Greiving
Greiving
(_)Actual (_) Potential
| (_) Loss of function of body part:__________________________________ (_) Loss of s/o:________________________________________________ (_) Loss of independence/change in lifestyle. (_) Diagnosis of a terminal illness. (_) Loss of physical abilities:_____________________________________ (_) Other:____________________________________________________ ____________________________________________________________ ____________________________________________________________ |
| Major: (Must be present) | (_) Unsuccessful adaptation to loss (_) Expressed distress of actual or potential loss (_) Prolonged denial (_) Depression (_) Delayed emotional reaction |
| Minor: (May be present) | (_) Social isolation or withdrawl (_) Failure to develop new relationships/interests (_) Failure to restructure life after a loss (_) Denial (_) Guilt (_) Anger (_) Sorrow (_) Change in eating habits (_) Change in sleep patterns (_) Decreased libido (_) Change in communication patterns |
| Date & Sign. | Plan and Outcome [Check those that apply] | Target Date: | Nursing Interventions [Check those that apply] | Date Achieved: |
| The patient will: (_) Express his/her grief. (_) Describe the meaning of the death or loss to him/her. (_) Share his/her grief with s/o. (_) Participate in ADL's as tolerated. (_) Other: | (_) Assess for causative and contributing factors that may delay the grief process: _________________________ _________________________ _________________________ (_) Reduce or eliminate causative or contributing factors if possible. (_) Encourage to recognize grief situation. (_) Give opportunity for questions. (_) Encourage expressions of anger/concerns. (_) Describe the stages of anticipatory grieving. (Include s.o). (_) Have patient identify support systems. (_) Assist with unfinished business. (_) Encourage to share prognosis with s/o. (_) Encourage s/o to participate in care. (_) Encourage problem solving with help of others. (_) Encourage planned, "one day at a time" living. (_) Allow patient opportunity to identify own self care needs:____________ (_) Help to set realistic goals - give realistic hope:________________ (_) Encourage patient and s/o to accept individual responses to impending loss. (_) Refer/order consult:
(_) Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
Friday, May 16, 2008
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Labels:
care plan
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This entry was posted on Friday, May 16, 2008
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