Republic of the Philippines

CAVITE STATE UNIVERSITY

Don Severino delas Alas Campus
Indang, Cavite

NURSING CARE PLAN: Ineffective coping

related to situational crises
Case Scenario: Lisa is an 18-year-old single mother of three young children. She had twin boys when she was 16 and a girl 2 years old. At 38 weeks gestation, with labor contractions, Lisa
attends the antenatal booking clinic as she is pregnant with her fourth child. She is tearful and says she can’t cope and reveals that her mother has recently been diagnosed with breast cancer.
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ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective data  Ineffective coping rt Short term goal 1. Determine the 1. Patients may believe Short term goal
 She is tearful to situational crises as 1. Lisa will be able to patient’s that the threat is 1. Lisa was able to
 Verbalization of evidenced by, pt’s identify effective and understanding of the greater than their identify effective
verbalization of ineffective coping stressful situation. resources to handle it and ineffective
inability to cope
patterns. and feel a loss of coping patterns,
inability to cope
2. Lisa will be able to control over solving therefor the goal is
Objective data because of her the threat or problem.
verbalize awareness met.
 G3P4 mother’s recent of own coping The patient’s 2. Lisa was able to
 38 weeks gestation diagnosis. abilities. previous experiences verbalize
 with labor Long term goal may affect the awareness of own
contractions 1. Lisa will be able to patient’s coping abilities,
 Decreased use of Report decrease in understanding of and therefor the goal is
social supports negative feelings. response to the met.
2. Lisa will be able to present situation.
meet psychological This information Long term goal
needs as evidenced provides a 1. Lisa was able to
by appropriate foundation for Report decrease in
expression of planning care and negative feelings,

PATIENT’S INITIAL: Patient L STUDENT’S NAME: Agasang, John Lloyd B.

AGE: 18 years old DIAGNOSIS: Ineffective coping related to situational crises
Sex: Female DATE OF CARE: April 7, 2021
feelings, choosing relevant therefor the goal is
identification of interventions. met.
options and use of 2. Lisa was able to
resources. meet
psychological
2. Encourage 2. Open, nonthreatening needs as evidenced
verbalization of fears discussions facilitate by appropriate
and anxieties and the identification of expression of
expression of causative and feelings,
feelings of denial, contributing factors. identification of
depression, and options and use of
anger. Let the client resources, therefor
know that these are the goal is met.
normal reaction.

3. Observe for strengths 3. Family members

such as the ability to who are coping with
relate the facts and to critical illness often
acknowledge the feel defeated,
source of stressors. hopeless, and like a
failure; therefore it is
necessary to verbally
praise them for their
strengths and use
those strengths to aid
functioning.

4. Evaluate resources 4. Patients may have

and support systems support in a single
available to the setting, such as
patient. during
hospitalization, yet
lack sufficient
support in the home
setting.
5. Use empathetic 5. Acknowledging and
communication. empathizing creates a
supportive
environment that
enhances coping.

6. Encourage Lisa to 6. Assists Lisa to

identify her own develop appropriate
strengths and strategies for coping
abilities. based on personal
strengths and
previous experiences.
Improves self-
concept and sense of
ability to manage
stress.

7. Involve husband, 7. Supporting Lisa in

family, and friends in acknowledging
the care and changes in her life
planning. conveys acceptance
and provides a
foundation for her to
begin to adjust.

8. Convey feelings of 8. An honest

acceptance and relationship
understanding. Avoid facilitates problem-
false reassurances. solving and
successful coping.
False reassurances
are never helpful to
the patient and only
may serve to relieve
the discomfort of the
care provider.
9. Assist patients with 9. It can be helpful for
accurately evaluating Lisa to recognize that
the situation and their she has the skills and
own reserves of strength
accomplishments. to effectively
manage the situation.
The patient may
need help coming to
a realistic
perspective of the
situation.
10. Point out signs of
positive progress or 10. Patients who are
change. coping ineffectively
may not be able to
assess their progress
toward effective
coping.
11. Encourage use of
cognitive behavioral 11. Relaxation
relaxation (e.g., techniques,
music therapy, desensitization, and
guided imagery). guided imagery can
help patients cope,
increase their sense
of control, and allay
anxiety.
12. Refer for counseling
as necessary. 12. Arranging for
referral assists the
patient in working
with the system, and
resource use helps to
develop problem-
solving and coping
skills.