The biopsychosocial and spiritual assessment and treatment plan

Assessment: Pain is well controlled.

Assessment: Nausea; still has episodes of nausea and vomiting, likely secondary to partial small bowel obstruction.

Assessment: Grief reaction that "fight is over." Tearful at times in visit but denies depression, no suicidal ideation, some difficulty sleeping but able to manage the sleep with music tapes. Reaction appropriate for her situation. Patient has strong coping skills and good support system.

Assessment: Ronda concerned about how to tell her family that she is dying. While her relationships with her family are strong, Ronda is fearful of causing pain to her family. Patient has strong family support.

Assessment: Hopelessness, main source of meaning in "winning the fight," active in ovarian cancer alliance and seen as inspiration. This has been a source of hope. She has strong spiritual coping skills in past when husband died unexpectedly. Though not religious, she now wants to learn how "Jewish patients die?"