PPMP Clinical Decision-Making Framework
Key Points
- PPMP stands for Predict, Prevent, Manage, and Promote.
- The framework operationalizes proactive nursing clinical decision-making.
- Nurses use PPMP to anticipate complications, reduce risk, respond quickly, and support long-term independence.
- Collaboration is triggered when needs exceed independent nursing scope.
Equipment
- Current assessment trends and baseline comparison data
- Care-plan template with risk/response sections
- Escalation pathways for interdisciplinary collaboration
Procedure Steps
- Predict likely best-case and worst-case trajectories based on current cues and known complications.
- Prioritize highest-risk deterioration pathways that could harm safety or recovery.
- Prevent avoidable complications by implementing early protective interventions.
- Set early-warning criteria for when a potential problem becomes an actual problem.
- Manage active problems using evidence-based interventions and frequent reassessment.
- Engage patient in shared decisions and escalate to interdisciplinary partners when required.
- Promote recovery and independence through education, self-management coaching, and safety planning.
- Re-evaluate outcomes and revise PPMP actions as response data evolve.
Common Errors
- Focusing only on current symptoms without forward prediction → delayed intervention.
- Waiting for deterioration before prevention steps → avoidable complications.
- Managing in isolation when collaborative input is needed → suboptimal outcomes.
- Omitting promotion planning → poor discharge readiness and recurrence risk.
Related
- nursing-diagnosis-vs-medical-diagnosis - Clarifies diagnosis focus that drives PPMP actions.
- evaluation-of-outcomes-in-fluid-electrolyte-and-acid-base-care - Demonstrates iterative reassessment and plan modification.
- patient-education-for-fluid-electrolyte-and-acid-base-risk - Example of Promote-phase execution.