Assessment

Diagnosis

Inference

Planning

Interventions

Subjective:

Readiness for
enhanced hope

Finds a sense of
meaning to life

After 8 hours of
nursing
interventions,
patient will be
able to:

Independent:

I hope I can
recover from this
illness., as
verbalized by the
patient

Objectives:
Congruency of
expectations
with desires
Problem
solving to
meet goals
Ability to set
personal goals

Expectation/desire
to get
better/recover

Desire to enhance
interconnectednes
s with others

Forms a pattern of
expectations that
is sufficient for
mobilizing energy
and can be
strengthened

Readiness for
enhanced hope

Identify and
verbalize
feelings
related to
expectations
and desires of
recovering
from illness.

Verbalize belief
in possibilities
for the future.
Discuss current
situation and
desire to
enhance hope.

Rationale

Determine
current
physical
condition of
client

Treatment
regimen can
influence ability to
promote positive
feelings of hope.

Note degree of
involvement in
activities and
relationships
with others

Superficial
interactions with
others can limit
sense of
connectedness
and reduce
enjoyment of
relationships

Establish a
therapeutic
relationship,
showing
positive regard
and sense of
hope for the
client.

Enhances feelings
of worth and
comfort, inspiring
client to continue
pursuit of goals.

Help client
recognize
areas that are

To be most
effective, client
needs to expend

Evaluation

After 8 hours of
nursing
interventions, goal
met. Patient was
able to express
desire for positive
health outcomes,
belief in the
possibilities of the
future as well as
share strategies to
live a meaningful
life, and express
awareness of the
need for
developing and
maintaining a
positive attitude
of hope.

in his or her
control versus
those that are
not.

Identify
activities to
achieve goals
and facilitate
contingency
planning.

Explore
interrelatednes
s of unresolved
emotions,
anxieties,
fears, and
guilt.

Assist client to
acknowledge
current coping
behaviors and
defense
mechanisms
that are not
helping client

energy in those
areas where he or
she has
control/can make
changes and let
the others go.

Helps client deal

with situation in
manageable
steps, enhancing
chances for
success and sense
of control.

Provides
opportunity to
address issues
that may be
limiting
individuals ability
to improve life
situation.

Allows client to
focus on coping
mechanisms that
are more
successful in
problem solving.

move toward
goals.

Encourage
client to
concentrate on
progress not
perfection.

Involve client
in care and
explain all
procedures
thoroughly,
answering
questions
truthfully.

Identify ways
to strengthen
sense of
interconnected
ness or
harmony with
others

If client can
accept that
perfection is
difficult and
generally not the
focus rather
achieving the
desired goal is
then he or she
may be able to
view own
accomplishments
with pride.

Enhances trust
and relationship,
promoting hope
for a positive
outcome.

To support sense
of belonging and
connection that
promotes feelings

 Provide
positive
feedback for
actions taken
to improve
problemsolving skills
and for setting
achievable
goals.

Explore how
beliefs give
meaning and
value to daily
living.

Encourage lifereview by
client

Encourage
client to join
groups with

of wholeness and
hopefulness.

Acknowledges
clients efforts and
reinforces gains.

As clients
understanding of
these issues
improves, hope
for the future is
strengthened.

To acknowledge
own successes,
identify
opportunity for
change, and
clarify meaning in
life.

Expanding
knowledge and
making
friendships with

similar or new
interests.

Assess
patients
perception of
ability to set
personal goals,
expression of
desire to build
on possibilities
for the future
and the ability
to align desires
and
expectations,
spiritual needs.

new people will

broaden horizons
for the individual.

Information
obtained from
assessment may
assist in
determining
appropriate
interventions