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Ineffective
health maintenance related to lack of ability to make good judgments regarding ways
to obtain help as evidenced by patient statement “I’m just so stressed, I don’t
know what to do anymore.”
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Short Term:
Patient will discuss fear
of or blocks to implementing health regimen as measured by identification of two
fears or blocks to implementation by [date] at 3:00 pm.
Long Term:
Patient will
follow mutually agreed on healthcare maintenance plan as measured by one week of
documentation of participation in healthcare maintenance activities by [date] at
3:00 pm.
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-Assess the client’s feelings, values, and reasons for
not following the prescribed plan of care.
Assessment of an individual’s preferences for participation in decision-making will
allow for enlisting involvement in decision-making at the preferred level (Ackley
& Ladwig).
-Assess for family patterns, economic issues, and cultural patterns that influence
compliance with a given medical regimen.
The family’s reaction to the diagnosis has a significant influence on adherence
to the treatment regimen. There are
marked differences in use of healthcare services among different cultural groups
(Ackley & Ladwig).
-Help the client
to choose a healthy lifestyle and to have appropriate diagnostic screening tests
completed. Healthy lifestyle measures,
such as exercising regularly, maintaining a healthy weight, not smoking, and limiting
alcohol intake, help reduce the risk of cancer and other chronic illnesses
(Ackley & Ladwig).
-Discuss with
the client and support person realistic goals for changes in health maintenance. The importance of personalized goals
and social support in designing health interventions for older adults is a unique
predictor of health goal attainment
(Ackley & Ladwig).
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Goal met on [date] at 12:30 pm.
Client has identified two blocks to implementation of health regimen.
Goal is set
to be measured on [date] at 3:00 pm.
Client has not made progress. Client
has not documented any participation in healthcare maintenance activities.
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-The client’s feelings, values, and reasons for not following
the prescribed plan of care were assessed every Tuesday afternoon.
-Family patterns, economic issues, and cultural patterns that influence compliance
with a given medical regimen were assessed every Tuesday afternoon.
-The client
was assisted in choosing a healthy lifestyle and appropriate diagnostic screening
tests completed every Tuesday afternoon.
-Realistic goals
for changes in health maintenance were discussed with the client every Tuesday afternoon.
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