Concept explainers
To critique:
The goal and the outcomes that are set by Ms.T and to explain it if they were given correctly. Reword them correctly, if they are written incorrectly.
Case summary:
Ms.T is the staff nurse who is involved in care planning of Mr. L. The nursing diagnosis for Mr. L is acute pain related to the trauma of surgical incision. The goal of the nursing care is identified as “patient will use a relaxation technique after ambulation”; and the outcomes are “pain level below 4 and the incision does not splint within 48 hours of time when Mr.L is moving”. The interventions that are selected by Ms. T are administering the analgesics ordered, advanced relaxation, and splinting the incision when Mr.L gets out of bed.
Explanation of Solution
The goal which is stating that Mr.L will be using the relaxation technique after the process of ambulation is incorrect. It is an intervention process and the time frame is missing. The correct goal that should be given is “the patient is able to independently ambulate within 72 hours”. The given outcomes are inaccurate and the time in which the outcomes occur is not clear.
The improved outcomes can be as follows: patient will report pain below 4 in movement within 24 hours of time, the patient will not report any incision splint when moving within 24 hours. The other interventions of Ms.T can be giving priority to analgesics for decreasing the severity of pain and progressive relaxation to avoid splinting the incision during walking.
The goal and the outcomes identified by Ms.T are incorrect and need to be improved. Both of them are reworded and stated appropriately.
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Chapter 18 Solutions
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