Maggie, 33 years old, is
a nurse of a 72 years old retired general who Maggie believes that her patient
is very cold and bad to her. Her patient also wants her to work almost whole
day like this retired general doesn't sleep. Below is a sample of nursing care
plan about caregiver role strain.
Assessment:
Subjective: "I can't take care of this patient for the whole day. I also need to rest." As verbalized by the nurse.
Objectives:
- Conflicts between
caregiving responsibilities and patient
- Life is disrupted with
care
- Time and freedom is
restricted because of care giving
Diagnosis:
Caregiver role strain
related to compromised physical health of the caregiver secondary to giving
care for 24 hours.
Planning:
After 8 hours of nursing
intervention, the caregiver will report a plan to decrease her burden by
sharing frustrations regarding caregiving responsibilities. The caregiver can
identify one source of support. The caregiver can identify two changes that
would improve daily life if
implemented. The family
will establish a plan for weekly support or help.
Interventions:
- Assess for causative
or contributing factors.
- Provide empathy and promote a sense of competency. Allow Maggie to
share her feelings. Emphasize the difficulties of the caregiving
responsibilities. Convey admiration of the Maggie’s competency. Evaluate
effects of caregiving periodically (depression, burnout).
- Promote realistic appraisal of the situation. Determine how long her
caregiving has taken place. Ask Maggie to describe her future life in
3 months, 6 months, and 1 year. Discuss the effects of present schedule and
responsibilities on physical health, emotional status, and
relationships. Discuss positive outcomes of caregiving responsibilities
for self, care receiver, and the family. Evaluate if behavior is getting worse.
- Assist caregiver to identify activities for which she desires assistance.
Care receiver’s needs such as hygiene, food, treatments, mobility.
- Stress importance of health promotion. Make some rest–exercise balance. Encourage
effective stress management like yoga, relaxation training, and creative arts. Enter
the patient to a low-fat, high–complex-carbohydrate diet. Appropriate screening
practices for age. Maintain a good sense of humor; associate with others
who laugh. Advise Maggie to initiate phone contacts or visits with
her friends or relatives rather than waiting for others to do it.
- Allow the family to
share frustrations. Share the need for Maggie to feel
appreciated. Discuss the importance of regularly acknowledging the burden of
the situation for her. Discuss the benefits of listening without giving
advice. Differentiate the types of social support. Emphasize the importance of
emotional and appraisal support, and identify sources of this support.
- Explain to Maggie the benefits of sharing with other caregivers.
Arrange a home visit by a professional nurse or a physical therapist to provide
strategies to improve communication, time management, and caregiving.
Engage others to work actively to increase state, federal, and private
agencies’ financial support for resources to enhance caregiving in the
home.
Evaluation:
After 8 hours of nursing intervention, the caregiver was reported a plan to decrease the her burden by sharing frustrations regarding caregiving responsibilities. The caregiver identified one source of support. The caregiver identified two changes that would improve daily life if implemented. The family established a plan for weekly support or help.
For more samples of nursing care plan you are free to check it out in our NCP LIST page.
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