Application of goal attainment theory
\nObjectives
\n\u2022 Assessing the patient’s condition using various methods explained by nursing theory \u2022 Identifying the patient’s needs \u2022 Demonstrating effective communication and interaction with the patient
\n\u2022 Choosing a theory for application based on the patient’s needs \u2022 Applying the theory to solve the patient’s identified problems \u2022 Evaluating the extent to which the process was fruitful
\nIntroduction
\n\u2022 King’s theory sheds light on nurses’ interactions with individuals and groups in the workplace.
\n\u2022 It emphasizes the importance of client involvement in decisions affecting care and focuses on both the process of nurse-client interaction and the outcomes of care.
\n\u2022
\nMr.sy (74 years old) was admitted to the l3 ward of…hospital for a herniorrhaphy on… for his left indirect inguinal hernia and was scheduled to be discharged… In his nursing process, he applied goal attainment theory.
\n\u2022 King indicates that assessment occurs during interaction in the nursing process. The nurse brings special knowledge and skills to this interaction, whereas the client brings knowledge of self and perception of problems of concern.
\n\u2022 During the assessment, the nurse collects data about the client (his\/her growth and development, perception of self and current health status, roles, and so on).
\n\u2022 \u2022perception is the foundation for data collection and interpretation; communication is required to verify perception accuracy, as well as for interaction and transaction.
\nThe first step in the nursing process is for the nurse to meet the patient and communicate and interact with him. The assessment process begins with gathering data about the patient based on relevant concepts.
\nMr. Sy is 74 years old and married. He was admitted to the l3 ward of…hospital on March 27, 2008, with a diagnosis of indirect inguinal hernia and underwent herniorraphy with prolene mesh on March 30, 2008. The following areas were targeted for data collection.
\nWhat does the patient think about the situation?
\n“I had hernia surgery,” the patient explains. “the wound is healing, I have no other problems” “I have pain in the area of surgery when moving” “I’ve been taking hypertension medications from here for the last 7 years” I had surgery for my right eye about ten years ago.”
\nWhat are my thoughts on the situation?
\nOn March 30, the patient underwent herniorahaphy surgery for an indirect inguinal hernia that had gone untreated for 35 years. The patient is experiencing difficulties with health maintenance. The patient is at risk of becoming infected. The patient is in pain as a result of the surgical incision. In the future, the patient may develop hypertension-related complications.
\nWhat other information do I require to help this patient achieve health?
\nHistory
\nParticulars of identification
\nMr. Sy is 74 years old, married, male, studied up to 7th grade, owns a business, and is a practicing Muslim. He was admitted to l3 ward of…hospital on 27\/03\/08 with a diagnosis of indirect inguinal hernia and underwent herniorraphy with prolene mesh on 30\/03\/08.
\nPresent illness history of abdominal swelling for 35 years, with difficulty performing activities and occasional abdominal pain He has been suffering from hypertension for seven years. The swelling remained stable with uncomplicated progression, increasing in size when standing for long periods of time and reducible with pressure no h\/o severe pain but increasing in size for the last few years relived after pressing the swelling back into position and taking rest and applying pressure
\nPrevious medical history Patient had cataract surgery about ten years ago while being treated for hypertension and had no other significant illnesses.
\nAncestral history The patient’s next elder brother and next younger brother both had inguinal hernias and were operated on. The elder brother had three hernia surgeries.
\nSocioeconomic status high economic status per month >rs.20000\/-
\nNon-vegetarian lifestyle, no smoking or alcoholism Knowledgeable about health-care facilities
\nPhysical exam alert, conscious, and oriented moderately built, adequate nourishment, with bmi of 22 vital signs – normal except bp 140\/90 mmhg general head-to-foot examination reveals normal findings except for right eye vision difficulty and healing surgical wound on the left inguinal region Subjective issues pain at the surgical wound site, inability to urinate for two days, and a review of relevant systems
\nInspection of the Gi system: healing wound, no infection, no redness, no swelling
\n\u2022 Auscultation: normal bowel sounds \u2022 Palpation: no pain, normal abdominal organs
\n\u2022 Percussion: no dull sound indicating fluid collection or ascitis Genito-urinary system \u2022 Inspection: testicles in position, no infection, no swelling or enlargement. \u2022 Palpation: no c\/o pain, no prostate enlargement.
\nInvestigations
\n\u2022 Fbs – 91 mg\/dl \u2022 Na (130-143meq\/dl) – 134 meq \/ dl \u2022 K+ (3.5-5 mg\/dl) – 3.5 meq \/ dl \u2022 Urea (8-35mg\/dl) – 29 mg \/ dl \u2022 Sr. Cr (0.6-1.6 mg\/dl) – 1 mg\/ dl
\n\u2022 Electrocardiogram (ECG) ant. Fascicular block, left atrial enlargement, and normal axis
\nWhat does this information mean in this context?
\n\u2022 Patient ignored a health problem for 35 years; \u2022 Patient has acute pain at the site of surgical wound; \u2022 Patient has a family history of inguinal hernia and a risk of recurrence; \u2022 Patient has a risk of recurrence due to constipation; \u2022 Patient has a risk of infection due to inadequate knowledge and age; and \u2022 Patient requires education regarding health maintenance.
\nWhat is the patient’s conclusion (judgment)?
\n\u2022 The patient’s pain must be managed.
\n\u2022 The patient understands the importance of addressing health risks and agrees to work on these issues.
\nWhat is the patient’s conclusion (judgment)?
\nBased on the assessment, nursing diagnoses, i.e. clinical judgment about the patient’s actual and potential problems, were developed.
\nNursing diagnosis \u2022 The assessment data is used to make nursing diagnoses in the nursing process.
\n\u2022 As part of the goal-achievement process, the nurse identifies the problems, concerns, and disturbances for which the person seeks assistance.
\n1. Acute pain from a surgical incision
\n2. Infection risk associated with surgical incision
\n3. Constipation risk associated with bed rest, pain medication, and npo or soft diet
\n4. Inadequate knowledge of treatment and home care
\n5. Inefficient health-care maintenance
\n\u2022 Following diagnosis, interventions to solve the problems are planned. Goal attainment planning is represented by setting goals and making decisions about and agreeing on the means to achieve goals. \u2022 This part of the transaction is encouraged, and client participation in making decisions on the means to achieve the goals is encouraged.
\nIdentifying goals and making plans to achieve them (this step is congruent with planning in the traditional nursing process)
\nWhat objectives do I believe will be most beneficial to the patient?
\n1. The client will feel more comfortable, as evidenced by: \u2022 a decrease in pain rating, \u2022 the ability to rest and sleep comfortably
\n2. The client will be infection-free, as evidenced by a normal temperature and vital signs.
\n3.the client’s bowel elimination will be improved, as evidenced by: \u2022 stool elimination without straining
\n4. The client will gain sufficient knowledge about the treatment and home care.
\n5.The client will address health issues as soon as possible.
\nWhat are the patient’s objectives?
\nThe patient’s objectives are as follows: \u2022 Pain relief \u2022 Rapid healing \u2022 Adequate bowel movement
\n\u2022 gaining adequate knowledge about his health problems
\nAre the patient’s and professional goals in sync?
\nYes
\nWhat are the top priorities?
\nPain relief \u2022 Infection prevention \u2022 Adequate bowel movement \u2022 Increased knowledge of health conditions \u2022 Prompt attention to health problems
\nWhat does the patient believe is the most effective way to achieve goals?
\n\u2022 Collaborating with health professionals \u2022 Learning \u2022 Sharing adequate information about health problems
\nIs the patient willing to put in the effort?
\nYes, what do I believe is the best way to achieve the objectives?
\nGoal 1: Assess the characteristics of pain; administer prescribed medication; monitor responses to drug therapy; provide a calm, efficient manner that reassures the client and minimizes anxiety; and provide a comfortable position as requested by the client.
\nGoal 2: \u2022 monitor vital signs \u2022 administer antibiotics as directed \u2022 use aseptic techniques when changing dressings \u2022 keep the surgical wound site clean \u2022 report any early signs of infection to the surgeon
\nGoal 3: Ensure that the client’s diet contains adequate bulk and fluid intake; instruct the client on how to avoid straining and valsalva maneuvers; and consult the treating physician about medications.
\n\u2022 Explain the treatment measures and their benefits to the patient in simple, understandable language.
\n\u2022 Explain and demonstrate home care.
\n\u2022 Clarify the patient’s doubts, as the patient may present with some important issues.
\n\u2022 Reinforce learning by repeating information as needed.
\nGoal 5: Provide health education on the following topics:
\n\u2022 6 months of no heavy weight lifting (more than 20kg) \u2022 Any additional management that may be required
\n\u2022 Control of his hypertension through diet
\n\u2022 Rehabilitation measures to encourage healthier living
\n\u2022 For regular examination of the site for hernia recurrence.
\nAre the objectives short-term or long-term?
\nGoals are set for both the short and long term.
\nWhat changes are required based on mutuality?
\n\u2022 Pain is tolerable for the patient and does not necessitate sos medication; \u2022 Constipation is not severe enough to warrant medication; and \u2022 Other interventions are mutually acceptable.
\n\u2022 In the nursing process, implementation entails the actual activities to achieve the goals.
\n\u2022 Transactions are completed as a result of this step.
\n\u2022 Transactions take place as a result of perceiving the other person and the situation, making judgments about those perceptions, and acting in response.
\n\u2022 Reactions to action result in transactions that reflect a shared perspective and commitment.
\n\u2022 This step reflects the traditional nursing process’s implementation.
\nIs this what the patient and I agreed on?
\nYes
\nWhat actions am I carrying out?
\nIn accordance with the goals established, on a mutually acceptable basis.
\nWhen am I going to carry out the action?
\nA few interventions require immediate attention based on priority.
\nOther interventions are carried out during the hospitalization period until April 5th.
\nWhy am I performing the action?
\nThe patient’s condition necessitates the use of a nursing car.
\nIs it reasonable to expect that carrying out the action will result in the achievement of the identified goals?
\nYes
\n\u2022 It entails determining whether or not goals have been met.
\n\u2022 In King’s – description, evaluation refers to goal attainment and the effectiveness of nursing care.
\nAre my actions assisting the patient in achieving mutually agreed-upon objectives?
\nYes
\nHow well are objectives met?
\nPrior to hospital discharge, short-term objectives are met.
\nBecause the patient is motivated to continue receiving home care, long-term goals are expected to be met.
\nWhat are the ineffective actions?
\nWhat is the patient’s reaction to my actions?
\nMy actions have pleased the patient.
\nAre there any other factors impeding goal achievement?
\nThe patient’s age is a barrier to achieving health maintenance goals.
\nHow should the plan be altered to achieve the desired results?
\nHealth education can be tailored to the developmental stage of the child.
\nInvolvement of a family member in the patient’s care.<\/p>\n","protected":false},"excerpt":{"rendered":"
Application of goal attainment theory Objectives \u2022 Assessing the patient’s condition using various methods explained by nursing theory \u2022 Identifying the patient’s needs \u2022 Demonstrating effective communication and interaction with the patient \u2022 Choosing a theory for application based on the patient’s needs \u2022 Applying the theory to solve the patient’s identified problems \u2022 Evaluating […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1395,1392,1393,1394,1391],"tags":[2871,2872,2870,2869,2873,2874],"class_list":["post-5558","post","type-post","status-publish","format-standard","hentry","category-australia-essay-writers","category-canada-essay-writers","category-ireland-essay-writers","category-uae-essay-writers","category-usa-essay-writers","tag-cheap-essay-writer-australia","tag-cheap-essay-writer-canada","tag-cheap-essay-writer-uk","tag-cheap-essay-writer-usa","tag-homework-help-writing-service-usa","tag-nursing-help-writing-service-usa"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts\/5558","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/comments?post=5558"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts\/5558\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/media?parent=5558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/categories?post=5558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/tags?post=5558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}