It is important to have a thorough understanding of the nursing diagnoses associated with caring for a dying patient. The North American Nursing Diagnosis Association (NANDA) provides a comprehensive list of nursing diagnoses that can guide the development of an individualized care plan for a dying patient. Below are the list of common Nursing diagnoses that can be used to address the needs of dying patients:
- Ineffective Airway Clearance
- This diagnosis is used when the patient is experiencing difficulty maintaining a clear airway. This can be due to a variety of factors, including weakness, fatigue, or the presence of secretions in the throat.
- Interventions may include positioning the patient to promote airway clearance, using suction to remove secretions, and providing oxygen therapy as needed among others.
- Impaired Comfort
- This diagnosis is used when the patient is experiencing physical or emotional discomfort, such as pain, anxiety, or restlessness.
- Interventions may include administering pain medications, using relaxation techniques, and providing emotional support to the patient and their family.
- Ineffective Coping
- This diagnosis is used when the patient is experiencing difficulty coping with their terminal illness and the impending loss of life.
- Interventions may include providing emotional support and counseling, assisting the patient in expressing their feelings, and providing resources for grief support for the patient and their family.
- Disturbed Sleep Pattern
- This diagnosis is used when the patient is experiencing difficulty sleeping, which can be due to physical discomfort, emotional distress, or changes in sleep patterns associated with the terminal illness.
- Interventions may include adjusting medications, providing a quiet and comfortable sleep environment, and promoting relaxation techniques.
- Risk for Aspiration
- This diagnosis is used when the patient is at risk of aspirating food or liquids into their lungs, which can result in pneumonia and other complications.
- Interventions may include providing oral care, adjusting the patient’s position, and avoiding the use of straws or lying the patient flat.
These are just a few examples of the nursing diagnoses that can be used when caring for a dying patient. By utilizing the NANDA framework, you can develop a comprehensive and individualized care plan that addresses the patient’s specific needs and goals. Effective care planning and implementation is critical in ensuring that the patient’s final days are as comfortable and dignified as possible.
