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NCP Palliative 1

The patient is experiencing dysfunctional grieving related to the stress of her daughter's death. She is dwelling on feelings of guilt such as why her daughter died young while she is still alive. The nurse's objectives are for the patient to engage in normal grief processes within 24 hours of intervention and to use non-destructive coping mechanisms. The nurse will show empathy, support, and reassurance to help the patient work through her grief and discuss her loss in a positive way. The expected outcome is for the patient to feel secure with the calm nursing staff and engage in normal grieving within 24 hours.

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71 views3 pages

NCP Palliative 1

The patient is experiencing dysfunctional grieving related to the stress of her daughter's death. She is dwelling on feelings of guilt such as why her daughter died young while she is still alive. The nurse's objectives are for the patient to engage in normal grief processes within 24 hours of intervention and to use non-destructive coping mechanisms. The nurse will show empathy, support, and reassurance to help the patient work through her grief and discuss her loss in a positive way. The expected outcome is for the patient to feel secure with the calm nursing staff and engage in normal grieving within 24 hours.

Uploaded by

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Rubian, Roeylene Joyce G.

BSN-3B
Rubian, Roeylene Joyce G. BSN-3B

Assessment Diagnosis Objective Planning Intervention Rationale Evaluation


Subjective: Dysfunctional grieving That after 24 hours of After 24 hours the • Show empathy and This promote trust After 24 hours of
related to stress of nursing intervention patient will be able to caring, demonstrate Nursing Intervention
Sue is dwelling on guilt daughter's death the patient will be able respect for her the patient was able to
prone thoughts such to engage in normal Work through grief culture and values, engaged in normal
as “Why her, she was grief process. process, offer support and grief process.
so young, I’m still reassurance, be
alive”, “I didn’t tell her I discuss reality of honest, engage in
loved her before she losses, active listening.
died” and “What did I
do wrong” • Consult with the
use nondestructive
physical and To help the
coping mechanisms,
Sue is being over recreational therapist nursing staff provide
protective whereas afternoon activities.
Sue feels that she has discuss positive and • Maintain a calm, non
already lost one child negative aspects of threatening manner
the loss. Patient develops
and doesn’t want to while working with feeling of security in
lose another. She feels the patient. presence of calm staff
that she couldn’t person.
protect Jill and is now • Establish and
doing everything she maintain therapeutic
Therapeutic skills need
can to protect David. communication with
to be directed toward
the patient
putting the client at
ease.
• Assist in labeling her
feelings: anger, fear,
loneliness, guilt, To know the the stage
isolation. of grieving process of
the patient.
• Explore previous
losses and the ways
in which the client Strengthen
has coped. expressions of
behaviors associated
with normal
grieving.
Rubian, Roeylene Joyce G. BSN-3B

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