I'm working on a careplan for a patient with the nursing diagnosis of excess fluid volume. This pt's fluid volume excess is due to both heart failure and acute on chronic renal failure. She's not on any fluid restrictions or diuretics and gets hemodialysis as needed (once or twice a week as ordered by MD). This pt has several manifestations of excess fluid volume, such as 1+ BLE edema, bilateral pleural effusions, and periodic episodes of hypertension.
I'm totally stuck on trying to write a goal for this patient because it needs to be something within an 8 hour time frame during which she is NOT getting hemodialysis, restricting fluids, or taking diuretics... Therefore, the goal CAN'T be anything along the lines of "pt will exhibit decreased edema."
I think it should be something along the lines of "pt will not experience worsening signs/symptoms of fluid overload this shift aeb increased edema, SBP >180, SOB, O2 desaturation, etc."
Does this make sense??? Can anyone offer guidance??? Thank you sooo much!