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Discussion

Um.....what?

Okay help me out here friends. Maybe I'm crazy or not understanding this correctly. I'm reading for class and came across this:

Goal/outcome statement - Patient's left hip ulcer will measure 1 cm x 2.5 cm in 3 weeks.

Evaluation/documentation - Outcome partially achieved. Patient's left hip ulcer measures 0.3 cm x 0.5 cm.

Since I have to assume we never want pressure ulcers to get bigger, then originally it must have been larger than 1 cm x 2.5 cm at the time of the writing of the goal statement. And, since 0.3 cm x 0.5 cm is substantially smaller than 1 cm x 2.5 cm, not only has the goal been met, it's been exceeded. So why term it as partially achieved?

If the stated goal had been total healing, then I would accept a classification of partially achieved. But as written, that makes no sense.

So is my book wrong, or am I somehow misunderstanding this?

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    • Featured Replies

    • Experts

    I would think that the real goal is to have the wound completely healed. Probably not worded correctly.

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    • Author

    True, but my problem is mostly with the math.

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    • Experts

    Would be nice if an educator, a wound care expert, or one of our very knowledgeable members would chime in. Now I'm wondering too!

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    • Author

    I emailed my instructor. Let's see what she says.

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    • Experts

    Good idea. You could always also write a letter to the text author if you have the time and inclination. They are probably not aware that this was not caught by the editors and your letter could bring about a clarification in future editions.

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    • Author

    Especially as this is a brand new edition, probably a good idea.

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    My guess, it's partially achieved because it is not healed. Which class is this for?

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    • Author
    My guess, it's partially achieved because it is not healed. Which class is this for?

    I just started a LPN program. My problem with your assertion is that total healing wasn't the stated goal. Reducing it in size was, and that goal was exceeded.

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    In my experience with most instructors, she won't know. It's likely a mistake.

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    Was the time elapsed between setting the goal and the evaluation statement somewhere in the question? The only thing I can come up with is if the time elapsed is less than the three weeks stated in the goal the partial achievement might be because the full three weeks have not passed so the final outcome is not yet known.

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    • Author

    Exact wording:

    Goal and outcome statement

    Patient's left hip ulcer will measure 1 cm x 2.5 cm in 3 wk (5/28/14)

    Evaluation and documentation

    5/28/14: outcome (goal) partially achieved. Patient's left hip ulcer measures 0.3 cm x 0.5 cm

    That was a good thought though, kbrn, I had to go back and look closely and I was hoping you'd be right.

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    Ok, so my theory may be correct after all. The goal statement and the evaluation/documentation statement are dated the same [5/28/14]. This means the goal was set at some time prior to reach that measurement on or before 5/58/14 and the measurement taken 5/28/14 is within those parameters.

    What is missing here is the initial data from the date the goal was set. To completely reach the goal [which I am assuming is the resolution of the ulcer] we need to know the initial measurement and date the ulcer was observed and the time frame for the goal of complete healing. This documentation on 5/28/14 represents an interim goal. As the measurements on that date indicate the ulcer is smaller than the goal size set for that date the final goal is partially met since the ulcer appears to be healing. The goal will be met if the ulcer is healed by the date of that goal.

    Of course I am assuming a lot of information here, it would be nice if the text book indicated this was only one step toward achieving the final goal.

    Hope this made some small amount of sense!

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