Long-term goals
What are long-term goals?
The Long-Term Goals product feature brings more structure and accountability to the care you already provide - helping patients connect the dots between daily habits and measurable clinical outcomes.
You’ll be able to:
Create clear, measurable goals with defined targets, timeframes, and a patient “why"
Track progress over time and visualize it directly within the chart note
Add or edit goals (quantitative or qualitative) anytime, and mark them as resolved when complete
View prior versions of a goal through the "History" button for continuity of care
Use evidence-based suggestions that automatically align with the patient’s condition and baseline metrics
Why this matters:
Long-term goals help codify the clinical outcomes that anchor our model of care - things like weight, A1C, LDL, and blood pressure improvements. These can now be clearly defined, tracked, and visualized across the patient journey, connecting what happens in session to measurable progress over time
At the same time, less-quantifiable domains, such as gut health, eating-disorder recovery, GLP-1 side-effect management, or women’s health support, can still be logged, tracked, and marked resolved. This ensures every patient’s progress remains visible, even when a standardized metric doesn’t apply.
Once the RD adds long-term goals to the chart note, they are visible to both providers and patients.
How are the recommended goals structured?
Each recommended goal was derived from clinical guidelines, validated research, and expert input from Nourish’s clinical leadership team. Targets were set based on what constitutes clinically meaningful improvement within each condition category, with adjustments informed by the patient’s baseline values and comorbidities.
Specifically:
Clinical validity: Targets align with standards from the ADA, AHA, WHO, and Academy of Nutrition and Dietetics, as reflected in Nourish’s Clinical Reference Guides
Outcome sensitivity: Suggested metrics (e.g., % weight loss, A1C reduction, LDL reduction) reflect thresholds associated with measurable improvements in cardiometabolic risk
Feasibility and safety: Ranges account for safe, achievable trajectories over approximately 6 months, consistent with evidence-based rates of progress
Patient-centered care: Each goal pairs a clinical target with an individualized “why,” integrating motivational interviewing principles to ensure goals remain meaningful and empowering
Together, these parameters define the evidence-based targets that help standardize quality care across conditions while allowing for personalization at the patient level.
There's a cap on Long-Term Goals, and each patient can have 3 set at a time.
Evidence-based Clinical Targets:
Nourish's evidence-based recommendations for clinical targets can be referenced in this article.
