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. There
is an issue about users' privacy which leads to massive hacking and engaging in
scam activities. Multiple people sue 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 increase inactivity. 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. Consider the
values and the meaning of life. Express optimism about the
present. Practice energy conservation. Develops, improves, and
maintains positive relationships with others. Participate in a
significant role. Express 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 mobilize 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 increase inactivity. The patient was expressed desirable expectations for
the near future. The patient 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.
For more samples of nursing care plan you are free to check it out in our NCP LIST page.
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