Nursing diagnosis Ineffective family health self management

Ineffective family health self-management

Ineffective family health self-management

Domain 1.Health promotion
Class 2. Health management
Diagnostic Code: 00294
Nanda label: Ineffective family health self-management
Diagnostic focus: Health self-management

Table of Contents

Introduction To Nursing Diagnosis Ineffective Family Health Self-Management

Family health self-management is an important aspect of healthcare and good health outcomes. It is the ability of a family to effectively manage their health in relation to their own individual health and well-being, as well as that of other family members. Therefore, ineffective family health self-management can result in costly and prolonged hospital stays, as well as poor health and health disparities among families. NANDA International (NANDA-I) nursing diagnosis delineates a standard definition for effective and ineffective family health self-management.

NANDA Nursing Diagnosis Definition

NANDA-I has defined Ineffective Family Health Self-Management as "the inability of a family to adequately plan and manage their health, in order to meet their health maintenance, health protection, and health restoration needs". This diagnosis encompasses communication, decision-making, and coordination of family health care activities.

Defining Characteristics (Subjective and Objectives)

Subjective indicators that a family is not managing their health effectively may include: confusion or lack of understanding around how to access, utilize, and pay for health care; difficulty scheduling timely and appropriate health care services; difficulty in making decisions about health care; family not following a prescribed plan for managing their health; lack of knowledge about their health condition; and lack of a support system to aid the family in their management efforts.

Objective indicators of ineffective family health self-management may include: multiple emergency department visits or hospitalizations; no evidence of follow-up of lifestyle management plans; delayed or non-adherence to immunization schedules; and poor continuity of care between outpatient and inpatient settings.

Related Factors

There are a number of factors related to ineffective family health self-management. These include: poor access to health care, such as limited transportation, language barriers, and financial limitations; limited understanding of the roles, expectations, and responsibilities of each family member in managing their health; family members having different levels of health literacy; low awareness of health risks; and limited resources to help the family manage their health.

At Risk Population

Certain populations may be more at risk for exhibiting ineffective family health self-management. These include: low-income and minority families, those living in rural areas with limited access to health care, and those without sufficient insurance coverage. Children and adolescents may be particularly at risk due to limited health care choices available due to parental consent rules.

Associated Conditions

Inadequate family health self-management can lead to a number of associated conditions, including: chronic diseases, such as type II diabetes and hypertension, as well as acute illnesses; poor nutrition; obesity; substance abuse; high-risk behaviors, such as smoking and unprotected sex; and mental health issues, such as depression and anxiety.

Suggestions For Use

Health care professionals, such as nurses, social workers, and primary care providers, can assist families in managing their health by utilizing the following strategies: providing accurate and culturally sensitive health education to families; creating a safe and supportive environment where families can discuss their concerns and feelings; addressing any barriers to health care access; helping families identify their strengths and resources to aid in effective health management; and providing appropriate community referrals when necessary.

Suggested Alternative NANDA Nursing Diagnosis

Alternative NANDA nursing diagnoses related to ineffective family health self-management may include: Deficient Knowledge, Readiness for Enhanced Knowledge, Anxiety, Impaired Parenting, and Health-Seeking Behaviors.

Usage Tips

When assessing a family's health self-management abilities, it is important to recognize that each family is unique and may need different interventions and strategies. Furthermore, families may have different levels of health literacy, which can influence the effectiveness of any strategies employed. Lastly, families should be engaged in the process, as this is often the most effective way to ensure that appropriate goals are met.

NOC Outcomes

Nursing Outcome Classification (NOC) outcomes related to effective family health self-management are as follows:

  • Knowledge: Health behaviors - demonstrates an appropriate level of knowledge about health and appropriate methods for maintaining and/or improving this health
  • Planning: Health management - uses appropriate methods to set health goals and stay on track
  • Decision Making: Health-seeking behavior - makes appropriate health care decisions based on family's individual needs
  • Social Interaction: Family participation in health promotion/disease prevention - appropriately interacts and communicates with family when considering health-related issues
  • Self-perception: Health management - perceives ability to effectively manage own and family health in order to reach desired health.
  • Productivity: Health responsibility - undertakes appropriate steps over time to maintain a healthy lifestyle for the entire family.

For each outcome, the nurse can evaluate the family's current level, goals and timeline, evidence of success or difficulty with implementation, and whether any priority needs for further intervention exist.

Evaluation Objectives And Criteria

The nurse should also use data from assessment to set clear and measurable objectives to evaluate the effectiveness of any interventions. Evaluation should include specific criteria and tools to measure progress, such as health literacy surveys, health history, patient satisfaction surveys, and other tools to measure the effectiveness of the interventions.

NIC Interventions

The interventions should target those identified factors which are contributing to the family's ineffective health self-management. Nursing Intervention Classification (NIC) interventions might include:

  • Educational Interventions: focuses on providing the necessary information to enable the family to make informed decisions concerning their health and health care.
  • Decisionmaking Assistance: assists the family in making decisions about their health care or health management needs.
  • Coordination: helps to ensure that the family has the necessary access to appropriate health care services and resources.
  • Counseling: offering support, guidance and advice to the family, so that they can make informed decisions regarding their health.

Nursing Activities

Nursing activities carried out to promote effective family health self-management may include: health promotion and health maintenance assessment; providing patient-centered counseling and education; answering questions and providing suggestions regarding health care options; arranging for resources, such as transportation and health insurance; providing psychosocial support; and referring to appropriate community resources.

Conclusion

Family health self-management is essential to achieving good health outcomes. NANDA-I provides a definition and characteristics of effective and ineffective family health self-management. Nurses must be aware of the risks associated with ineffective family health self-management, as well as the strategies that can be employed to help a family manage their health. Further research into family health self-management is needed to improve patient outcomes and reduce health disparities for at-risk populations.

5 FAQs

  1. What is Nursing Diagnosis Ineffective Family Health Self-Management?
    Ineffective Family Health Self-Management is defined by NANDA International (NANDA-I) as the inability of a family to adequately plan and manage their health, in order to meet their health maintenance, health protection, and health restoration needs.
  2. What Are The Defining Characteristics Of Ineffective Family Health Self-Management?
    Some subjective indicators that a family is not managing their health effectively may include confusion or lack of understanding around how to access, utilize, and pay for health care; difficulty scheduling timely and appropriate health care services; difficulty in making decisions about health care; and lack of knowledge about their health condition. Objective indicators may include multiple emergency department visits or hospitalizations; no evidence of follow-up of lifestyle management plans; delayed or non-adherence to immunization schedules; and poor continuity of care between outpatient and inpatient settings.
  3. What Are The Related Factors For Ineffective Family Health Self-Management?
    Poor access to health care, such as limited transportation, language barriers, and financial limitations; limited understanding of the roles, expectations, and responsibilities of each family member in managing their health; low awareness of health risks; and limited resources to help the family manage their health can contribute to ineffective family health self-management.
  4. Who Is At Risk For Ineffective Family Health Self-Management?
    Certain populations are at higher risk for exhibiting ineffective family health self-management, including low-income and minority families, those living in rural areas with limited access to health care, and those without sufficient insurance coverage. Children and adolescents may be particularly at risk due to limited health care choices available due to parental consent rules.
  5. What Are Some Strategies To Promote Effective Family Health Self-Management?
    Health care professionals, such as nurses, social workers, and primary care providers, can assist families in managing their health by utilizing the following strategies: providing accurate and culturally sensitive health education to families; creating a safe and supportive environment where families can discuss their concerns and feelings; addressing any barriers to health care access; and providing appropriate community referrals when necessary.

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