Running head: CLINICAL GOALS
Clinical Goals
Author's Name
Institutional Affiliation
CLINICAL GOALS
Clinical Goals
what clinical goals you would like to accomplish during this clinical semester. Use theClinical
Objectivesto help you and your professor define what is attainable in your specific clinical setting.
Submit at least three written clinical goals that you and your preceptor defined for your clinical faculty
to review and provide you feedback.
Please refer to theGrading Rubricfor details on how this activity will be graded.
Clinical Objectives
Objective 1 – Related to Adaptation, Nursing Theory and Practice, and
Planning Therapeutic Nursing Interventions
Facilitates collection of the client database through use of appropriate interviewing skills
Utilizes nursing and related theories in developing a plan of care
Collects a complete subjective data base for both acute and chronic health problems
Demonstrates technically proficient physical assessment skills
Appropriately focuses the physical exam based on the health history
Adaptation is a key concept in nursing theory and practice, as it refers to the ability of individuals,
families, and communities to respond to changes in their environment and maintain their physical,
emotional, and social well-being. In the context of nursing, adaptation is closely related to the nursing
process, which involves assessing the patient's needs, developing a care plan, implementing
interventions, and evaluating the outcomes.
Nursing theories provide a framework for understanding the complex and dynamic nature of
nursing practice, and they guide the development of nursing interventions that promote
adaptation and improve patient outcomes. One example of a nursing theory that emphasizes
adaptation is the Roy Adaptation Model, which proposes that individuals and groups have
innate mechanisms that allow them to adapt to changes in their environment, and that nurses
can facilitate this process by promoting health, preventing illness, and managing the patient's
response to stressors.
When planning therapeutic nursing interventions, nurses must consider the patient's unique
needs, preferences, and resources, as well as the specific context of their care. This may involve
developing a care plan that includes interventions such as patient education, medication
administration, physical therapy, and counseling, among others. The goal of these interventions
is to promote the patient's adaptation to their health condition, enhance their quality of life,
and facilitate their recovery.
CLINICAL GOALS
In summary, adaptation is a central concept in nursing theory and practice, and nurses play a
crucial role in promoting adaptation and improving patient outcomes through the development
and implementation of therapeutic nursing interventions.
Adaptation can be understood as a dynamic and ongoing process that involves a person's ability
to adjust and respond to changes in their environment. This can include physical, psychological,
social, and spiritual changes. Adaptation is an important concept in nursing, as nurses work with
patients who may be experiencing various stressors and changes in their health status.
Nursing theory is a framework that helps to explain the complex nature of nursing practice.
There are many nursing theories, and they each provide a unique perspective on nursing
practice. Some other examples of nursing theories include the Neuman Systems Model, the
Orem Self-Care Deficit Theory, and the Watson Caring Science Theory.
When planning therapeutic nursing interventions, nurses must take into account the patient's
individual needs and preferences, as well as the resources available to them. This may involve
collaborating with other healthcare professionals to develop a comprehensive care plan that
addresses the patient's physical, emotional, and social needs. It is also important for nurses to
evaluate the effectiveness of their interventions and make changes as necessary to promote the
patient's adaptation and recovery.
In addition to developing care plans, nurses also play an important role in patient education.
This involves providing patients with information about their health condition, treatment
options, and self-care strategies. By empowering patients with knowledge and skills, nurses can
help them to take an active role in managing their health and promoting their adaptation.
Overall, adaptation, nursing theory, and therapeutic nursing interventions are all important
components of nursing practice. By using a patient-centered approach and drawing on the
principles of nursing theory, nurses can promote adaptation, enhance patient outcomes, and
improve the overall quality of care.
Certainly, here's some more information on adaptation, nursing theory, and planning
therapeutic nursing interventions:
Adaptation is a key concept in nursing practice, as it refers to an individual's ability to cope with
changes in their environment and maintain their physical, emotional, and social well-being.
Adaptation can be influenced by a variety of factors, including genetics, environment, and
individual experiences. As such, nurses need to take a holistic approach to patient care that
considers these various factors when developing care plans.
Nursing theory provides a framework for understanding nursing practice, and there are many
different nursing theories that nurses can draw upon when planning therapeutic nursing
interventions. For example, the Roy Adaptation Model proposes that nursing interventions
should focus on helping patients to adapt to changes in their environment, while the Orem Self-
Care Deficit Theory suggests that nursing interventions should focus on helping patients to meet
their own self-care needs.
When planning therapeutic nursing interventions, nurses must also consider the patient's
cultural background, as this can impact their perception of health and their willingness to
engage in certain interventions. For example, some patients may prefer traditional healing
practices over Western medicine, and nurses need to respect and honor these preferences
when developing care plans.
CLINICAL GOALS
In addition to developing care plans and providing patient education, nurses also play an
important role in evaluating the effectiveness of their interventions. This involves monitoring
the patient's response to treatment and making adjustments as necessary to promote the
patient's adaptation and recovery. By using evidence-based practices and staying up-to-date on
the latest research in nursing practice, nurses can provide the best possible care for their
patients.
Overall, adaptation, nursing theory, and planning therapeutic nursing interventions are all
important aspects of nursing practice. By using a patient-centered approach that considers the
patient's individual needs, preferences, and resources, nurses can promote adaptation, improve
patient outcomes, and enhance the overall quality of care.
Certainly, here's some more information on adaptation, nursing theory, and planning therapeutic
nursing interventions:
Adaptation is a complex and dynamic process that involves an individual's ability to adjust and
respond to changes in their environment. This can include physical, psychological, social, and
spiritual changes. Nurses play a key role in promoting adaptation, as they work with patients
who may be experiencing various stressors and changes in their health status.
Nursing theory provides a framework for understanding nursing practice, and there are many
different nursing theories that nurses can draw upon when planning therapeutic nursing
interventions. For example, the Neuman Systems Model proposes that nursing interventions
should focus on helping patients to maintain stability in their internal and external
environments, while the Watson Caring Science Theory emphasizes the importance of nurturing
the patient's mind, body, and spirit.
When planning therapeutic nursing interventions, nurses must consider a variety of factors,
including the patient's individual needs, preferences, and resources, as well as the specific
context of their care. This may involve developing a care plan that includes interventions such as
medication administration, physical therapy, patient education, and counseling, among others.
Nurses must also be skilled in communication, as they need to effectively communicate with
patients, families, and other healthcare professionals to ensure that everyone is on the same
page.
In addition to developing care plans and providing patient education, nurses also play an
important role in promoting patient self-care. This involves empowering patients with
knowledge and skills so that they can take an active role in managing their health and promoting
their own adaptation. By working collaboratively with patients, nurses can help to enhance the
patient's sense of autonomy and promote their overall well-being.
Overall, adaptation, nursing theory, and planning therapeutic nursing interventions are all
important components of nursing practice. By using a patient-centered approach that takes into
account the patient's unique needs and preferences, nurses can promote adaptation, improve
patient outcomes, and enhance the overall quality of care.
Sure, here's some more information on adaptation, nursing theory, and planning therapeutic
nursing interventions:
Adaptation is an ongoing process that involves an individual's ability to adjust and respond to
changes in their environment. This can include physical, psychological, social, and spiritual
CLINICAL GOALS
changes. Nurses must be skilled in assessing and promoting adaptation in their patients, as this
is a key component of providing holistic patient care.
Nursing theory provides a framework for understanding nursing practice, and there are many
different nursing theories that nurses can draw upon when planning therapeutic nursing
interventions. For example, the Peplau Interpersonal Relations Model proposes that nursing
interventions should focus on building a therapeutic relationship with the patient, while the
Benner's Novice to Expert Theory emphasizes the importance of experience and practical
knowledge in nursing practice.
When planning therapeutic nursing interventions, nurses must also consider the patient's
cultural background, as this can impact their perception of health and their willingness to
engage in certain interventions. For example, some patients may have cultural beliefs that
influence their dietary choices or their preferences for certain types of medical treatments.
Nurses must be respectful of these beliefs and work collaboratively with patients to develop
care plans that align with their cultural values and preferences.
In addition to developing care plans and providing patient education, nurses must also be skilled
in evaluating the effectiveness of their interventions. This involves monitoring the patient's
response to treatment and making adjustments as necessary to promote adaptation and
recovery. Nurses must also be knowledgeable about evidence-based practices and stay up-to-
date on the latest research in nursing practice to provide the best possible care for their
patients.
Overall, adaptation, nursing theory, and planning therapeutic nursing interventions are all
important aspects of nursing practice. By using a patient-centered approach that takes into
account the patient's unique needs, preferences, and cultural background, nurses can promote
adaptation, improve patient outcomes, and enhance the overall quality of care.
CLINICAL GOALS
Objective 2 – Related to Clinical Management, Decision Making and
Practice
Identifies likely differentials for client’s presentation based on the logical integration of
the history and physical exam
Provides scientific rationales for the consideration of differentials
Accurately assesses the current status of the client with attention to functional status,
developmental milestones, psychosocial well being, health promotion and prevention
Provides rationales for interventions and plans of care
Manages client in collaboration with other professional members of the team, consults
appropriately
Utilizes interventions that flow logically from assessment of the client’s status
Evaluates patient outcomes to define appropriate interventions
Considers indications, side effects, potential drug-drug interactions in ordering
medications
Clinical management, decision making, and practice are key components of healthcare provision, and
identifying likely differentials for a client's presentation is an important part of the diagnostic process.
When a patient presents with symptoms, nurses must use their clinical knowledge and expertise
to gather a thorough history, assess the patient's physical condition, and develop a list of likely
differential diagnoses. Differential diagnoses are a list of potential conditions that could be
causing the patient's symptoms, based on the available information. This process requires
critical thinking skills, as nurses must consider a wide range of factors, including the patient's
medical history, current symptoms, and any relevant laboratory or diagnostic test results.
To identify likely differentials for a client's presentation, nurses must use a logical and systematic
approach to gather and integrate all available information. This may involve conducting a
thorough physical exam, reviewing the patient's medical records, and asking detailed questions
about the patient's symptoms and medical history. Nurses may also consult with other
healthcare professionals, such as physicians or nurse practitioners, to obtain additional
information and insights.
Once a list of likely differential diagnoses has been developed, nurses must use their clinical
judgment and decision-making skills to determine the most likely cause of the patient's
symptoms. This may involve ordering additional diagnostic tests or consulting with other
healthcare professionals to obtain a second opinion. Nurses must also be skilled in
communicating their findings and recommendations to the patient and their family, in a way
that is clear, concise, and easily understood.
Overall, identifying likely differentials for a client's presentation is an important aspect of clinical
management, decision making, and practice. By using a systematic and logical approach to
gather and integrate all available information, nurses can develop a list of potential diagnoses
and determine the most likely cause of the patient's symptoms. This process is essential for
providing high-quality care and ensuring that patients receive the appropriate treatment and
support for their health concerns.
CLINICAL GOALS
Sure, here's some more information on clinical management, decision making, and practice:
Clinical management involves the coordination and organization of healthcare services to meet
the needs of patients. This may include developing care plans, coordinating patient care with
other healthcare professionals, and ensuring that patients receive appropriate treatment and
support.
Effective clinical management requires strong decision-making skills, as nurses must be able to
make informed decisions about patient care based on the available information. This may
involve interpreting laboratory test results, assessing patient responses to treatment, and
determining the appropriate course of action based on the patient's medical history and current
condition.
To make effective decisions, nurses must use critical thinking skills to analyze complex
information and identify the most appropriate course of action. They must also be
knowledgeable about evidence-based practices and stay up-to-date on the latest research in
their field to provide the best possible care for their patients.
Nurses must also be skilled in communicating with patients and their families, as well as with
other healthcare professionals, to ensure that everyone is informed and involved in the
decision-making process. This may involve explaining complex medical information in a way that
is easily understood, answering questions, and providing emotional support to patients and
their families.
In addition to providing patient care, nurses must also be able to manage their own workload
and prioritize their tasks effectively. This requires strong organizational skills and the ability to
work efficiently under pressure.
Overall, clinical management, decision making, and practice are essential components of nursing
practice. By using critical thinking skills, staying up-to-date on the latest research and evidence-
based practices, and communicating effectively with patients and other healthcare
professionals, nurses can provide high-quality care and improve patient outcomes.
Sure, here's some more information on clinical management, decision making, and practice:
Clinical management involves the coordination and organization of healthcare services to meet
the needs of patients. This may include developing care plans, coordinating patient care with
other healthcare professionals, and ensuring that patients receive appropriate treatment and
support.
Effective clinical management requires strong decision-making skills, as nurses must be able to
make informed decisions about patient care based on the available information. This may
involve interpreting laboratory test results, assessing patient responses to treatment, and
determining the appropriate course of action based on the patient's medical history and current
condition.
To make effective decisions, nurses must use critical thinking skills to analyze complex
information and identify the most appropriate course of action. They must also be
CLINICAL GOALS
knowledgeable about evidence-based practices and stay up-to-date on the latest research in
their field to provide the best possible care for their patients.
Nurses must also be skilled in communicating with patients and their families, as well as with
other healthcare professionals, to ensure that everyone is informed and involved in the
decision-making process. This may involve explaining complex medical information in a way that
is easily understood, answering questions, and providing emotional support to patients and
their families.
In addition to providing patient care, nurses must also be able to manage their own workload
and prioritize their tasks effectively. This requires strong organizational skills and the ability to
work efficiently under pressure.
Overall, clinical management, decision making, and practice are essential components of nursing
practice. By using critical thinking skills, staying up-to-date on the latest research and evidence-
based practices, and communicating effectively with patients and other healthcare
professionals, nurses can provide high-quality care and improve patient outcomes.
Certainly, here's some more information on clinical management, decision making, and practice:
Clinical management is the process of organizing and coordinating healthcare services to ensure
the best possible outcomes for patients. It involves a range of activities, including developing
care plans, coordinating patient care with other healthcare professionals, and ensuring that
patients receive appropriate treatment and support.
Effective clinical management requires strong decision-making skills, as nurses must be able to
make informed decisions about patient care based on the available information. This may
involve interpreting laboratory test results, assessing patient responses to treatment, and
determining the appropriate course of action based on the patient's medical history and current
condition.
To make effective decisions, nurses must use critical thinking skills to analyze complex
information and identify the most appropriate course of action. They must also be
knowledgeable about evidence-based practices and stay up-to-date on the latest research in
their field to provide the best possible care for their patients.
Nurses must also be skilled in communicating with patients and their families, as well as with
other healthcare professionals, to ensure that everyone is informed and involved in the
decision-making process. This may involve explaining complex medical information in a way that
is easily understood, answering questions, and providing emotional support to patients and
their families.
In addition to providing patient care, nurses must also be able to manage their own workload
and prioritize their tasks effectively. This requires strong organizational skills and the ability to
work efficiently under pressure.
Effective clinical management also involves the ability to plan and implement therapeutic
nursing interventions based on the patient's individual needs. This may involve administering
medications, providing wound care, managing pain, and providing emotional support to patients
and their families.
Overall, clinical management, decision making, and practice are essential components of nursing
practice. By using critical thinking skills, staying up-to-date on the latest research and evidence-
CLINICAL GOALS
based practices, and communicating effectively with patients and other healthcare
professionals, nurses can provide high-quality care and improve patient outcomes.
Certainly, here's some additional information on clinical management, decision making, and
practice:
Clinical management involves the coordination and organization of healthcare services to meet
the needs of patients. It requires a range of skills, including effective communication, critical
thinking, and the ability to manage multiple tasks and priorities.
Effective decision making is a critical component of clinical management. Nurses must be able to
analyze complex information and identify the most appropriate course of action based on the
patient's medical history, current condition, and available resources. This may involve using
evidence-based practices and staying up-to-date on the latest research in their field to provide
the best possible care for their patients.
In addition to making informed decisions, nurses must also be able to plan and implement
therapeutic nursing interventions based on the patient's individual needs. This may involve
administering medications, providing wound care, managing pain, and providing emotional
support to patients and their families.
Effective clinical management also requires the ability to work collaboratively with other
healthcare professionals, including physicians, social workers, and physical therapists. This
involves effective communication, teamwork, and the ability to coordinate care across different
specialties and disciplines.
To be effective in their roles, nurses must also be able to manage their own workload and
prioritize their tasks effectively. This requires strong organizational skills and the ability to work
efficiently under pressure.
Overall, clinical management, decision making, and practice are essential components of nursing
practice. By using critical thinking skills, staying up-to-date on the latest research and evidence-
based practices, and communicating effectively with patients and other healthcare
professionals, nurses can provide high-quality care and improve patient outcomes.
Effective clinical management requires nurses to be knowledgeable about a range of medical conditions,
treatments, and interventions. They must be able to assess patients and identify potential
complications, as well as provide appropriate interventions to prevent or treat these complications.
In addition to providing direct patient care, nurses must also be able to manage the administrative
aspects of their work, including maintaining accurate patient records, ensuring that medications and
supplies are available, and coordinating with other healthcare professionals to ensure that patients
receive the best possible care.
Effective decision making is also essential in clinical management. Nurses must be able to identify the
most appropriate course of action based on the patient's medical history, current condition, and
available resources. This may involve making difficult decisions about end-of-life care or determining the
appropriate level of care for patients with complex medical needs.
CLINICAL GOALS
To make informed decisions, nurses must also be able to critically evaluate research and other sources
of information. This requires strong analytical skills and the ability to identify potential biases or
limitations in the available data.
Effective clinical management also requires nurses to be able to adapt to changing circumstances and
respond quickly to emergent situations. This may involve recognizing signs of patient deterioration and
taking appropriate action to prevent further harm.
Overall, clinical management, decision making, and practice are essential components of nursing
practice. By using critical thinking skills, staying up-to-date on the latest research and evidence-based
practices, and working collaboratively with other healthcare professionals, nurses can provide high-
quality care and improve patient outcomes.
Certainly, here's some additional information on clinical management, decision making, and practice:
Effective clinical management requires nurses to be able to use a range of tools and technologies to
support patient care. This may include electronic health records, telemedicine, and other digital tools
that allow nurses to monitor patients remotely and communicate with other healthcare professionals in
real time.
Nurses must also be able to manage the ethical and legal aspects of their work, including ensuring that
patient confidentiality is maintained and that they are working within the scope of their practice. This
requires a strong understanding of the ethical and legal frameworks that guide nursing practice.
Effective decision making also requires nurses to be able to communicate effectively with patients and
their families. This may involve explaining complex medical information in a way that is easily
understood, providing emotional support, and answering questions about the patient's care and
treatment options.
To provide the best possible care, nurses must also be able to collaborate effectively with other
healthcare professionals, including physicians, physical therapists, and social workers. This involves
effective communication, teamwork, and the ability to coordinate care across different specialties and
disciplines.
In addition to providing direct patient care, nurses must also be able to manage their own workload and
prioritize their tasks effectively. This requires strong organizational skills, the ability to work efficiently
under pressure, and the ability to adapt to changing circumstances.
Overall, clinical management, decision making, and practice are essential components of nursing
practice. By using critical thinking skills, staying up-to-date on the latest research and evidence-based
practices, and working collaboratively with other healthcare professionals, nurses can provide high-
quality care and improve patient outcomes.
CLINICAL GOALS
here's some more information on clinical management, decision making, and practice:
Effective clinical management requires nurses to be able to manage a range of complex medical
conditions and provide a high level of care to their patients. This may involve administering medications,
providing wound care, managing pain, and providing emotional support to patients and their families.
To provide effective care, nurses must also be able to assess patients and identify potential
complications. This may involve using critical thinking skills to identify the root cause of a patient's
symptoms and determine the appropriate course of action.
In addition to providing direct patient care, nurses must also be able to manage the administrative
aspects of their work. This may include maintaining accurate patient records, ensuring that medications
and supplies are available, and coordinating with other healthcare professionals to ensure that patients
receive the best possible care.
Effective decision making is also essential in clinical management. Nurses must be able to identify the
most appropriate course of action based on the patient's medical history, current condition, and
available resources. This may involve making difficult decisions about end-of-life care or determining the
appropriate level of care for patients with complex medical needs.
To make informed decisions, nurses must also be able to critically evaluate research and other sources
of information. This requires strong analytical skills and the ability to identify potential biases or
limitations in the available data.
Overall, clinical management, decision making, and practice are essential components of nursing
practice. By using critical thinking skills, staying up-to-date on the latest research and evidence-based
practices, and working collaboratively with other healthcare professionals, nurses can provide high-
quality care and improve patient outcomes.
CLINICAL GOALS
Objective 3 – Related to Documentation and Therapeutic
Communication
Uses verbal presentations that are concise, accurate and pertinent to the patient’s
presenting problems
Writes clinical notes that are concise, complete and accurate
Develops problem lists that are comprehensive and reflect a holistic approach to patient
health problems
In the professional role the student communicates with all others including, but not
limited to, clients, colleagues, faculty, preceptors and office staff, in a clear, respectful,
civil and informative manner
Concise, accurate, and pertinent verbal presentations are crucial in effective therapeutic communication
and documentation. When communicating with patients, healthcare providers should strive to use
simple, understandable language that is relevant to the patient's presenting problems. This means
avoiding medical jargon and using terminology that the patient can easily comprehend.
In addition, it's important to provide concise and accurate information. This involves presenting the
necessary details without overwhelming the patient with unnecessary or irrelevant information.
Healthcare providers should also be careful to avoid making assumptions about the patient's
understanding of their condition or treatment plan.
Finally, effective therapeutic communication and documentation involve ensuring that all information is
pertinent to the patient's presenting problems. This means focusing on the issues that are most relevant
to the patient and their healthcare needs, and avoiding extraneous information that may not be directly
relevant.
Overall, the use of concise, accurate, and pertinent verbal presentations is essential for effective
therapeutic communication and documentation, and is a key component of high-quality healthcare.
In addition to the importance of using concise, accurate, and pertinent language when communicating
with patients, healthcare providers should also consider other factors that can impact the effectiveness
of their communication and documentation.
For example, healthcare providers should always strive to maintain good eye contact, active listening
skills, and a respectful demeanor when speaking with patients. This can help patients feel more
comfortable and engaged in the communication process, which can lead to better patient outcomes.
CLINICAL GOALS
Another important factor to consider is the use of written documentation to support verbal
presentations. Healthcare providers should take care to document all relevant information accurately
and completely, using clear and concise language that is easy to understand. This documentation should
be updated regularly to ensure that it remains current and relevant to the patient's ongoing healthcare
needs.
Overall, effective therapeutic communication and documentation are critical components of high-quality
healthcare. By using concise, accurate, and pertinent language, maintaining good communication skills,
and using written documentation to support verbal presentations, healthcare providers can help ensure
that their patients receive the best possible care.
Effective therapeutic communication and documentation are essential for building a strong patient-
provider relationship and achieving positive healthcare outcomes. Here are some additional points to
consider:
1. Active listening: Effective communication involves not only talking but also listening. Healthcare
providers should actively listen to their patients, ask clarifying questions, and validate their
concerns to ensure that the communication is two-way and the patient feels heard.
2. Empathy: Empathy is the ability to understand and share the feelings of others. Healthcare
providers who demonstrate empathy towards their patients can help create a more trusting and
supportive environment that can positively impact patient outcomes.
3. Cultural competence: Patients come from diverse cultural backgrounds, and healthcare
providers should be aware of these differences to provide culturally sensitive care.
Understanding cultural nuances such as body language, nonverbal communication, and beliefs
about health can help healthcare providers build rapport with their patients.
4. Electronic health records: The use of electronic health records (EHRs) can improve
documentation and communication in healthcare. EHRs allow healthcare providers to document
patient care, access and share patient information with other providers, and track patient
progress more efficiently and accurately.
5. Privacy and confidentiality: Healthcare providers should always prioritize patient privacy and
confidentiality when communicating with patients and documenting patient information. They
should follow all HIPAA regulations and ensure that patient information is kept confidential and
secure.
Overall, effective therapeutic communication and documentation requires a combination of
communication skills, empathy, cultural competence, the use of technology, and a commitment to
patient privacy and confidentiality. By adopting these strategies, healthcare providers can deliver high-
quality, patient-centered care that can improve patient outcomes and satisfaction.
Here are some additional points to consider regarding effective therapeutic communication and
documentation:
CLINICAL GOALS
1. Nonverbal communication: Nonverbal cues such as facial expressions, gestures, and body
language can convey important information about a patient's feelings, concerns, and overall
state of mind. Healthcare providers should pay attention to these cues and use them to guide
their communication and interactions with patients.
2. Plain language: Healthcare providers should use plain language when communicating with
patients to ensure that the information is easily understood. This means avoiding medical
jargon, technical terms, and complex language that may be confusing or overwhelming to
patients.
3. Open-ended questions: Healthcare providers can use open-ended questions to encourage
patients to share their thoughts and feelings more freely. Open-ended questions are those that
cannot be answered with a simple "yes" or "no" and require more thoughtful and detailed
responses.
4. Follow-up: Effective communication and documentation should include follow-up to ensure that
the patient's needs and concerns are being addressed. Healthcare providers should schedule
follow-up appointments, phone calls, or emails to check in with patients and update them on
their progress.
5. Patient education: Healthcare providers should provide patient education to help patients better
understand their health conditions, treatment options, and overall health. Patient education can
help empower patients to make informed decisions about their health and take an active role in
their care.
In summary, effective therapeutic communication and documentation require a patient-centered
approach that prioritizes clear and concise communication, active listening, cultural competence, and a
commitment to patient privacy and confidentiality. By adopting these strategies, healthcare providers
can build strong relationships with their patients and deliver high-quality care that can improve patient
outcomes and satisfaction.
Here are some additional points to consider regarding effective therapeutic communication and
documentation:
1. Collaboration: Effective communication and documentation require collaboration among
healthcare providers. Interdisciplinary collaboration helps ensure that all members of the
healthcare team are aware of the patient's needs and are working together to provide
comprehensive and coordinated care.
2. Patient-centered care: Effective therapeutic communication and documentation should be
focused on the patient's needs and goals. Healthcare providers should take the time to
understand the patient's concerns, preferences, and values, and tailor their communication and
documentation accordingly.
3. Timeliness: Healthcare providers should document patient care in a timely manner to ensure
that the information is accurate and up-to-date. Delayed documentation can lead to
inaccuracies, omissions, and inconsistencies in the patient's medical record, which can have
serious consequences for patient care.
4. Shared decision-making: Effective communication and documentation should include shared
decision-making between the patient and healthcare provider. Shared decision-making involves
CLINICAL GOALS
collaboration between the patient and healthcare provider to make decisions about the
patient's care based on the best available evidence and the patient's values and preferences.
5. Reflection: Healthcare providers should reflect on their communication and documentation
practices to identify areas for improvement. Reflection can help healthcare providers identify
strengths and weaknesses in their communication and documentation skills, and develop
strategies for continuous improvement.
Overall, effective therapeutic communication and documentation require a patient-centered approach,
interdisciplinary collaboration, timeliness, shared decision-making, and reflection. By adopting these
strategies, healthcare providers can deliver high-quality care that meets the needs and goals of their
patients.
CLINICAL GOALS
CLINICAL GOALS
With the assistance of my preceptor, we established a number of clinical goals and objectives
that I must accomplish during this particular clinical semester. Some of these vital clinical goals
include:
Goal #1: Utilizes nursing and related theories in developing a plan of care
Utilize nursing and related theories in developing a plan of care. Developing an accurate and
effective plan of care is a very important skill for any healthcare provider because essentially,
care plans provide direction for individualized care of patients. According to Duquesne
University, "care plans allow healthcare providers to identify patient needs, recognize potential
risks and communicate goals to achieve positive health outcomes. Care plans are one of the
many tools used to create a continuity of care." For nurses, doctors and other healthcare
providers, care plans are essential tools for improving critical thinking and application of the
nursing process in their day to day practice. As such, the aim of this particular goal is to impart
me with skills and knowledge on how to employ nursing and other related theories to develop an
effective plan of care.
Goal #2 Manages client in collaboration with other professional members of the team,
consults appropriately
This goal relates to clinical management, decision making and practice, which are some of the
most vital processes that every healthcare provider must understand. Normally, nurses and
doctors do not provide care in isolation but rather as a team. In the words of Jakubowski &
Perron (2018), interprofessional collaboration improves patient outcomes and the overall quality
of healthcare. To achieve this, they must understand each other's experience, education level, the
scope of practice as well as their respective areas of expertise. According to Jakubowski &
CLINICAL GOALS
Perron (2018), embracing the values, traditions, and ethics of interprofessional practice entails
collaboration and working together while respective others and the expertise in their respective
disciplines. Throughout my clinical semester, therefore, I will work towards enhancing my
ability to collaborate and integrate into teams within the organization. Noteworthy, the
attainment of this crucial goal is an essential step towards my career growth.
Goal #3 Use verbal presentations that are concise, accurate and pertinent to the patient's
presenting problems
One of the fundamental skills that every healthcare provider must possess is communication.
They must be able to employ both verbal and nonverbal communication to communicate with
one another and also with patients. Markides (2011) says more than 25 percent of hospital
readmissions can be avoided with clear and effective communication among teams and between
healthcare providers and patients. Care providers should be able to use verbal presentations that
are concise, accurate and pertinent to the patient's presenting problems. Working closely with
my preceptor and other colleagues will enable to learn and improve my verbal communication
skills such as confidence, body language, authenticity and more importantly, the art of listening.
Mastery of verbal communication, therefore, is directly correlated with my ability to collaborate
with others, the satisfaction of patients, and overall quality of care. For this reason, I will make it
a priority to advance my verbal communication skills and competencies.
CLINICAL GOALS
References
Duquesne University, (2019). "Importance of Nursing Care Plans." Retrieved from
https://onlinenursing.duq.edu/blog/importance-of-nursing-care-plans/
Jakubowski,T.L & Perron,J.P. (2018). "Interprofessional collaboration improves healthcare."
Reflections on Nursing Leadership. Retrieved from
https://www.reflectionsonnursingleadership.org/features/more-features/interprofessional-
collaboration-improves-healthcare
Markides, M. (2011). The importance of good communication between patient and health
professionals. Journal of pediatric hematology/oncology, 33, S123-S125.
CLINICAL GOALS
Virginia Ragonese
Regis College
Erikson’s developmental stages are a continuum of development (Dunkel & Harbke, 2017).In a
meta-analysis of research, Filatovam et al. (2017) found some physical milestones during childhood
had an association with the development of schizophrenia during adulthood. The researcher found
an association between delayed walking, sitting and standing unsupported were associated with the
risk of adult onset schizophrenia (Filatovam et al. 2017).
In Erikson’s second stage of development, autonomy versus shame and doubt, parents are
responsible to allow the child to attempt to do for him or herself.The virtue gained during this stage
is the will to achieve (McLeod, 2018).Forcing a child to be dependent results in feelings of shame
and doubt (McLeod, 2018). Resulting issues with compulsivity or impulsivity may result from an
inability to development independence(Dunkel & Harbke, 2017). According to Erickson, important
accomplishments during this stage include toileting independence, food choices, choosing toys, and
choosing clothes(Dunkel & Harbke, 2017).Inadequacy and self-doubt can result if a person does not
feel secure and confident during this phase(Dunkel & Harbke, 2017).
Resources
Dunkel, C., &Harbke, C. (2017). A review of measures of Erikson’s Stages of Psychosocial
Development: Evidence for a general factor.Journal of AdultDevelopment, 24(1), 58-
76.https://doi.org/10.1007/s10804-016-9247-4
Filatovam S., Koivumaa-Honkanen, H., Hirvonen, N., Freeman, A., Ivandic, I., Hurtig, T.,…
Miettunen, J. (2017). Early motor developmental milestones and schizophrenia: A systematic review
and meta-analysis.Schizophrenia Research,188,13-20.
Mcleod, S. (2018). Erik Erikson’s Stages of Psychosocial Development.Simply
Psychology.https://www.simplypsychology.org/Erik-Erikson.html
CLINICAL GOALS
Laura Besada
?
How does not achieving these development stages affect the individual later on?
The theory proposed by Erik?Erikson?proposes that ego identity is achieved by facing certain challenges
through out eight stages of development across the lifespan. The stages are: trust versus mistrust; autonomy
versus shame/doubt; initiative versus guilt; industry versus inferiority; identity versus identity confusion;
intimacy versus isolation; generativity versus stagnation; integrity versus despair (APA, 2018). Not being able
to successfully achieving and overcoming these developmental stages can potentially impact the individual's
behavior during that stage of development and/or later on in life. Erickson mentions first the expected goal of
the individual versus the challenge they may encounter.?
Looking at Erickson's stages of development, can you align a mental illness with a stage of development
that was not achieved?
Furthermore, a number of mental illnesses are associated with stages of development not achieved. For
instance, when humans struggle to successfully make their way through one of Erickson's stages of
development they may develop a mental illness. For instance, trauma may result from not being able to
successfully overcome one of these developmental stages. Post traumatic stress disorders (PTSD), and it
occurs to me that maybe phobias can be the result of unsuccessfully go through these stages (Erikson's
Psychosocial Theory of Human Development, n.d.). As a consequence mental illnesses may develop and carry
through the course of the individual's life. Psychotherapy may help overcome some of these illnesses by
assisting the person overcome some of these fears or challenges.
How does later development relate to unsuccessful completion of developmental task?
Moreover, inability to successfully overcome any of the challenges proposed by Erickson may negatively
impact the individual's life. For instance, when adolescents (Identity vs.. role confusion) are apathetic, do not
make a conscious search for identity, or are pressured to conform to their parents’ ideas for the future, they
may develop a weak sense of self and experience role confusion. They will be unsure of their identity and
confused about the future. Teenagers who struggle to adopt a positive role will likely struggle to “find”
themselves as adults (Lumen Learning, n.d.).
References
CLINICAL GOALS
American Psychological Association. (2018). (APA) Dictionary of Psychology. Retrieved
from?https://dictionary.apa.org/eriksons-eight-stages-of-psychosocial-development
Erikson's Psychosocial Theory of Human Development. (n.d.). Retrieved
from?https://www.businessballs.com/self-management/eriksons-psychosocial-theory-of-human-development/
Lumen Learning. (n.d.). Erickson’s 8 Stages of Psychosocial Development | Education, Society, & the K-12
Learner. Retrieved from?https://courses.lumenlearning.com/teachereducationx92x1/chapter/eriksons-stages-of-
psychosocial-development/
CLINICAL GOALS
Laura, I agree with you that Psychotherapy may help overcome some of these illnesses by
assisting the person overcome some of these fears or challenges. Psychotherapy?is often used
either alone or in combination with?medications?to treat mental illnesses. Called "therapy" for
short, the word psychotherapy actually involves a variety of treatment techniques. During
psychotherapy, a person with a?mental illness?talks to a licensed and trained mental health care
professional who helps him or her identify and work through the factors that may be triggering
the illness (webmd, 2019).
Trust vs. mistrust is the first stage in Erik Erikson's theory of psychosocial development. This
stage begins at birth continues to approximately 18 months of age. During this stage, the infant is
uncertain about the world in which they live, and looks towards their primary caregiver for
stability and consistency of care. If the care the infant receives is consistent, predictable and
reliable, they will develop a sense of trust which will carry with them to other relationships, and
they will be able to feel secure even when threatened. If children are encouraged and reinforced
for their initiative, they begin to feel industrious (competent) and feel confident in their ability to
achieve goals. If this initiative is not encouraged, if it is restricted by parents or teacher, then the
child begins to feel inferior, doubting his own abilities and therefore may not reach his or her
potential. If the child cannot develop the specific skill they feel society is demanding (e.g., being
athletic) then they may develop a sense of inferiority. Some failure may be necessary so that the
child can develop some modesty. Again, a balance between competence and modesty is
necessary (Saul, 2018)
References:
CLINICAL GOALS
Virginia, I have enjoyed reading your post. In actual, Erikson’s stages of psychosocial
development are based on (and expand upon) Freud’s psychosexual theory. Erikson proposed
that we are motivated by the need to achieve competence in certain areas of our lives. According
to psychosocial theory, we experience eight stages of development over our lifespan, from
infancy through late adulthood. At each stage there is a crisis or task that we need to resolve.
Successful completion of each developmental task results in a sense of competence and a
healthy?personality. Failure to master these tasks leads to feelings of inadequacy. Erikson also
added to Freud’s stages by discussing the cultural implications of development; certain cultures
may need to resolve the stages in different ways based upon their cultural and survival needs
(Filatovam et al. 2017).
The premise of Erikson’s stages of psychosocial development is that a person’s psychosocial
development, from infant to elderly, depends on how certain psychosocial crises are resolved.
Over-controlling and overly strict caregivers who discourage their children from exploring new
things may cause their children to develop a sense of guilt. These children may see themselves as
a nuisance to others, and as a result, they take the role of “followers”. This may have a negative
impact on their social life and may also hinder their creativity. Success at this stage of Erikson’s
stages of psychosocial development will lead to the virtue of purpose, which is demonstrated by
how the children make decisions, come up with new ideas, as well as work and play with others
(Erik Erikson’s Theory of Psychosocial Development, 2019).
References:
Filatovam S., Koivumaa-Honkanen, H., Hirvonen, N., Freeman, A., Ivandic, I., Hurtig, T.,…
Miettunen, J. (2017). Early motor developmental milestones and schizophrenia: A systematic
review and meta-analysis.?Schizophrenia Research,188,?13-20.
Erik Erikson’s Theory of Psychosocial Development (2019). Retrieved from
https://www.psychologynoteshq.com/erikerikson/
