Question

Case Study Nursing

Care Plan: Stress and Coping

Sandra and John have been married only 3 years; they are both 55 years old. This is a late marriage for both of them; neither was previously married. They both work and plan on retiring at age 66. Last month John was diagnosed with stage 3 pancreatic cancer. Presently John and Sandra are in the early phase of treatment options. At this point in time they are both working. They are at the Cancer Center today to decide on some treatment options. When you greet the couple, you notice that they both look tired, Sandra looks disheveled and john is clean shaven and well groomed. John states that he is worried about Sandra as she appears "just worn out," and he is afraid that she will not be able to help him through this medical crisis.

Due: NOV. 5 Case Study Nursing Care Plan: Stress and Coping Assessment: Sandra and John have been married only 3 years; they are both 55 years old. This is a late marriage for both of them; nelther was previously married. They both work and plan on retiring at age 66. Last month John was diagnosed with stage 3 pancreatic cancer. Presently John and Sandra are in the early phase of treatment options. At this point in time they are both working. They are at the Cancer Center today to decide on some treatment options. When you greet the couple, you notice that they both look tired, Sandra is disheveled, and John Is clean shaven and well groomed. John states that he is worried about Sandra as she appears "just worn out," and he is afrald that she will not be able to help him through this medical crisis. An Ativiies FiedingDeining Characee Ask Sa hw he is abot Jola's dags Sanls ste "Ther's h just fel iadegale and omelned I dt em knaw hoe I feel. Ikow I feel vy alee Ak Sanda wht she ben dout Jln's noptis She saes "Imly aything t sage 3 pascnatic cnoI got o the leteet so 1know is is a bad anon Ask jln nd Sanly bot rims d orlaties Betharady dm al bave ao otber fanily, trr od so de Nostinnt year ago or a jobs They bo wok for the ty hare lor sp sane copany but stae at they ve fev dose iends Ak Sandy soidenily people he can to oSerdn sebs and feels thul she deess' have ayene locally to when she can am They ae active in itwie dh On athr deomie Sendatis adose itead ba te Md e a get la sleep casily and akess 3 to 4 ds peralght SaAppeie pea T She A Sanda bet sierp d ition pats jest net bungyisk ve last wight because ay clohes ae leose, but I de ko Asess Sanda's mel d dna by ag how shes ining 1 fel very Gred. Everything leels enhelaing What are some problems you have identified for this family? Is this family coping? Why or why not?

Answer 1

1. Some of the problems that are identified in this family are :-

- fear

- anxiety

- ineffective coping

- stress

2. No, this family is not coping because the wife is really upset and stressed due to her husband's pancreatic cancer .

3. Goal statement - Patients wife will be able to manage the crisis

Outcome statement - Wife was so involved in the care of patient once she gains confidence that he can be cured by providing him better care and love .

Goal statement - There will be decrease in the level of anxiety by the start of treatment .

Outcome statement - Both the couples are now confident enought to take the treatment and has gained strenghth to take the treatment after meeting with the physician and counsellor by verbalizing their feelings

#. Nursing interventions include :-

-Investigate the cause

-Listen

-Identify stressors for the pt

-Teach: coping mechanisms

-Remove stressor: if you feel the pt's recovery is compromised by the family, you can ask them to leave

-Make sure PPI (proton pump inhibitors) prophylaxis is prescribed: Ex. Protonix, Prilosec; stress ulcers can develop in patients w/ stress