Teaching Care Plan for a Cancer patient

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Hi I am having difficulty with my Care Plans and teaching care plans, Instructor keeps saying is incomplete would anybody give me some feedback here they are. Thanks for the feedback

N1120 Student Name __Maria Hotchkiss_____________________________________

Nursing ProcessAssignment

Care Plan #1 OR #2 (circle one)

Total PointsEarned ___________ Date ___3/8/13_________ Instructor _Patricia G.________________________

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[TD=width: 29%, bgcolor: transparent] Data: Supportive data for diagnosis (label subjective/objective) specific for problem and etiology. Points Earned _____________

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[TD=width: 19%, bgcolor: transparent, colspan: 2] Nursing Diagnosis

Points Earned _________

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[TD=width: 50%, bgcolor: transparent] Outcomes: Write one long-term and one short-term for each nursing diagnosis.

Points Earned __________/___________

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[TD=width: 29%, bgcolor: transparent] Objective:

Patient seems tearful and states:" that his appetite is not as it used to be"

H- Sources of hope, meaning,comfort,strength,peace,love,connection: "My family, my friends.

O- Organized Religion= Catholic Church

P- Personal Spirituality and practice= "I did not go to church that often, I had to work for my family"

E- Effects on medical and end -of-life issue= " I want a Priest to come if I am dying"

Patient's family members state:" He keeps blaming himself for not been a good Christian and that he is afraid to die"

Subjective: Patient: Daughter states:" I have never seen my dad so sad and he cries so easily now"

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Spiritual distress: Fear related to feeling unprepared for death and afterlife experience manifested by self-report

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[TD=width: 50%, bgcolor: transparent] Short-term

Before the end of shift patient will report or demonstrate a decrease in spiritual distress after successful intervention with the aid of a Spiritual Counselor

Long-term

Before discharge patient will: Verbalize that his spiritual beliefs have become a source of strength and peace rather than anxiety

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[TD=width: 38%, bgcolor: transparent, colspan: 2] Nursing Interventions (Give specific times, frequency, amounts, distances, and techniques.)

Points Earned ____________

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[TD=width: 61%, bgcolor: transparent, colspan: 2] Rationales (Give rationale for each nursing action. Why or how will each nursing action help to relieve the problem? Cite reference from a textbook for each rationale.)

Points Earned _______________

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[TD=width: 38%, bgcolor: transparent, colspan: 2] 1. Encourage the patient to compare the role of spiritual beliefs in his life before, during and after hospitalization

2. Check on patient at 8:00 p.m. to make sure he is comfortable and his anxiety level has decreased and he is ready to fall asleep

3.Develops an excellent relationship with the family members to convey the need for the patient to have a quiet environment before retiring to sleep, and reassure the patient: "I am sure when I check back on you you'll be sound sleep

4. Refer the patient to spiritual advisor for help to decrease the feelings of guilt and anxiety related to end of illness

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[TD=width: 61%, bgcolor: transparent, colspan: 2] 1. This highlights the positive and negative roles spiritual beliefs can play. It may motivate the patient to continue searching if he values his present experience. Fundamentals of Nursing chapter 46- Spirituality

2. Nursing supervision of the patient at bed time rules out other factors that may interfere with sleep Fundamentals of Nursing chapter 46- Spirituality

3.When interacting with patients, family members, other nurses, physicians, and other members of the healthcare team, it is important to communicate in a way that demonstrates respect for all parties. Fundamentals of Nursing Chapter 21- Communicator- page 457. For the reassurance of the patient: suggestion has been shown to enhance the therapeutic effect of other interventions . Fundamentals of Nursing chapter 46- Spirituality.

4.Guilt often inhibits persons from seeking and experiencing the forgiveness they desire. Fundamentals of Nursing chapter 46- Spirituality. Page 1666

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[TD=width: 100%, bgcolor: transparent, colspan: 4] Evaluation: Was the short-term outcome met or not met? How would the care plan be modified to meet the desired outcomes?

Points Earned _____________

3/8/13 Outcome met at 8:30 patient was able to talk on the phone with a member of their church about his fears and following that conversation he seemed to be more relaxed and smiling when family members came back to the room". Will continue to monitor

Maria Hotchkiss, SN, NCC

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Is it possible to post in a different format? I can't read what you've posted here and if that is your real name, I suggest to take it off this posting.

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