Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00073
Nanda label: Disabled family coping
Diagnostic focus: Coping
Coping with a disability can be both difficult and emotional in every family. As a nurse, it is very important to recognize the emotional and psychological difficulties experienced by families who are adapting and learning how to cope with a disability. Providing emotional support and resources to these families is part of a nurse’s job, and understanding nursing diagnosis in this regard is key.
NANDA Nursing Diagnosis Definition
NANDA nursing diagnosis is used to explain the difficulties someone has when responding to illness or health-related situations. It helps to explain an individual or family’s problems and their behaviors in terms of their reaction to a particular situation. NANDA nursing diagnosis has three features: defining characteristics, related factors, and suggested nursing interventions.
Defining Characteristics
The defining characteristics associated with a diagnosis of disabled family coping are subjective and objective observations made about the family in question. These observations include any psychological and physical traits associated with the disability that may result in increased stress for the family. Subjective observations may include reports from family members about their feelings, such as feelings of sadness, anger, guilt, anxiety, etc. Objective observations may include changes in body language, changes in behavior (such as sleeping or eating patterns), and changes in communication between family members.
Related factors refer to the causes of the disabled family coping. Causes can range from environmental factors, such as financial difficulties associated with the disability, to genetic factors, such as inherited illnesses that lead to a disability, to biological factors, such as medical conditions that contribute to a disability.
Suggested Use
It is important to identify any related factors when conducting a diagnosis, so that appropriate courses of treatment and management strategies can be developed to help with the disabled family coping. Nurses should also offer education to the family on the characteristics of their disability, management strategies, and available resources that may be helpful.
Suggested Alternative NANDA Nursing Diagnoses
There are several other NANDA nursing diagnoses that may be applicable when assessing a family's struggles with a disability. These include Disturbed Family Processes, Anxiety, Ineffective Health Maintenance, and Powerlessness. It is important to understand the individual's symptoms and behaviors in order to choose the correct diagnosis for the family.
Usage Tips
When using NANDA nursing diagnosis, it is important to remember that the criteria for a particular diagnosis may not necessarily fit all individuals. It is essential to differentiate between individual family members and their individual needs. Additionally, nurses may need to modify the diagnosis after further assessment to fit the specific case at hand.
NOC Outcomes
NOC stands for Nursing Outcome Classification, which is a standardized refining process that helps nurses identify, measure, and document outcomes of care. An effective Nursing Outcome Classification system could help practitioners determine the various elements that influence a particular diagnosis. The following are some relevant NOC outcomes for disabled family coping:
- Knowledge of Disability Self-Care: The family's knowledge of the physical, psychological, and emotional care related to the child’s disability.
- Family Coping: The family's ability to effectively manage stress, adapt to change, and support each other throughout the disability.
- Injury Prevention: The family's ability to recognize risks and both prevent and protect their child from further harm.
- Family Unity: The family's ability to adjust and maintain a functional relationship while living with a disability.
Evaluation Objectives and Criteria
When evaluating a diagnosis of disabled family coping, nurses will need to consider both the family's goals and objectives, in addition to the current objectives of care. It is also important to assess any underlying environmental, genetic, and biological factors. Finally, nurses must evaluate the current level of support and resources available to the family and make the necessary changes for better quality of life.
NIC Interventions
NIC stands for Nursing Intervention Classification, which provides an organized process to identify, plan, and carry out nursing interventions. The following are some relevant NIC interventions for disabled family coping:
- Lifestyle Adaptations Training: Assisting the family in understanding the lifestyle changes they must implement in order to meet the needs of their disabled child.
- Case Management: Providing guidance with referral services and coordinating needed services to the family.
- Mental Health Support Services: Offering counseling and support groups to the family to help them cope with the emotional stresses of caregiving.
- Therapeutic Communication: Facilitating communication among family members by providing physical and emotional support and helping them find resolutions to conflicts.
Nursing Activities
Nurses can provide care for families affected by disability in many ways. Nurses should provide education to the family on the physical and psychological effects of the disability and present resources available to them. They should also focus on developing a safe and secure environment for the family. Care should also involve monitoring the family's spiritual, social, and recreational activities, providing physical and emotional support, and facilitating family meetings. Lastly, nurses should monitor the family's progress and develop flexible plans of care to suit their changing needs.
Conclusion
Caring for a disabled family member can be overwhelming for everyone involved, making it important for nurses to provide the necessary support and resources. Understanding NANDA nursing diagnosis, NOC outcomes, and NIC interventions for disabled family coping is essential in assessing and providing supportive care for these families.
FAQs
- Q1: What is NANDA nursing diagnosis?
A1: NANDA nursing diagnosis is the process of collecting data and establishing the ultimate goal of treatment, which includes identifying, defining, and classifying conditions according to the individual patient's condition. It is used to provide guidelines to care providers and aid in the development of specific interventions that promote healing and prevention of complications. - Q2: What are the defining characteristics associated with a diagnosis of disabled family coping?
A2: The defining characteristics associated with a diagnosis of disabled family coping are subjective and objective observations made about the family in question. Subjective observations may include reports from family members about their emotions, while objective observations may include changes in body language, behavior, and communication. - Q3: What are the NOC outcomes for disabled family coping?
A3: NOC stands for Nursing Outcome Classification, which is a standardized refining process used to identify, measure, and document outcomes of care. Relevant NOC outcomes for disabled family coping include Knowledge of Disability Self-Care, Family Coping, Injury Prevention, and Family Unity. - Q4: What are the NIC interventions for disabled family coping?
A4: NIC stands for Nursing Intervention Classification, which is an organized process to identify, plan, and carry out nursing interventions. Relevant NIC interventions for disabled family coping include Lifestyle Adaptations Training, Case Management, Mental Health Support Services, and Therapeutic Communication. - Q5: What kind of care do nurses provide to families affected by disability?
A5: Nurses provide care for families affected by disability in many ways. Nurses should provide education on the physical and psychological effects of the disability, as well as present resources available. They should also focus on developing a safe and secure environment for the family, monitoring their spiritual, social, and recreational activities, providing physical and emotional support, facilitating family meetings, and monitoring their progress.