[Clinical case: Complicated grief in primary care. Care plan]

Area of Science:

• Nursing
• Psychology
• Primary Health Care

Background:

• Complicated grief can arise from significant life events, impacting mental and physical health.
• Effective nursing care plans are crucial for managing complex psychosocial issues in primary care settings.

Observation:

• A 61-year-old woman experienced complicated grief following multiple losses, affecting her blood pressure and glycemia control.
• The patient's care plan utilized the M. Gordon assessment system and standardized nursing languages (NANDA, NOC, NIC).

Findings:

• Interventions included grief facilitation and referral to a mental health unit, with regular nursing follow-ups.
• The care plan resulted in improved complicated grief criteria, increased recreational activities, and better blood pressure management.
• Nursing diagnostics adapted to individual cases are essential for addressing psychosocial problems.

Implications:

• Primary health care nurses can effectively manage complicated grief through targeted interventions and follow-up.
• Integrated mental health support within primary care enhances patient outcomes.
• Further research into standardized nursing diagnostics for psychosocial issues is warranted to improve consensus and care quality.