Readiness for enhanced power

Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00187
Nanda label: Readiness for enhanced power
Diagnostic focus: Power

Nursing Diagnosis Readiness for Enhanced Power

When delivering quality healthcare, nurses strive to understand the patient's condition and how it can best be treated. Nursing diagnosis is the process of identifying a patient's physical and mental health states and taking steps to address underlying causes and improve wellbeing. The diagnosis readiness for enhanced power specializes in empowering patients by identifying and cultivating their existing powers which can help them cope with their condition.

NANDA Nursing Diagnosis Definition

Nursing Diagnosis Readiness for Enhanced Power, as defined by NANDA International, is “a state in which an individual increases personal power through recognition and understanding of one’s current strengths, abilities, and potential”. Once a patient has developed an appreciation for their own strength and ability, they will feel more confident about their prospects for improving their health. This can lead to improved compliance to treatments and better outcomes.

Defining Characteristics

Subjective Characteristics

• Expresses a desire to have increased control over the course of their medical treatment
• Often requests information on available support services and options
• Appreciates and uses existing resources to help manage health condition
• Communicates and expresses understandings into available support services
• May exhibit signs of pleasure and confidence when given correct and helpful advice
• Engaging conversations about their condition despite not displaying symptoms of depression

Objective Characteristics

• Takes initiative when seeking out available support services in managing their health condition
• Develops strategies for taking care of their health even when facing difficulties
• Responds to treatments and medications prescribed with good understanding and positive attitude
• Takes personal responsibility for continuing care while cognizant of available support
• Maintains stakeholder involvement in decision making and long term planning
• Follows up with care providers frequently and remains committed to own care plan

Suggestions of Use

Readiness for Enhanced Power nursing diagnosis can be used in any clinical setting or practice. It is mainly recommended during cases where the focus should be shifted from treating a problem posed by a medical condition to encouraging self-efficacy and self-confidence in managing their health condition. It is more useful for treating chronic diseases rather than rehabilitative or acute care. In situations when the patient may lack knowledge or resources it is important to make sure that there is adequate awareness of available tools and support.

Suggested Alternative NANDA Nursing Diagnoses

• Coping: Readiness for Enhanced – where the patient is able to fulfill the role of being a self-manager in everyday life activities.
• Self-Care: Readiness for Enhanced – where the patient is willing to commit to their own self-care needs by making lifestyle changes.
• Health-Seeking Behaviors: Readiness for Enhanced – where the patient is able to actively participate in preventive and therapeutic health practices in order to manage their own health condition.

Usage Tips

• The goal of using Readiness for Enhanced Power diagnosis should always be to empower patients to become active participants in their own healthcare.
• Encourage dialog between patient, family and care providers in order to recognize individual perceptions surrounding power and establish realistic treatment goals.
• Provide resources regarding self-management and proactive choices.
• Help set practical objectives for the patient, encouraging collaboration and including the patient in decision-making.
• Integrate interprofessional work groups that can support, motivate and give feedback to the patient.

NOC Outcomes

• Knowledge: Self Care – Ability to use knowledge of individual self-care needs and resources such as community or healthcare support.
• Safety Status – Exhibiting the ability to recognize, access and utilize safety measures in order to prevent harm to oneself or to others.
• Self Esteem – Ability to demonstrate recognition of one's worth and contribution to society.
• Self-Care: Basic – Ability to practice and sustain basic self-care skills and self-management techniques.

Each of these NOC outcomes serve to measure the patient’s development of self-efficacy. With the help of qualified providers, strategies should be established to assist in reaching and maintaining these goals.

Evaluation Objectives and Criteria

Measurable objectives should typically include: increased autonomy in decision-making, understanding of available support services and the engagement of family members. Evaluation criteria should focus on the appreciation of individual strengths, better communication with healthcare professionals, improved knowledge of one’s health condition, higher compliance to treatments and better health outcomes.

NIC Interventions

• Nutritional Management – Facilitating behavior change, accessing supportive foods and providing education on nutrition.
• Healthy Lifestyle Promotion – Design and implement interventions aimed at improving the patient’s lifestyle and adaptation of healthier habits.
• Resource Utilization – Assisting patients to identify and take full advantage of available resources that support and improve their condition.
• Environmental Interpretation – Finding ways of removing obstacles that may be limiting patient autonomy.
• Family Support Education – Educating families on strategies that support patient autonomy and assist in developing self-efficacy.

Adoption of these interventions should generally aim at increasing the patient’s knowledge and confidence while engaging different stakeholders in the recovery process.

Nursing Activities

• Carry out detailed assessment of the patient.
• Encourage active participation of the patient in their own recovery strategies.
• Facilitate dialogue and support that allows for development of self-efficacy.
• Provide resources that encourage information-seeking and decision-making.
• Create an environment that allows for meaningful discussions about care plan.
• Design & implement strategies that increase collaboration and trust within the multi-disciplinary team.
• Encourage the patient to become involved in their own plan of care.
• Identify factors that support autonomy and build a care network that can provide assistance in times of need.

Conclusion

When faced with a medical condition, it is all too easy to forget that the patient also has rights. It is up to the nurse to ensure that the patient is empowered to take control over their own health and affect positive changes in their behaviour. Readiness for Enhanced Power is specifically designed to develop self-efficacy in the patient so that they can better understand their condition and make informed decisions about their treatment. Through setting objectives, utilizing resources and engaging varying stakeholders, nurses can encourage the patient to become their own self-manager, thus improving health outcomes and enhancing their quality of life.

FAQs

• What is Readiness for Enhanced Power Nursing Diagnosis? Readiness for Enhanced Power is a diagnosis focused on empowering patients by recognizing and cultivating their current strengths, abilities, and potential in order to manage their own health condition.
• What are the objectives of this diagnosis? The goal of using Readiness for Enhanced Power is to help patients become active participants in their own healthcare and to enable them to practice self-management.
• What are NIC interventions suitable for this diagnosis? Nic Interventions suitable for this diagnosis include Nutritional Management, Healthy Lifestyle Promotion, Resource Utilization, Environmental Interpretation, and Family Support Education.
• What are NOC Outcomes relevant here? NOC Outcomes relevant for this diagnosis include Knowledge: Self Care, Safety Status, Self-Esteem, and Self-Care: Basic.
• What kind of situations can this diagnosis be used for? Readiness for Enhanced Power Diagnosis is particularly suitable for chronic conditions, especially those which require the patient to become a self-manager.

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