Please Look At This!

Daytonite, BSN, RN · Dec 5, 2006

I answered this on the post that was put on the Nursing Student Assistance Forum.

Hellllllo Nurse, BSN, RN · Dec 5, 2006

Can anyone please let me know if this is an ok goal and nrs dx. I have been having trouble writing them and wondered if this was correct. Thank you for any imput!
Nrs dx: Anxiety moderate r/t threat of death m/b stated feelings of fear and uncertainty

LTG: Patient will be free from anxiety by discharge

STG: Patient will verbalize need for anxiolytic when anxiety level is greater than 5 on a scale of 0-10 by 1300 on 12/5

NDX Secondary to? MDX? How do pt's verbal c/o fear and uncertainty > fear of death? How did you decide this was fear of death?

Is being "free from anxiety" a realistic and measurable goal?

Daytonite, BSN, RN · Dec 5, 2006

I should mention that, in general, everything about a care plan must flow and be connected from the assessment data, to the nursing diagnosis, interventions, goals and outcomes. Goals and outcomes are supposed to be the predicted results of what you expect are going to happen as a result of the interactions that are going to be taken for the problem (nursing diagnosis) the patient has. Now, in my study of nursing care plans and nursing process, I find that there is a difference between "goals" and "outcomes", but I'm not going to distinguish between the two here because the OP isn't asking that. However, for this particular OP, the question is one of long term and short term goals. In my response to her post on the Nursing Student Assistant Forum I gave several suggestions for goals that could be used. However, any goals used should be directly traceable to nursing interventions in the care plan. Your instructor should be able to go to the nursing interventions asking, "How are you going to achieve that particular goal?" The way will be right there among the nursing interventions listed under that particular nursing diagnosis. The care plan is a nice flowing path of how you've planned for things to go. Now, whether or not they actually turn out that way is quite another question and has to do with the evaluation, the last step of the nursing process.