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?
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.
I think the care plan was edited and not proofread after editing. It doesn't make a bit of sense.
After reading a mere three chapters, I've decided that it's an error. I've found several other mistakes and come to the conclusion that the editor should be fired because they SUCK. Pretty disappointing, because I think with the amount I paid, I have the right to be able to trust my book and to expect higher quality.
That is very odd indeed! I agree, it is illogical to say it was partially achieved if the outcome EXCEEDED the goal/expectation! Bring it to your instructor's attention and like the PP said, write a letter if you have time/interest.
I agree that if this is all the information the text provided, just the middle section of a wound care plan [maybe] and leave it to the reader to solve the riddle -well, this text book stinks! Unless the price of books has gone way down over the years [which I highly doubt] I suspect you paid entirely too much for this one!
kbrn2002, ADN, RN
3,967 Posts
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!