KEYISSUES

DESIREDOUTCOME

Anxiety related to death

secondary to loss of child as
manifestedbycryingwhenever
patient is asked to talk about
thedeathofherchild.Herlack
of sleep as well. Reports
feelinghelpless,losingcontrol
emotionally, and inability to
concentrate. The patient also
verbalized, Magpacounseling
nyakosapsychologistkaydili
ninakomakaya.Kungmouli
pud ko maghunahuna ra
gihapon ko sa akong baby.
Kailanganjudkogtabang.

Within 2 days of 8 hours IndependentInterventions

nursing interventions, the
patientwillappearrelaxedand >Assessedthepatientspsychologicaland
the level of anxiety will be physiologiccomfort.
reducedtomanageablelevel.
R:Toseeifthereareanychangesinher
healthstatusthatcouldharmher.

SB: The death of a child is a

traumatic event that can have
longterm effects on the lives
of parents. The majority of
parentslikelyaccommodatethe
loss without significant long
term disruption in major life
domains; for others, however,
moving on does not occur
smoothly. The extent of

INTERVENTIONS

RESPONSE
June24,2015
(Day1)

After8hoursofnursingintervention,thepatient
was seen sitting on bed talking to her brother,
sisterinlaw and 2 elderly women. The patient
wascryingassheopeneduptoherfamilyabout
>Encouraged the patient to verbalize her thedeathofherbaby.Sheisstillatthepointof
ownanxietyandcopingpatterns.
havingahardtimecopingupwiththesituation,as
she would suddenly burst out crying when the
R: Apply appropriate interventions that deathofherbabyisbroughtup.
wouldlessenheranxiety.
June25,2015
>Listened actively and focus on the
patient as she discusses her personal (Day2)
feelings.
After8hoursofnursingintervention,thepatient
R:Toestablishtrustandshowinginterest. wasseenlyingonbedtexting.Wheninterviewed
aboutherbaby,shedoesntcryoutbutratheris
>Used appropriate touch with patients seen as sad. She was anxious about her health
permission.
conditionandverbalized,Dai,makafeelpamosa
akong pulso? Naa ra moy madungan? Unsa
R:Todemonstratesupport.
man?.Asseen,sheismoreanxiousofherhealth
nowcomparedtoDay1.
>Spoke in brief statements using simple

disruption and the need for

professional help during
recovery probably are
influenced by the level of
preexisting problems and the
psychological resources that
parentsbringtothesituationof
coping with bereavement.
Among individuals who seek
treatment, recent work
emphasizesthetaskoffinding
meaning in the loss as key to
longtermrecovery.
SOURCE: LongTerm Effects
of the Death of a Child on
ParentsAdjustmentinMidlife
KazakandNoll2004
CONSTRUCTIONS OF
DEATH AND LOSS:
EVOLUTION OF A
RESEARCH PROGRAM
RobertA.Neimeyer

words.
R: To avoid confusion and easy to
understand.
>Seekhelpfromfamilyandfriends.
R: To ease the emotional pain of the
patient.
>Encouragedadequaterest.
R: To reduce fatigue from sleep
deprivation.