Establishing Smart Goals of Nursing Care Assignment 2022

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CRC Step 5
Establishing SMART goals of nursing care
The patient is 75 years old and lives alone. She suffers from chronic osteoporosis and
has a history of hypertension. Her blood pressure is also low and she was once depressed
after her female partner’s death. Upon the identification of the major issues, it is important to
set the goals of nursing in order to promote the health of the patient as well as to enhance the
quality of care. The main identified issue of the patient is osteoporosis with low blood
pressure, cough and other symptoms. Establishing SMART goals is an important part of care
intervention plan (Bijelic, Milicevic & Balaban, 2017).
Specific: The major goal will be to reduce the risk of falls. The low blood pressure of
the patient might be one of the prime reasons of fall and also, it can occur due to pain or as an
effect of medicine (Sagawa et al., 2018). With the help of proper diet and fluid intake, and
also with medication it will be important to increase her blood pressure to a normal range of
120/80 mmHg.
The second goal will be to provide relief from the pain. Chronic pain related to
osteoporosis and lumbar spine compression fracture may cause pain which can be mitigated
through proper medication and physical exercise (Beck, Daly, Singh & Taaffe, 2017).
The third goal will be to reduce the risk for disturbed body image. The inactivity and
immobility issues as a consequence of the disease might affect the patient mentally. It can
create depression and hence engaging the patient in some social activities will help to reduce
the risk of depression (Wáng, Santiago, Deng & Nogueira-Barbosa, 2017).

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The fourth goal will be to reduce the risk of compression fracture and injuries.
Repositioning the patient at a certain interval can be helpful in this regard (Golob & Laya,
2015).
The fifth goal will be to address the knowledge deficit of the patient. She must have
knowledge about osteoporosis so that she can prevent further complications. Also, the patient
will maintain functional mobility and the complications regarding immobility as disease
condition will be reduced (Lopez‐Olivo et al., 2018).
Measurable: After the nursing intervention plan the patient will have a better and
improved quality of life. Her pain will be reduced and also her blood pressure will be
increased. Proper nutrition will reduce the risk of fall and mobility issues. However, in order
to get this desired outcome it will be important to educate the patient about osteoporosis and
involve the patient in some physical activities to improve the mobility condition.
Achievable: All the nursing interventions will be set to achieve realistic goals such as
reduced pain, increased blood pressure and self care activities. If proper measures are taken
than it is possible to achieve the goals.
Relevant: The goals are focussed to improve the patient’s condition as per her vital
issues identified and hence they are relevant to the patient’s condition.
Time: The pain will be reduced instantly with proper medication and further
management of pain and other factors is a long-term process which the patient needs to
continue throughout her life. However, within 2-3 weeks of the intervention, she will find an
improvement in her health.
CRC step 6
Nursing interventions and rationale