CAREGIVER ROLE STRAIN Nursing Care Plan

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.