Ineffective health self-management

Domain 1.Health promotion
Class 2. Health management
Diagnostic Code: 00276
Nanda label: Ineffective health self-management
Diagnostic focus: Health self-management

Nursing Diagnosis Ineffective Health Self-Management

Introduction for Nursing Diagnosis

Nursing diagnosis is a systematic decision-making process for identifying a patient’s health needs, prioritizing them and then intervening to meet those needs. Ineffective health self-management is a nursing diagnosis that focuses on the ability of the patient to take care of their own health. This diagnosis is identified when the individual’s ability to independently and effectively manage their health is absent or impaired.

NANDA Nursing Diagnosis Definition

The official definition of ineffective health self-management nursing diagnosis as defined by NANDA International is: “Ineffective health management related to an inability to make and/or carry out decisions related to health issues”.

Defining Characteristics

The defining characteristics of ineffective health self-management nursing diagnosis consists of subjectives and objectives. The subjectives are expressed concerns from the patient such as, “I don’t know how to take my medications correctly” and “I don’t understand all of my doctor's orders.” Objectives are observed behaviors of the patient for example, failing to refill prescriptions on time or not making necessary lifestyle modifications.

Related Factors

There are several factors that may contribute to the development of ineffective health self-management nursing diagnosis. These include physical factors, such as the age of the patient or existing medical conditions; psychological factors, like lack of resources or support; cognitive factors, including illiteracy, poor reasoning skills, and information overload; and social factors like poor communication skills and access to care.

At Risk Population

Certain populations are more likely to develop ineffective health self-management nursing diagnosis than others. The elderly and people with certain chronic illnesses are at higher risk. Other high-risk populations include individuals with limited resources, those who are homeless, and those living with mental health disorders.

Associated Conditions

The ineffective health self-management nursing diagnosis could lead to several conditions, including hospital readmission, medication errors, and noncompliance with treatment plans. Additionally, it could result in an overall increase in healthcare expenses due to higher rates of utilization, and an increased risk of morbidity and mortality.

Suggestions of Use

This nursing diagnosis is most appropriate when used to screen patients or assess those with chronic health conditions. Additionally, it can be helpful in identifying gaps in patient education or providing follow-up care.

Suggested Alternative NANDA Nursing Diagnoses

Alternative diagnoses to ineffective health self-management include readiness for enhanced health management, impaired physical mobility, impaired social interaction, and self-care deficit.

Usage Tips

This diagnosis should be considered when the patient is indicating difficulty managing their own health, when there is limited access to resources, and when the patient is unable to make decisions regarding their care.

NOC Outcomes

The primary NOC outcomes associated with ineffective health self-management nursing diagnosis are knowledge: disease process and health care compliance, management of symptom response to treatment and self-care performance. Secondary NOC outcomes include ability to make decisions, confidence in decision-making, problem-solving skills and quality of life.

Evaluation Objectives and Criteria

The evaluation objectives and criteria for this nursing diagnosis are focused on the patient's ability to effectively manage their care and symptoms. Specifically, the patient must demonstrate an understanding of the disease process, adherence to prescribed regimens, improved comfort and symptom control, and an increase in decision-making competency.

NIC Interventions

The interventions recommended for ineffective health self-management nursing diagnosis are health teaching, providing information and resources, assessing health beliefs and values, engaging in health promotion activities, providing instruction in self-monitoring, and facilitating patient decision-making.

Nursing Activities

The primary nursing activities for this diagnosis are to assess the patient’s knowledge and abilities, provide health teaching, and help the patient identify their own goals. Additional activities include developing short-term health management plans, evaluating the effectiveness of interventions, and addressing psychosocial needs of the patient.

Conclusion

Ineffective health self-management is a common nursing diagnosis that often goes unrecognized or is overlooked. It is important to identify this diagnosis early in order to prevent long-term consequences, such as hospital readmission, medication errors, and noncompliance with treatment plans. Nurses have a responsibility to assess the patient’s knowledge and abilities, provide health teaching, and help the patient identify their own health management goals in order to implement effective interventions.

5 FAQs

• What is the definition of Ineffective Health Self-Management Nursing Diagnosis? - The official definition of ineffective health self-management nursing diagnosis as defined by NANDA International is: “Ineffective health management related to an inability to make and/or carry out decisions related to health issues”.
• Which populations are at higher risk for Ineffective Health Self-Management Nursing Diagnosis? - The elderly and people with certain chronic illnesses are at higher risk. Other high-risk populations include individuals with limited resources, those who are homeless, and those living with mental health disorders.
• What are primary nursing activities associated with Ineffective Health Self-Management Nursing Diagnosis? - The primary nursing activities for this diagnosis are to assess the patient’s knowledge and abilities, provide health teaching, and help the patient identify their own goals.
• How can Ineffective Health Self-Management Nursing Diagnosis be prevented? - Ineffective health self-management can be prevented through early identification, health teaching, providing information and resources, and facilitating patient decision-making.
• What are the evaluation objectives and criteria for Ineffective Health Self-Management Nursing Diagnosis? - The evaluation objectives and criteria for this nursing diagnosis are focused on the patient's ability to effectively manage their care and symptoms. Specifically, the patient must demonstrate an understanding of the disease process, adherence to prescribed regimens, improved comfort and symptom control, and an increase in decision-making competency.

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