Grieving NURSING MANAGEMENT related to the death Nurisng Care Plan of fetus should have been more careful

with my baby.

Greiving is a normal complex process that includes emotional, physical, spiritual, social, and intellectual responses and behaviors by which individuals, families, and communities incorporate an actual, anticipated, or perceived loss into their daily lives.

Patient will be able to: Express feelings of guilt, anger and sorrow. Acknowledge impact/effect of the grieving process and will verbalize that they will seek appropriate help.

1. Assess the patient for any evidence of suffering including pain and point of view of the world around them.

1. Suffering includes pain and the patients point of view of their world around them. Asking about suffering can help to relieve it merely by acknowledging its existence. 2. Listening and spending time with the patient and family can be one of the most helpful things that the nurse can do for the patient and their family. 3. Listening to the patients feelings of denial will make them feel they are understood and supported in dealing with the situation. 4. The patients and familys expressions of their thoughts and fears can help to improve the quality of the experience for both the patient and her family. 5. Lack of information related to the patients

2. Actively listen to the patient and familys expressions of grief.

Patient was able to: Express her feelings freely. Acknowledge impact/effect of the grieving process and will verbalize that they will seek appropriate help.

3. Listen to the dying patient and family for signs of denial. If they are present, listen to the patient and family. 4. Use therapeutic communication and open-ended questions with the patient and family.

5. Provide information about the cause of her

Cues

Nsg. Dx

Scientific Explanation

Objectives

Nsg. Intervention

Rationale

Evaluation

O - I cant have a family my babies always die and theres nothing I can do.

Powerlessness related to death of second fetus.

Powerlessness is the perception that ones own action will not significantly affect an outcome; A perceived lack of control over a current situation or immediate happenin.

Client will be able to: - Acknowledge feelings of helplessness. - Identify healthy ways to deal with feelings. - Assist in planning own care and independently take responsibility for self-care activities.

1. Identify factors that contribute to clients feelings of powerlessness.

1. Powerlessness is prevalent in mothers who have lost a child with the accompaniment of fear to lose another baby. 2. Determines the status of the individual client and allows for appropriate intervention when client is depressed.

2. Assess degree of feelings of helplessness noting verbal and nonverbal expressions indicating lack of control (It wont make any difference), flat affect, or lack of communication. 3. Encourage client control and responsibility as much as possible. Assist client to identify things that client can and cannot

Client was able to: - Acknowledge feelings of helplessness. - Identify healthy ways to deal with feelings. - Verbalized understanding on how to prevent reoccurrence of fetal death and how to have a healthy pregnancy.

3. May enhance feelings of control and selfworth and sense of personal responsibility.

control. 4. Use therapeutic communication and open-ended questions with the patient and family. 4. The patients and familys expressions of their thoughts and fears can help to improve the quality of the experience for both the patient and her family. 5. Information can be used as a vital tool to preventing the reoccurrence of fetal death, giving more control and hope to the client.

5. Provide information about the cause of her condition.