Purpose: The purpose of this assignment is to stimulate thinking about how specific care might be approached using the King Theory of Goal Attainment as a framework for practice.

Instructions:

1. After reading the assigned scenario in the discussion board, identify 1 more problem or potential problem along with interventions to the plan of care for Mr. B. based on those typical for a patient with his medical problems or symptoms and demographics (in other words, you can assume that he may have other problems such as anxiety or pain or may be at risk for other problems). 

2. Develop plan of care and interventions for nursing problem using King’s Theory of Goal Attainment as the basis for practice.

3. Be sure that you include a title page and reference page as appropriate.

Scenario

Mr. B. is a 78-year-old African American, married male who was referred to the home health nurse after his discharge from the local hospital. He has been prescribed a low-sodium diet due to fluid volume over-load secondary to congestive heart failure.

During the initial visit, the nursing assessment focuses on the perceptions of the nurse and the client, communication of the nurse and the client, and interaction of the nurse and the client. The nurse begins by asking Mr. B. questions about his perception of the situation and his conclusions related to the situation. The nurse also asks the same questions of herself. Communication includes the nurse gathering additional information, validating her perceptions of Mr. B., validating the concerns f Mr. B., and establishing mutual trust. Nursing functions during assessment include viewing, recognizing, observing, and measuring; they reveal that Mr. B. consumes a diet high in sodium.

Planning for the care of Mr. B. will involve decisions about goals and agreement as to how to attain goals. These decisions are made by the nurse asking questions such as the following: (1) Which goals will serve Mr. B’s best interest? (2) What are Mr. B.’s goals? (3) Are Mr. B.’s goals and the nurse’s goals for Mr. B, congruent? (4) If the goals are not congruent, what further communication and interaction are needed to achieve congruence? (5) What are the priority goals? (6) What does Mr. B. perceive to be the best way to attain goals? (7) Is Mr. B. willing to work toward attainment of goals? (8) What does the nurse perceive as the best way to attain the goals?

There is agreement that Mr. B. needs to adhere to the prescribed low-sodium diet. To achieve that goal as well as his ultimate goal of not being hospitalized again for fluid retention, Mr. B. will require some additional information related to his dietary restrictions.

The next step of the process results in the occurrence of transactions. During this phase of the process, the nurse and Mr. B. participate in teaching sessions related to his low-sodium diet. The nurse will need to ask questions to evaluate whether she is doing what she and Mr. B. agreed upon as well as questions related to the feasibility of meeting the goals based on the transaction.

The primary aim of the evaluation phase is to assess if the goals set by the nurse and Mr. B. have been attained and, if goals were not attained, then to determine why they were not attained. Throughout this model of transactions process, the nurse continues to assess and intervene to apply the model simultaneously to problems other than the low-sodium diet as indicated by the condition of Mr. B. and current best clinical practices. 

Attached you will find the instructions for the assignment. 

• Week 3 insturctions attachment give details on how the assignment needs to be completed. 

• Materials and Methods Example: Shows an example of how it should be written.

• USE THESE CONTROL & EXPERIMENTAL GROUPS AND INDEPENDANT/DEPENDANT VARIABLE: Tells you the independent and dependent variables for my study. 
• Two graphs MUST be included. The specifics are written in the same attachment mentioned ABOVE

Assignment needs to be completed by tomorrow.

Assignment Details

Tuberculosis

M. tuberculosis can be transmitted in virtually any setting. Clinicians should be aware that transmission has been documented in healthcare settings where healthcare workers and patients come in contact with persons with infection.

• Describe the factors that determine the infectiousness of a tuberculosis (TB) patient;

• Explain the main goals of a TB infection control program;

• Discuss the three levels of an effective TB infection control program;

• Explain the purpose and the characteristics of a TB airborne infection isolation room; and

• Describe the circumstances when respirators and surgical masks should be used.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully(as displayed above);
• consult the Grading Rubric(under the Course Resources) to make sure you have included everything necessary; and
• Utilize spellingand grammar check to minimize errors.

Your writingAssignment should:

• follow the conventions of Standard English(correct grammar, punctuation, etc.);
• be well ordered,logical,and unified,as well as original and insightful;
• display superior content, organization, style, andmechanics; and use APA 6th Editionformat as outlined in the APA Progression Ladder. 

  Plagiarism is when we are using another person’s thoughts, idea, work, and effort without acknowledging it. When we do not use the name of the author or use the resource and material but don’t cite the source or author. We are then using someone else work as our own and this is being dishonest and cheat. This discredits us not only personally but professionally also we lose trust.

  When we properly cite the name of the author, quotation and a source of the reference then it helps us to prove that our research is substantial and is based on some evidence. This gives credibility to our work and proves our viewpoint. In the nursing profession keeping the integrity, reliability, confidentiality, and trust is the key. In order to maintain the academic integrity, we should use the resource properly by providing the name of the author, publication, book or article and also mentioning it in our references. Also should not copy someone work. I will try to ensure that I use the resources properly and ask for help if I need to.

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure  to focus on the interviewee’s experience as a patient, regardless of  whom you choose to interview.

Review The Joint Commission resource found in topic materials, which  provides some guidelines for creating spiritual assessment tools for  evaluating the spiritual needs of patients. Using this resource and any  other guidelines/examples that you can find, create your own tool for  assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five  questions that can be answered during the interview. During the  interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers  provided. Be sure to record the responses during the interview by taking  detailed notes. Omit specific names and other personal information  through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure  to exclude specific names and other personal information from the  interview. Instead, provide demographics such as sex, age, ethnicity,  and religion. Include the following in your response:

1. What went well?
2. Were there any barriers or challenges that inhibited your ability to  complete the assessment tool? How would you address these in the future  or change your assessment to better address these challenges?
3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
4. Did you discover that illness and stress amplified the spiritual  concern and needs of your interviewee? Explain your answer with  examples.

Submit both the transcript of the interview and the analysis of your  results. This should be submitted as one document. The interview  transcript does not figure into the word count.

Prepare this assignment according to the guidelines found in the APA  Style Guide, located in the Student Success Center. An abstract is not  required.