Short-term Goal 1. Determine stage of grief in which client is fi 3. Convey an accepting attitude so that the client is not afraid 2. Develop trusting relationship with client. Show empathy and [Diminished sense of control][Persistent anxiety]DepressionGoals/Objectives 4. Allow client to express anger. Do not become defensive if By end of 1 week, client will express anger toward lost entity.Long-term GoalClient will be able to verbalize behaviors associated with the normal stages of grief and identify own position in grief process, while progressing at own pace toward resolution.Interventions with^248 initial expression of anger is displaced on nurse or therapist. the client that you believe he or she is a worthwhile person. behaviors associated with this stage. Trust is enhanced.sessment data are necessary to plan effective care for the grieving client.to express feelings openly. caring. Be honest and keep all promises. a therapeutic relationship.^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONSelected RationalesAn accepting attitude conveys to Accurate baseline as-Trust is the basis for xed. Identify
2506_Ch13_236-255.indd Sec1:248 2506 Ch 13 236 - 255 .ind6. Explain to client the normal stages of grief and the behaviors^ 7. Encourage client to review personal perception of the loss or 5. Help client discharge pent-up anger through participation d Sappropriate and acceptable during the grief process. in large motor activities (e.g., brisk walks, jogging, physical edge of the acceptability of the feelings associated with nor-mal grieving may help to relieve some of the guilt that these responses generate.exercises, volleyball, punching bag, exercise bike). change. With support and sensitivity, point out reality of the situation in areas where misrepresentations are expressed. rected toward the intended object or person. Client must give up an idealized perception and be able toof feelings in a nonthreatening environment may help client exercise provides a safe and effective method for discharging pent-up tension.come to terms with unresolved issues.Help client explore angry feelings so that they may be di-associated with each stage. Help client to understand that feelings such as guilt and anger toward the lost entity are ec 1 : 248 Verbalization Physical Knowl- 1 10/1/10 9:36:17 AM 0 / 1 / 10 9 : 36 : 17 AM