Jess2741

[TABLE=align: left] [TR] [TD=bgcolor: transparent, align: left]Is this better:??? Are you able to include the caregiver in goals?? The client/caregiver will verbalize three benefits of following the medication regimen as prescribed in order to decrease cardiac output [/TD] [/TR] [/TABLE]

He lives with his daughter, who is also his caregiver and I included education regarding the benefits of diuretic therapy with the patient and caregiver. But for now he was discharge to an acute care rehabilitation center.

I am currently working on a care plan and I am having trouble wording my short term goal. My patient was admitted for Heart Failure, due to noncompliance with his diuretic medication. I know that my short term goal is for my patient to demonstrate adequate cardiac output as evidence by BP, pulse rate/rhythm within normal parameters ect.. But for my short term goal I wanted to have my patient demonstrate two techniques to allow for increased cardiac output. He is an 89 year old male with dementia, unsteady gait, history of falls, unable to ambulate on his own. Therefore, exercise would not fit for this patient. I was thinking about maybe passive ROM exercises as 1 technique but I could not find a rationale to support that so I wasn't sure if I should use that or not. So, here is my NANDA: Decreased cardiac output R/T impaired contractility AEB weak peripheral pulses, crackles auscultated in the bases posteriorly, BNP of 1399 & Echocardiogram indicates LVEF 35% [TABLE=align: left] [TR] [TD=bgcolor: transparent, align: left] [TABLE=align: left] [TR] [TD=bgcolor: transparent, align: left]The client will demonstrate two techniques to allow for an improvement in cardiac output such as energy conserving techniques to reduce the incidence of exacerbations & following the medication regimen as prescribed I know that this does not sound right at all but I'm not sure if it is just worded wrong or if I am completely off. Please help, any advise would be greatly appreciated![/TD] [/TR] [/TABLE] [/TD] [/TR] [/TABLE]