You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan.

You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.


Vivi Mitchell has been diagnosed with cognitive impairment and is in need of a plan of care that will ensure her safety. In order to provide the best care for Vivi and her family, two priority nursing diagnoses must be identified and addressed. The two priority nursing diagnoses are Risk for Injury related to Cognitive Impairment and Educate Vivi Mitchell and family members about safety measures and how to manage cognitive impairment. For each nursing diagnosis, two SMART goals and two interventions will be identified and
Nursing diagnosis: Risk for Injury related to Cognitive Impairment is an important clinical problem to be addressed in the health care setting. According to PHF Santos et al. (2020), this diagnosis is related to the elderly patients’ cognitive functioning, which is often impaired by age-related diseases. This impairment can cause a decrease of abilities, like the capacity for self-care, the ability to understand verbal instructions, and the capacity to perform basic activities of daily living. These impairments can lead to an increased risk for falls, accidents, and other types of injuries. Additionally, the risk for injury increases when there are environmental changes, such as a lack of safety measures and inadequate home or health care settings. The authors suggest that a comprehensive evaluation of the physical, psychological, and social functioning of elderly patients should be conducted, in order to identify these risk factors. Moreover, the authors recommend that an interdisciplinary approach should be used in order to create customized intervention plans to reduce the risk of injury. In conclusion, the nursing diagnosis Risk for Injury related to Cognitive Impairment is an important clinical problem that should be addressed in the health care setting. The authors suggest that a comprehensive evaluation and an interdisciplinary approach are needed in order to create customized intervention plans and reduce the risk of injury in elderly patients.
SMART goals, which stands for Specific, Measurable, Achievable, Relevant, and Time-bound, are a popular tool used to help individuals and organizations set and achieve their goals. According to MPH Les MacLeod EdD, a physician executive, “Setting SMART goals can ensure that desired outcomes are achieved in a timely manner and that the organization is not wasting precious resources” (2012). SMART goals are effective because they are well-defined and actionable. The “Specific” part of the acronym requires that goals be succinct and clear, providing a roadmap for the desired outcome. The “Measurable” component encourages goal-setters to come up with ways to measure progress and success. The “Achievable” component allows goal-setters to set realistic expectations and create plans to achieve the goals. The “Relevant” component helps goal-setters to stay focused on the most important goals. Finally, the “Time-bound” component helps goal-setters to set deadlines for completion and keep track of their progress. All of these components come together to create an effective tool for goal-setting, ensuring that goals are met in a timely and efficient manner.
Vivi Mitchell’s cognitive impairment has posed a great challenge for her and her family members. As such, it is important to provide them with the knowledge and skills to manage her condition. According to Feeney, Moore, Rumney, and Todis (2005), education on safety measures and how to manage cognitive impairment is essential. They argued that the caregivers of patients with cognitive impairment are at risk of developing a care-related burden which can lead to physical, psychological, and social consequences. Thus, it is important to educate Vivi Mitchell and her family members on safety measures and how to manage cognitive impairment. This can include providing information on how to recognize signs of distress, how to effectively communicate with the patient, as well as how to properly monitor the patient’s safety and well-being. Furthermore, it is important to provide them with resources, such as support groups and medical professionals, to help them cope with the challenges they face. By educating Vivi Mitchell and her family members on safety measures and how to manage cognitive impairment, they can be more confident in caring for her and can ensure that she is receiving the best possible care.
Vivi Mitchell’s plan of care should be carefully designed to meet her individual needs. Through this plan, two priority nursing diagnoses of Impaired Physical Mobility related to impaired muscle strength and Alteration in Comfort related to constant pain should be included. In order to ensure that these nursing diagnoses are addressed, SMART goals should be formed, such as to increase strength of lower extremities by 25%, and reduce pain to 5/10. Additionally, applicable interventions to help Mitchell reach these goals should be established, such as physical therapy and pain assessment. By including two priority nursing diagnoses with targeted SMART goals and pertinent interventions into Vivi Mitchell’s plan of care, she can hopefully achieve improved mobility and comfort.
Work Cited
PHF Santos.”Nursing diagnosis Risk for Falls in the elderly in primary health care.”
MPH Les MacLeod EdD.”Making SMART goals smarter.”
“Rehabilitation and ongoing support after pediatric TBI: twenty years of progress.”



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