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Nursing Care Plan Complicated Grieving

certified nurse assistant4 150x150 Nursing Care Plan Complicated  GrievingNursing-CarePlan.com,Nursing Care Plan Complicated  Grieving Definition; A disorder that occurs after the death of a significant other, in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment, Help patient focus realistically on changes the loss has brought about. This will assist patient in forming plans for the future and improving social relationships.Help patient formulate goals for the future to place loss in perspective and move on to new situations and relationships Refer patient to community support systems to help him deal with his bereavement and grief process..Nursing Care Plan.

Defining Characteristics

  • Decreased functioning in life roles
  • Decreased sense of well-being
  • Depression
  • Fatigue
  • Grief avoidance
  • Longing for the deceased
  • Low levels of intimacy
  • Persistent emotional distress
  • Preoccupation with thoughts of the deceased
  • Rumination
  • Searching for the deceased
  • Verbalization of anxiety; distress about the deceased; detachment

from others; self-blame; disbelief, mistrust, failure to accept the death; feeling dazed, empty, in shock, or stunned; persistent painful memories

Related Factors

  • Death of a significant other
  • Lack of social support
  • Emotional instability
  • Sudden death of significant other

Assessment Focus

  • Coping
  • Emotional
  • Sleep/rest
  • Values/beliefs
  • Nutrition
  • Roles/relationships

Expected Outcomes

The Patient Will

  • Express appropriate feelings of loss, guilt, fear, anger, or sadness.
  • Identify the loss and describe what it means to him.
  • Appropriately move through stages of grief.
  • Maintain healthy patterns of sleep, activity, and eating.
  • Verbalize understanding that grief is normal.
  • Use healthy coping mechanisms and social support systems.
  • Seek fulfillment through preferred spiritual practices.
  • Begin planning for future.

Suggested Noc Outcomes

Grief Resolution; Life Change; Psychosocial Adjustment

Interventions And Rationales

Determine: Identify previous losses and assess for depression. Older patients may experience losses frequently and without adequate 159 recovery time before the next loss. Multiple losses contribute t depression.Perform: Help patient identify an area of hope in his or her life.Focusing on a life purpose may decrease anger and feelings of frus-tration.Help patient focus realistically on changes the loss has brought about. This will assist patient in forming plans for the future and improving social relationships.Help patient formulate goals for the future to place loss in perspective and move on to new situations and relationships.Attend: Encourage patient to express grief and feelings of anger,guilt, and sadness. Inability to express these feelings may result in maladaptive behaviors.Encourage journaling to express grief and loss. Writing and exploring feelings is an active process, which may assist in grieving.Encourage patient and family to engage in reminiscing to give purpose and meaning to the loss and assist in maintenance of self-esteem.Manage: Contact patient’s preferred spiritual leader, if patient desires, to provide relief from spiritual distress.Refer patient to community support systems to help him deal with his bereavement and grief process.

Suggested Nic Interventions

Coping Enhancement; Counseling; Emotional Support; Family Ther-apy; Grief Facilitation Work

Reference

Szanto, K., et al. (2006, February). Indirect self-destructive behavior and overt suicidality in patients with complicated grief. Journal of Clinical Psychiatry,67(2), 233–239.