Published May 24, 2011
ckcc
6 Posts
my patient is postop orif to the hip. my selected nursing dx's are:
1. Ineffective Physical Mobility
2. Acute Pain
3. Noncompliance
4. Risk For Falls
5. Risk For Infection
i have to explain how the attainment of each goal will be measured and i'm not quite sure how to do that.
am i on the right track?
example ineffective physical mobility: outcome - patient is free of complications of immobility as evidenced by intact skin, absence of thrombophlebitis and normal bowel pattern.
how do i make that measurable and timely?
anonymousstudent
559 Posts
When we do these they have to be met by the end of our shift.
So pain - goal is pt. reports a 3/10 or lower on the scale by the end of the shift via meds and whatever else you will do/did (distraction, etc)
Does your CI want that kind of long term goal? It doesn't sound very timely the way you wrote it.
Look at -
ambulation (based on what PT cleared him/her for)
risk for infection - C&DB, incentive spirometry, and also address the incision
Oh - noncom? Why?
he's a grumpy old man, lol... doesn't like being bothered with having to take medications and monitoring vitals ...