Goal finding concepts

Nursing CRG summary points:

Goals also used by other professions such as physios.  Wording varies but as long as FSN is clear synonyms can be added as needed. Suggested specific group text definitions not be used as these then need to be validated with each profession. 

There were no comments on the Goal discontinued (finding) concept. 

The new concept Food and/or nutritional goal not attainable (finding) was questioned given the and/or. 

Questions were asked about other potential content like 'elimination goal not achieved', 'mobility not achieved' and 'pain not achieved'. The potential for multiple combinations and other ways to record was raised briefly. 

Response from the Nutrition Group following the above:

In regards to the question asked about use of "and/or" in concepts like "Food and/or nutritional goal not attainable (finding)," Sometimes the goal pertains to food, sometimes to nutrition (nutrients), and sometimes it is a combination of the two. It is difficult to tease them apart in each situation as it depends on various factors such as the way nutrients react in food or the way they are absorbed, for example. Having three separate concepts (food, nutrition, food and nutrition) would be difficult to manage so they choose to go with the "and/or" approach.

In regards to the question about other potential content like 'elimination goal not achieved', 'mobility not achieved' and 'pain not achieved', they don't have elimination content they are sending forth to be added to SNOMED. They have findings related to elimination but they are existing concepts; no new concepts will be added. They don't deal with pain goals. Mobility information is not really in their domain, but the needed information is already included via different phrasing, e.g., are they able to feed themselves.

The implementations of care planning content in the UK would be unlikely to support widespread expansion of pre-coordinated goal achievement findings as this will actually make multidisciplinary person centric care planning more challenging to implement rather than less.  

Thanks Cathy, 

I don't think there is a rush on including these goal attainments we discussed. I'll do some more digging and try and find current concepts that could be useful in describing those we discussed. 

Zac Whitewood-Moores that is great to hear and from my perspective I think that is the path forward . We have a bit more work to do here in Sweden before we are able to implement this strategy widespread but we do have a lot of new health care information system procurement that hopefully will make this possible in the future.  

I can say Swedish nurses are very interested in using SNOMED CT. Some that are currently using ICNP, have mentioned there is a lack of terms in regard to goal achievement; specifically involving the way they document them in their care plans. Which means incomplete data analysis reports of their patient care for evaluation and reporting. This may be something that we need to address in house until we have more advanced health information systems in place that can use the full power of SNOMED CT's DL.