The reason for writing care plans is to offer direction for individualized care to a patient. Each patient has a unique list of diagnosis that should be organized by the individual’s specific needs. The second reason is to offer continuous care to the patient. It is a means of communicating between nurses to be able to organize the action whenever they are constantly changing the nursing staff.

Whenever the patient’s need is attended to, the up-to-date care plan is passed on to the next batch so that they may take over. Care plans are important to the nursing community as they help teach how to document by describing the outline and the observations to make plus what the family members require. They also serve as guides for assigning staff to patients who require specialized care that can only be achieved by nurses with specialized skillset.Students are required to create care plans as they teach them how to get information from various disciplines by applying their critical decision skills and using the nursing process to solve the issue. It is also a document required by the insurance companies to check whether care was provided to the patient as they cannot pay for what is not documented.


The first step in the nursing process is to asses the patient. In these case, one should note what the patient is going through e.g. he or she is having an acute pain rising from potential tissue damage or sudden, mild to severe pain that may be related to inflammation through distension of intestinal tissues. One should also note the evidence seen to come up with the said report. This may be through pain reported by the patient, distractive behaviors such as facial grimacing, restlessness, crying and any other pain that may be noticed. The next step would be to diagnose, therefore, taking the information from the first step and analyze it to identify problems that the patient was complaining about.


Check for outcomes that can be approved using nursing interventions. One should, however, note that nurses try to diagnose problems that result from the disease process and cannot be compared to medical diagnoses where the focus is on the disease alone.


The third step will be to plan. Here, the nurse prioritizes the diagnosis that needs much attention. It is important for the patient to be involved in this process as planning should correlate with the patient’s goal. However, it should be noted that nursing care plans vary within different healthcare facilities. Involving the patient is key for coming up with both long and short-term goals for what needs accomplishment. The nurse should jolt down the steps required in attaining the said goals and formulate a plan.


The fourth step will be to implement the plan. This is done through checking of the patient’s vital signs, conducting pain scale questions and provide medication to the patients according to the times indicated for effective dosages. Evaluate how your patient is responding to the meds and carefully document in their health record to determine the timeframe for a discharge.

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