Domain 4. Activity-rest
Class 5. Self-care
Diagnostic Code: 00182
Nanda label: Readiness for enhanced self-care
Diagnostic focus: Self-care
Nursing Diagnosis Readiness for Enhanced Self-Care
Self-care is critical for a patient’s well-being, and nurses are essential in helping them achieve the highest level of function. With their expertise, nurses can have a significant positive impact on the quality of life for individuals who are ill. Nursing diagnosis readiness for enhanced self-care is an assessment that uses evidence-based practice to help empower those with chronic conditions, injuries or illnesses to become more independent and independent able in performing their daily activities.
Introduction for Nursing Diagnosis
Nursing diagnosis readiness for enhanced self-care (NDRS) is an approach to care that focuses on helping the individual increase their own level of self-care. It is a holistic interdisciplinary approach focused on strengthening physical health, mental wellbeing, and improving overall functioning. The essential components of this assessment include identifying needs, and implementing strategies that will facilitate enhanced independence in daily living.
NANDA Nursing Diagnosis Definition;
NANDA International's nursing diagnoses define the common language used to interpret symptoms and characteristics of illness or health issues. Nursing Diagnosis Readiness for Enhanced Self-Care (NDRS) is considered a nursing diagnosis, which refers to a client’s ability to take control of their daily activities, with the intention of achieving an optimal level of independence. It is based on an individual’s medical condition, as well as physical, psychological, spiritual, and social functioning.
Defining Characteristics
Nursing diagnosis readiness for enhanced self-care utilizes subjective and objective data to determine if a patient has sufficient knowledge and skills to increase their level of independence in daily life tasks. These characteristics include:
Subjectives:
- Perceived need to learn self-care skills.
- Discomfort or inconvenience associated with self-care tasks due to impaired physical or cognitive functioning.
- Reluctance to participate in self-care tasks due to decreased motivation or energy.
Objectives:
- Ability to recall instructions associated with self-care tasks.
- Focus on learning new skills required to complete self-care tasks.
- Exhibits physical or cognitive deficits manifest in process of completing self-care tasks.
Suggested Use
Nursing diagnosis readiness for enhanced self-care can be used in any setting for any patient with medical conditions that can impede their ability to perform daily activities. This should be deemed an essential assessment for patients who require finer points of nursing involvement to maintain optimal levels of health and quality of life.
Suggested Alternative NANDA Nursing Diagnosis
- Impaired Verbal Communication: Diagnosis originated from NANDA-I which refer to reduced ability to communicate or understand what other Tpeople communicate verbally. This can be due to factors such language barrier, cognitive or communication deficits.
- Impaired Physical Mobility: Diagnosis originated from NANDA-I which refer to the limited ability to move self or the environment due to fatigue, pain, decreased range of motion or physical disabilities.
- Ineffective Airway Clearance: Diagnosis originated from NANDA-I which refer to the inability to effectively move secretions from the lungs. This might be caused by immobility, mucus viscosity, muscle weakness, respiratory disorders and decreased pulmonary functional capacity.
- Ineffective Self-Health Management: Diagnosis originated from NANDA-I which describe the inability to manage self health problems such as identifying complications and endorsing necessary interventions. This might be caused by lack of knowledge, low health literacy and impaired cognitive functioning.
Usage Tips
The usage of nursing diagnosis readiness for enhanced self-care should be carefully evaluated on an individual basis, taking into account the patient’s general physical and mental abilities, access to resources and support, and cultural beliefs. When implementing the diagnosis and treatment plans, one must consider:
- Pacing according to the individual’s abilities.
- Making activity modifications to enhance safety and comfort.
- Seeking input from the client on their experiences self-care.
- Encouraging and providing support for activities that foster feelings of self-accomplishment.
NOC Outcomes
The following are potential outcomes which can result from utilizing nursing diagnosis readiness for enhanced self-care.
- Knowledge: Self-Care Demand: Demonstrating understanding of identified characteristics and management of care based on self-care demands.
- Knowledge: Teaching/Learning: Demonstrating an understanding of the principles of teaching and learning.
- Self-Care: Activities of Daily Living: Demonstrating functional use of the necessary activities of daily living skills.
- Health Perception-Health Management: Demonstrating an understanding of health promotion and preventive guidelines.
- Mobility: Transfer Abilities: Independently transferring from one position to another.
Evaluation Objectives and Criteria
In order to measure the effectiveness of utilizing nursing diagnosis readiness for enhanced self-care, key performance indicators must be determined. This includes the frequency of completion of activities of daily living, the desired outcomes of physical therapy or rehabilitation programs, and the extent of the patient’s understanding of their own condition.
NIC Interventions
These are some potential intervention strategies nurses may take when assessing and treating a patient utilizing nursing diagnosis readiness for enhanced self-care:
- Airway Maintenance: Assists with clearing muscles and maintain airway passage ways.
- Aquatic Therapy: Applying therapeutic water activities to improve compromised physical functioning.
- Education: Disease Process: Developing patient’s understanding on disease processes and intervention strategies.
- Environmental Management: Organizing the environment to create safer and more accessible areas for a patient.
- Protective Strategies: Guiding patients on preventive and protective measures.
Nursing Activities
Nurses are expected to maintain a collaborative approach while interacting with patients in order to successfully provide nursing diagnosis readiness for enhanced self-care. Key activities to this effect include:
- Performing assessments to accurately identify patient challenges and generate realistic plans.
- Identifying resources available to clients in the environment and developing instruction plans accordingly.
- Carefully monitoring the progress of patients in terms of acquiring self-care skills, adhering to treatment plans, and understanding required medications.
- Creating achievable, individualized goals and objectives to promoting patient-centered objectives.
- Explaining the expected outcomes and outcome measurements to the patient.
Conclusion
The use of nursing diagnosis readiness for enhanced self-care aims at empowering individuals with chronic conditions, injuries or illnesses to become more independent and independentable in their self-care activities. This enables them to gain control over their health and helps them reach an optimal level of functioning and quality of life.
5 FAQs
- What is Nursing Diagnosis Readiness for Enhanced Self Care?
- Why is Nursing Diagnosis Readiness for Enhanced Self Care Important?
- What are the Defining Characteristics of Nurses Diagnosis Readiness for Enhanced Self Care?
- What types of Interventions are utilized for Nurses Diagnosis Readiness for Enhanced Self Care?
- How are Performance Indicators Measured for Nursing Diagnosis Readiness for Enhanced Self Care?
Nursing diagnosis readiness for enhanced self-care is an approach to care that focuses on helping the individual increase their own level of self-care. It is a holistic interdisciplinary approach focused on strengthening physical health, mental wellbeing, and improving overall functioning.
Nursing Diagnosis Readiness for Enhanced Self Care is essential to promote patient-centered care and helping individuals achieve improved quality of life. This diagnosis assesses the patient’s current level of independence and helps nurses to create effective treatment plans and enable them to reach optimal sustained outcomes.
Defining characteristics include perceived need to learn self-care skills, discomfort or inconvenience associated with self-care tasks due to impaired physical or cognitive functioning, and reluctance to participate in self-care tasks due to decreased motivation or energy. Objectives include ability to recall instructions associated with self-care tasks, focus on learning new skills required to complete self-care tasks, and exhibits physical or cognitive deficits manifest in process of completing self-care tasks.
Some potential intervention strategies may include airway maintenance, aquatic therapy, education in disease processes, environmental management and protective strategies.
Performance indicators for Nursing Diagnosis Readiness for Enhanced Self Care may be measured by the frequency of completion of activities of daily living, desired outcomes of physical therapy or rehabilitation programs, and the extent of the patient’s understanding of their own condition.
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