Nurse's Pocket Guide

choice to have another child or to adopt, rebuilding home
following a disaster).
• Refer to other resources (e.g., pastoral care, family counseling,
psychotherapy, organized support groups). Provides additional
help, when needed, to resolve situation/continue grief work.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Assessment findings, including meaning of loss to the client,
current stage of the grieving process, and responses of family/
SO(s).
• Cultural/religious beliefs and expectations.
• Availability/use of resources.
PLANNING
• Plan of care and who is involved in the planning.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Client’s response to interventions/teaching and actions performed.
• Attainment/progress toward desired outcome(s).
• Modifications to plan of care.
DISCHARGE PLANNING
• Long-term needs and who is responsible for actions to be taken.
• Specific referrals made.
SAMPLE NURSING OUTCOMES & INTERVENTIONS
CLASSIFICATIONS (NOC/NIC)
NOC—Grief Resolution
NIC—Grief Work Facilitation
risk for complicated Grieving
Taxonomy II: Coping/Stress Tolerance – Class 2 Coping
Responses (00172)
[Diagnostic Division: Ego Integrity]
Submitted 2004; Revised 2006
Definition: At risk for a disorder that occurs after the death
of a significant other, in which the experience of distress
accompanying bereavement fails to follow normative
expectations and manifests in functional impairment
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
Diagnostic Studies Pediatric/Geriatric/Lifespan Medications 353
risk for complicated GRIEVING