NURSING CARE PLAN Patient: P.P.U.

M Age: 21 years old ASSESSMENT/ NURSING DIAGNOSIS Readiness for enhance childbearing proces 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
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GOAL AND OBJECTIVES

NURSING INTERVENTION INDEPENDENT:

RATIONALE

EVALUATION

OBJECTIVE: Has regular prenatal visit

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

To identify safety issues (Nurses Pocket Guide by Doenges M.et.al 12th ed. p401 )

Listen to words/communi cation indicative of renewed or intense grief

Indicating person is possibly unable to adjust or move on from feeling of severe grief. (Nurses Pocket Guide by Doenges M.et.al 12th ed. p401 )

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

Encourage verbalization without confrontation about realities

Helps to begin resolution and acceptance (Nurses Pocket Guide by Doenges M.et.al 12th ed. p402 )

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(Nurses Pocket Guide by Doenges M.et.al 12th ed. p401 ) Provides opportunity to look forward to the future and plan family and significant other needs. To prevent delay in working through the loss

Discuss healthy ways of dealing with difficult situation

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.
Jose, Maria Aece D. BSN222/GROUP87

To identify when referral to professional counselling is needed

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DEPENDENT& COLLABORATION: Provide open environment in which significant others feel free to realistically discuss feelings and concerns. 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 (Nurses Pocket Guide by Doenges M.et.al 12th ed. p403 )

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

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