2. With the help of home health nurse, client will formulate a Failure to take actions that prevent health problemsby time of discharge from home health care.Negative attitude toward healthcare[Intense emotional state]Defito his or her optimal ability, considering change in health status, Demonstrates nonacceptance of health status changeFailure to achieve optimal sense of controlInterventions with Minimizes health status changeGoals/ObjectivesShort-term Goals 1. Client will discuss with home health nurse the kinds of life-Client will demonstrate competence to function independently 1. Encourage client to talk about lifestyle prior to the change 3. Client will demonstrate Long-term Goalplan of action for incorporating those changes into his or her status.style changes that will occur because of the change in health considering change in health status.lifestyle. ning Characteristics (“evidenced by”) Selected Rationalesmovement toward independence, Psychiatric Home Nursing Care ●^353
2506_Ch21_348-357.indd Sec1:353 2506 Ch 21 348 - 357 .indd 3. Encourage client to express fears associated with the change 2. Encourage client to discuss the change or loss and particu-S 4. Provide assistance with ADLs as required, but encourage in-ec 1 tional or unfounded. He or she may benefilarly to express anger associated with it. that corrects misperceptions about how life will be with the change in health status.client’s strengths so that they may be used to facilitate adap-dependence to the limit that client’s ability will allow. Give at stressful times in the past. positive feedback for activities accomplished independently. may not realize that anger is a normal stage in the grieving process. If it is not released in an appropriate manner, it may be turned inward on the self, leading to pathological depression.tation to the change or loss that has occurred.or loss or alteration in lifestyle that the change or loss has created. in health status. Discuss coping mechanisms that were used and the individual may respond with fears that are irra-: 353 Change often creates a feeling of disequilibrium It is important to identify the Some individuals t from feedback 1 10/1/10 9:38:03 AM 0 / 1 / 10 9 : 38 : 03 AM