Question

Disturbed Body Image r/t alteration of body structure 2' presence of stoma AEB negtive feeling about self and fear of reaction of others

provide goals-

short term goal: ( must be time)

Longterm goal:(must be time)

specific goals

Answer 1

SMART goals are formulated to use time effectively and drive all energy to achieve the goals. The given nursing diagnosis :

Disturbed Body Image r/t altered body structure 2' presence of stoma AEB verbalization of fear and rejection and negative feeling about the body.

Specific for patient: Assess patients knowledge on disease process and reason for stomal surgery. This helps the nurse to understand baseline understanding of patients to the disease.

Measurable: Encourage patient to verbalizes his feeling and outlook related to ostomy procedure. The patients voice tontion, expressions helps the nurse to evaluate the anxiety and depression level of the patient.

Attainable: Educate patient about anatomical regions involved in surgery, ask patient to touch the stoma after washing hands. Make patient to understand it will take time for the stoma to heal and he has to accept body image changes irrespective of the negative feelings.

Reliable : All goals sets and planned must be applicable practically. Educate patient regarding stoma care, dressing of stoma using visual aids. Ask patient to demonstrate skill to make him more confident to deal the situation independently.

Timed: Nurses must work on a time frame to achieve the goals. Since patient has to learn stoma care at the earliest nurses must teach client and make him efficient to understand regarding stoma care, foods to be avoided,understanding normal peristaltic movements.