Overview of Care Plans


The following Care Plans have been designed for use with our patients on the IBD unit at Mount Sinai Hospital. They are standard Care Plans addressing the more common responses seen with illness and surgery. Each Care Plan can be individualized to meet your patient's individual needs.

Type Purpose


Anger experienced post-operatively can be related to a new diagnosis, prolonged and complicated hospital stays, treatments, the unknown, poor relationships with health care providers, or stress.


Anxiety experienced post-operatively can be due to an actual or perceived threat to self-concept, an actual or perceived loss of a significant other, a threat to one’s role function, the unknown.

Body Image

Altered self-concept and change in body image experienced post-operatively can be related to ostomy surgery and the resultant loss of bowel control, and changed body appearance.


Ineffective coping experienced post-operatively can be due to negative self-concept, disapproval by others, inadequate problem-solving, loss-related grief, sudden change in life pattern, recent change in health, inadequate support systems, unanticipated stressful events, occurrence of several major events in a short period of time, unrealistic goals.


Depression experienced post-operatively can be due to stress, hopelessness, helplessness, lack of support systems, chronic illness, chronic pain, palliative care diagnosis, extensive surgery,inadequate coping skills, separation from family, role changes or identity crisis.

Altered Family Processes

Altered family processes can be related to the impact that an ill family member can have on the family system. An illness, hospitalization, surgery, previous diagnoses, coping styles, culture can all place tremendous stress on a family and greatly interfere in keeping a family strong and united.


Hopelessness experienced post-operatively can be related to chronic illness, treatments (prolonged TPN), failing or deteriorating physiologic condition (prolonged pain, impaired body image), separation from significant others (inability to participate in work, social activities).

Manipulative Behaviour

Manipulative behaviour is a coping mechanism sometimes used by patients when faced with stress. It can be very destructive and can greatly interfere in the nurse/patient relationship.


Powerlessness experienced post-operatively can be related to lack of knowledge, previous inadequate coping patterns, and insufficient decision-making opportunities.

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