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ADULT FAILURE TO THRIVE Nursing Care Plan

Adult failure to thrive is a person who has been a socially active, emotionally healthy and physically fit but are now a socially withdrawn, emotionally distress and physically atoned. There are three major factors of adult failure to thrive: Depression, major disease/degenerative condition, and ageing process. In pediatric patient, failure to thrive describes as a weight loss of more than 5%. Here we will share to you a sample of nursing care plan for patients who diagnosed as adult failure to thrive.

ASSESSMENT
Subjective
"I want don't want to live!" as verbalized by the patient.

Objective
I observed from the client that he/she had decreased in social skills. Social skills are the inability of a person to interact and communicate to others. The client also withdrawn him/herself to socialized with others. The client lacks on interest to almost everything or in apathy, he/she didn't want to eat and took a bath for almost a week so the client is self-care deficit.

Vital signs was taken and noted as follows: Body temperature is 35.8 C, blood pressure is 110/80 mmHg, respiratory rate is 16 cpm and pulse rate, 69 bpm. Three of his/her vital signs are normal, the body temperature, blood pressure, and respiratory rate while his/her pulse rate is below the normal rate.

DIAGNOSIS
You can use "Adult failure to thrive related to verbalized desire to death as manifested by social withdrawal and self-care deficit". Actually, saying "I don't want to leave", does not directly pertains to desire to death by rather the undesire to live.

PLANNING
After 4 hours of nursing intervention the patient will identify corrective and adaptive measures for individual situation. Why 4 hours? A patient who verbalized desire to death may attempt to suicide or will cause violent or inappropriate actions, so we need to accomplish our nursing care intervention as quick as possible.

INTERVENTION
The first thing you need to do is to get information about the patient's previous and current life situations. Find out changes and losses that may probably affects him/her. After that, identify also the expectations regarding the current condition. Determine the client's cognitive, perceptual ability and effect on self-care ability and use a collaborative and comprehensive assessment to determine the extent of limitations affecting about to thrive and potential positive interventions.

Encourage client to talk about and listen actively to the client's perception of problem. Discuss his/her concerns about feelings of loss and relationship between his/her feelings and current decline in well being. Have the client took enough time to talk everything he/she wants to say and just have time to listen to him/her. Encourage client, to talk about positive aspects of life and to keep a physically active as possible. Offer opportunities that enhance hopefulness for future. Encourage strengths and coping behaviors that the client used previously promote commitment to goals and plan which maximizing outcomes by assisting the client to develop goals for dealing with life or illness situation. In addition, you can assist client to join useful community resources such as support groups, social workers, home care and assistive care which can enhance coping assists with problem solving, and may reduce risks to client.

After the smooth conversations, develop a nursing care plan with client, to meet immediate needs for nutrition, safety and self-care ability. Another nursing care plan is needed immediately to target his/her nutrition since the client did not eat for a few days so that he/she will regain his/her health deficiency. To make it easy and effective, you can coordinate with the client and the nutritionist to identify specific dietary needs and creative ways to stimulate intake such as offering the client's favorite food, family's style meals and happy hour. You can include safety and regaining self-care ability in the interventions and actions.

EVALUATION
After 4 hours of nursing intervention, the patient identified the corrective and adaptive measures for the client's situation.

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