Page 660 - Cardiac Nursing

636 P AR T IV / Pathophysiology and Management of Heart Disease

Nursing Care Plan 26-1 (continued)

NURSING INTERVENTIONS RATIONALE
1. Encourage family members to express feelings, and convey 1. Expression of concerns promotes effective coping.
understanding of their concerns and emotional stress.
2. Provide the family with honest information about the pa- 2–3. Fear is reduced by clarifying misunderstandings. Infor-
tient’s condition to reduce fears. Keep the family informed mation decreases fear of the unknown.
of changes.
3. Set aside time during visiting hours to spend with the
family, and encourage family members to ask questions.
Offer explanations about the intensive care unit environ-
ment.
4. Encourage realistic hope based on the patient’s progress. 4. Hope helps the family with coping.
Point out progress to the family.
5. Allow family to participate in care as appropriate. 5. Participation decreases feelings of helplessness in aid-
ing the recovery of the patient.
6. Determine how the family has coped with previous stress- 6. It is important to identify previous effective coping
ful situations. mechanisms and to promote the use of these
mechanisms.

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