|
Assessment
|
Nursing DX/Clinical Problem
|
Client Goals/Desired Outcomes/Objectives
|
Nursing Interventions/Actions/Orders and Rationale
|
|
|
Subjective
“I don’t know much about the resources
in xxxxxx.”
“We don’t know where to have our baby.”
“We only have one car.”
“We do not have an extended family that
lives in xxxxx.”
“We are living on one income.”
Objective
The family
just moved to xxxxx, patient is pregnant, the family consists of seven people, the
income is variable.
|
Problem
Caregiver Role Strain
|
Long Term:
Family will report low or no feelings
of burden or distress by xxxxx measured by relief stated by family.
|
·
Encourage the caregiver
to talk about feelings, concerns, uncertainties, and fears. Acknowledge the frustration
associated with caregiver responsibilities. Rationale:
Caregivers need a safe outlet for their feelings regarding the care situation (Narayan et al, 2001).
·
Help the caregiver problem solve to meet the care recipient's needs. Rationale:
Using problem solving helping the caregiver identify the problem, its sources,
and generating potential solutions has been shown to lower distress in caregivers
(Given et al, 2006).
|
|
|
R/T
deficient knowledge about community resources; difficulty accessing community resources;
emotional strength; formal assistance; formal support; insufficient finances;
|
Short Term:
Family will identify resources
available to help in giving care by xxxxx measured by family’s knowledge.
|
·
Identify potential caregiver resources such as mastery,
social support, optimism, and positive aspects of care. Rationale:
caregivers can have simultaneous positive and negative responses to providing care.
(Pinquart & Sorenson, 2003).
·
Help the caregiver to identify and utilize support
systems. Rationale:
Caregivers sometimes feel abandoned and need assistance
to activate their support systems (Borg & Hallberg, 2006).
|
|