NURS FPX 6610 Assessment 2 Patient Care Plan

Student Name

Capella University

NURS-FPX 6610 Introduction to Care Coordination

Prof. Name:

Date

Patient Identifier: #6700891

Patient Medical Diagnosis: Anxiety Issues, Ovarian Cancer, Uncontrolled Diabetes, Obesity, and Hyperglycemia

Nursing Diagnosis

Assessment Data	Goals and Outcomes	Nursing Interventions	Rationale	Outcome Evaluation and Re-planning
First Diagnosis: Anxiety Issues
Lack of rest due to excessive household duties, from meal prep, to cleaning, to looking out for her mother. Despite her health issues, she often takes on tasks beyond her physical limits because she feels it makes her husband happy (attention-seeking behavior). Much of Mrs. Snyder’s and her family’s verbatim highlights her role as the sole caretaker, leading to fatigue and tiredness most of the time. Constant anxiety about not fulfilling the homemaker role perfectly and stress from caring for another dependent person. Excessive use of medication due to stress factors.	First Goal: Address Mrs. Snyder’s mental health, particularly compassion fatigue, by introducing counseling and anxiety management through CBT and behavioral activation. Outcome: Help Mrs. Snyder manage her expressed emotions and control her anxiety. The goal is to manage her anxiety, help her regulate her emotions, and adjust to changes in family roles, such as delegating some responsibilities. Mrs. Snyder will have a better mood and transition smoothly.	First Intervention: Refer the patient to a psychologist for psychological intervention and family therapy to help the patient adjust to her new role and prioritize her health. Family therapy will help her family understand her needs and support her. Second Intervention: Provide a regulated amount of anxiolytics to ensure the patient does not overdose. Third Intervention: Encourage participation in support groups to share experiences and coping strategies.	The rationale for referring her to a psychologist is that her stress is linked to overcompensating behavior and caretaking. Providing care may be her primary way of receiving attention and validation, so not fulfilling her role causes anxiety. Psychological intervention and family involvement can reduce psychological stress and provide needed support. Studies highlight the efficacy of psychological interventions in reducing anxiety without major harm (Colizzi et al., 2020).	Evaluate the goals and treatment options weekly to assess their effectiveness and make necessary adjustments.
Second Diagnosis: Ovarian Cancer
The patient has been recently diagnosed with ovarian cancer and has undergone radiation and chemotherapy. She misses her chemotherapy appointments due to nausea and the need to care for her mother. She dislikes the post-therapy symptoms and finds it difficult to work afterwards.	Second Goal: Ensure the patient becomes regular with chemotherapy and adheres to medication. Suggest alternative care facilities for her mother to help her focus on her health. Outcome: Increase her acceptance and understanding of the importance of chemotherapy, thereby improving her punctuality to therapy sessions.	First Intervention: Suggest strategies to keep track of appointments and reminders. Second Intervention: Involve other family members in therapy sessions to support her. Third Intervention: Consult the oncologist to help manage post-chemotherapy symptoms and improve her comfort.	The rationale is to help the patient accept her condition and contact social support services for better caregiving alternatives for her mother. Studies indicate chemotherapy’s significant role in cancer management and its potential to increase life expectancy (Amjad & Kasi, 2020). Providing palliative care can help reduce cancer-related pain and improve the patient’s quality of life (World Health Organization, 2020).	Evaluate the effectiveness of these goals and treatment options weekly to adjust the care plan as needed.
Third Diagnosis: Uncontrolled Diabetes
Lack of awareness about disease management, excessive house stress, and irregular diet and medication adherence. Irregular blood sugar levels pose health risks. Obesity due to stress eating and other associated factors.	Third Goal: Manage the patient’s blood sugar levels, especially as a cancer patient, to prevent hazardous health complications. Outcome: The patient will report medication adherence and improved dietary habits.	First Intervention: Refer to a nutritionist to educate the patient on diet and portion control. Second Intervention: Recommend light physical activity, such as pace walking, due to fatigue. Third Intervention: Educate on medication adherence and regulated diet to promote a healthy lifestyle. Fourth Intervention: Provide self-care management strategies to engage the patient in her health issues.	Medication adherence, self-care education, and a regulated diet are crucial to avoid severe complications (Afaya et al., 2020). The rationale is to promote a healthy lifestyle, educate the patient about her condition, and provide necessary support.	Initially evaluate the suggested changes and then adjust the care plan as needed.
Priority SMART Goals
To manage diabetes with medication and IVs. To have a nutritionist awareness session and follow a diet chart to regulate her diet. To contact social services for help with household responsibilities, such as caring for her mother with dementia. On discharge day, she will have her diet chart and stress management strategies. To reduce anxiety by 60% within four weeks of therapy. To consult the oncologist to manage post-chemotherapy symptoms and provide education on self-care and disease management. To increase pain relief and manage oxygenation issues.

NURS FPX 6610 Assessment 2 Patient Care Plan

References

Afaya, R. A., Bam, V., Azongo, T. B., Afaya, A., Kusi-Amponsah, A., Ajusiyine, J. M., & Abdul Hamid, T. (2020). Medication adherence and self-care behaviours among patients with type 2 diabetes mellitus in Ghana. PloS One, 15(8), e0237710. https://doi.org/10.1371/journal.pone.0237710

Amjad, M. T., & Kasi, A. (2020). Cancer Chemotherapy. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK564367/

Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020). Prevention and early intervention in youth mental health: Is it time for a multidisciplinary and trans-diagnostic model for care? International Journal of Mental Health Systems, 14(1), 1–14. https://doi.org/10.1186/s13033-020-00356-9