concepts and application of theory

1. IMOGENE
KING’S THEORY
OF GOAL
ATTAINMENT

28. Mr.Sy is 74 yrs married, got admitted in L3
ward of ….. Hospital on 27/03/08 with a
diagnosis of indirect inguinal hernia
underwent herniorrhaphy with prolene mesh
done on 30/03/08.The following areas were
addressed to for gathering data.

29.  What is the patient’s perception
of the situation?
 What are my perceptions
 Patient says
 I have under gone surgery
 The wound is getting healed
 I have pain
 Iam taking meds. For htn*7yrs.
 I have vision problem
 Patient under went surgery
 Patient has health related problem
 Patient is at risk for infection
 Patient has pain
 Patient may develop htn related
complicatios

30.  Other information to assist the
patient
 What does this information means
to this situation?
 History
 Identification details
 Present history of illness
 Past health history
 Family history
 Socio-economic status
 Life style Physical examination
 Patient neglected health
 Pt. has pain
 Family h/o hernia
 At risk for infection
 At risk for constipation
 At risk for complications of Htn
 Patient requires health education
regarding health maintenance

31.  What conclusion does this Patint
makes?
 What conclusion do I make?
 Nursing Diagnosis
 Patint requires management for
his pain
 Patient understands the need
taking care of health risks and
agrees to to work on these aspects
 Based on information
 Acute pain R/T surgical incision
 Risk for infection
 Risk for constipationR/T bed
rest,pain medication,NPO or soft
diet
 Deficiene knowledge regarding
the treatment and home care
 Ineffective health maintenance.

32.  Nurses goals
 Patient’s goals
 Client will experence improved
comfort as evidenced by
adecrease in the rating of the pain,
ability to rest and sleep
 The client will be free of infection
 The client will have imprved
bowel movement
 Client will acquire adequet
knowledge
 Client will attend health problem
promptly.
 Freedom from pain
 Rapid healing
 Adequate bowel movements
 Acqu

33.  Are the patient’s goals and
professional goals are conguent?
 What are the priority goals?
 What way the patient perceives as
the best way to achieve goals?
 IMPLEMENTATION
 YES
 Relief of pain
 Freedom from infection
 Adequate bowel movements
 Improvement in knowledge
 Prompt attendance to health
problems
 Working with the the health
professionals
 Gaining knowledge
 Disclosing adequate information
regarding health problrms

34.  Am I doing what the Pt. and I
have agreed upon?
 How am I carrying out the action?
 When do I carry out the action?
 Why am I carrying out the
actions?
 EVALUATION
 Are my actions helping to achieve
the mutually accepted Goals?
 How well the goals are being
met?
 Patient’s response
 How should the plan be changed
to achieve goals?
 Yes
 On mutually accptable manner to
achieve the goals
 According to priority
 Patient demands nursing care
 YES
 Short goals are met before
discharge. Long term expected to
meet as pt. is motivated to
continue home care
 Patient is satisfied with my action
 Health teaching can be modified
 Involvement of family member in
care of the patient.