Help with nursing goals

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    This is my first careplan and i would very much appreciate some guidness with nursing goals, they're pretty confusing for me. My first nursing diagnosis is: Activity intolerance level 4 RT muscle weakness AMB resident states experiencing weakness in legs when she stands. My goal is: TRW get out of bed today (10/13) and use her wheelchair for at least 2-3 hours.

    My next diagnosis is: Altered nutrition: more than body requirements RT decreased metabolic needs AMB residents undesirable eating patterns.
    Goal: TRW consume 1500-2000 kcals a day and lose 1-2 pounds a week

    How could i make these goals better? Thanks sooo much for the advice!
  2. 2 Comments so far...

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    other than the fact that i don't know what all your abbreviations mean (trw? i thought that was an electronics company :d amb-- ambulance? ambien? amber alert?) i think you're on the right track.
    with her activity intolerance, what does that mean? is it just leg weakness (why? from a neuromuscular disease, inadequate nutrition, muscle wasting...?) , or does she get short of breath on exertion (why?), or does she have pain and that's what makes activity intolerable (why?), or she gets dizzy (why?), or she gets cold when she gets out of bed, or she hates the activities offered to her, or...?
    so does getting her into a wheelchair treat that? what else might a nurse do to help her get better, to increase her activity tolerance (related to one or more of those possible causes of it), or, if that can't be done, make her life easier?
    how would the nurse know that the interventions were working-- what would the nurse check to find out?

    the nutrition one is better, but i don't think you can say "undesirable eating patterns." undesirable to whom? you? if you want someone to lose weight, what else do you do with her besides limit her caloric intake at meals? activity? education? support? how would the nurse know that the interventions were working-- what would the nurse check to find out?
  4. 0
    Quote from kayla013
    this is my first careplan and i would very much appreciate some guidness with nursing goals, they're pretty confusing for me. my first nursing diagnosis is: activity intolerance level 4 rt muscle weakness amb resident states experiencing weakness in legs when she stands. my goal is: trw get out of bed today (10/13) and use her wheelchair for at least 2-3 hours.
    this does not fit the nanda definition of activity intolerance. activity intolerance is about energy (physiological or psychological)

    consider: impaired physical mobility r/t limited strength in lower extremities aeb resident's statements of experiencing weakness in legs when attempting to stand.

    using the wheel chair is not really a measurable goal. now maybe, resident will self propel in hallway 50 to 100 feet three times a day. or

    resident will ambulate 25 to 50 feet with one assist in hallway three times a day

    Quote from kayla013
    my next diagnosis is: altered nutrition: more than body requirements rt decreased metabolic needs amb residents undesirable eating patterns.
    goal: trw consume 1500-2000 kcals a day and lose 1-2 pounds a week

    how could i make these goals better? thanks sooo much for the advice!
    ok, as op stated, you can not use undesirable eating patterns as that is based upon your belief and does nothing to address the resident.

    altered nutrition: more than body requirements r/t decreased metabolic needs aeb overweight by 15% according to body frame and height. (for example)

    the goal: you currently have 2 listed. it can be: the resident will lose x amount of weight in x amount of months, or x amount of weight prior to discharge, etc...


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