Medical Diagnosis: Lymphoma, chronic colitis, renal cell carcinoma
| NURSING DIAGNOSIS |
| Powerlessness RT effects of hospitalization, progressive disease process secondary to cancer AEB patients rating of control over situation, demeanor |
| PLAN OUTCOME CRITERIA |
| Pt will verbalize improved control and power over the situation.
Short term goal: Pt will list three things that she is able to control and factors that are out of her control.
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| ASSESSMENT DATAPt appears distressed, pt rates control over hospitalization as a 3 on a scale of 1-10, pt states “I can’t go on like this”
Objective
Pt sitting/sloping in bed, avoids eye contact
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| INTERVENTIONS |
| RN will explain procedures and medications to the pt especially when changes are made.
RN will assess for depression in client when taking regular vital signs.
Provide 10-15 minutes each shift set aside to discuss pt concerns.
Set short and long term goals with the pt that are measurable to definable. |
| RATIONALE for INTERVENTIONS |
| Understanding the purpose for procedures will help the pt understand and provide them with an increased sense of control.
Closely monitoring the pt for worsening symptoms will aid the nurse in assuring that the pts condition does not deteriorate.
Providing a set time to talk with the patient will aid them in feeling secure in your care and give them the needed time to address concerns.
Attainable goals will help the patient in seeing themselves achieve and provide a sense of control and power.
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| EVALUATION |
| Pt did begin to share her concerns with me and demonstrate an improved demeanor. I think that she would greatly benefit from continued assessment and interventions from a psychosocial consult. |
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References: Varcarolis, E., Halter, M. (2010). Foundations of psychiatric mental health nursing: A clinical approach 6th. Saunders, St Louis. |