Long term goals for GI bleed???

[ashemson]

I have to do a care map, which is similar to a care plan. My pt had GI bleed, and for the nusing diagnosis I used fluid volume deficit, altered nutrition, altered tissue perfusion. I now have to write out 2 long term goals and 2 short term goals for the pt. For one of the short term I wrote "pt will demonstrate improved fluid balance within 24 hours of hospital admission" then I have listed interventions. I am at a complete loss as to what some long term goals could be. Pt did have alcoholic cirrhosis, so could one of them be regarding his alcoholism? I am just not sure which way to go with this!

Thanks - these careplans seriously drive me crazy!

[Daytonite, BSN, RN]

here's an analogy for you: i have a messy kid. (problem) i tell him, "i want you to go up to your room and start cleaning it right now." (intervention). "in one hour i better see all your clothes picked up off the floor and put in the dirty clothes hamper in the bathroom." (short term goal) "by dinnertime i want to see your bed made, the floor swept and the dresser straightened up." (short term goal) i could also whoop his butt for being such a slob (an intervention that addresses the cause, or etiology, of the problem) and hope that solves future situations.

another way to look at goals is that they are what you expect to happen as a result of any nursing interventions you order.

for the deficient fluid volume, what was the cause (related factor) for this and the evidence that you had supporting it? what interventions did you order? if each one of those interventions is successful, what should happen? that is a goal.

you can do the same for each of the other two problems.

[ashemson]

That makes sense when you put it like that! I guess I just have trouble putting into "proper" words what I need to say. I will go work on it again...thanks so much!

[acelawler]

I would look toward education deficit... this could be anything from actual Dx, Diet, etc. I know you are asking about long term things, but considering the cause and long term pt management of a GI bleed I think this is one area to examine. Also, anemia is a great subject to find MAP guidelines.