need help w a short and long term goal

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Im a student nurse and Im working on a care-plan for a 4 year old patient who has developmental issues, she is unable to speak or walk.

My nanda is Impaired verbal communication R/T developmental delays A-E-B pt did not speak during my shift.

Im having trouble developing goals that are "SMART" (specific, measurable, attainable, realistic, timetable).

And the goals in my Nursing Diagnosis Hand Book are not relevant to this patient.

I originally came up w "Pt will demonstrate an understanding by the end of my shift", but I know that is not realistic or measurable.

If anyone has had experience with this type of patient I would appreciate the help, thank you!

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Specializes in Emergency & Trauma/Adult ICU.

Some food for thought: think carefully about cause and effect -- if I (patient) do not speak to you, one particular nursing student, does this mean I am developmentally delayed?

Try searching your resources for care planning appropriate to a total care patient. What kinds of things do we do for non-ambulatory patients, or patients who cannot perform their own hygiene or other ADL? Then focus on the goals of these interventions, and what evidence would demonstrate the effectiveness of these nursing measures.

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Specializes in Pediatrics, Emergency, Trauma.

What else was involved in your pts care? What else did your assessment produce?

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