Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00071
Nanda label: Defensive coping
Diagnostic focus: Coping
Nursing diagnosis is the process of recognizing and treating a patient’s condition. Nursing diagnosis defensive coping is a term used when a patient displays behavior that could be seen as rejection or response to stimulation that seems out of place in a medical context. A defensive coping nursing diagnosis may pertain to a variety of physical symptoms, emotional or psychological effects, or a mix of both. This article will discuss the different types of defense-coping patterns and how to recognize the signs of a potential issue.
NANDA Nursing Diagnosis Definition
NANDA Nursing Diagnosis (NND) is an international standard for the classification of nursing diagnoses. NANDA-International defines a nursing diagnosis as “a clinical judgment about individual, family, or community response to actual or potential health problems/life processes.” According to NANDA International, defensive coping is classified as a Psychophysiologic behavior disorder symptom which is defined as “dysfunction in the interaction between the mind and body that interferes with the performance of an individual’s daily activities.”
Defining Characteristics
When dealing with nursing diagnosis, defensive coping there are certain characteristics that are common among patients who are displaying this type of behavior. Some of the subjective characteristics of defensive coping include feelings of helplessness, being unable to cope with stress, avoidance behaviors, withdrawal from social situations, and feelings of guilt. On the other hand, objective characteristics include lack of cooperation in treatment, leaving treatment prematurely, and conflicting accounts of nature and severity of illness. These characteristics can vary depending on the individual, their age, and the severity of their condition.
Related Factors
The factors that contribute to the development of defensive coping can vary from person to person. Some of the more common contributing factors include physical or emotional abuse, health problems, past traumatic experiences, stigma or discrimination, feelings of shame or guilt, low self-esteem, learning disabilities or poverty.
Suggestions of Use
The most effective way of identifying and treating defensive coping is to look at the underlying factors that may be contributing to this behavior. It is important to provide supportive care that allows the patient to feel safe and secure in their environment. Treatment for defensive coping should include education about the patient’s condition, as well as providing strategies for managing stress and anxiety. Cognitive behavior therapy and relaxation techniques can also be beneficial in helping the patient deal with their emotions and thoughts.
Suggested Alternative NANDA Nursing Diagnoses
For nursing diagnosis, defensive coping there are several alternative NANDA Nursing diagnoses that may be applicable. These diagnoses include Acute Stress Reaction (N094), Dysfunctional Family Processes (N123), Inadequate Social Interaction (N134), Self-Harm (N177), and Post Traumatic Stress Disorder (N184). Each of these diagnoses have their own set of defining characteristics and related factors that should be considered when making a diagnosis.
Usage Tips
When dealing with a nursing diagnosis, defensive coping it is important to remember that no two patients are alike and therefore what works best for one person may not work for another. It is important to take into consideration the patient’s individual needs and goals. Additionally, it can be helpful to encourage a supportive environment and create a sense of safety and security for patients who are struggling with this issue.
NOC Outcomes
NOC Outcomes are available for nursing diagnosis, defensive coping. These outcomes include autonomy, health promotion, disease prevention, management of an illness, live life without limitation, use of medications, self-efficacy, knowledge related to medication, adherence to medication regime, stress tolerance, and communication skills for healthcare professionals. Each outcome corresponds to a specific area that needs to be addressed in order for the patient to manage their condition effectively.
Evaluation Objectives and Criteria
Evaluation objectives and criteria should be established in order to assess if a patient is displaying signs of defensive coping. The criteria should include a measure of autonomic reactivity, response to stressors, understanding of stress, behaviour in threat situations, cognitive control of emotions, decision making capabilities, comfort with affect and emotion, and empathy. Based on these criteria, goals and interventions can be determined in order to help the patient manage their condition.
NIC Interventions
NIC Interventions for defensive coping can help to improve a patient’s ability to cope with their condition and start the recovery process. Examples of NIC interventions related to defensive coping are providing psychotherapy, participating in group sessions, providing support and resources, conflict resolution, and lifestyle modifications such as improved diet and exercise.
Nursing Activities
Nursing activities related to nursing diagnosis, defensive coping are essential in helping the patient manage their condition. Some examples of nursing activities include assessing the patient’s progress, determining treatment goals, educating the patient on their condition and available treatments, providing emotional and social support, and establishing effective communication with the patient.
Conclusion
Nursing diagnosis, defensive coping is a common issue among many individuals, and it can be difficult to identify and manage. Through a combination of supportive care, education, and interventions, it is possible for individuals to learn how to cope with their condition and lead a productive life.
FAQs
- Q. What is defensive coping?
A. Defensive coping is a term used when a patient displays behavior that could be seen as rejection or response to stimulation that seems out of place in a medical context. A defensive coping nursing diagnosis may pertain to a variety of physical symptoms, emotional or psychological effects, or a mix of both. - Q. What are the characteristics of defensive coping?
A. Subjective characteristics of defensive coping include feelings of helplessness, being unable to cope with stress, avoidance behaviors, withdrawal from social situations, and feelings of guilt. Objective characteristics of defensive coping include lack of cooperation in treatment, leaving treatment prematurely, and conflicting accounts of nature and severity of illness. - Q. What are the factors that contribute to the development of defensive coping?
A. Some of the common contributing factors to the development of defensive coping include physical or emotional abuse, health problems, past traumatic experiences, stigma or discrimination, feelings of shame or guilt, low self-esteem, learning disabilities or poverty. - Q. What interventions would be useful when dealing with defensive coping?
A. Interventions that may be useful when dealing with defensive coping include providing supportive care, cognitive behavior therapy, relaxation techniques, and lifestyle modification such as improved diet and exercise. - Q. How is defensive coping assessed?
A. Assessment criteria for defensive coping includes measures of autonomic reactivity, response to stressors, understanding of stress, behavior in threat situations, cognitive control of emotions, decision making capabilities, comfort with affect and emotion, and empathy.