Please help with Outcome for my NSG DX!

elkpark · Feb 2, 2011

I don't want to make your assignment more complicated or get you more confused than you may already be, but I'm somewhat confused by your post.

In the first place, your stem dx is "Ineffective coping," and your evidence of this (AEB) is "the patient states, 'I don't know who is the father of my baby'" -- I'm not seeing how that is "evidence" that the client is coping ineffectively. Sounds like a simple statement of fact to me. Just because there's no father in the picture (or she doesn't even know who the father is), that does not, by itself, necessarly, mean that she's not coping effectively. Is there more evidence you can add to support the dx? Or maybe you're heading down the wrong path and another dx would fit better ...

In the second place, you say that your short-term outcome is "the patient will "The patient will modify her lifestyle or behavior to promote wound healing within 6 hours." What does "wound healing" have to do with her coping more eeffectively? I could see that as an outcome for a diagnosis of impaired skin integrity, risk for infection, or something like that, but what is the connection to "ineffective coping"? Also, how, specifically, is she going to "modify her lifestyle or behavior" enough in 6 hours to have any effect on a wound healing? If the expected/outcome behavior is that vague, how will you know whether she's met it or not?

Just my $.02 worth. Best wishes --

Miley22 · Feb 2, 2011

thank you so much for your comment. I need to redo this then. Thanks again!

our8kids · Feb 5, 2011

I was just gonna say the same thing... Your goal needs to be directly related to (opposite of) your diagnosis... a coping deficit would require an outcome related to a newfound ability to cope.. or at least heading that way..