Question

Two Priority Nursing Diagnosis of Patients undergoing Chemotherapy

One short term goal and one long term goal for each and as many interventions as possible as to how will you achieve it. Use SMART for goals. Use Interdisciplinary team

Answer 1

DIAGNOSIS no 1

Anticipatory Grieving related to Anticipated loss of physiological well-being (e.g., loss of body part; change in body function); change in lifestyle

Goal

Identify and express feelings appropriately.

Continue normal life activities, looking toward/planning for the future, one day at a time.

Verbalize understanding of the dying process and feelings of being supported in grief work.

NURSING INTERVENTIONS

Expect initial shock and disbelief following diagnosis of cancer and traumatizing procedures (disfiguring surgery, colostomy, amputa

Assess patient and SO for stage of grief currently being experienced. Explain process as appropriate..

Provide open, nonjudgmental environment. Use therapeutic communication skills of Active-Listening, acknowledgment, and so on..

Encourage verbalization of thoughts or concerns and accept expressions of sadness, anger, rejection. Acknowledge normality of these feelings.

Be aware of mood swings, hostility, and other acting-out behavior. Set limits on inappropriate behavior, redirect negative thinking.

Be aware of debilitating depression. Ask patient direct questions about.

Visit frequently and provide physical contact as appropriate, or provide frequent phone support as appropriate for setting. Arrange for care provider and support person to stay with patient as needed.

Reinforce teaching regarding disease process and treatments and provide information as appropriate about dying. Be honest; do not give false hope while providing emotional support.

Review past life experiences, role changes, and coping skills. Talk about things that interest the patient

Note evidence of conflict; expressions of anger; and statements of despair, guilt, hopelessness, “nothing to live