Downloaded 246 times
Uploaded byMahesh Chand
Imogene king Goal attainment Theory
Mr. Sy, a 74-year-old man, was admitted to the hospital with an indirect inguinal hernia and underwent hernia repair surgery. The nurse addressed areas like the patient's perceptions and needs, gathered health history, and identified nursing diagnoses of acute pain, risk of infection, and risk of constipation. Goals were set to improve the patient's comfort and knowledge as well as prevent complications. The nurse's actions aligned with the mutually agreed upon goals and the patient responded positively, though family involvement in care could be further emphasized.
More Related Content
Similar to Imogene king Goal attainment Theory
More from Mahesh Chand
Imogene king Goal attainment Theory
- 1.
- 28. Mr.Sy is 74yrs 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 isthe 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 informationto 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 conclusiondoes 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 thepatient’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 Idoing 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.