[Clinical case: Complicated grief in primary care. Care plan].
This is the case of a 61-year-old patient woman that visits her nurse in Primary Health Care to get the control of blood pressure and glycemia. In the last two years has suffered the loss of her husband and of two brothers beside having lived through other vital stressful events that have taken her to a situation of complicated grief. The care plan is realized using the M. Gordon assessment system and standardized languages NANDA, NOC and NIC. The principal aims were the improvement of the depression level and the improvement in the affliction resolution. As suggested interventions were proposed to facilitate the grief and the derivation to a mental health unit. A follow-up of the patient was realized in nursing consultation at Primary health care to weekly intervals, in the beginning, and monthly, later. The evaluation of the care plan reflects an improvement in the criteria of Prigerson's complicated grief; an increase of the recreative activities; the retreat of the mourning that still she was guarding; as well as an improvement in the control of the blood pressure numbers. The attention of nurses before a case of complicated grief turns out to be complex. Nevertheless the suitable accomplishment of certain interventions orientated to facilitating the grief, with a follow-up in consultation, shows the efficiency. The difficulty in the boarding of the psychosocial problems meets increased at the moment of are necessary the nursing diagnostics adapted for every individual case. The work in group between nurses could improves the consensus.
Servicio Canario de Salud, Gerencia de Atención Primaria, Area de Salud de Tenerife, España. ruyman@tanatologia.org
Pedro
P
Ruymán Brito-Brito
Mercedes
M
Rodríguez-Ramos
Carlos
C
Pérez-García-Talavera
D001007:Anxiety / Q000209:etiology / Q000451:nursing*; D003863:Depression / Q000209:etiology / Q000451:nursing*; D005260:Female; D006117:Grief; D006801:Humans; D008875:Middle Aged; D011320:Primary Health Care