Careplan Mrs. Thomas
+Assessment
Nursing Diagnosis
Expected Outcome
Intervention
Evaluation
Subjective: Has limited interaction with friends and family, State “I don’t want to bother them.”
States “Feeling my husband is suffering because of my illness.”
States “Doesn’t want to become addicted to drugs”
Objective:
Crying in bed
Social Isolation
Physical Stress
Emotional Stress
Ineffective coping skills related to terminal illness and end of life expectations, as evidenced by:
Patient verbalized: “Not wanting to bother friends or family”
Social Isolation
Inability to work
Increased Pain level related to altered body chemistry due to terminal cancer as evidenced by:
Crying in bed
Patient verbalized “Doesn’t want to become addicted to drugs”
Coping with chronic illness by demonstrating ability to:
Identify effective and ineffective coping patterns
Verbalize concerns of end of life issues
Ability to get social support by asking for and accepting assistance from friends and family
Patient will identify specific pain level that will allow her to perform ADL’S and pain will stay below the specific level for remainder of cancer progression
The nurse will encourage verbalization of end of life issues, and to call on friends or family for support.
The nurse will involve the palliative team to provide counseling and frequent contact with patient. Talk with and listen to patient.
Permit expressions of anger, fear, and despair. Give information that these feeling are normal and correct to express.
In addition to analgesics, support the patient’s non-pharmaceutical methods to help control pain such as, PT, group therapy, distraction, relaxation, massage, and heat/cold application. Rationale: Cognitative behavioral strategies can restore the patient’s sense of self-control, personal efficiency and active participation in her own care.
The coping outcome was not met. Mr. And Mrs. Thomas continue to not go out or have friends over
Nursing Diagnosis
Expected Outcome
Intervention
Evaluation
Subjective: Has limited interaction with friends and family, State “I don’t want to bother them.”
States “Feeling my husband is suffering because of my illness.”
States “Doesn’t want to become addicted to drugs”
Objective:
Crying in bed
Social Isolation
Physical Stress
Emotional Stress
Ineffective coping skills related to terminal illness and end of life expectations, as evidenced by:
Patient verbalized: “Not wanting to bother friends or family”
Social Isolation
Inability to work
Increased Pain level related to altered body chemistry due to terminal cancer as evidenced by:
Crying in bed
Patient verbalized “Doesn’t want to become addicted to drugs”
Coping with chronic illness by demonstrating ability to:
Identify effective and ineffective coping patterns
Verbalize concerns of end of life issues
Ability to get social support by asking for and accepting assistance from friends and family
Patient will identify specific pain level that will allow her to perform ADL’S and pain will stay below the specific level for remainder of cancer progression
The nurse will encourage verbalization of end of life issues, and to call on friends or family for support.
The nurse will involve the palliative team to provide counseling and frequent contact with patient. Talk with and listen to patient.
Permit expressions of anger, fear, and despair. Give information that these feeling are normal and correct to express.
In addition to analgesics, support the patient’s non-pharmaceutical methods to help control pain such as, PT, group therapy, distraction, relaxation, massage, and heat/cold application. Rationale: Cognitative behavioral strategies can restore the patient’s sense of self-control, personal efficiency and active participation in her own care.
The coping outcome was not met. Mr. And Mrs. Thomas continue to not go out or have friends over