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SETTING PRIORITIES

ESTABLISHING GOALS

SELECTING NURSING INTERVENTION

DEVELOPING NURSING CARE PLAN

SELF ACTUALISATION

SELF ESTEEM LOVE AND BELONGINGS GROWTH NEEDS PHYSIOLOGICAL NEEDS

TYPES OF GOAL

SHORT TERM GOAL :


In an acute care setting , much of the nurses time is spent on the clients immediate needs , so most goals are short term . Ex : client will raise right arm to shoulder height by Friday

LONG TERM GOAL :


They are often used for clients in nursing homes , extended care facilities , and rehabilitation centers . Ex : client will regain full use of right arm in six weeks

SPECIFIC GOAL :
specific goal The broad aim of care give decision to

Ex : the patient learn to administer self insulin within seven days

Discuss the desired results with the patient and his family and involve them in goal setting . Collaborate with other professionals to decide on appropriate goals . State the goal in behavioral items . Analyze the goals
Ex : reduce 1kg weight within a week

Ex : plan diet , checking the weight , maintain a weight chart , assess the mobility and activity

Set priorities among goals

Ex : Start with 1500 calorie diet

The subject , a noun , is the client , any part of the client or some attribute of the client.

SUBJECT :

VERB :

It denotes an action the client is to perform . It also denotes directly observable behaviors . Ex : Administer , show , walk
They are added to the verb to explain the circumstances under which the behavior is performed . Ex : walks with the help of a walker CONDITIONS :

It indicates the standards by which a performance is evaluated . They may specify time , speed , accuracy , distance and quality . Ex : weighs 75 kg by April (time)

CRITERIA OF PERFORMANCE :

PURPOSE OF GOAL

Provide direction for planning nursing interventions that will achieve the desired changes in the client . Provide a time span for planned activities . Serve as criteria for evaluation of client progress . Enable the client and nurse to determine when the problem has been resolved . Help motivating the client and nurse by providing a sense of achievement .

WHAT IS EXPECTED OUTCOME :


a)

b)

c)

d)

A goal ,objective , or outcome criteria related to particular nursing diagnosis. Description of what nurse and client hope to achieve. What the client should achieve in order to show that the particular health problem is resolved. Specific ,measurable , realistic statements of goal attainment.

QUESTIONS TO ASK WHEN DEVELOPING EXPECTED OUTCOME:


Problem? What is the opposite healthy response? How the client will look or behave if such response is achieved ? What the client has to do to demonstrate that the problem has been resolved?

ANA STANDARD III: OUTCOME IDENTIFICATION: Derived from nursing diagnosis. Mutually and appropriately formulated with the client. Culturally appropriate and realistic. Attainable in relation to availability of resources. Time for attainment. Provide direction for continuity of care. Documented as measurable goals.

Safe and appropriate for the individuals age , health and condition. Achievable with resources available . Congruent with the clients values , beliefs and culture . Congruent with other therapies . Based on nursing knowledge and experience .

Within established standards of care as stated by state laws , professional associations and institutional policies .

GUIDELINES FOR WRITING CARE PLAN


Date and sign the plan . Use the category headings . Use standardized medical or English symbols and key . Refer to procedure books or other sources of information . Tailor the plan to the unique characteristics of the client . Ensure that the nursing plan incorporates preventive and health maintenance aspects including restorative . Plan containing orders for ongoing assessment . Include collaborative and coordination activities in the plan . Include discharge plans and home care needs .

PURPOSES OF A WRITTEN CARE PLAN


To provide direction for individualized care of the client . To provide for continuity of care . To provide direction about what needs to be documented on the clients progress notes . To serve as a guide for assigning staff to care To serve as a guide for reimbursement from medical insurance companies .