Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00210
Nanda label: Impaired resilience
Diagnostic focus: Resilience
Nursing Diagnosis: Impaired Resilience
Introduction to Nursing Diagnosis: Impaired Resilience
Resilience is an important factor for the health and well-being of individuals. When resilience is impaired, it can have significant short and long-term implications for the individual’s physical, mental, and social health. This nursing diagnosis focuses on addressing the challenges that are associated with impaired resilience. It aims to help nurses identify patients who are at risk for lostresilience and develop interventions tohelp them recover or preserve their level of resilience.
NANDA Nursing Diagnosis Definition
NANDA-I (North American Nursing Diagnosis Association) defines Impaired Resilience as an impaired ability to meet challenges and react to stressors in a positive manner, resulting in physical, emotional, and/or cognitive dysfunction.
Defining Characteristics
The defining characteristics of Impaired Resilience include the following:
Subjective data
- Feeling overwhelmed or unable to cope
- Decreased motivation
- Feelings of being disconnected from others
- Socially withdrawn behavior
- Negative self-talk
- Difficulty concentrating
- Expressions of anxiety or depression
Objective Data
- Poor self-care
- Reduced energy and activity levels
- Lack of interest in previously enjoyed activities
- Excessive sleeping/insomnia
- Noticeable changes in appearance or hygiene
- Changes in diet and eating habits
- Persistent feelings of guilt
Related Factors
There are several factors that can contribute to Impaired Resilience. These include:
- Chronic Stress: Prolonged exposure to stressful situations can deplete an individual’s reserves of resilience. Examples of this type of chronic stress include prolonged illness, poverty, and abuse.
- Bereavement: The death of a loved one can be a significant loss and can lead to a decreased ability to cope with stress and loss of resilience.
- Substance Abuse: Substance abuse can impair an individual’s judgement and increase their vulnerability to additional stressors.
- Trauma: Traumatic experiences can have a profound impact on an individual’s wellbeing and resilience.
At Risk Population
Certain populations are more likely to experience Impaired Resilience than others. These include:
- Elderly individuals: Older individuals are more likely to experience the effects of chronic stress, have greater difficulty adapting to change, and may suffer from cognitive decline.
- Adolescents: Adolescents are more likely to experience mood swings, impulsivity, and behavior problems during puberty, all of which can impair their resilience.
- Individuals with chronic illnesses: Individuals with chronic illnesses such as cancer, HIV/AIDS, diabetes, and heart disease are more likely to experience the physical and psychological effects of their illness, which can reduce their resilience.
- Victims of abuse: Physical, emotional, or sexual abuse can have a devastating effect on an individual’s self-worth and make it difficult for them to cope with future stressors.
Associated Conditions
Impaired Resilience is associated with a number of mental health conditions, including depression, anxiety, and post-traumatic stress disorder. It may also be a factor in the development of health-related issues such as obesity and substance abuse.
Suggestions of Use
This nursing diagnosis can provide insight into the health and wellbeing of an individual, as well as guide the nurse in developing interventions to improve their resilience. It can also be used as an educational tool to inform patients about the benefits of resilience and how it can affect their overall health.
Suggested Alternative NANDA Nursing Diagnosis
These alternative NANDA nursing diagnoses may be useful when working with individuals who are experiencing impaired resilience:
- Risk for Self-Care Deficit
- Ineffective Coping
- Chronic Low Self-Esteem
- Risk for Loneliness
- Risk for Other-Directed Violence
- role-Relationship Stress
Usage Tips
When working with individuals who are at risk for Impaired Resilience, it is important to focus on holistic care. Nurses should address any physical, mental, and social needs of the patient in order to promote their health and wellbeing. Additionally, nurses should provide the patient with supportive interventions to help them build resilience.
NOC Outcomes
NOC (Nursing Outcomes Classification) Outcomes associated with Impaired Resilience include the following:
- Resilience: The patient will demonstrate increased capabilities to cope with a variety of stressors.
- Problem-Solving: Patient will demonstrate improved ability to identify, analyze, and solve problems related to stress and stressors.
- Social Interaction: Patient will demonstrate improvement in social interactions and relationships with others.
- Adaptation: Patient will demonstrate improved ability to adjust in response to changing circumstances and difficulties.
Evaluation Objectives and Criteria
In order to assess the effectiveness of interventions for Impaired Resilience, nurses should evaluate:
- Ability to cope with stressors
- Level of self-esteem
- Problem-solving abilities
- Skill in adapting to adversity
NIC Interventions
NIC (Nursing Interventions Classification) interventions for Impaired Resilience include the following:
- Emotional Support: Providing compassionate support and understanding to the patient.
- Stress Management: Teaching the patient relaxation techniques and strategies for managing stress.
- Cognitive Restructuring: Working with the patient to modify negative thought patterns and develop positive self-talk.
- Goal Setting: Assisting the patient in setting realistic goals for improving their health and wellbeing.
- Socialization: Encouraging the patient to engage in meaningful activities and activities with peers.
- Spiritual Guidance: Providing appropriate resources to the patient to explore various spiritual perspectives.
Nursing Activities
Nursing activities related to Impaired Resilience include but are not limited to:
- Provide education to the patient regarding resilience and its effects on health.
- Assess the patient’s coping skills, problem-solving abilities, and level of self-esteem.
- Encourage the patient to diversify their support system to include both family and friends.
- Help the patient develop a plan for managing stress in the future.
- Provide information to the patient on community resources that can help them build resilience.
Conclusion
Nursing diagnosis: Impaired Resilience provides insight into the health and wellbeing of individuals who are at risk for developing this condition. It is important for nurses to recognize the signs and symptoms of impaired resilience, as well as the factors that can contribute to its development. Furthermore, nurses should be aware of the interventions that can help individuals develop or maintain their level of resilience.
5FAQs
Q1. What is the definition of Impaired Resilience?
A1. According to NANDA-I (North American Nursing Diagnosis Association), Impaired Resilience is an impaired ability to meet challenges and react to stressors in a positive manner, resulting in physical, emotional and/or cognitive dysfunction.
Q2. What are common characteristics of Impaired Resilience?
A2. Common characteristics of Impaired Resilience include feeling overwhelmed or unable to cope, decreased motivation, feelings of being disconnected from others, socially withdrawn behavior, negative self-talk, difficulty concentrating, expressions of anxiety or depression, poor self-care, reduced energy and activity levels, lack of interest in previously enjoyed activities, excessive sleeping/insomnia, noticeable changes in appearance or hygiene, changes in diet and eating habits, and persistent feelings of guilt.
Q3. What are some factors that can contribute to Impaired Resilience?
A3. Factors that can contribute to Impaired Resilience include chronic stress, bereavement, substance abuse, and trauma.
Q4. What populations are more likely to experience Impaired Resilience?
A4. Populations more likely to experience Impaired Resilience include the elderly, adolescents, individuals with chronic illnesses, and victims of abuse.
Q5. What nursing activities are associated with Impaired Resilience?
A5. Nursing activities associated with Impaired Resilience include providing education to the patient regarding resilience and its effects on health, assessing the patient’s coping skills, problem-solving abilities, and level of self-esteem, encouraging the patient to diversify their support system to include both family and friends, helping the patient develop a plan for managing stress in the future, and providing information to the patient on community resources that can help them build resilience.
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