258 Unit 3 CURRENTSOCIAL ANDEMOTIONALCONCERNS
SAMPLE CARE PLAN GRIEF
Nursing Diagnosis
➤Grieving
A normal response in the human experience of loss.ASSESSMENTDATA
Cognitive Responses- Questioning and trying to make sense
of the loss - Experiencing disillusionment
- Attempting to make sense of the loss
Emotional Responses- Feeling numb
- Experiencing sorrow, loneliness
- Crying, sobbing
- Having vacillating emotions including
anger - Experiencing hopelessness
- Feeling helpless, powerless
Behavioral Responses- Experiencing great restlessness;
searching for the deceased - Seeking and avoiding places and activ-
ities once shared with the lost one - Functioning “automatically”
Physiologic Responses- Headaches
- Insomnia
- Lack of energy
Critical Component of Perception—questions
to explore and listen for while talking with
the client:- What is the meaning of the loss for
the client? - What is the client’s understanding of his
or her current experience in grieving? - Are the client’s perceptions adequate?
(Do the client’s perceptions reflect the
process of grieving?)
EXPECTEDOUTCOMES
The client will- Identify the loss and its meaning for
self (adequate perception) - Express feelings, verbally and
nonverbally - Establish and maintain adequate
nutrition, hydration, and elimination
(adequate coping) - Establish and maintain an adequate
balance of rest, sleep, and activity
(adequate coping) - Establish and maintain an adequate
support system - Verbalize knowledge of the grief
process - Demonstrate initial integration of loss
into his or her life (adequate coping) - Verbalize realistic future plans inte-
grating loss (adequate perception)