Client-centered outcomes place the focus on the client, not the health-care provider; they specify where the client is heading. Whenever possible, give the client the opportunity to actively participate in goal setting, even if the client's perception of need differs from yours. In matters that do not involve life or death, it is best to first address the client's concerns. Your primary consideration may be the patient's significant weight loss during the last 6 months of chemotherapy, whereas the patient's major concern may be fatigue. The two issues are undoubtedly related, but your effectiveness as a change agent is greater if you approach the problem from the client's perspective. Commitment to achieving the goal is greatly increased when the client "owns" the goal.