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Student Nurses Community

NURSING CARE PLAN Readiness for Enhanced Hope


ASSESSMENT

SUBJECTIVE:
I hope I can
recover from this
illness., as
verbalized by the
patient

OBJECTIVES:
Congruency
of
expectations
with desires
Problem
solving to
meet goals
Ability to set
personal
goals

DIAGNOSIS

Readiness for
enhanced
hope

INFERENCE

Finds a sense of
meaning to life

Expectation/desire
to get
better/recover

Desire to enhance
interconnectednes
s with others

Forms a pattern of
expectations that
is sufficient for
mobilizing energy
and can be
strengthened

Readiness for
enhanced hope

PLANNING

After 8 hours of
nursing
interventions,
patient will be able
to:

Identify and
verbalize
feelings related
to expectations
and desires of
recovering from
illness.

Verbalize belief
in possibilities
for the future.
Discuss current
situation and
desire to
enhance hope.

INTERVENTIONS

Independent:
Determine
current physical
condition of
client
Note degree of
involvement in
activities and
relationships
with others
Establish a
therapeutic
relationship,
showing positive
regard and sense
of hope for the
client.
Help client
recognize areas
that are in his or
her control
versus those
that are not.
Identify activities

RATIONALE

Treatment
regimen can
influence ability
to promote
positive feelings
of hope.
Superficial
interactions with
others can limit
sense of
connectedness
and reduce
enjoyment of
relationships
Enhances feelings
of worth and
comfort, inspiring
client to continue
pursuit of goals.
To be most
effective, client
needs to expend
energy in those
areas where he or
she has
control/can make

EVALUATION

After 8 hours of
nursing
interventions,
goal met.
Patient was
able to express
desire for
positive health
outcomes,
belief in the
possibilities of
the future as
well as share
strategies to
live a
meaningful life,
and express
awareness of
the need for
developing and
maintaining a
positive
attitude of
hope.

Student Nurses Community

to achieve goals
and facilitate
contingency
planning.
Explore
interrelatedness
of unresolved
emotions,
anxieties, fears,
and guilt.
Assist client to
acknowledge
current coping
behaviors and
defense
mechanisms that
are not helping
client move
toward goals.

changes and let


the others go.
Helps client deal
with situation in
manageable
steps, enhancing
chances for
success and
sense of control.
Provides
opportunity to
address issues
that may be
limiting
individuals ability
to improve life
situation.

Encourage client
to concentrate
on progress not
perfection.

Allows client to
focus on coping
mechanisms that
are more
successful in
problem solving.

Involve client in
care and explain
all procedures
thoroughly,
answering
questions
truthfully.

If client can
accept that
perfection is
difficult and
generally not the
focus rather
achieving the

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Identify ways to
strengthen sense
of
interconnectedn
ess or harmony
with others
Provide positive
feedback for
actions taken to
improve
problem-solving
skills and for
setting
achievable
goals.
Explore how
beliefs give
meaning and
value to daily
living.
Encourage lifereview by client
Encourage client
to join groups
with similar or
new interests.
Assess patients
perception of
ability to set

desired goal is
then he or she
may be able to
view own
accomplishments
with pride.
Enhances trust
and relationship,
promoting hope
for a positive
outcome.
To support sense
of belonging and
connection that
promotes feelings
of wholeness and
hopefulness.
Acknowledges
clients efforts
and reinforces
gains.
As clients
understanding of
these issues
improves, hope
for the future is
strengthened.
To acknowledge
own successes,

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personal goals,
expression of
desire to build
on possibilities
for the future
and the ability to
align desires and
expectations,
spiritual needs.

identify
opportunity for
change, and
clarify meaning in
life.
Expanding
knowledge and
making
friendships with
new people will
broaden horizons
for the individual.
Information
obtained from
assessment may
assist in
determining
appropriate
interventions