Care Plan

Student:_________________________Date
Sydney Telischak Date
of Care______________Medical
of Care: October 3, 2019 Diagnosis:____________________________________________________________

Nursing Diagnosis:_________________________________r/t__________________________________as
Hopelessness r/t feeling of lack of self-worth
manifested
, long-term
by_________________________________
stress

Published Definition______________________________________________________________________
Subjective state in which an aindividual sees limited or no alternatives or personal choices available
______________________________________________________________________
and is unable to mobilize energy on own behalf

General/Long Term Outcome: ___________________________________________________________________________________________________________

Express concern regarding ones feelings

Short Term Outcome Nursing Interventions Rationale Evaluation

(measurable)
Patient Will:
Verbalize feelings AAT
Use positive affirmations
by using statements like
"I can" or "I will try" prior
to end of care
Set goals for themselves
such as maintain proper
ADLs and health
management AAT
Intls. Pg#
Authors
Nurse Will: (for each intervention) (progress toward
outcomes)
Assess for and monitor as well as document Hopelessness is an important risk factor Nursing Pt verbalize her current
any potential signs of suicide and thus must be identified immediately Diagnosismood for the day such
Determine appropriate approaches based on Understanding the source such as negative Handbook as what activities she
the underlying condition or situation life events will indicate the approaches pg 466- would like to complete,
that may be most beneficial 470 goal was met
Assist the patient to expect positive Research shows that these actions
outcomes and recognize pathways to achieve facilitate the development of hope as a Demonstrate what
the positive outcomes strength positive affirmations are
Encourage the patient to discuss hope Entering into discussion of hope may be however did not observe
helpful in increasing hope pt using any while
Assist the patient to set goals for their recovery Realistic goals reflect sense of hope versus providing care, goal was
false hope partially met
Spend one-on-one time with the client and use The therapeutic relationship is an essential Pt has set goals to perform
empathy to try to understand what the patient component of interventions to address activities for the day such
is saying and communicate understanding hopelessness as what tasks needed to
Teach alternative coping strategies such as Patients with severe mental illness showed be done, goal was met
physical activity decreased hopelessness after participation
in an adjunct exercise program

References on back