We use cookies to improve your experience on our site. By using our site you agree to our consent. Learn more.


Mr. Boibuyan is a 48 years old assistant nurse. He is very friendly and easy to talk with. He likes to go bonding with his colleagues after work and he is a kind of guy who you wouldn't imagine having enemy. Despite of his low income, he still loves his work and for him, it is enough to sustain his family needs. He has 2 daughters and a loving wife. His wife sells multivitamins not for women and it is a good additional income for their family. One unfortunate day, his wife and her 2 daughters was at the mall buying gifts for upcoming holiday while there was a sudden earthquake. It was so powerful that the mall was immediately collapse and his family was included in the victims. Below is a sample of adult failure to thrive nursing care plan of Mr. Boibuyan.



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


I observed from the client that he had decreased in social skills. Social skills are the inability of a person to interact and communicate to others. The client also withdrew himself to socialize 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.



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 undesired to live.



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.



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


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


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



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

For more samples of nursing care plan you are free to check it out in our NCP LIST page.

No comments:

Post a Comment