Debbie Case Study
Nursing Diagnosis
Fear related to possibility of premature death as evidenced by diagnosis of stage v cervical cancer. Patient is very tearful and worried about her two daughters (Gulanick& Myers 2011).
Outcome
1. Patient will become less fearful and be able to voice fears regarding prognosis openly with husband, mother and children. 2. Debbie will be able to go through the grieving process ( Kubler -Ross 2005) and find peace within herself.

Intervention 1. Nurse will evaluate communication style in home environment and assist patient to improve communication techniques at home by next visit. 2. Nurse will assist Debbie to find and participate in cancer support group within two weeks. 3. Nurse will encourage Debbie to seek sources for spiritual support for consolation and help reduce anxiety and fear. 4. Nurse will encourage Debbie to keep a notebook of her thoughts and make a memory book for her children. Debbie is faced with a difficult diagnosis at such a young age. As a young woman not only does she face a grim diagnosis but her family mechanics are also displaced. Her husband is unemployed and her family has no home of their and her husband has been described as sometimes abusive. During her hospitalization her husband has been attentive and does seem to care about her welfare. There are emotional as well as financial stressors that are causing anxiety; the greatest fear being the welfare of her children should she become incapacitated.
Evaluaion.

References
Alligood, M.R. (2010). Nursing theory: Utilization & application (4th ed.). St. Louis, MO: Mosby Elsevier.
Gulanick, J & Myers, L. (2011) Nursing Care Plans,Diagnoses,Interventions and Outcomes(7 th ed.).St. Louis, MO: Mosby Elsevier.
Grief.com/Elizabeth-kubler-ross