Client: David Hopper
Care Plan by: C. Senior, RN
Date: 01-01-2021
Nursing Diagnosis
Anticipatory Grieving related to Identify and express emotions
loss of well-being, change in
lifestyle, potential loss of life Verbalize understanding of the
Imbalanced Nutrition: Less
than Body Requirements
related to disease process
(cancer), medication side
effects
Goals & Outcomes
process, patient feels
supported in the grieving
process
Demonstrate stable weight.
Signs of malnutrition are
absent
Normal lab values achieved
Interventions Evaluation
Practice therapeutic Is patient aware of grieving
communication skills including process?
active listening
Does patient demonstrate
Encourage patient to verbalize understanding of the disease
feelings process?
Redirect negative thinking Is patient demonstrating denial
of process?
Appropriate referral for
counselling, as necessary Does the patient show
appropriate affect?
Appropriate referral to
community agencies including Is patient setting realistic goals
visiting nurse and/or hospice, for the future?
if appropriate
Monitor daily food intake Weight loss has ceased. Weight
is stable or increasing.
Measure weight daily
Adequate intake has been
Assess skin and mucosal recorded.
membranes for signs of
dehydration, altered wound No signs of dehydration or
healing malnutrition are present.
Encourage the use of meal Laboratory values have
supplements normalized.
Encourage more frequent but Current medication regime is
smaller meals effective and appropriate.
Evaluate effectiveness of
antiemetic, analgesic
medications