Anticipatory Grieving

NURSING CARE PLAN ASSESSMENT

DIAGNOSIS

S>”Why am I having this disease.? I’m afraid for what might happened to me after the treatment”

Anticipatory Grieving Related to Perceived Loss of Function

O>crying >withdraw behavior >apathetic behavior

SCIENTIFIC EXPLANATION Grieving is a normal response to fears and anticipated losses or experience by patient with cancer. These may include loss of health, n normal sensations, body image, social interactions, sexuality and intimacy. Patient may grieve for the loss of quality, time spend with others and loss of future and unfulfilled plans.

PLANNING After 2 days of nursing intervention the client will express his grief and participate in decision making for the future.

INTERVENTION

RATIONALE

1. Promote feelings of self worth through one on one session.

- Promote trust relationship.

2. Encourage verbalizations of fears, concerns and questions regarding disease, treatment and future implications.

- An increase knowledge base decreases anxiety and dispels misconceptions .

3. Promote family cohesiveness. 4. Encourage ventilation of negative feelings

- Frequent contacts reduce feelings of fear and isolation. - This allows for emotional expression

EXPECTED OUTCOMES After 2 days of nursing interventions, the client and family will: - progress through the phase of grief as evidenced by increase verbalization and expression of grief. - use resources and supports appropriately - discuss concerns and feelings openly with each other

including projected anger and hostility within acceptable limits. 5. Allow for periods of crying and expressions of sadness. 6. Give spiritual support.

without loss of self esteem.

- These are necessary for separation and detachment to occur. - This facilitates the grief process and spiritual care.