Died Nursing Process Assessment

Observe the physical symptoms.
• Evidence of circulatory collapse
• Variations in blood pressure and pulse
• Disequilibrium of body mechanisms
• Deterioration of physical and mental capabilities
• Absence of corneal reflex

Observe the client’s ability to fulfill basic needs without complete assistance.
• Assess the nature and degree of pain the client is experiencing.
• Observe for impending crisis or emergency situation.
• Observe for psychosocial condition.
• Need to establish a relationship for support
• Grief pattern and stage of grief the client is experiencing
• Need to express feelings and verbalize fears and concerns

Determine anxiety level, which may be expressed in physical or emotional behavior.
• Sleep disturbance
• Palpitations
• Digestive complaints
• Anger or hostility
• Withdrawal

Determine depression level that client may be experiencing.
• High fatigue level or lethargy
• Poor appetite, nausea, or vomiting
• Inability to concentrate
• Expressions of sadness, hopelessness, or uselessness

Planning/Objectives
• To assist the dying client to cope with the dying process
• To handle own feelings of loss and sadness that arise when caring for a client who is dying
• To provide support for the client and the client’s family during the dying process
• To complete the actions necessary to care for the client who has died

Implementation /Procedure (See this under procedure part)
Assisting the Dying Client

Evaluation/Expected Outcomes
Client finds internal resources to accept death.
Client is able to verbalize feelings and needs.
Physical discomfort is minimized.