Nursing care plan Examples

One of the primary roles of nurses is to create Creating nursing care plans for clients with different conditions is based on preventing complications during healing. Performing an accurate nursing assessment regularly allows the nursing staff to manage the patient’s pain and prevent complications. In emergency trauma care, basics include triage, assessment and maintaining the airway, breathing, and circulation, protecting the cervical spine, and assessing the level of consciousness. This guide includes nursing care plan examples for various diseases to help nursing students understand and know how to develop a nursing care plan.

Find nursing care plans examples of particular diseases, familiarize signs & symptoms, implement strategies, & perform interventions. The Care plans include a pediatric care plan, Nursing Care Plan – Community Health Nursing, and the nurse think judgment plan of care templates

Nursing care plan Pediatric Care Plan (free nursing care plan examples)

Pediatric Care plans are guidelines for tailored health interventions. This paper suggests a pediatric care plan for a pre-kindergarten child to prepare them for physical assessment and immunization process. The suggested PCP is founded on Piaget’s cognitive development theory among children to identify intervention measures relevant for the intended physical examination and immunization. 

Table 1: Pediatric Care Plan

Assessment	Diagnosis	Goals	Interventions	Rationale	Evaluation
Exposure to disease and prevention.Understanding of immunization (including needs and safety issues).Motivation and expectations for cooperation.	Readiness for physical examination and immunization.	Protection from immunizable diseases parents consents for immunization and physical examination.	Identify and use a quiet and private environment to take a patient’s history, physical examination, and immunization.	The enclosed environment can reduce anxiety in children and help them to relax.	After a few minutes, the child is: Calm Has reduced anxietyJovial The parent gives full consent.
Discuss with the parent the significance of immunization.	Sometimes parents are skeptical about immunization, and talking to them about it provides assurance.
Involving the parent (ask them to hold the child, stand next to them). The examiner can sit next to them.	A parent can effectively help a child cooperate, and they can provide familiar soothing to calm the child.
Assess the child’s immunization history (Name, age, Lifestyle and life patterns, Family history, and Health history).	Responses vary depending on age, cultural influences, travel history, family beliefs about immunization, and medical conditions.
Talk to the child calmly, in a soft voice and constant rattle destruction.	Soft voice and distraction divert a child’s attention, reducing anxiety, and help them refocus when unhappy.
Allow the child to participate, e.g., hold safe examination instruments such as the stethoscope.	Increases cooperation, thus, reduced anxiety and fears.
Review the parent’s knowledge regarding immunizations.	To document status, plan for boosters, and or discuss appropriate intervals for immunization.

The rationale for the Intervention Measures (free nursing care plan examples)

A pediatric nurse is obliged to interact, listen, and inform parents about the role of vaccines in protecting a child from communicable illnesses (Bowling, 2020). Some parents are skeptical about immunization or might request alternative vaccination. In context, education and anticipatory guidance aimed at addressing specific concerns from parents are critical in dissolving a parent’s view against immunization. Bowling (2020) argues that pediatric nurses’ role is to discuss with parents the significance of immunization and the risks associated with the lack of it thereof. Such engagement is critical n alleviating parent’s fears and enhances cooperation.

According to Piaget’s theory (1932) of cognitive development, children consider morality partly as obedience to rules and regulations set by authoritative figures such as parents (As cited in Helwig, 2008). Therefore, going against such authority warrants punishment. Engaging their parent, e.g., to hold the child, is essential in keeping the child calm. Piaget further argues that during the preoperational phase of a child’s cognitive development (2-7 years), children are mostly empirically aware of their immediate surroundings and have no logical understanding (Helwig, 2008).

Accordingly, Helwing (2008) mentions that medical procedures are punishment for children between ages 2 and 7. As such, interaction with both the child and the parent and allowing the child to interact and participate in elaborating the immunization freely and physical examination process is critical in establishing cooperation. In a social exchange such as the immunization process, cooperation is viewed as morality since respect between individuals (Helwig, 2008). Therefore, developmental psychology is essential in approaching and preparing a child for immunization and physical examination.

References (free nursing care plan examples)

Bowling, A. M. (2018). Immunizations-Nursing Interventions to Enhance Vaccination Rates. Journal of pediatric nursing, 42, 126. https://doi.10.1016/j.pedn.2018.06.009

Helwig, C. C. (2008). The moral judgment of the child re-evaluated. C. Wainryb, JG Smetana and E. https://dl.uswr.ac.ir/bitstream/Hannan/130829/1/CeciliaWainryb%2CJudithG.Smetana%2C_ElliotTurielSocialDevelopment%2CSocialInequalities%2CandSocialJustice2007.pdf#page=44

Nursing Care Plan – Community Health Nursing

A community is a social group who lives in a place, interact with each other, know each other and have the same interests. Communities are groups of people who live in the same location with the same under the rule, the area or the same location where they live, the social groups that have the same interest.

Health care is a specialized field of nursing which is a combination of science nursing, public health sciences and social sciences are an integral part of the health care provided to individuals, families, groups and communities either healthy or sick comprehensively through promotive, preventive, curative and rehabilitative and resocialization, involving the active participation of the community. Active participation with community health teams are expected to know the health problems faced and solve the problem.

Public health targets are individuals, families / groups and communities, with a focus on primary health efforts, secondary and tertiary. Therefore, public education about the health and social development will help the community in encouraging the spirit to care for themselves, independent living and self-determination in creating optimal health status.

Public participation is required in the individual case. Community as the subject and object of society is able to recognize expected, took the decision to maintain good health. Most of the primary health care goals of society are expected to be able to independently maintain and improve the health status of the community.

Assessment (free nursing care plan examples)

Community profile assessment framework (modified)

This assessment is the result of a modification of some previous theories about the community assessment.

Data collection

The data collection is intended to obtain information about health problems in the community to determine which actions should be taken to resolve the issue concerning the physical, psychological, social, economic, spiritual, and environmental factors that influence.

Data collection can be done in the following way:

1. Interview or anamnesis

The interview is a mutual communication activity in the form of questions and answers between the nurse with the patient or the patient’s family, the community on matters relating to the patient’s health problems. Interviews should be conducted with a friendly, open, use simple language and easily understood by the patient or the patient’s family, and subsequent interviews or anamnesis recorded in the format of the nursing process.

2. Observations

Observations conducted in community nursing covers aspects of physical, psychological, behavioral, and attitude in order to nursing diagnosis. Observations were made using the five senses and the results are recorded in the format of the nursing process.

3. Physical examination

In one community nursing where nursing care is provided nursing care family, physical examination was performed in an effort to help nursing diagnosis by means of inspection, percussion, auscultation, and palpation.

Data processing

Once the data is obtained, the next activity is the processing of data in the following way:

• Classification of the data or categories of data.
• Calculation of percentage of coverage.
• Tabulation of data.
• Interpretation of the data.

Data analysis (free nursing care plan examples)

Data analysis is the ability to associate the data with the cognitive abilities possessed that can be known about the gaps or problems faced by the community if it’s a problem of health, or nursing problems.

1. Determination of the problem or the formulation of health problems

Based on the analysis of the data can be known health and nursing problems faced by the community, and can be formulated hereinafter intervention. However, the problem has been formulated not to be overcome at once. Therefore we need a priority issue.

2. Priority issues

In determining priority public health issues and nursing need to consider various factors such as the criteria are:

• Public attention.
• Prevalence.
• The severity of the problem.
• Possible problems to be overcome.
• Availability of community resources.
• Political aspects.

Selection or screening community health problems, according to the format Mueke (1988) have screening criteria, among others:

• In accordance with the role of community nurses.
• The amount at risk.
• The magnitude of the risk.
• The possibilities for health education.
• The public interest.
• Possibility to overcome.
• In accordance with the government program.
• A resource.
• Time resources.
• Funding resources.
• Equipment resources.
• Human resources.

Nursing Diagnosis

Nursing diagnosis is the individual’s response to health problems whether actual or potential. The actual problem is a problem that is obtained at the time of assessment, while the potential problems are problems that may arise later. So the nursing diagnosis is a statement that is clear, concise and definite about the status and health problems that can be addressed by nursing actions. Thus nursing diagnosis is determined based on problems found. Nursing diagnosis will give an overview of public health issues and the status of both the real (actual), and which may occur.

Nursing Care Plan

Planning nursing is nursing action plans to be implemented to address the problems within their nursing diagnosis has been determined with the aim of fulfilling the needs of the client. So public health nursing care plan is based on pre-defined nursing diagnoses and nursing plan drawn up should include the formulation of objectives, plans nursing actions to be performed and the criteria for assessing the results of the achievement of objectives.

The steps in the planning of public health nursing are as follows:

• Identify alternative nursing actions.
• Set techniques and procedures to be used.
• Involve community participation in planning through village community consultation activities, or mini workshops.
• Consider the community resources and facilities available.
• Actions to be implemented must be able to meet the requirement, which was felt by the public.
• Leads to the objectives to be achieved.
• Action must be realistic.
• Arranged sequentially.

References :

(Mubarak, 2005).
(Elisabeth, 2007).
(Riyadi, 2007).

The Clinical Judgment Plan for Care

Medication name	Purpose of the medication for THIS client	How will the nurse know there is a problem, or the client is not tolerating the medication?	How will the nurse know the medication is effective?	Patient/ Family Education
GENERIC:   TRADE:   CLASSIFICATION:   Is the dose safe?
GENERIC:   TRADE:   CLASSIFICATION:   Is the dose safe?
GENERIC:   TRADE:   CLASSIFICATION:   Is the dose safe?
GENERIC:   TRADE:   CLASSIFICATION:   Is the dose safe?

Nursing Care Plan for Premature Babies

Newborn infants with gestational age 37 weeks or less at birth is called premature babies. Although small, premature infants in size according to pregnancy, but the development of intra-uterine rudimentary, can cause complications during the post-natal. Newborns whose weight was 2500 grams, or less with a gestational age of more than 37 weeks is called small for gestational age, is different from the premature, although 75 % of neonates whose weight was below 2500 grams born prematurely.

Clinical problems occur more often in premature infants than in full-term infants. Prematurity caused immaturity system development and function, restricting the infant’s ability to cope with the problem of disease.

A common problem among others ; respiratory distress syndrome (RDS), necrotizing enterocolitis, hyperbilirubinemia, hypoglycemia, thermoregulation, patent ductus arteriosus (PDA), pulmonary edema, intraventricular hemorrhage. Another additional stressor in infant and parents include hospitalization for illness in infants. Parental responses and coping mechanisms they can cause interference in the relationship between them. Necessary planning and adequate measures for these problems.

Etiology and Precipitating Factors :

Problems in the mother during pregnancy :
Diseases / disorders such as hypertension, toxemia, placenta previa, placental abruption, cervical incompetence, multiple fetuses, malnutrition and diabetes mellitus.
Low socioeconomic level and inadequate prenatal care.
Preterm labor, or induced abortion.
Abuse consumption in the mother, such as ; drugs, alcohol, smoking and caffeine.

Assessment (free nursing care plan examples)

1. History of pregnancy.
2. Status of the newborn.
3. Physical examination head to toe, including : cardiovascular, gastrointestinal, integument, musculoskeletal, neurologic, pulmonary, renal, reproduction.
4. Supporting data
   X-ray of the chest and other organs to determine the presence of abnormalities.
   Ultrasonography to detect abnormalities of organs.
   Stick glucose to determine glucose levels decrease.
   Serum calcium levels, decreased levels means there is hypocalcemia.
   Bilirubin levels, to identify improvement (due to premature are more sensitive to hyperbilirubinemia)
   Electrolyte levels, blood gas analysis, blood type, blood culture, urinalysis, fecal analysis, and so forth.

Nursing Diagnosis

1. Risk for respiratory distress related to immaturity of the lungs, with decreased production surfactan that cause hypoxemia and acidosis.
2. Risk for hypothermia or hyperthermia related to prematurity or changes in ambient temperature.
3. Imbalanced nutrition less than body requirements related to inadequate glycogen reserves, iron, and calcium and loss of glycogen stores due to the high rate of metabolism, inadequate intake of calories, and lose calories.
4. Fluid and Electrolyte imbalances related to immaturity, radiation environment, the effect fototherapy or loss through the skin or lungs.
5. Risk for infection related to immunologic immaturity of the baby and the possibility of infection from mothers or medic / nurse.
6. Risk for impaired skin integrity related to immaturity and fragile skin.
7. Impaired sensory perception : visual, auditory, kinesthetic, gustatory, tactile and olfactory related to less stimulation or excessive in the intensive care environment.
8. Knowledge Deficit (family) about treatment of the sick infant at home.

Nursing care plan for a patient with a 10 years history of gunshot

free nursing care plan examples

A care plan for a patient with a 10 years history of a gunshot to the stomach and has been confined to bed because of weakness. she has had multiple surgeries and is now on the med sure floor. 

Assessment of Problem/Need	Diagnosis	Intervention	Rationale
Initial encounter with trauma.	Anxiety	Lorazepam 2 mg/ml soln. every 6 hours	Lorazepam is recommended for anxiety and insomnia symptoms (Ghiasi, Bhansali, & Marwaha, 2021).
Risk of shortness of breath and chest pain.	Asthma	Monitor vital signs and symptoms for breathing distress. Elevate the head of the bed.	Elevation can help open airways during sleep, promoting maximum lung expansion and assisting in breathing.
Risk of falls due to stiffness, muscle spasm	Fall risks	Fall precautions: Provide signs/identification for fall risks. Low bed and Side rails x3. Aspiration precaution: Keep the head of the bed elevated and sit the patient upright when feeding (At least 450).	Signs help responsible nurses promote safety and prevention measures. Low beds and side rails are recommended safety measures for patients with known risks of falls or mobility concerns (Morse et al., 2015).
Pain to the mid abdominal surgical site.	Post-surgical pain	Lidocaine patch IV Morphine for pain Fentanyl td patch Zofran	Fentanyl and IV Morphine is recommended for persistent (mild to severe) surgery-related pain (FDA, 2015; Fenster et al., 2018).
Moderately severe gastric and duodenal. Stomach and duodenum contain fluid and air.  Small amount of fluid superficially in the midline wound.	Small bowel obstruction	Nasogastric suction	Nasogastric suction helps n removing fluids and gasses from the stomach and small intestine. Nasogastric suction is indicated small bowel obstruction and nutritional support (Sigmon & An, 2021).
Infection/Immunity/Inflammation: Bacteremia due to gram-negative bacteria from abscess and Enterococcus avium	Persistent Post- procedural Fistula	Vancomycin hcl 1000 mg/200ml	Vancomycin is recommended first-line treatment for bacteremia and other Clostridium difficile infections (McDonald et al., 2018).
Total parenteral nutrition (TPN) – limited bowel movement leading to liquid stool.	Nutrition/Elimination	Administer the prescribed rate of TPN solution via an infusion pump: 15% Dextrose Octreotide acetate 100 mcg/ml potassium, magnesium, phosphorous, sodium Ice chips	Oral fluids and nutrition help maintain blood sugar levels and prevent dehydration.

References

Fenster, D. B., Dayan, P. S., Babineau, J., Aponte-Patel, L., & Tsze, D. S. (2018). Randomized trial of intranasal fentanyl versus intravenous morphine for abscess incision and drainage. Pediatric emergency care, 34(9), 607-612. https://doi.org/10.1097/pec.0000000000000810

Food and Drug Authority. (2015). Fentanyl Transdermal System (marketed as Duragesic) Information. Retrieved 22 October 2021, from https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fentanyl-transdermal-system-marketed-duragesic-information

Ghiasi, N., Bhansali, R. K., & Marwaha, R. (2021). Lorazepam. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK532890/

McDonald, L. C., Gerding, D. N., Johnson, S., Bakken, J. S., Carroll, K. C., Coffin, S. E., … & Wilcox, M. H. (2018). Clinical practice guidelines for Clostridium difficile infection in adults and children: 2017 update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA). Clinical Infectious Diseases, 66(7), e1-e48. https://doi.org/10.1093/cid/cix1085

Morse, J. M., Gervais, P., Pooler, C., Merryweather, A., Doig, A. K., & Bloswick, D. (2015). The safety of hospital beds: Ingress, egress, and in-bed mobility. Global qualitative nursing research, 2, 2333393615575321. https://dx.doi.org/10.1177%2F2333393615575321

Sigmon, D. F., & An, J. (2021). Nasogastric Tube. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK556063/

Sample Activities Person-Centered Care Plan (free nursing care plan examples)

Self-Directed Activities

Participant prefers to engage in self-directed, activities rather than engaging in organized group activities.

As evidenced by:       free nursing care plan examples

• Participant states that he or she is more comfortable in small group settings of own choosing.
• Participant states that he or she is more comfortable engaging in one-on-one activities with another peer of own choosing.
• Participant becomes _______ (restless, distracted, uninvolved, unhappy, etc.) while involved in organized activities _______times per _____ or ____% of the time.
• Participant expresses dislike for most organized activity programs, has stated he or she would rather choose his or her own activities.
• Participant is involved in organized activities program ____% of the time due to preference for involvement in activities of own choosing.

INTERVENTIONS:

• Support participant’s self-determination; assess participant’s desire for individualized activity choices ___times per ___.
• Honor participant’s right to choose programs of own liking daily while at center, including self-directed, non-organized activities ___times per ______.
• Promote participant choice; provide participant with alternative choices for self-directed/non-organized activities that he or she has expressed a liking of including: ____________ (specify what these alternative choices are) ___times per ___.
• Maintain positive relationship and ongoing communication with participant, to help ensure that his or her chosen program continues to be therapeutic in nature ___times per ___.
• Deepen understanding of participant’s lack of desire to be involved in a group activity program; assess for any other reasons participant does not want to be involved in a group activity program ___times per ______.
• Participant choice will be respected, provide the following activity programs identified by participant as those in which he or she would like to be involved: _________ (specify) ____times per ____.

GOALS:

• Participant will state satisfaction with level of involvement in activity program.
• Participant will state satisfaction with one-on-one activities of own choosing.
• Participant will choose self-directed activities, and engage in these daily.
• Participant will not become ________ (restless, distracted, uninvolved, unhappy etc.) during program day due to dissatisfaction with activity choices.
• Participant will be involved in activity program of own choosing.

Care Plan Example:

Problem:

Mrs. Thocola states she is more comfortable in one-on-one activities with another peer of own choosing rather than engage in organized group activities. (free nursing care plan evaluation examples)

Interventions:

1. Honor Mrs. Thocola’s right to choose programs of own liking daily while at center.
2. Participant choice will be respected, provide the following activity programs identified by Mrs. Thocola as those in which she would like to be involved:  horticulture therapy, computer instruction, computer time and art involvement daily.
3. Maintain positive relationship and ongoing communication with Mrs. Thocoloa, to help ensure that his or her chosen program continues to be therapeutic in nature 1x per week.

Goal:

Mrs. Thocola will express satisfaction with level of involvement in activity program and will state satisfaction with chosen activities.

 Sample Nursing Person-Centered Care

Self-Care Challenges

Evidenced by:

• Nutrition/feeding challenges;
• Unable to cut food or open packages due to _______________ (specify).
• Unable to bring food to mouth due to _______________ (specify).
• Unable to prepare a meal due to ___________ (specify).

• Self-bathing challenges;
• Unable or chooses not to wash body or body parts due to _______________ (specify).
• Unable to regulate temperature or water flow due to _______________ (specify).
• Does not perceive need for hygienic measures due to _______________ (specify).

• Self-dressing challenges;
• Impaired ability to put on or take off clothing due to _______________ (specify).
• Unable to fasten clothing due to _______________ (specify).
• Unable to groom self  due to _______________ (specify).
• Unable to obtain or replace articles of clothing due to _______________ (specify).

• Self-toileting challenges.
• Unable or chooses not to get to toilet or commode due to _______________ (specify).
• Unable or chooses not to carry out proper hygiene due to _______________ (specify).
• Unable to transfer to and from toilet or commode due to _______________ (specify).
• Unable to handle clothing to accommodate toileting due to _______________ (specify).
• Unable to flush toilet or empty commode due to _______________ (specify).

• Instrumental self-care challenges.
• Difficulty using telephone due to _______________ (specify).
• Accessing transportation due to _______________ (specify).
• Laundering, ironing due to _______________ (specify).
• Preparing meals due to _______________ (specify).
• Shopping due to _______________ (specify).
• Managing money due to _______________ (specify).
• Medication administration due to _______________ (specify).

INTERVENTION:

• Promote participant’s independence and autonomy; instruct in self-care techniques _____________ (specify deficit), evaluate effectiveness and comprehension of previous and/or current teaching through monitoring of symptoms and verbal report.
  • Promote participant’s ability to engage in own self-care and independence; instruct in ways to provide self-care ___________ (specify), evaluate effectiveness and comprehension of previous and/or current teaching through monitoring of symptoms and verbal report.
  • Support participant’s desire to be independent and autonomous; praise all attempts at self-care.
  • Promote participant’s desire to be independent and involved in own self-care; provide prompts and cues when participant is attempting self-care activities.
  • Promote participant’s independence and dignity; supervise program aide in toileting assistance while encouraging participant to do as much for him or herself while possible while at center.      
  • Promote participant’s independence and dignity; supervise program aide in feeding assistance at meals and snacks while encouraging participant to do as much for him or herself as much as possible.
  • Promote participant’s dignity and hygiene; supervise program aide in grooming assistance/supervision while encouraging participant to do as much for him or herself as much as possible.
  • Promote participant’s desire for independence and control; instruct in medication administration ___ per ___ as per M.D. order.
  • Promote participant’s desire for independence and comfort; provide written or pictorial directions for self-care.

GOALS:

• Participant’s toileting needs will be met with dignity and participant will have no episodes of incontinence.
  • Participant’s nutritional intake will be satisfactory.
  • Participant’s grooming needs will be met while at center.
  • Participant will express satisfaction with grooming.
  • Participant will be adequately groomed.
  • Participant will be able to administer medication according to instructions.
  • Participant will be able to better provide self-care in __________(specify area of deficit) through _______________ (describe how participant will be better able to provide self-care).
  • Participant will demonstrate improved self-care in (specify area of deficit) as evidenced by ability to _________________, or improved ability to ________________.

Care plans, symptoms, and/or interventions related to “Self-Care Deficit” to be considered by other disciplines:

Personal Care:             Supervision and assistance with ADLs.

OT/PT:                        Instruction, training and guidance in relation to ADLs and IADLs.

Social Work:               Support and instruction regarding accessing and involvement in IADLs.

Sample Social Services Person-Centered Care Plan

Caregiver Role-Strain

Related to:

(Choose as many as apply)                

• Financial difficulties ____________ (describe).
• Physical difficulties _____________(describe).
• Emotional difficulties ___________(describe).
• Multiple stressors _________ (list).
• Decreased social interactions.

(It is important to list as many stressors as possible which contribute to caregiver role strain, as caregiver role strain is often caused by multiple factors.)

As evidenced by:       

• Caregiver states he or she has feelings of extreme stress ___times per ___.
• Caregiver expresses feelings of “not being able to handle it” occur ___times per ___.
• Caregiver has no outside or free time available does not leave house for any leisure time activities.
• Caregiver states he or she feels guilt about leaving family member/spouse/ etc. alone ___times per ___.
• Caregiver states he or she feels emotional strain, difficulty coping (explain) ___times per ___.
• Caregiver states he or she feels as if things don’t get better he or she will admit participant to skilled nursing facility.
• Poor sleep, caregiver sleeps ____ hours per night.
• Caregiver worries about own health suffering because of care-giving responsibilities ___times per ___.

INTERVENTIONS:

• Assess caregiver’s abilities; provide; __________ (specify services that will be provided) _____ times per _____.
• Support caregiver’s ongoing emotional and physical health; assess and evaluate support systems, reinforce systems that support caregiver and encourage their use ____ times per _____.
• Support caregiver’s ongoing emotional and physical health; assess and evaluate financial resources and provide counseling ___times per ___.
• Support caregiver’s ongoing emotional and physical health; provide one-on-one counseling to allow for the venting of feelings and to provide support____ times per _____.
• Support caregiver’s ongoing emotional and physical health; provide supportive phone call to caregiver ____ times per _____.
• Support caregiver’s ongoing emotional and physical health; refer to community support services and provide follow-up and evaluation of services and support ____ times per _____.
• Support caregiver’s ongoing emotional and physical health; explore with participant/caregiver other sources of support e.g. family, friends, place of worship, etc. ____ times per _____ .
• Support caregiver’s ongoing emotional and physical health; provide caregiver support group ____ times per _____ and invite caregiver to attend.
• Support caregiver’s ongoing emotional and physical health; monitor and validate feelings and affirm caregiver’s right to express emotional pain or frustration during one-on-one counseling sessions ____ times per _____.
• Support caregiver’s ongoing emotional and physical health; monitor feelings of extreme stress through caregiver’s verbal report; provide emotional support and normalization of feelings ____ times per _____.
• Support caregiver’s ongoing emotional and physical health; teach coping skills to caregiver ____ times per _____. 

GOALS:

• Caregiver will express feelings of extreme stress have decreased to____ times per _____or less.
• Caregiver will express increased ability to cope with care-giving duties.
• Caregiver will state that he or she is leaving home ____ times per _____for leisure activities and will state she or he is more satisfied with free time available.
• Caregiver will state decreased feelings of guilt about leaving participant alone.
• Caregiver will state decreased emotional strain, and increased coping abilities.
• Caregiver will state that he or she no longer feels as if a nursing home is his or her only choice for loved one.
• Caregiver will report improved sleep; sleep will improve to ____ hours per night or more.

Care plan EXAMPLE:

Problem:

Mr. Cole’s wife is experiencing caregiver role strain related to financial, physical and emotional stressors as evidenced by feelings of extreme stress 2x per day, and poor sleep, sleeps 4 hours a night. She states that she’s considering SNF placement for Mr. Cole.

Interventions:

• Support caregiver’s ongoing emotional and physical health; refer to community support services and provide follow-up and evaluation of services and support 1-2 times per month.
• Support caregiver’s ongoing emotional and physical health; explore with participant/caregiver other sources of support e.g. family, friends, place of worship, etc. 1-2x per month during counseling sessions.
• Support caregiver’s ongoing emotional and physical health; provide caregiver support group 4 times per month and invite caregiver to attend.

Goal: Ms. Cole will experience decreased caregiver role strain as evidenced by she will state feelings of extreme stress have decreased to  1x per day or less, and will sleep 6 hours per night or more and will state she is no longer considering