be considered as a systematic approach for
planning, implementation and evaluation of the care for communities, individuals and groups.
The person centred care plan can be developed from the effective nursing process. With the help
of effective nursing process, the continuity of care and standards of care can be achieved. The
nursing process also helps in increasing the client participation with the help of collaborative
care. Various roles of responsibilities of the nurses can be maintained with the effective use of
nursing process. The process of nursing also can be considered as the problem solving process.
As stated by Nazarko, (2015) A.P.I.E is a kind of systemic problem solving approach which is
used in nursing process for implementation of care planning. The A.P.I.E process consists of five
different stages of care planning such as assess, planning, implement and evaluate. The person
centred care planning in nursing is carried out with the help of this particular systematic
approach. The modified nursing process consists of five different stages such as assessment,
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systematic nursing diagnosis, planning, implementation, recheck and evaluation. The ASPIRE
framework of nursing process provides humanistic, person centric, dynamic, planned and
collaborative approach for care planning in nursing (Taylor, 2011). In this particular essay, the
ASPIRE framework for nursing process will be evaluated.
According to the view of Stuart & Laraia, (2005) care planning has been introduced as a
significant part of the health care unit which helps in ensuring holistic approach for providing
person centred care. The care planning consists of some specific documents for planning of care
which helps the nurses to provide standard of care for individual in health care. As opined by
Nazarko, (2015) the care planning is a kind of method with some written documents which helps
to direct the nursing staffs to maintain their role by ensuring standard care for the individual.
According to the definition given by National health services, (2014), the care planning is the
written guidelines and agreement between the health professional and patient for managing day
to day health activities of the patient.
The Activities of living model of nursing was introduced by Roper, Logan & Tierney, (2000)
which is basically used for providing care planning for the condition of activities of living. This
particular model will be used for assessment of Clara because this particular model mainly deals
with the sudden change activities such as breathing, sleeping due to illness and panic attack. This
particular model of care planning is important for increasing the quality of life. There are a wide
range of models of nursing process, according the case the suitable model should be used by the
nurse staffs in order to provide effective care planning for the individual patient.
After admitting a patient in the health care, some series of assessments should be maintained by
the nurse and health professionals. The assessment can be considered as different stages of
procedures for identifying the detail information about the problem of the patient. The
assessment of the patient is not only discusses with the care plan but also discusses with the
resources that needs to carry out the care plan. As stated by Nazarko, (2015) Assessment is the
prime aspect for developing any care plan for individual patient which helps in maintaining other
stages of the nursing process.
The nursing process mainly focuses on the holistic approach that helps to provide person centric
care for the individual. The holistic assessment of the nursing process mainly discusses on well
being factors of the individual such as mental, emotional, physical, spiritual, environmental and
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social (Hanks, 2005). The holistic approach assessment helps in addressing the issues and its
related solution. The prime purpose of this essay is to formulate the care plan for Clara with the
help of ASPIRE framework of the nursing process. The nurses should properly assess the
problem with Clara for preparing the care plan for her. The care plan for Clara was developed in
order to prevent the sudden panic attack. According to Priest, Roberts, Higginson, & Knipe,
(2006) this type of problem is normal and may arise due to sudden change of the lifestyle and
excessive consumption of alcohol and smoking.
After completing a series of tests such as blood tests, chest x ray, heart and lung check up and
urinalysis, it was found that haemoglobin is below normal and low blood pressure. The GP and
nurses prescribed her to take some vitamin and iron supplement and also suggested her to take
rest. The prime aim of care plan is to develop a care plan for Clara regarding panic attack.
After completion of the assessment stage, the next step is systematic nursing diagnosis where
judgmental analysis is done regarding the family, individual and community for the identifying
the potential health problem of the patient. The systematic nursing diagnosis helps in ensuring
selection of the nursing interventions for achieving the outcomes to provide proper car planning
for the individual.
After the stage of assessment, the next step of the respective nursing process is to be properly
decided and focus upon the prior problems faced by the patient named Clara, through creation of
a specific care plan for the purpose of determination of the care goals and objectives. In this
specific planning phase, the different problems faced by the respective patient needs to be
properly identified from analysis of the diagnostic statements for the purpose of analyzing the
nursing interventions which are needed to be implemented for facilitating the achievement of the
care goals and objectives (Melnyk, 2011). The overall care plan as discussed in the appendix,
have been planned and developed for the purpose of identification of the individual care needs of
Clara who has been admitted to the hospital for panic attacks and palpitation. The overall care
plan significantly outlined and specified the short termed nursing goals and objectives. The
objectives developed in the care plan are the SMART objectives as they are significantly
measurable, specific, realistic, timely and specific. The objectives are referred to as the SMART
objectives as it facilitates the nurses and other health care professionals to offer correct and

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specific healthcare needs and facilities to Clara through the optimum uses of the available
resources, and time.
The overall goals and objectives, that has been outlined and specified in the care plan was
helpful in aiding the respective healthcare professionals to properly understand the healthcare
facilities that are needed to be offered to Clara for her quick physical and mental recovery. In this
context, it can be widely said that respective care plan significantly facilitated the sharing of key
health care needs and knowledge with all the concerned healthcare staffs and professionals.
Te next step of the process of nursing can be said to be the implementation of different steps or
activities which are needed to be taken care of for fulfilment of the health goals and objectives of
the respective client. In the context of the care plan developed for Clara all the different steps and
processes that are needed to be implemented for fulfilment of Claras health needs have been
proficiently identified and discussed. In the context of the care plan, it can be said that the, nurses
must work in proper collaboration with the other healthcare professionals involved, to offer the
best health solution to Clara who has been admitted with panic attacks and palpitation. Being a
relatively younger patient at the age of 22 years, the care plan significantly suggest that the
nurses are required to refer Clara to psychologists and physiotherapists who are significantly
capable of addressing the issue of panic attacks through certain specific exercises and therapies.
In this context, it can be invariably said that such assessments on prescription of therapies is
needed to be conducted by a respective healthcare professional having high skills and expertise
specially relating to the healthcare problem or issue of panic attacks (Holloway, 2013).
As identified from the overall care plan shown in appendix, the nurses and other healthcare
professionals significantly focused upon discussing the anatomy and physiology of the panic
attacks with the respective patient along with discussing the key side effects or threats of panic
attacks. The overall nursing care plan significantly focused upon focusing upon suggesting
relaxation exercise for the respective patient, which can help Clara to get over with the issue of
panic attacks in future. Other healthcare professionals were significantly consulted so as to
proper inform Clara regarding the benefits of relaxation and breathing exercises along with stress
management exercise which are said to be said necessary solutions in terms of tackling with the
situations of panic attacks. In addition, as per the overall discussions showcased in the care plan,
it can be significantly identified that proper medication has also been prescribed for Clara that in
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turn would facilitate the respective patient to overcome the healthcare issue of panic attacks
which can be very harmful considering the young female patient of the age of 22 years.
The last step of the care plan significantly includes the evaluation and rechecking of how the
implemented care plan has successfully catered to the healthcare needs and necessities of the
respective patient. In this context, it can be widely said that there is a need of reviewing and
monitoring of care plans on regular basis so as to assess and analyze their overall effectiveness
and efficiency in offering best healthcare services and facilities to individuals such as Clara. It is
the responsibility of the nurse to properly evaluate the status of the respective client along with
the key health progress over time (McCormack, 2013). In this regards, it can be said that the
respective care plan which was implemented proved to be highly successful in meeting or
fulfilment of the healthcare needs of Clara a 22 year patient who was admitted for panic attacks.
The overall revaluation and monitoring of the care plan developed for Clara has significantly
enabled the assurance of offering of best quality care for adhering to the overall healthcare needs
of the patient along with facilitating her quick recovery from the situation of panic attacks.

Conclusion
Care planning can be considered to be an integral part of nursing. In this context, it can be said
that the aspect of care plans significantly defines or states the overall role of nurses in a
healthcare setting. In medical terms, care plans can be said to be a specific way to significantly
record and monitor the care plan for a respective patient. When care plans are significantly
individualized, it can serve to be highly effective documents needed for offering of highest
possible healthcare services to individual patients. This essay has significantly focused upon
assessing the overall role and responsibilities of nurses within the healthcare setting along with
development of a specific care plan for Clara a 22 year patient admitted to the hospital for panic
attacks.

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References:
Carter, P. (2015). Voices - The new NMC Code could revitalise nurse practice, says Peter
Carter.Nursing Standard, 29(34), 28-28. http://dx.doi.org/10.7748/ns.29.34.28.s29
Fulmer, T. (2000). The attending model in nursing. Applied Nursing Research, 13(3),
113-114. http://dx.doi.org/10.1053/apnr.2000.0130113
Hanks, R. (2005). Sphere of Nursing Advocacy Model. Nursing Forum, 40(3), 75-78.
http://dx.doi.org/10.1111/j.1744-6198.2005.00018.x
Holloway, I. and Wheeler, S. (2013). Qualitative research in nursing and healthcare.
John Wiley & Sons.
Manley, K., McCormack, B. and Wilson, V. eds., (2011). International practice
development in nursing and healthcare.
McCormack, B., Manley, K. and Titchen, A. eds., (2013). Practice development in
nursing and healthcare. John Wiley & Sons.
Melnyk, B.M. and Fineout-Overholt, E. eds., (2011). Evidence-based practice in nursing
& healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Nazarko, L. (2015). Maintaining medication safety: understanding a complex
process. Nursing

And

Residential

Care, 17(11),

625-629.

http://dx.doi.org/10.12968/nrec.2015.17.11.625
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(2005).

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the

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Priest, H., Roberts, P., Higginson, G., & Knipe, W. (2006). Understanding the research
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39-42.

http://dx.doi.org/10.7748/ns2006.09.21.1.39.c6405
Roper, N., Logan, W. W., & Tierney, A. J. (2000). The Roper-Logan-Tierney model of
nursing: based on activities of living. Elsevier Health Sciences.
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 Stuart, G. & Laraia, M. (2005). Principles and practice of psychiatric nursing. St. Louis:
Elsevier Mosby.
Taylor, C. (2011). Fundamentals

of

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Appendix:

Problem
Frightened
dying

Outcome
Nursing intervention
of To control the
1. Discussion
about
and feeling

panic attack

panic
maintain
acceptable
level.

Evaluation
the

of

physiology and anatomy of

to

panic attacks with Clara

2. Discuss about the possible
threats and side effects of
panic attack
3. To teach the

relaxation

exercise that helps in dealing

with panic attack
4. Inform
patient

about

practicing of breathing and

relaxation exercise on daily
basis
5. Inform patient about stress
management exercises
6. Advice patient to take rest
7. Explain to patient about
effectiveness of breathing
8. Prescribed medication
9. Discuss
with
multidisciplinary team of the
patient

management

for

discharge of the patient

10. Complete evaluation and
recheck weekly

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