Assessment Diagnosis Inference Planning Interventions Rationale Evaluation

Subjective: Readiness for Finds a sense of After 8 hours of Independent: After 8 hours of
enhanced hope meaning to life nursing interventions, nursing interventions,
“I hope I can recover  Determine current Treatment regimen
patient will be able to: goal met. Patient was
from this illness.,” as physical condition can influence ability to
able to express desire
verbalized by the  Identify and of client promote positive
Expectation/desire to for positive health
patient verbalize feelings feelings of hope.
get better/recover outcomes, belief in
related to
the possibilities of the
expectations and
future as well as share
Objectives: desires of Superficial
Desire to enhance  Note degree of strategies to live a
recovering from interactions with
 Congruency of interconnectedness involvement in meaningful life, and
illness. others can limit sense
expectations with with others activities and express awareness of
of connectedness and
desires  Verbalize belief in relationships with the need for
reduce enjoyment of developing and
possibilities for others
 Problem solving the future.
relationships maintaining a positive
Forms a pattern of
to meet goals attitude of hope.
expectations that is  Discuss current
 Ability to set sufficient for situation and  Establish a
Enhances feelings of
personal goals mobilizing energy and desire to enhance therapeutic
worth and comfort,
can be strengthened hope. relationship,
 inspiring client to
showing positive
continue pursuit of
regard and sense of
goals.
Readiness for hope for the client.
enhanced hope

 Help client
recognize areas To be most effective,
that are in his or client needs to expend
her control versus energy in those areas
those that are not. where he or she has
 control/can make
changes and let the
others go.
 Identify activities
to achieve goals
and facilitate Helps client deal with
contingency situation in
planning. manageable steps,
enhancing chances for
success and sense of
 Explore control.
interrelatedness of
unresolved
emotions, Provides opportunity
anxieties, fears, to address issues that
and guilt. may be limiting
individual’s ability to
improve life situation.
 Assist client to
acknowledge
current coping Allows client to focus
behaviors and on coping mechanisms
defense that are more
mechanisms that successful in problem
are not helping solving.
client move toward
goals.

 Encourage client to
concentrate on
 progress not If client can accept
perfection. 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.
 Involve client in
care and explain all
procedures Enhances trust and
thoroughly, relationship,
answering promoting hope for a
questions positive outcome.
truthfully.

 Identify ways to
strengthen sense
of
To support sense of
interconnectedness
belonging and
or harmony with
connection that
others
promotes feelings of
wholeness and
hopefulness.
 Provide positive
feedback for
actions taken to
Acknowledges client’s
improve problem-
efforts and reinforces
solving skills and
gains.
 for setting
achievable goals.

 Explore how beliefs

As client’s
give meaning and
understanding of
value to daily
these issues improves,
living.
hope for the future is
strengthened.

 Encourage life- To acknowledge own

review by client successes, identify
opportunity for
change, and clarify
meaning in life.

 Encourage client to Expanding knowledge

join groups with and making
similar or new friendships with new
interests. people will broaden
horizons for the
individual.
 Assess patient’s
perception of
ability to set Information obtained
personal goals, from assessment may
expression of assist in determining
desire to build on
possibilities for the
future and the appropriate
ability to align interventions
desires and
expectations,
spiritual needs.