Final answer:
The best goal for a client learning to care for an ostomy would be for the client to independently care for their ostomy bag within three months. This is a SMART goal encompassing client independence and a clear time frame. It provides a realistic period for the client to become comfortable with the care routine.
Step-by-step explanation:
The most appropriate goal for a client who is learning how to care for an ostomy would be: The client will be able to independently take care of his ostomy bag within three months. This goal is specific, measurable, achievable, relevant, and time-bound (SMART). It focuses on the client's independence and gives a clear timeline for achievement. It's important that the goal set is realistic and provides enough time for the client to become comfortable and proficient with the new routine.
Having a patient look at their stoma without disgust is more of an emotional or psychological goal, whereas being able to successfully describe care methods to the nurse or gathering supplies correctly are steps along the way to achieving independence. The latter can serve as interim goals or benchmarks for the primary goal of independent care.
When teaching the client, the nurse will need to cover how to empty and change the ostomy bag, how to care for the skin around the stoma, and how to recognize signs of complications. The nurse will also ensure that the client knows how to gather all ostomy supplies needed for maintenance, and will evaluate the client’s ability to describe the care routine, which indicates understanding and retention of the information provided. This comprehensive approach will support the client in successfully managing their ostomy.