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INEFFECTIVE BREATHING PATTERN Nursing Care Plan

Stuart, 23 years old, diagnosed with pneumonia 3 months ago. Because of having not enough money for hospitalization. His state got worse day...

HOPELESSNESS Nursing Care Plan

Mark is a multi-billionaire. He gain his wealth with his tech company with have deal a great impact in tech industries. Mark have 4 children and a loving wife. He managed to make perfect family. He can buy everything he wants, his family wants. He can go everywhere they want. He can do everything he wants. He have almost infinite amount of money. Unfortunately, his newest device got an issue. An issue about users' privacy which leads to massive hacking and engaging in scam activities. Multiple people sues Mark for the damages it cost in which leads to his company to shatter into nothingness. Below is a sample of hopelessness nursing care plan of Mark who was a multi-billionaire but now a zero guy.

Assessment:

Subjective: "Everything is lost, and nothing works, it seems, my future seems so dark to me." as verbalized by the patient.

Objectives:
Lack of energy
- Decreased response to stimuli
- Emotional
- Passivity
- Lack of involvement in self care and others
- Lack of responsibility for decisions and life
- Isolating behaviors
- Decreased verbalization
- Inability to accomplish anything
- Slowed thought processes
- Fatigue
- Weight loss
- Poor eye contact
- Sighing
- Inability to communicate effectively
- Unreasonable judgment

Diagnosis:

Hopelessness related to loss of business secondary to lack of involvement in self care and others

Planning:

After 4 hours of nursing intervention, the patient will demonstrate increased energy, as evidenced by an increase inactivities. The patient will express desirable expectations for the near future. Describe one’s own meaning and purpose in life. The patient will demonstrate initiative, self-direction, and autonomy in decision-making. The patient will demonstrate effective problem-solving strategies. The patient will redefine the future, setting realistic goals with expectation to meet these goals. The patient will exhibit peace and comfort with situation.

Interventions:

- Encourage Mark, the patient, to share his suffering openly and constructively with others. Reminisces and reviews his life positively. Considers values and the meaning of life. Expresses optimism about the present. Practices energy conservation. Develops, improves, and maintains positive relationships with others. Participates in a significant role. Expresses spiritual beliefs.

- Assist Mark to identify and express his feelings. Listen actively, treat him as an individual, and accept his feelings. Convey him empathy to promote verbalization of doubts, fears, and concerns. Validate and reflect impressions with the person. It is important to realize that Mark with so much problem often have their own reality, which may differ from the nurse’s.

- Encourage expressions of how hope is uncertain and areas in which hope has failed Mark. Assist him in recognizing that hopelessness is part of everyone’s life and demands recognition. Mark can use it as a source of energy, imagination, and his freedom to consider alternatives. Hopelessness can lead to self-discovery.

- Assist Mark, the patient, to understand that he can deal with the hopeless aspects of life by separating them from the hopeful aspects. Help Mark to identify and to acknowledge areas of hopelessness. Help him to distinguish between the possible and impossible. 
The nurse must mobilizes a Mark's internal and external resources to promote and instill hope.

- Assist Mark to identify their personal reasons for living that he provide meaning and purpose to his life.

- Assess and mobilize the Mark's autonomy, independence, rationality, cognitive thinking, and flexibility. Emphasize his strengths, not weaknesses. Compliment him on appearance or his efforts as appropriate. Promote motivation. Identify reasons for living. Identify his perception of hope. Identify areas of success and usefulness; emphasize past accomplishments. Use this information to develop his goals.

- Assist Mark in identifying things he has fun doing and he perceives as humorous. Such activities he can serve as distractions to discomfort and allow him to progress to cognitive comfort. Assist Mark in identifying sources of hope. Assist him in adjusting and developing realistic short- and long-term goals like to progress from simple to more complex; may use a “goals poster” to indicate type and time for achieving specific goals.

- Teach Mark to monitor specific signs of progress to use as self-reinforcement. Encourage him to “means–end” thinking in positive terms like “If I do this, then I’ll be able to . . .”. Foster lightheartedness and the sharing of uplifting memories. Assist him with problem solving and decision-making. Respect Mark as a competent decision-maker; treat his decisions and his desires with respect. Encourage him verbalization to determine the Mark's perception of choices. Clarify Mark's values to determine what is important. Correct misinformation. Assist him in identifying those problems he cannot resolve to advance him to problems he can. In other words, assist him to move away from dwelling on the impossible and hopeless and to begin him to deal with realistic and hopeful matters.

- Assess the Mark's perceptions of self and others in relation to size. If perceptions are unrealistic, assist him to reassess them to restore proper scale. Promote flexibility. Encourage Mark
 to try alternatives and take risks.

- Assist Mark to learn effective coping skills like setting realistic, attainable short- and
long-term goals. Teach him the importance of mutuality in sharing concerns. Teach the value of confronting issues. Allow Mark the time to reminisce to gain his insight into past experiences. Explain the benefits of his distraction from negative events. Teach him and assist him with relaxation techniques before anticipated stressful events. Encourage his mental imagery to promote positive thought processes. Teach Mark to “hope to be” the best person possible today and to appreciate the fullness of each moment. Teach him to maximize aesthetic experiences that can inspire hope. Teach Mark to anticipate experiences he delights in daily. Assist him to express spiritual beliefs. Teach him ways to conserve and generate energy through moderate physical exercise.

- Encourage him for music therapy, aromatherapy, and message with essential oils to improve his physical and mental status.

- Assess and mobilize the Mark's external resources. Involve his family and significant others in plan of care. Encourage him to spend increased time or thoughts with loved ones in healthy relationships. Teach his family members their role in sustaining hope through supportive, positive relationships. Discuss Mark’s attainable goals with family. Empower him who have big problems by instilling hope through the bolstering of support systems. Convey hope, information, and confidence to his family because they will convey their feelings to Mark. Use touch and closeness with Mark to demonstrate to the family its acceptability.

Evaluation:

After 4 hours of nursing intervention, the patient was demonstrated increased energy, as evidenced by an increase inactivities. The patient was expressed desirable expectations for the near future. Described one’s own meaning and purpose in life. The patient was demonstrated initiative, self-direction, and autonomy in decision-making. The patient was demonstrated effective problem-solving strategies. The patient was redefined the future, setting realistic goals with expectation to meet these goals. The patient was exhibited peace and comfort with situation.

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