Actually, I am a nurse - for 18 years. I hate care plans, too, and generally believe they are as helpful as they have ever been. However, we are being told that the "pt/family long/short term goal" is going to be automatically added on every patient, and my principal trainer told us that there is not a list of goals because TJC requires it to be the patient's/family's statement. The thing is I need to train the RN's the way we should do things, not the real world way, you know what I mean?