Nursing care plan with an educational approach aimed at an adult female patient with insomnia and Hodgkin lymphoma

Abstract

Introduction: The standardized nursing care plan (SNCP) is a specific care protocol, appropriate for those patients who suffer from normal or foreseeable problems related to a specific diagnosis or illness. 

Objective: To design an SNCP with an educational approach aimed at a female adult patient with insomnia, Hodgkin lymphoma and chemotherapy treatment, as a proposal for the nursing professional in the patient care program.

Development: It is presented the case of a 34-year-old female adult patient with a medical diagnosis of Hodgkin lymphoma and chemotherapy treatment, hospitalized in the Outpatient Chemotherapy service. The NANDA (North American Nursing Diagnosis Association) Assessment Guide for the Adult Patient by Domains and Classes was used to assess the patient's condition; based on a process of diagnostic reasoning, the nursing diagnoses, expected results and nursing interventions were hierarchized and determined. A care plan was designed based on the interrelation of the NANDA, NOC (Nursing Outcomes Classification) and NIC (Nursing Interventions Classification) taxonomies. Derived from the diagnostic reasoning, the following nursing diagnosis was prioritized: Insomnia R/T environmental factors M/B difficulty falling asleep.

Conclusion: The nursing care plan with an educational approach can help to improve the pattern and quality of sleep by decreasing the difficulty in falling asleep. Likewise, proper medication management, energy management and the environment at home and in the hospital favors adequate disease control and recovery.