A patient is in critical care, intubated,

A patient is in critical care, intubated, and on mechanical ventilation. He is separated from wife. Daughter is having to provide patient’s history and claims to be the one who will make health decisions. However, because patient is not legally separated, the wife is next of kin. Therefore, daughter does not have jurisdiction to make decisions. However, wife wants nothing to do with the decision-making. There is ineffective communication. Nursing diagnosis: Dysfunctional family processes related to ____________ as evidenced by _____________. SMART goals: 1. 2. Interventions: 1. 2. 3. 4. Rationale for interventions: 1. 2. 3. 4. SCIENCE HEALTH SCIENCE NURSING UNRS 411

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