The document outlines the nursing process, which includes 5 phases - assessment, nursing diagnosis, planning, implementation, and evaluation. It describes each phase in detail, explaining their purpose and components. The nursing process provides an organized framework for delivering nursing care by systematically assessing clients, identifying issues, planning and providing care, and evaluating outcomes.
The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective
The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective
nursing process is the base or heart of complete nursing and nursing process gives the framework for the nurses in giving care to the patient the knowledge of nursing process is must to become a licensed nurse or to practice nursing this ppt give nurses a brief idea what all thing are including in nursing process and to determine efficiency, knowledge, skills and attitude of personnel and can make best use of their skills into clinical practice.
nursing process is the base or heart of complete nursing and nursing process gives the framework for the nurses in giving care to the patient the knowledge of nursing process is must to become a licensed nurse or to practice nursing this ppt give nurses a brief idea what all thing are including in nursing process and to determine efficiency, knowledge, skills and attitude of personnel and can make best use of their skills into clinical practice.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
1. Objectives:
17th April, 2014 1
1. At theend of this presentation, students will beable to
know about:
2. What is Nursing Process
3. Whatare thecharacteristics of Nursing Process
4. Whatare the benefits of Nursing Process
5. Phases of Nursing Process including:
a) Assessment (purpose, types, steps, skills)
b) Nursing diagnosis (types, benefits, components)
c) Planning (steps & elements)
d) Implementation
e) Evaluation
3. Nursing Process
17th April, 2014 3
⚫The nursing process is a modified form of
scientific method used in nursing profession to
assess client needs and create a course of action to
address and solve patient problems.
⚫Nursing process is a rational problem solving
framework on which professional nursing practice
is based. It provides an organized, systematic
approach to nursing care thereby improving the
probability of positive outcomes for individuals
and groups.
5. Benefit Of Nursing Process
17th April, 2014 5
1. Provides an orderly & systematic method for planning
& providing care
2. Enhances nursing efficiency by standardizing nursing
practice
3. Facilitates documentation of care
4. Provides a unity of language for the nursing profession
5. Nursing Process is economical
6. Stresses the independent function of nurses
7. Increases care quality through the use of deliberate
actions
8. Providecontinuity of careand prevent duplication
6. Characteristics Of Nursing Process
17th April, 2014 6
1. Interactive, Purposeful and Systematic (organized)
2. Client-centered
3. Goal-directed, outcome focused
4. Within the legal scopeof nursing
5. Prioritizing the needs
6. The stepsare interrelated and dependenton the
accuracyof each of the preceding steps
7. It is used to identify, diagnose, and treat human
responses to health and illness
8. Assessment
17th April, 2014 8
⚫Assessment is the first step of nursing process and
may be defined as collecting, organizing,
validating and documenting client data
⚫During this phase, the nurse gathers information
about a patient's psychological, physiological,
sociological, and spiritual status through
observation, interviewing, physical examination,
health records and family members.
9. Assessment (cont….)
17th April, 2014 9
⚫Nursing assessments do not duplicate medical
assessments (which target to pathologic
conditions) but focus on the patient’s responses
to health problems or potential health problems
10. Types of Assessment
17th April, 2014 10
1. Initial assessment: Also known as triage, is performed within a
specified time after admission to establish a complete database for
problem identification, reference, and futurecomparison.
2. Problem-focused assessment: is an ongoing process integrated
with nursing care to determine the status of a specific problem
identified in an earlierassessment.
3. Emergency assessment: occurs during any physiologic or
psychological crisis of the client to identify the life-threatening
problems and to identify new oroverlooked problems.
4. Time-lapsed assessment: occurs several months after the initial
assessment to compare the client’s current status to baseline data
previouslyobtained.
11. Purpose Of Assessment
17th April, 2014 11
1. To establish baseline information on the client
2. To determine the client’s normal function
3. To determine the client’s risk for dysfunction
4. To determine the client’s strengths
5. To provide data for the diagnosis phase
12. Assessment Skills
17th April, 2014 12
1. Observation
2. Interview:
⚫ a conversation with purpose to get or give information, to
teach and provide support.
3. Physical Examination:
⚫ a systematic data collection method by inspection, palpation,
percussion and auscultation.
4. Intuition (Insight):
⚫ Use of insight, instinct, and clinical experience to make
clinical judgments about the client.
13. Assessment Activities
17th April, 2014 13
⚫ Activities oraction performed during
assessmentare:
1. Collect Data
2. Validate Data: Double checking thedata toconfirm
accuracy
3. Organize Data : Grouping thedata using Head to Toe
model, Systemic Review etc
4. Document Data: Documents subjective data in client own
wordsand objectiveusing medical terms, key, abbreviationsetc.
14. Collect Data
17th April, 2014 14
⚫The process of gathering information about the client
method/skills of assessment (Observation,
that begin with the first client contact, using
PE,
Interviewetc). Twotypeof data to be collected:
⚫Subjective Data: including symptoms, client's feeling
and statement about his/her health problems which
should be recorded as direct quotations from the client,
such as '' Every time I move, I feel pain.'‘
⚫Objective data: including signs or observable and
measurable data that are obtained through observation,
physical examination, and laboratory testing.
15. Sources of data
17th April, 2014 15
⚫Primary
⚫Theclient is the primary source of data.
⚫Secondary
⚫Family members orothersupporting persons,
⚫Health professionals,
⚫Health recordsand reports,
⚫Laboratory and diagnostic analyses,
17. ⚫Nursing Diagnosis is a clinical judgment
about individual, family, or community
responses to actual or potential health
problems/life processes.
⚫Nursing diagnoses provide the basis for
selection of nursing interventions to achieve
outcomes for which the nurse is
accountable.
17th April, 2014 17
Nursing Diagnosis
18. Benefits Of Nursing Diagnosis
17th April, 2014 18
⚫Gives Nursesa Common Language.
⚫Promotes identification of appropriate goals or correct
choice.
⚫Can createa standard for nursing practice.
⚫Providesaquality improvement base.
19. Components of Nursing Diagnosis
17th April, 2014 19
⚫A typical nursing diagnosis statement has two or three
parts/statements.
⚫ In two parts nursing diagnosis, the first component is a problem
statement or diagnostic label (as listed in NANDA), while
second component is the etiology. Both of these parts are linked
by the term related to (RT). E.g. Disturbed Body Image RT loss
of left lower extremity
⚫ The three part nursing diagnosis statement consists Problem,
Etiology and Sign, Symptoms (defining characteristics) joined
to the first two component by connecting phrase “as evidence by”
(AEB). E.g. “ineffective Airway clearance RT fatigue AEB
dyspnea at rest”
20. Descriptive Words
17th April, 2014 20
⚫To clarify nursing diagnosis, descriptive words or
terms may be added before or after the problem
statement. These words include Acute,
Decreased,
Dysfunctional,
Deficient,
Enhanced,
Depleted,
Excessive,
Chronic,
Disturbed,
Impaired,
Increased, Ineffective, Intermittent, Potential, and
Risk for.
23. Actual
17th April, 2014 23
⚫An actual nursing diagnosis is the diagnosis about
current problem that is present at the time of the
nursing assessment, based on the presence of signs
and symptoms.
⚫Examples of an actual nursing diagnosis are anxiety
characterized by fear, panic, apprehension and sleep
disturbances,
characterized
or an ineffective
by an ineffective
airway
cough,
clearance
abnormal
breathing ora fever.
24. Risk Nursing Diagnosis
17th April, 2014 24
⚫Risk nursing diagnosis describes human responses to
health conditions that may develop in a vulnerable
individual, family, orcommunity.
⚫Risk nursing diagnoses are two – part statements, do not
include defining characteristics.
⚫Examples –
⚫Risk for infection related to surgery or immunosuppression.
⚫Risk for aspiration related to reduced level of consciousness
25. Wellness nursing diagnosis
17th April, 2014 25
⚫ A clinical judgment about a person’s, family’s or
community’s motivation and desire to increase
wellbeing as expressed in the readiness to enhance
specific health behaviors, and can be used in any
health state.
statement
⚫ Wellness nursing diagnosis are one part
includes diagnostic label.
⚫ Example
⚫ Readiness for enhanced spiritual well being
⚫ Readiness for Enhanced Self-Esteem.
26. Syndrome Nursing Diagnosis
17th April, 2014 26
⚫A clinical judgment describing a specific cluster of
nursing diagnoses that occur together, and are best
addressed together and through similar
interventions.“
⚫An example of a syndrome diagnosis is: Relocation
stress syndrome.
27. Difference b/w Medical & Nursing Diagnosis
Nursing Diagnosis Medical Diagnosis
Clinical judgment about individual,
family, or community responses to
actual and potential health problems
or life processes
Identification of a disease condition
based on a specific evaluation of
physical signs, symptoms, history,
diagnostic tests, and procedures
The goal of a nursing diagnosis is to
identify actual and potential
responses
The goals of a medical diagnosis is to
identify the cause of a illness or injury
and design a treatment plan
Nurse treats problem within scope of
independent nursing practice
Physician directs treatment for
medical diagnosis
May change from day to day as the
patient’s responses change
9/27/2013
Remains the same as long as the
disease is present
27
30. Planning
17th April, 2014 30
⚫Planning is to formulate the way to manage the problem.
⚫The third step of the nursing
formulation of guidelines that
process includes the
establish the proposed
course of nursing action in the resolution of nursing
diagnoses and the development of the client’s plan of care.
⚫Planning consists three stage:
⚫Initial Planning
⚫On-going planning
⚫Discharge planning
31. Steps Of Planning
17th April, 2014 31
⚫Initial Planning
⚫ Done by the nurse who perform admission assessment in
order to prioritize problems, identify goals and correlate
nursing care to resolve the problems.
⚫Ongoing planning
⚫ Involves continuous updating of the client’s plan of care. Every
nurse who cares for the client is involved in ongoing planning.
⚫Discharge planning
⚫ involves anticipation and planning for the client’s needs after
discharge.
32. Elements Of Planning
9/27/2013 32
⚫Prioritizing the problems/nursing diagnosis
⚫Formulate goals/desired outcomes
⚫Short Term (to resolve in few hours or days)
⚫Long Term (to resolve over weeks or months)
⚫Select nursing interventions
⚫Write nursing interventions
35. Implementation
9/27/2013 35
⚫Implementing phase, provide the actual
nursing activities and client responses.
Implementation consists
documenting the activities that are
of doing and
the
specific nursing actions needed to carry out
the interventions or nursing orders.
36. Nursing Skills during Implementation
9/27/2013 36
⚫To implement nursing care plan successfully , nurse
need to have following skills
⚫Cognitive Skills
⚫Including problem solving and decision making
⚫Interpersonal Skills
⚫Include verbal and non-verbal response,
communication,
⚫Technical Skills
⚫Includes hand on skills need to perform procedures such
as administrating injection, drugs, lifting, moving
38. Evaluation
17th April, 2014 38
⚫The last phase of the nursing process which include
the judgment of the effectiveness of nursing care to
meet client goals based on the client’s behavioral
responses.
⚫This step determine the success/effectiveness of the
whole nursing process and the decision either to
continue, modify or repeat the process is depend on
evaluation.
39. Evaluation
17th April, 2014 39
⚫Whiledocumenting evaluation phase, the nursecan
draw one of the three possibleconclusions:
⚫ Thegoal was met,
⚫Theclient response is thesame as thedesired outcomes.
⚫Thegoal was partially met,
⚫Eithera short term goal was achieved but the long term
was not, or the desired outcome was only partially
attained.
⚫Thegoal was not met