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 individuals with Ineffective behaviors in oxygenation:

• Patient’s respiratory rate remains within established limits.
• Patient’s ABG levels return to and remain within established limits.

• Patient indicates, either verbally or through behavior, feeling comfortable when breathing.
• Patient exhibits growing tolerance to activities
• Patient reports feeling rested each day.
• Patient performs diaphragmatic pursed-lip breathing.
• Patient demonstrates maximum lung expansion with adequate ventilation.
• When patient carries out ADLs, breathing pattern remains normal.
• Patient maintain maximum tissue perfusion to vital organs as evidenced by warm and dry skin present and strong peripheral pulses, vitals within patients normal range, balanced intake and output, absence edema, alert level of consciousness, absence of chest pain.​​​​​

Goals for individuals with ineffective behaviors in fluid and electrolytes:

• Client will verbalize the need for dietary and fluid restricted.
• Client will demonstrate behaviors to monitor fluid status and prevent oror limit recurrence.
• Client will demonstrate stable fluid volume as evidevidenced by stable vital signs, balanced intake and outpoutput, stable weight, and absence of signs of edema.

​​​​​Goals for individual with ineffective nutrition:

• Patient designs dietary modifications to meet individual long term goals of weight control using principle of variety balance and moderations.
• To maintain ideal body weight.
• Maintaining normal skin turgor & muscle tone.
• Preventing the patient from developing anemia.
• Patient tolerates small and frequent diets.

Goals for individual with ineffective elimination:

• Bowel elimination as evidenced by comfort of stool passage, stool soft and formed, passage of stools without aids.
• Patient demonstrates behaviors and techniques to prevent urinary retention/infection.
• Patient maintains balanced intake and output with clear odor free urine, free of bladder distention or urinary leakage.
• Patient veralizes understanding of the condition

Goals for patient with ineffective rest & activity:

• ​​​​​Patient performs activities of daily living.
• Patient performs range of motion exercises.
• Patient identifies techniques to enhance activity tolerance.
• Patient participates willingly in necessary or desired activities.
• Patient verbalizes his/her limitations of activity

Goal for individual with ineffective neurosensory patterns:

• Patient oriented to time, place and person
• Patient maintains level of consciousness.
• Patient verbalizes his needs.

Goals for individual for protection:

• Patient will maintain an infection free state
• Patient maintains good nutrition and safety.
• Patient is free from fall and other injuries.

Goals for patient with ineffective Endocrine function:

• Patient maintains normal bladder pattern.
• Patient maintains normal blood sugar levels.
• Patients vitals are in normal expected range.
• Patient maintains normal nutritional status..