The Student Will Identify Three Goals Related To A Client

The Student Will Identify3 Goalsrelated To A Client That Is Specific T

The student will identify 3 goals related to a client that is specific to the phase of burn. Identify at least 3 possible nursing diagnoses written in a 2-part format based on your assessment findings and goals (2-part = Nursing diagnosis ... as evidenced by (AEB) or related to (R/T) your assessment). The student is to list at least 3 objective assessments that would be expected with a client who is in this stage of burn. Objective assessments are what you would see or assess, these are also called manifestations. Identify at least 3 nursing interventions that you would do for your client (NO MEDICATIONS).

Paper For Above instruction

Introduction

The management of burn injuries necessitates a comprehensive understanding of the burn phase, patient assessment, diagnostic formulation, and appropriate nursing interventions. This paper aims to outline specific goals for a client in the burn healing phase, formulate relevant nursing diagnoses, identify objective assessments, and recommend non-pharmacological nursing interventions appropriate for this stage. As burns affect various physiological and psychological aspects, personalized care plans focusing on these domains optimize recovery outcomes.

Goals for a Client in the Burn Healing Phase

The burn healing phase, typically characterized by wound closure and tissue regeneration, requires targeted goals. Three specific goals include:

  1. Promote wound healing and tissue regeneration: Ensure the burn wound progresses towards complete epithelialization within the expected timeframe, minimizing complications such as infections or contractures.
  2. Maintain adequate skin integrity and prevent further injury: Protect the healing tissue from trauma, breakdown, or infection by implementing proper skin care and patient education.
  3. Support psychological well-being and promote comfort: Address pain management, anxiety, and psychological distress to foster a positive outlook and cooperation with the healing process.

These goals are specific, measurable, achievable, relevant, and time-bound (SMART) and directly relate to the client's current stage of burn recovery.

Possible Nursing Diagnoses

Based on the assessment findings and goals, three 2-part nursing diagnoses are pertinent:

  1. Impaired Skin Integrity R/T risk of infection and trauma as evidenced by open wound, redness, andodor
  2. Imbalanced Nutrition: Less than Body Requirements R/T increased metabolic demands and wound healing process as evidenced by weight loss and decreased serum albumin
  3. Anxiety R/T concern about healing process and body image as evidenced by verbalization of worry and restless behavior

These diagnoses provide a framework for targeted nursing interventions and ongoing assessment.

Objective Assessments (Manifestations)

In this stage of burn healing, typical objective assessments include:

  1. Observation of wound appearance: Wound edges exhibit signs of epithelialization, with minimal exudate, no visible necrosis, and formation of healthy granulation tissue.
  2. Assessment of nutritional status: Presence of improved serum protein levels, weight stabilization, and observable muscle mass maintenance.
  3. Monitoring psychological state: Client exhibits decreasing anxiety levels, engages in communication about recovery progress, and shows increased cooperation during care activities.

These assessments reflect healing progress and inform ongoing care requirements.

Non-Medication Nursing Interventions

The interventions tailored for clients in this stage should promote healing, prevent complications, and support psychological health:

  1. Implement wound care protocols: Use sterile techniques for dressing changes, promote moist wound healing with appropriate dressings, and monitor for signs of infection or delayed healing.
  2. Nutrition education and support: Collaborate with dietitians to ensure adequate nutritional intake with high-protein, vitamin-rich foods that facilitate tissue repair.
  3. Provide psychological support and education: Offer counseling, encourage expression of concerns, and educate the client about the healing process to reduce anxiety and enhance cooperation.

These interventions are non-pharmacological yet critically influence the physiologic and psychological aspects of recovery.

Conclusion

Effective care of burn patients in the healing phase hinges upon setting clear goals, accurately diagnosing needs, and implementing appropriate interventions. Emphasizing tissue healing, nutritional support, and psychological well-being ensures a holistic approach to recovery and minimizes potential complications. Continuous assessment and empathetic care remain essential components to optimize outcomes in burn management.

References

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  • Grey, J. E., et al. (2018). Wound healing and scar management. British Medical Journal, 362, k3798.
  • Falk, G., & Schmalz, G. (2019). Psychological aspects of burn injury: A review. European Journal of Psychotraumatology, 10(1), 1619741.
  • Baker, R. A., et al. (2017). Nursing considerations in burn management. Critical Care Nurse, 37(6), 46–55.
  • Jones, S., & Cartwright, M. (2016). Non-pharmacological approaches to burn pain management. Journal of Burn Care & Research, 37(3), 160–169.
  • Peters, J. A., et al. (2018). Infection control in burn wounds. Advances in Skin & Wound Care, 31(12), 560–565.
  • Young, A. G., et al. (2015). Burn rehabilitation: A holistic approach. Journal of Wound Care, 24(12), 560–569.
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