Question

1. Identify goals for individuals with ineffective behaviors in oxygenation, fluid & electrolytes, nutrition, elimination, rest & activity, neurosensory, protection, and endocrine function.

Answer 1

Goals for Patients with problems for oxygenation, fluid and electrolytes , nutrition, elimination, rest and activity, neurosensory, protection and endocrine function:

1. Oxygenation: Patients who have problems with oxygenation may suffer with hypoxia, hypoxemia , anoxia etc.

Goals:

* Maintain adequate oxygenation of vital tissues and organs.

* To relieve hypoxemia

* To reduce the work of breathing

2. Fluid and electrolytes : The goal or expected outcome of fluid and electrolyte imbalance ,

* client will demonstrate stable fluid volume as evidenced by stable vital signs , absence of signs of edema, stable weight , balanced intake and out put.  

3. Nutrition

Goals: To achieve desired weight gain / loss in a reasonable period

* progressively gains weight towards a desired goal

* identifies nutritional requirements

* weight within normal range for height and weight

4. Elimination :problems are urinary or fecal incontinence or retention

* Patient reduces or has no incontinent episodes

* Patient receives assistance for toileting in a timely manner

* Patient eliminates or overcomes environmental barriers to toileting

5. Rest and activity

Patient reports improvement in sleeping pattern

patient obtains optimal amounts of sleep ( as evidenced by rested appearance)

patient verbalizes the the rested feeling

6. neurosensory:

* Client will maintain normal Level of Consciousness

* Patient/ child will not experience injury.

7. protection

* Patient will not sustain fall / or other injuries

* Care givers will implement the strategies to increase safety and to prevent falls

* client will demonstrate selective preventive measures

7. Endocrine problems may maifest as disturbed sleeping pattern, fatigue, decreased sexual function, altered metabolism etc. goals are focusing on relieving the symptoms

* Patient will verbalize understanding of causative factors and appropriate intervention.

* Patient will be able to perform techniques to promote sleep. ( based on symptoms)

* Client and partner will express satisfaction with sexual relationship. (based on symptoms)

* Patient will verbalize the appropriate selection of nutrients in the food menu by avoiding certain type of food that is not desirable for particular endocrine disorder.