A Nursing Care Plan on

ECTOPIC PREGNANCY

In Partial Fulfillment to the

Requirements in NCM 209 – RLE

DELIVERY ROOM ROTATION

Submitted to:

PROF. MARIA CATHERINE M. BELARMA, RN, MN

Clinical Instructor

Submitted by:

Angelika Jayne B. Paulino

BSN 2L Group 5 - Subgroup 3

March 26, 2021

NURSING CARE PLAN: ECTOPIC PREGNANCY
Name: A. R. Age: 28 yrs old Gender: F Ward: Room:
Chief Complaint: lack of appetite, messed up sleep pattern Diagnosis: Attending Physician:
DATE/ CUES NEED NURSING DIAGNOSIS PT’S OUTCOME PLANNING/ IMPLEM EVALUATION
TIME INTERVENTION ENTATI
ON
M Subjective S Hopelessness related to Within the 8-hour 1. Discuss the loss with the ➔ 1 March 29, 2021 @
A ● Decrease in Loss of Belief in Spiritual shift, the patient will mother or both the couple. 3:00 PM, GOAL
E
R appetite, as Power as evidenced by have reduced signs ● R: The couple's religious MET. Within the 8-
C verbalized L Altered sleeping pattern, of hopelessness and views may be hour shift, the patient
H “please pasagdi F Decrease in appetite and will be able to: challenged, and they manifested reduced
ko ninyo, dili jud Decrease in verbalization may feel wronged or signs of
-
2 nako gusto ● Openly frustrated as a result of hopelessness and
9, mukaon useless C ● Early pregnancy loss recognizes their grief. was able to:
na tanan kay occurs when a and shares Communicating about
O
2 wala na akong pregnancy ends negative the tragic loss will help ● Openly
N
0 anak, gikuha na before 20 weeks. A emotions such the patient or couple recognize and
2 siya wala man C termination or an as sorrow and learn how to deal with share negative
1 lang siya ectopic pregnancy remorse. their suffering in a emotions such
E
gihatagan ug may result in this. healthy way. as sorrow and
7:00 higayon sa Ginoo P Women and their ● Verbalize ➔ Weir, K. (2018, May). remorse.
AM mabuhi, wala T partners get a range acceptance of Healing the wounds of
siyay ayo na of responses to an the unpleasant pregnancy loss. ● Verbalize
 pagka Ginoo ug / early pregnancy loss situation and Retrieved March 25, acceptance of
ani ra diay because it is often expresses 2021, from the unpleasant
S
mahimong sudden and may hope for the https://www.apa.org/mo situation and
kahimtang E shock them, leaving future nitor/2018/05/pregnancy expresses
sakoang anak” L both parents, -loss hope for the
especially the ● Identify and future,
F
Objective mother, in a state of use positive verbalizing
2. Encourage clients to
● Frequent - bewilderment and coping ➔ 2 “sakit man
communicate about how they
yawning sadness. The mechanisms kaayo pero
P feel about unfairness with the
● Sunken eyeballs mother is likely to to counteract hinay2
E situation. Recognize that such
● Irritability experience natural feelings of ginadawat man
emotions are a normal part of
● Decreased R feelings of grief, hopelessness. nako pero dili
the grieving process. Maintain
verbalization rage, frustration, or lang jud dali,
C a nonjudgmental attitude thus
hopelessness. ● Utter unta sa
E allowing the patient or couple
There may also be statements muabotay na
to convey their emotions.
P physical symptoms about courage panahon
● R: Families who have
such as a lack of in assisting tugotan na sa
T experienced perinatal
appetite, fatigue, oneself in the Ginoo na
loss often start having
I difficulty process of magka anak
doubts about their
concentrating or moving on and na gyud mi”
O religious values. Anger
communicating, and to partake in
N fueled by a sense of
sleeping difficulties, adjustments to ● Identify and
hopelessness can lead
indicating that the return in doing use positive
to a sense of guilt and
situation has had a normal daily coping
 deep traumatic activities and blame directed at mechanisms to
effect. other activities oneself or others, or at counteract
that they have God for “choosing them feelings of
previously to suffer.” hopelessness.
➔ Farren, J., Mitchell-
done, before ➔ Pregnancy loss. (2019,
Jones, N., Verbakel,
experiencing January 30). Retrieved ● Utter
J. Y., Timmerman,
loss. March 25, 2021, from statements
D., Jalmbrant, M., &
https://www.womenshea about courage
Bourne, T. (2018,
● Discuss crisis lth.gov/pregnancy/youre- in assisting
November 1). The
in spiritual pregnant-now- oneself in the
psychological
beliefs and what/pregnancy-loss process of
impact of early
values so that moving on and
pregnancy loss.
they could ➔ 3 to partake in
Retrieved March 25, 3. Acknowledge and address
reconnect with adjustments to
2021, from misconceptions in the patient's
their faith. return in doing
https://pubmed interpretations of the tragedy.
normal daily
.ncbi.nlm.nih.gov/30 ● R: Misinterpreted
activities and
204882/ understandings must be
other activities
evaluated on a regular
that they have
basis, and correct facts
previously
must be re-emphasized.
done, before
➔ Parkington, J. (2020,
experiencing
September 24). It's not
loss.
your fault - types of
 miscarriage and ● Discuss crisis
pregnancy loss. in spiritual
Retrieved March 25, beliefs and
2021, from values so that
https://www.birth-like-a- they could
boss.com/blog/44871- reconnect with
its-not-your-fault-types- their faith.
of-miscarriage.

➔ 4
4. View the sequence of events
and medical tests conducted, if
necessary and appropriate, Paulino, Angelika
with photos. Jayne B. St. N
● R: The patient or couple
learns and maintains
knowledge more readily
if it is done in a detailed
manner because of the
unrelenting stress that
accompanies the loss.
➔ Bellefonds, C. (2020,
February 10). After a
miscarriage: What
 happens and how to
cope. Retrieved March
25, 2021, from
https://www.whattoexpe
ct.com/pregnancy/after-
miscarriage/#activities
➔ 5

5. Take into account the

parent's preparation in terms of
friend and family reactions, and
role-play responses.
● The depth of the
parents' sorrow is often
overlooked by family
and friends. Role playing
can prepare parents for
a variety of reactions
from friends and family,
who may avoid
discussing the loss out
of the mistaken belief
that ignoring the subject
is therapeutic or less
 traumatic for the
parents.
➔ Danielsson, K. (2020,
December 09). 7 ways
to get through the
holidays after a
miscarriage. Retrieved
March 25, 2021, from
https://www.verywellfam
ily.com/surviving-
holidays-after-
miscarriage-2371331 ➔ 6

6. Provide facts on the usual

short and long-term physical
and emotional impact of
grieving, including lack of
sleep, bad dreams, baby or
pregnancy delusions,
emptiness, exhaustion, altered
physical reaction, and loss of
appetite.
● R: Parents may feel
 responsible for the
death's cause. So,
providing information
about the actual cause
will help these people
cope with their loss.
Tends to help couples
plan for normal
adjustments and
challenges associated
with day-to-day tasks, as
well as recognizing the
degree of loss.
➔ Grose, J. (2019,
October 02). After a
miscarriage, grief,
anger, envy, relief and
guilt. Retrieved March
25, 2021, from
https://www.nytimes.co
m/2019/10/02/parenting/
after-a-miscarriage- ➔ 7
grief-anger-envy-relief-
and-guilt.html
7. Seek the help of a priest or
pastor or a neighborhood
support group.
● R: Support groups offer
information and support
from those who have
been through similar
situations, as well as
affirmation that physical
and emotional reactions
are natural.
➔ Ectopic pregnancy
information and support.
(2020, March 12).
Retrieved March 25,
2021, from
https://www.tommys.org
/baby-loss- ➔ 8
support/ectopic-
pregnancy-information-
and-support

8. Consult a hospital priest,

pastor, preacher, or other
spiritual advisor as needed. As
deemed necessary, coordinate
with morticians to assist the
family with funeral
arrangements.
● R: Experts in spiritual
beliefs and traditions
may very well be
required to help with
burial and loss.
Symbolism and religious
rites can bring relief to
parents and even
relatives, allowing them
to reconnect with their
spiritual beliefs.
➔ Wolfelt, A. D., Ph.D.
(2016, December 16).
Why is the funeral ritual
important? Retrieved
March 25, 2021, from
https://www.centerforlos
s.com/2016/12/funeral-
ritual-important/
GORDON’S HEALTH PATTERN

SELF-CONCEPT/SELF-PERCEPTION

● Hopelessness

REFERENCES

Bellefonds, C. (2020, February 10). After a miscarriage: What happens and how to cope. Retrieved March 25, 2021, from
https://www.whattoexpect.com/pregnancy/after-miscarriage/#activities

Danielsson, K. (2020, December 09). 7 ways to get through the holidays after a miscarriage. Retrieved March 25, 2021, from
https://www.verywellfamily.com/surviving-holidays-after-miscarriage-2371331

Ectopic pregnancy information and support. (2020, March 12). Retrieved March 25, 2021, from https://www.tommys.org/baby-loss-support/ectopic-
pregnancy-information-and-support

Farren, J., Mitchell-Jones, N., Verbakel, J. Y., Timmerman, D., Jalmbrant, M., & Bourne, T. (2018, November 1). The psychological impact of early pregnancy
loss. Retrieved March 25, 2021, from https://pubmed.ncbi.nlm.nih.gov/30204882/

Grose, J. (2019, October 02). After a miscarriage, grief, anger, envy, relief and guilt. Retrieved March 25, 2021, from
https://www.nytimes.com/2019/10/02/parenting/after-a-miscarriage-grief-anger-envy-relief-and-guilt.html
Parkington, J. (2020, September 24). It's not your fault - types of miscarriage and pregnancy loss. Retrieved March 25, 2021, from https://www.birth-like-a-
boss.com/blog/44871-its-not-your-fault-types-of-miscarriage

Pregnancy loss. (2019, January 30). Retrieved March 25, 2021, from https://www.womenshealth.gov/pregnancy/youre-pregnant-now-what/pregnancy-loss

Wayne, G. (2019, June 01). 5 perinatal LOSS nursing care plans. Retrieved March 25, 2021, from https://nurseslabs.com/5-perinatal-loss-nursing-care-
plans/#risk_for_spiritual_distress

Wayne, G. (2020, September 08). Hopelessness – nursing diagnosis & care plan. Retrieved March 25, 2021, from https://nurseslabs.com/hopelessness/

Weir, K. (2018, May). Healing the wounds of pregnancy loss. Retrieved March 25, 2021, from https://www.apa.org/monitor/2018/05/pregnancy-loss

Wolfelt, A. D., Ph.D. (2016, December 16). Why is the funeral ritual important? Retrieved March 25, 2021, from
https://www.centerforloss.com/2016/12/funeral-ritual-important/