Risk for impaired resilience

Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00211
Nanda label: Risk for impaired resilience
Diagnostic focus: Resilience

Nursing Diagnosis: Risk for Impaired Resilience

Having resilience is an important part of a patient’s life and well-being. Without resilience, patients may struggle to cope with stress, manage emotions, and recover from sickness or trauma. As a result of this, the nursing diagnosis of risk for impaired resilience is used to describe individuals who are at risk of not being resilient. In this article, we will discuss the definition of the nursing diagnosis, its associated risks factors, populations that are at risk, NOC outcomes and NIC interventions associated with this diagnosis.

NANDA Nursing Diagnosis Definition

The nurse diagnosis risk for impaired resilience is defined in the NANDA International Nursing Diagnosis Taxonomy as “Vulnerability to decreased capability to withstand stress, cope with situations and bounce back to a complete state of health.” This diagnosis is identified when an individual is having difficulty coping with stressors and managing their emotions.

Risk Factors

In order to identify those who may be at risk for having impaired resilience, there are several risk factors that should be taken into consideration. These include physical, psychological, and environmental factors.

• Physical Factors: Poor health, chronic pain, lack of physical fitness, unhealthy diet, substance abuse.
• Psychological Factors: Low self-esteem, depression, anxiety, poor coping skills, unresolved emotional issues.
• Environmental Factors: Lack of social support, isolation, poverty, disability, chronic illness.

At Risk Population

Certain populations are more likely to be at risk of having impaired resilience. Individuals of any age may be at risk, while some populations have been found to have increased risk levels. Young adults, older adults, pregnant women, victims of abuse and trauma, individuals suffering from mental health disorders, and individuals who have experienced a recent major life event are all at an increased risk for impaired resilience.

Associated Conditions

Individuals who have impaired resilience may also experience other related conditions. These can include physical, emotional, cognitive and behavioural complications. Some of these associated conditions include chronic fatigue, sleep disruption, irritability, lack of concentration, and an inability to make decisions.

Suggestions of Use

When a patient is identified as having impaired resilience, there are several strategies that nurses can use to help them. These include assisting them in developing better coping strategies and helping them create healthy boundaries with the people around them. Nurses can also promote activities such as self-care, positive thinking, relaxation techniques, and mindfulness.

Suggested Alternative NANDA Nursing Diagnosis

There are several alternative NANDA nursing diagnoses that may be used when assessing a patient's level of resilience. These include:

• Powerlessness: A decrease in the patient’s ability to engineer change or maintain control over the environment.
• Social Isolation: An inability to interact with others in a meaningful way and receive adequate support from those around them.
• Activity Intolerance: When the patient cannot take part in usual or recommended activities due to lack of strength or energy.
• Ineffective Stress Management: When the patient does not possess the necessary skills or resources for managing stress.

Usage Tips

When applying the nurse diagnosis of risk for impaired resilience, nurses should ensure that they have carefully considered potential risk factors and gathered an accurate health history. It is also important that nurses assess the patient’s resilience on a regular basis to ensure that it remains high, and that any challenges are addressed in a timely manner. Moreover, nurses should strive to foster a supportive and hopeful environment for their patients.

NOC Outcomes

To effectively measure the results of nursing interventions related to the nurse diagnosis of risk for impaired resilience, there are several NOC outcomes that can be used. These include:

• Stress Tolerance: The patient’s ability to respond appropriately to stressors in their environment.
• Coping:The individual's ability to manage their thoughts, feelings and actions in response to challenges.
• Family Coping: The family’s ability to work together to manage stressful situations and support each other.
• Emotional Well-being: The individual’s overall psychological well-being and satisfaction with life.
• Management of Care: The patient’s ability to manage their own care and make appropriate health decisions.

Evaluation Objectives and Criteria

When evaluating a patient’s risk for impaired resilience, nurses should establish clear objectives and criteria to identify if the patient has met their goals. These objectives should be formulated in collaboration with the patient and should consider the patient’s individual needs. Evaluation parameters include:

• Identifying and addressing underlying risk factors that affect the individual's resilience.
• Developing strategies and techniques to improve resilience.
• Identifying available support systems and family members who are able to provide support.
• Creating an atmosphere of co-operation and trust between the patient and the healthcare team.

NIC Interventions

When designing a care plan for the nurse diagnosis of risk for impaired resilience, there are several NIC interventions that can be used. These interventions aim to assist the patient in overcoming challenges and developing healthier coping mechanisms. These include:

• Health Education: Teaching the patient healthy habits and helping them to understand how to build resilience.
• Activity Therapy: Engaging the patient in activities such as exercise, yoga, meditation and art therapy.
• Family Support/Counseling: Assisting the patient’s family in understanding and coping with challenges, as well as building stronger levels of communication.
• Stress Management Techniques: Providing resources, strategies and techniques to help the patient manage their stress.

Nursing Activities

A variety of nursing activities can be used to address the risk for impaired resilience. These activities include providing emotional support, teaching coping strategies and problem-solving skills, and encouraging the patient to stay active and engaged in meaningful activities. Additionally, nurses should strive to promote a sense of safety and security for the patient, as well as ensure that the patient’s progress is being monitored and evaluated on an ongoing basis.

Conclusion

All individuals are at risk for having impaired resilience, and it is important for nurses to be able to recognize individuals who are at an increased risk and develop strategies to assist them. By doing so, nurses can help ensure the wellbeing and improved quality of life of their patients.

5 FAQs

• What is resilience? Resilience is the ability of an individual to withstand difficult situations and bounce back to their original state of health.
• Who is at risk of impaired resilience? Individuals of any age may be at risk, while certain populations such as young adults, older adults, pregnant women, victims of abuse and trauma, and individuals with mental health disorders are more likely to be at risk.
• What are some associated conditions associated with impaired resilience? Associated conditions include chronic fatigue, sleep disruption, irritability, lack of concentration, and an inability to make decisions.
• What strategies can nurses use to help individuals with impaired resilience? Strategies include assisting the patient in developing better coping strategies and helping them create healthy boundaries with the people around them. Nurses can also promote activities such as self-care, positive thinking, relaxation techniques, and mindfulness.
• What evaluation objectives and criteria are used to measure the results of a patient's progress? Evaluation objectives and criteria involve identifying and addressing underlying risk factors, developing strategies and techniques to improve resilience, identifying available support systems and family members, and creating an atmosphere of co-operation and trust.

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