•Planning

• A deliberative systematic process that involves decision

making and problem solving. Client’s assessment data and
diagnostic statements should be utilized in formulating client
goals.
Goal/ Desired Outcome/ Outcome Criteria/ Objective
➢ Refers to formulating & documenting, measurable,
realistic, client focused goals.
➢ Basis for evaluating nursing diagnosis.
➢ Written in a manner that they answer questions: who,
what actions, under what circumstances, how
well, and when.
➢ Involves determining beforehand the strategies or course of
action to be taken before implementation of nursing care.
➢A broad statement about what the client’s state will be after
the nursing intervention is carried out.
• Goal - A broad statement
Ex: Improved nutritional status
❖ Desired Outcome – specific
Ex: Gain 5 lb by April 25.
When goals are stated broadly, the care plan should include
goals and desired outcomes, it can be combined into one
statement linked by the words “as evidenced by”
Ex: Improved nutritional status as evidenced by weight gain of
5 lb by April 25.
Purpose of Goals/ Desired Goals
• Provide direction for planning nursing interventions
• Serve as a criteria for evaluating client progress
• Enable the client and the nurse to determine if the
problem has been resolved
• Help motivate the client and the nurse by providing a
sense of achievement.
Components of Goals/ Desired Goals
• Subject
The client or some attribute of the client
• Verb
denote directly observable behaviors (administer,
show, walk)
• Conditions or modifiers
Explain what, where, how, when (walks with the
help of a cane)
• Criterion of desired performance
criteria may specify time or speed, accuracy,
distance, and quality (Walks one block per day)
 Guidelines for Writing Goals/ Desired
Goals
• Write goals and Outcomes in terms of client response and not nurse
activities.
Ex: Client will drink 100 ml of water per hour.
• Must be realistic for the client’s capabilities, limitations and
designated time span.
 Guidelines for Writing Goals/ Desired
Goals
• Must be compatible with the therapies of other
health professionals
• Must be derived from only one nursing diagnosis
• Use observable, measurable terms for outcomes.
• Client should consider it as important and of value
Guidelines for Writing Goals/ Desired Goals
S – Specific
M - Measurable
A – Attainable
R – Realistic
T – Time bounded
• Purposes:
1. To identify client’s goal and appropriate nursing
interventions.
2. To direct client care activities
3. To promote continuity of care
4. To focus charting requirements
5. To allow for delegation of specific activities.
• Intervention/
Implementation
Carry out the care plan Communicate
the care plan to members of the hlt. Care
team.

3 types of interventions:
1. Independent
2. dependent
3. collaborative/ interdependent
• Requirements of Implementation:
1. Knowledge
2. Teaching Skills
3. Communication Skills
4. Therapeutic use of self
•Evaluation
➢ Assessing the client’s response to nursing interventions
and then comparing the response to predetermined
standards or outcome criteria.
➢Evaluate goal achievement
➢Terminate care for goals achieved
➢Reassess and revise care plans if goals were not
achieved.
• 4 possible statements:

The goal was completely met… (The client response is the

same as the desired outcome
The goal was partially met…( partially attained)
The goal was completely unmet…
Two Parts of Evaluation Statement
• Conclusion:
is a statement that the goal was met/ not met ….
• Supporting Data :
Oral intake 300 ml more than output; skin turgor resilient,
mucous membrane moist.
• Quality Client Care
• Continuity of Care
• Participation of clients in their health care
• Consistent systematic nursing education
• Job Satisfaction
• Professional Growth
• Avoidance of adverse legal consequences
• Meeting Professional Nursing Standards
• Meeting standards of accredited hospitals
• Problem Oriented
• Goal Oriented
• Systematic
orderly/planned
• Flexible/ Dynamic
Open to accepting new information during its application
• Interpersonal
nurse should communicate consistently with clients
• Permits creativity
• Cyclical
steps may overlap because it is interrelated
• Universal
applicable to all types of Clients
Humanistic
great consideration to the unique needs and concerns of
individual clients.

It is individualized and involves aspect of human dignity.

Efficient
Relevant to the needs of the client

Promotes client’s satisfaction and progress

Effective
Utilizes resources wisely in terms of human, time, cost resources
 I. Family Assessment
1. Initial Data Base
a. Family Structure,
characteristics and dynamics

composition & demographic data

of the family or household.

Type of family, relationship within

the family members

Family interaction and

communication

Decision making patterns and

dynamics
b. Socio-economics and cultural
characteristics

Income, occupation, place

of work

Educational attainment of each

member

Ethnic background and religious

affiliation

Significant others & other roles

they play in the family’s life

Relationship of the family to the

larger community
c. Home environment
information on housing & sanitation
facilities.
availability of social, health,
communication & transportation
facilities in the community.

d. Health status of each member

past/current significant illness

beliefs or practices about health

nutritional and developmental health
status

decision-making on which or whom to

seek advice regarding health
e. Values and practices on health promotion and
maintenance

preventive measures, adequate rest, sleep, exercise and

relaxation activities

street management activities, utilization of health care facilities.

2. Family Health Tasks

II. Statement of Family Health Conditions
statement of family’s capabilities to maintain health and
prevent illness.
a. Ability to recognize the signs of health and
development

b. Ability to manage health and non-

health crisis
 c. Ability to provide health care to its members

d. Ability to provide a home environment

conducive to good health and personal development

e. Ability to utilize community resources for

health care.
III. Formulating Goals and Outcome Criteria

Goal – General statement of the condition or the state to be

brought about by specific course or action.

Outcome Criteria
refer to more specific statements of the desired results or
outcomes of care.
Eg.
Goal: After 2-3 months, the family will be able to maintain ability to
recognize signs of health and development.
Outcome Criteria:

At the end of 2-3 months, the family will:

Identify signs of health and development.

Perform usual activities for health and development.

IV. Family Health Care Strategies
1. Assisting in prenatal care

a. History
b. Signs and symptoms of pregnancy
c. prenatal check-ups
d. Immunization
e. Nutrition
f. Personal habits
g. others (sexual, travel, activities, medications)
2. Care of the Newborn
a. Breast feeding (advantages, steps)
b. Supplementary Feeding
c. cord care
d. bathing
e. immunization
3. Parenting
4. Environmental Care and Sanitation
a. cleanliness in the home
b. backyard sanitation
5. Health Education
V. Evaluation
specifies how health care provider will
determine the achievement of the outcome of
care.

Ex. Goal’s met as evidenced by…..