Nursing Care Plan: readiness for enhanced HOPE
Definition: A pattern of expectations and desires that is sufficient for mobilizing energy on one?s own behalf and can be strengthened
Defining Characteristics
Subjective
- Expresses desire to enhance hope; belief in possibilities; congruency of expectations with desires; ability to set achievable goals; problem solving to meet goals
- Expresses desire to enhance sense of meaning to life; intercon- nectedness with others; spirituality
Desired Outcomes/Evaluation Criteria Client Will:
- Identify and verbalize feelings related to expectations and desires.
- Verbalize belief in possibilities for the future.
- Discuss current situation and desire to enhance hope.
- Set short-term goals that will lead to behavioral changes to?meet desire for enhanced hope.
Actions/Interventions
- Review familial and social history to identify past situations (e.g., illness, emotional conflicts, alcoholism) that have led to?decision to improve life.
- Determine current physical condition of client/SO(s). Rationale: Treatment regimen can influence ability to promote positive feelings of hope.
- Ascertain client?s perception of current state and expectations/ goals for the future (e.g., general well-being, prosperity, independence).
- Identify spiritual beliefs and cultural values that influence sense of hope and connectedness and give meaning to life.
- Note degree of involvement in activities and relationships?with others. Rationale:?Superficial interactions with others can limit sense of connectedness and reduce enjoyment of relationships.
- Determine level of commitment and expectations for change and congruency of expectations with desires.
- Establish a therapeutic relationship, showing positive regard and sense of hope for the client. Rationale:?Enhances feelings of worth and comfort, inspiring client to continue pursuit of goals.
- Help client recognize areas that are in his or her control versus those that are not. Rationale:?To be most effective, client needs to expend energy in those areas where he or she has control/can make changes and let the others go.
- Assist client to develop manageable short-term goals.
- Identify activities to achieve goals and facilitate contingency planning. Rationale:?Helps client deal with situation in manageable steps, enhancing chances for success and sense of control.
- Explore interrelatedness of unresolved emotions, anxieties, fears, and guilt. Rationale:?Provides opportunity to address issues that may be limiting individual?s ability to improve life situation.
- Assist client to acknowledge current coping behaviors and defense mechanisms that are not helping client move toward goals. Rationale:?Allows client to focus on coping mechanisms that are more successful in problem solving.
- Encourage client to concentrate on progress not perfection. Rationale:?If client can accept that perfection is difficult and generally not the focus rather achieving the desired goal is then he or she may be able to view own accomplishments with pride.
- Involve client in care and explain all procedures thoroughly, answering questions truthfully. Rationale:?Enhances trust and relationship, promoting hope for a positive outcome.
- Express hope to client and encourage SO(s) and other heath team members to do so. Rationale:?Enhances client?s sense of hope and belief in possibility of a positive outcome.
- Identify ways to strengthen sense of interconnectedness or harmony with others Rationale:?to support sense of belonging and connection that promotes feelings of wholeness and hopefulness.
- Demonstrate and encourage use of relaxation techniques, guided imagery, and meditation activities.
- Provide positive feedback for actions taken to improve problem-solving skills and for setting achievable goals. Rationale:?Acknowledges client?s efforts and reinforces gains.
- Explore how beliefs give meaning and value to daily living. Rationale:?As client?s understanding of these issues improves, hope for the future is strengthened.
- Encourage life-review by client Rationale:?to acknowledge own successes, identify opportunity for change, and clarify meaning in life.
- Identify ways for client to express and strengthen spirituality. Rationale:?There are many options for enhancing spirituality through connectedness with self/others (e.g., volunteering, mentoring, involvement in religious activities).
- Encourage client to join groups with similar or new interests. Rationale:?Expanding knowledge and making friendships with new people will broaden horizons for the individual.
- Refer to community resources and support groups, spiritual advisor, as indicated.
Documentation Focus
Assessment/Reassessment
- Assessment findings, including client?s perceptions of current situation, relationships, sense of desire for enhancing life.
- Motivation and expectations for improvement.
Planning
- Plan of care and who is involved in planning.
- Teaching plan.
Implementation/Evaluation
- Responses to interventions, teaching, and actions performed.
- Attainment or progress toward desired outcome(s).
- Modifications to plan of care.
Discharge Planning
- Long term needs and goals for change, and who is responsible for actions to be taken.
- Specific referrals made.
References:?Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2011).Nurse?s pocket guide, diagnoses, prioritized interventions, and rationales. (12 ed.). F A Davis Co.
Related posts:
- Nursing Care Plan: readiness for enhanced family Coping
- Nursing Care Plan: readiness for enhanced Decision Making
- Nursing Care Plan: readiness for enhanced Comfort
- Nursing Care Plan: readiness for enhanced Family Processes
- Nursing Care Plan: readiness for enhanced self Health Management
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Source: http://nursingguide.cc/index.php/nursing-care-plan-readiness-for-enhanced-hope.html
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