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Patient Care Plan

Name: Rebecca Synder

Date: 27/01/2022 Patient Identifier:

Patient Diagnosis: Pain and Nausea due to chemotherapy

1

Nursing Diagnosis Assessment Data

Goals and Outcome

Nursing Interventions

Rationale Outcome Evaluation and Re- planning

 One of  the primary  pieces of  information that  led to  understanding  the extent of  illness in Mrs.  Snyder's body  symptoms  includes the  feeling in her  head that she  was ready to get  rest. She claims  that what  remains is for  her to get taken  home and rest  beside her  family  members.  Therefore, it  explains that  she had the  feeling that she  could no longer  survive the  medical  condition she  was feeling  from inside.  Thus, the  therapists could  understand and  tell the level at  which the  disease had  affected her at  that moment.

Another 

Firstly,  there will be  reduced anxiety  from the patient  through  improving  medication  within two days,  which will help  gain her trust  towards  achieving the  expected  medication for  better outcomes  throughout the  medical  examination as  planned by the  medication team. 

Secondly,  the patient will  adapt to the  chemotherapy  situation and  allow her to cope  with the  experiences it  comes along  with it instead of  giving up, giving  her chances of  survival until the  medical team  finds a solution  to the problem  within four  weeks, showing  progress to the  affected family.

The first  nursing intervention  towards handling the  situation includes  counseling the patient  regarding her medical  condition. 

The rationale  for the first goal and  outcome is to keep  the patient away from  anxiety. It would  result in trusting the  medical process  within the facility. 

 The second  pertains to the  inclusion of better  machinery to aid in  assessing the client’s  condition. 

Besides, the  second goal would be  aiming at one’s  adaptation towards  chemotherapy, aiding  in administering  medication  appropriately. It plays  a role in the proper  control of the  infection.

The last  includes providing  measures to help the  patient feel relieved  from the pain felt  without allowing it to  get worse.

Through  counseling, in that case,  she will get  encouragement regarding  accepting how life is and  accepting the present  situation. Thus, her  emotions would get  altered, making one  believe that there is still  hope regardless of the  problem at hand,  alongside showing that  other people care about  the situation (Fye et al.,  2022). There should be a  developed and appropriate  client-clinician  relationship in creating the  excellent belief.

Assessments will  help understand how the  patient progresses  according to the subjected  medication and the  possible drugs that might  be suitable to bring back  her normal condition  through feeling relief  (Gardona & Barbosa,  2018). By showing  improved results to the  client and the family,  there will be motivation  among them.

The measures help  the affected person  believe in the process of  treatment inducing and  adhere to the rules and  regulations set by the team 

The goals, specifically on  reduced anxiety, were achieved  regarding the outcomes. The  patient was not as negative to  the medication process from the  case study as she had been  before. She hoped to feel better  since she had a specific facility  that would please her in terms  of hospitality services,  including food provision.  However, regarding how I  would plan for the care  according to the patient’s  response to the current plan of  care, I would do more patient  assessment, involve the patient  during planning, implement  modern methods, and regularly  monitor the situation.

Carie Braun
This is a good evaluation section related to the decrease in anxiety outcome. What about the other diagnoses/outcomes?
Carie Braun
Which measures?
Carie Braun
This is not specific enough. What assessments? What medications? What is a "normal" condition?
Carie Braun
What measures?
Carie Braun
This is very unclear to me. What is the intervention for adaptation or coping?
Carie Braun
What is meant by "better machinery"? I do not know what you mean with this intervention.
Carie Braun
Counseling is a very appropriate intervention.
Carie Braun
Adapting to chemotherapy...how would you measure that? Outcomes should be observable. How would you know she is coping better?
Carie Braun
Note that a nursing diagnosis is required here followed by the assessments that lead to the diagnosis. What are the nursing diagnoses that could be applied to Mrs. Snyder? I would expect 3 separate diagnoses for this section.

Patient Care Plan

References Fye, H. J., Kim, Y., & Rainey, J. S. (2022). Correlates of wellness, affective distress, and burnout among school counselors. Journal of Counseling &

Development. https://doi.org/10.1002/jcad.12425

Gardona, R. G., & Barbosa, D. A. (2018). The importance of clinical practice supported by health assessment tools. Revista Brasileira de

Enfermagem, 71(4), 1815-1816. https://doi.org/10.1590/0034-7167-2018710401

Tawil, S., Iskandar, K., & Salameh, P. (2018). Pain management in hospitals: Patients’ satisfaction and related barriers. Pharmacy Practice, 16(3), 

1268. https://doi.org/10.18549/pharmpract.2018.03.1268

2

Carie Braun
Great job on your APA format!