I realized that in most of the ncp, in planning phase are:
Nursing Goals and
But, in other I saw and nursing priorities. So my question is, why?
do they put in the same category priorities and goals?
I have written in my ncp, nursing goals and outcomes, but when I thought about priorities I had a conflict of data between Nursing Priorities and Nursing Goals.
can you give me an example, about a pt with stroke, who has hemyparesis, impaired verbal communication, and Impaired Physical Mobility
Jan 14, '13
by Esme12, ASN, BSN, RN Senior Moderator
There are goals......and there are goals that are more important than others....you prioritize the goals according to Maslows hierarchy of needs......usually the ABC's....place what can kill them first.
So if your patient is having difficulty swallowing due to hemaparesis/paralysis of the throat (ineffective airway clearance)....your priority is choking from paralysis of the throat, your goal would be to prevent choking by swallowing exercise, changing food texture, and the outcome is that the patient doesn't choke.
Ineffective airway clearance......the NANDA-I Definition: Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway. Maintaining a patent airway is essential to life.
Last edit by Esme12 on Jan 14, '13
I apologize for the mistakes you in writing because it is more difficult to translate from my own language than to write what I have in mind.
these are my nursing priorities:
1.Maintaining, improving cerebral functions: awareness, sensory functions.
2.Maximum independence in carrying out daily activities
3.Improving mobility. / Prevention, minimization of complications.
4.Increase the level of communication to the patient enabling him expressing his needs
5.Provide information about disease process/prognosis and treatment/rehabilitation needs.
6.Plan in place to meet needs after discharge
Last edit by fitore on Jan 14, '13
and these are my nursing goals.
I have a deadline to finish my case study please any help would be welcomed.
- Pt will maintain cerebral perfusion by having a BP of 20 percent less than usual highest BP obtained
- Pt will be oriented in time and space
- pt will be assisted in taking food until he will be able to do this themselves.
- pt will be fed with food which contents Vitamin, soft and take enough fluids.
- Pt will have clear airway.
The client will be able to increase the self-care.
- pt will be able to go to the bathroom by him self without nursing help.
- pt will be noticed with the procedures of setting catheter and will be noticed with the signs of urinary tract infection.
- pti will have improved mobility.
- Family members will be instructed for ROM exercises.
pt will maintain an effective level of communication before discharge.
pt will be able to discuss feelings of hopelessness in open way.
Client will have the necessary information about the treatment, receiving therapy.
Client will not be a damage of skin integrity / decubitus.
Client will not have injuries / (decrease of bed)
Client will be assisted in mobilizing his things before leaving the hospital.
Last edit by fitore on Jan 14, '13
Quote from Esme12
now what was his assessment...what did they find...where was the CVA...what is your assessment in a short paragraph. Where are you in your program?
my pt was diagnosed with CVA, , hemiparesis lat.dex. HTA
The scan revealed unilateral infarct in cerebellum.
when he was admitted he was somnolent ,he had a doop on the left of his face. Babinski's reflex positive .
I almost finished my case study and I am correcting my mistakes, but unfortunately this is takeing me more time than I thought, cos I have made some concessions inadvertently......
Last edit by fitore on Jan 16, '13