Readiness For Enhanced Hope N 2q1w1g

Assessment

Diagnosis

Inference

Planning

Interventions

Subjective:

Readiness for enhanced hope

Finds a sense of meaning to life

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

Independent:

“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 

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



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.

Rationale

 Determine current physical condition of client

Treatment regimen can influence ability to promote positive feelings of hope.

 Note degree of involvement in activities and relationships with others

Superficial interactions with others can limit sense of connectedness and reduce enjoyment of relationships

 Establish a therapeutic relationship, showing positive regard and sense of hope for the client.

Enhances feelings of worth and comfort, inspiring client to continue pursuit of goals.

 Help client recognize areas that are

To be most effective, client needs to expend

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.

in his or her control versus those that are not.

 Identify activities to achieve goals and facilitate contingency planning.

 Explore interrelatednes s of unresolved emotions, anxieties, fears, and guilt.

 Assist client to acknowledge current coping behaviors and defense mechanisms that are not helping client

energy in those areas where he or she has control/can make 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 individual’s ability to improve life situation.

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

move toward goals.

 Encourage client to concentrate on progress not perfection.

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

 Identify ways to strengthen sense of interconnected ness or harmony with others

If client can accept that perfection is difficult and generally not the focus rather achieving the 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 sense of belonging and connection that promotes feelings

 Provide positive for actions taken to improve problemsolving skills and for setting achievable goals.

 Explore how beliefs give meaning and value to daily living.

 Encourage lifereview by client

 Encourage client to groups with

of wholeness and hopefulness.

Acknowledges client’s efforts and reinforces gains.

As client’s understanding of these issues improves, hope for the future is strengthened.

To acknowledge own successes, identify opportunity for change, and clarify meaning in life.

Expanding knowledge and making friendships with

similar or new interests.

 Assess patient’s perception of ability to set personal goals, expression of desire to build on possibilities for the future and the ability to align desires and expectations, spiritual needs.

new people will broaden horizons for the individual.

Information obtained from assessment may assist in determining appropriate interventions