Burn Outcome Identification

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    Outcome

    Identification

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    refers to formulating and

    documenting measurable,

    realistic and client-focusedgoals that will provide the basis

    for evaluating nursing

    diagnosis.

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    PURPOSES:

    a.To provide individualized care

    b.To promote client participation

    c.To plan care that is realistic and

    measurable

    d.To allow involvement of support

    people

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    Activities During

    Outcome Identification:

    Establish clients goals andoutcome criteria

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    Client Goal is an educated guess made as a broad

    statement about what the clients state or

    condition will be AFTER the nursingintervention is carried out.

    are written to indicate a desired state.

    They contain action word/verb and a

    qualifier that indicate the level of

    performance that needs to be achieved.

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    Example of Verbs Used in Client

    Goals:Calculate

    Classify

    CommunicateCompare

    Define

    Demonstrate

    DescribeConstruct

    Distinguish

    Draw

    Explain

    Express

    List

    Practice

    Recall

    ReciteRecord

    Verbalize

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    *a QUALIFIER is a description of theparameter or criteria for achieving the goal.

    Example:

    Ambulates safely with one-person

    assistance.

    Identifies actual & risk environmental

    hazards.

    Demonstrates signs of sufficient restbefore Surgery.

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    Goals may be short term or longterm:

    STG can be met in a short period

    (within days or less than a week)LTG requires more time (several

    weeks or months)

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    Outcome Criteria

    are specific, measurable, realistic

    statements goal attainment. They arewritten in a manner that they answer the

    questions: who, what actions, under what

    circumstance, how well and when.

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    Therefore the characteristic of well-stared outcome criteria are:

    S = smart

    M = measurement

    A = attainable

    R = realistic

    T = time-framed

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    Example ofGoals

    and OutcomeCriteria

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    Goal The client will report a decreased

    anxiety level regarding Surgery.

    Possible Outcome Criteria

    The client discusses fears & concern

    regarding surgical procedure after clientteaching.

    After client teaching, the client verbalizes

    decreased anxiety.

    The client identifies a support system andstrategies to use to reduce stress and anxietyrelated to the surgical experience.

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    Goal The client will demonstrate safetyhabits when performing activities of daily living.

    Possible Outcome Criteria:Immediately after instruction by the nurse, the

    client uses call light system for assistance

    when needs to use the bathroom.

    The client demonstrates safety practices whendressing and doing personal hygiene.

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    The client uses over-the-bed lights, non-skid

    slippers when transferring to chair or getting

    out of bed.

    The client identifies modification for homesafety (removal of throw pillows, installation

    of hand rails in hallway, better lighting of

    hallway and stairway), 12 hours after nurses

    instruction about home safety.

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    TheE

    nd!