2. Plan-of-care goals — provider parameters govern
The patient-specific, provider-ordered parameters always control. Record them first; the goals that follow are completed with the patient's actual ordered values, and every threshold elsewhere in this overlay defers to these orders.
▶ Provider-ordered parameters — record before charting goals Ordered blood-pressure range: ______ to ______. Report thresholds: systolic above ______ or below ______; diastolic above ______ or below ______. Heart-rate range: ______ to ______. Sodium limit: ______ mg/day. Home blood-pressure monitoring schedule: ______. Antihypertensive regimen and any titration parameters: ______. |
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Plan-of-care goal templates
Edit each goal to the patient's ordered values and target dates.
- Patient will maintain blood pressure within the ordered range (______ to ______), verbalizing correct home measurement technique and the report thresholds, by [date].
- Patient and caregiver will demonstrate accurate home blood-pressure measurement with teach-back ≥ 90% by [date].
- Patient will adhere to the antihypertensive regimen and the ordered sodium limit, verbalizing purpose and adverse effects, by [date].
- Patient will remain free of hypertensive emergency and avoidable acute-care use through the certification period.