NURSING CARE PLAN

Cues Diagnosis Planning Implementation Rationale Evaluation

Breast cancer Anticipatory grieving Short term: Independent: Short term:
related to Perceived Within 1 hour of nursing - Assess patient and SO - Knowledge about the After 1 hour of nursing
Subjective Cues potential death as intervention the patient for stage of grief grieving process intervention the patient
- The patient verbalize evidenced by changes in would be able to: currently being reinforces the was able to:
her worries about communication pattern experienced. Explain normality of feelings
her family due to her - Identify and express process as appropriate. and reactions being - Identified and
condition and its feelings experienced and can expressed feelings
potential result appropriately. help patient deal appropriately.
more effectively with
- Verbalize them. - Verbalized
Objective Cues understanding of the understanding of the
- Irrational and dying process and - Provide open, - Promotes and dying process and
worried feelings of being nonjudgmental encourages realistic feelings of being
verbalization of supported in grief environment. Use dialogue about supported in grief
thoughts. work. therapeutic feelings and work.
communication skills of concerns.
Long term: Active-Listening, Long term:
Within 72 hours of acknowledgment, and After 72 hours of nursing
nursing intervention the so on. intervention the patient
patient would be able to: is:
- Encourage verbalization - Patient may feel
- Continue normal life of thoughts or concerns supported in - Continued normal
activities, looking and accept expressions expression of life activities and was
toward/planning for of sadness, anger, feelings by the able to look toward
the future. rejection. Acknowledge understanding that for the future.
normality of these deep and often
feelings. conflicting emotions Goal Met
are normal and
experienced by
others in this difficult
 situation.

- Reinforce teaching - Patient and SO

regarding disease benefit from factual
process and treatments information.
and provide information Individuals may ask
as appropriate about direct questions
dying. Be honest; do not about death, and
give false hope while honest answers
providing emotional promote trust and
support. provide reassurance
that correct
information will be
given.

Collaborative:
- Refer to visiting nurse, - Provides support in
home health agency as meeting physical and
needed, or hospice emotional needs of
program, if appropriate. patient and SO, and
can supplement the
care family and
friends are able to
give.