Ncp Grieving

NURSING CARE PLAN

Patient: P.P.U.M  Age: 21 years old  ASSESSMENT/ NURSING DIAGNOSIS Readiness for enhance childbearing proces

OBJECTIVE:  Has

regular prenatal visit 

Diagnosis: G2P1(1001) PU 17 weeks UTI t/c Cervicovaginitis Threatened Abortion

 ANALYSIS

Dysfunctional grieving is a maladaptive process that occurs when grief is intensified to the degree that the person is overwhelmed, becomes stuck in one phase of grieving an demonstrates excessive prolonged emotional responses to a significant loss. (Nursing Diagnosis and interventions by McFarland et.al. 2nd Ed. 1993) Grief is the process of  making a loss a reality. Anyone experiencing a loss must grieve. Nursing

GOAL AND OBJECTIVES

NURSING INTERVENTION

RATIONALE

EVALUATION

INDEPENDENT: GOAL:

After 8 hours of  nursing intervention, the patient will be able to verbalize and demonstrate a sense of progress toward grief resolution, hope for the future. OBJECTIVES:

1. After 1 hour, the patient will be able to acknowledge presence and impact of  dysfunctional situation.

 Determine if the

client is engaging in reckless or self-destructive behaviors

 Listen to

words/communi cation indicative of renewed or intense grief 

 Encourage

verbalization without  confrontation about realities

 To identify safety

issues (Nurse’s Pocket Guide by Doenges M.et.al 12th ed. p401 )

 Indicating person is

The goal met. The patient able to verbalize and demonstrate a sense of progress toward grief  resolution, hope for the future.

possibly unable to adjust or move on from feeling of severe grief. (Nurse’s Pocket  Guide by Doenges M.et.al 12th ed. p401 )

 Helps to begin

resolution and acceptance (Nurse’s Pocket Guide by Doenges M.et.al 12th ed. p402 )

Jose, Maria Aece D. BSN222/GROUP87

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Diagnosis Care Plans for Diagnostic related Groups by Neal et. al.

2. After 2 hours of  nursing intervention, the patient will be able to verbalize the anticipated changes seeking support from significant  others.

3. After 2 hours of  nursing intervention, the patient will be able to carry out activities of  daily living independently.

 Permit 

verbalization of  anger with acknowledgemen t of feeling

 Enhances client 

safety and promotes resolution of grief  process(Nurse’s Pocket Guide by Doenges M.et.al 12th ed. p401 )

 Discuss healthy

 Provides opportunity

ways of dealing with difficult  situation

to look forward to the future and plan family and significant  other needs.

 Discourage

shielding the grieving process with medications or other temporary relief  outlet 

 Determine the

degree to which the potential loss and grief  threatens the significant others self-concept.

 To prevent delay in

working through the loss

 To identify when

referral to professional counselling is needed

Jose, Maria Aece D. BSN222/GROUP87

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DEPENDENT& COLLABORATION:  Provide open

environment in which significant  others feel free to realistically discuss feelings and concerns.

 Have client 

identify familial, religious, and cultural factors that have meaning for her.

 Therapeutic

communication skills such as active listening, silence, being available and acceptance provide opportunity and encourage significant  others to talk freely and deal with actual loss.

 May help bring loss

into perspective and promote grief  resolution (Nurse’s Pocket Guide by Doenges M.et.al 12th ed. p403 )

Jose, Maria Aece D. BSN222/GROUP87

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