00060 Interruption Of Family Processes

Domain 7: role/relationships
Class 2: family relationships
Diagnostic Code: 00060
Nanda label: interruption of family processes
Diagnostic focus: family processes
Approved 1982 • Revised 1998, 2017

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « interruption of family processes ” is defined as: interruption in the continuity of family functioning that is not able to maintain the well -being of its members.

Definite characteristics

  • Alteration of affective responses
  • Alteration in communication patterns
  • Alteration in family conflict resolution
  • Alteration in family satisfaction
  • Alteration in interpersonal relationships
  • Alteration of intimacy
  • Alteration of participation in decision making
  • Alteration of participation in problem solving
  • Somatization alteration
  • Alteration in stress reduction behaviors
  • Change in assigned tasks
  • Decreased emotional support availability
  • Decrease in mutual support
  • Ineffective realization of tasks
  • Change in power alliances
  • Informs conflict with community resources
  • Informs isolation of community resources
  • Change in routines

Related factors

  • Altered community interaction
  • Alteration of family roles
  • Difficulty in relation to a change of power among family members

Risk population

  • Families with altered finance
  • Families with altered social status
  • Families with members who experience development crisis
  • Families with members who experience development transition
  • Families with a member who experiences a situational crisis
  • Families with a member who experiences a situational transition

Associated problems

  • Alteration of the state of health

Suggestions of use

  • This label describes a family that usually works effectively, but experiences a stressful factor that alters its operation.
  • The stressful factors that cause the interruption of family processes are usually transitions or situational or development crises, such as the death of a family member, a divorce, infidelity, loss of work, a serious illness or hospitalization of a family member. On the other hand, dysfunctional family processes describe a chronically disorganized family. When specifically focusing on the interruption of family processes, a diagnosis such as complicated grief or parenteral role conflict can serve to describe the problem more specifically.
  • This label differs from that of compromised family coping, where the family coping problem is due to a change in relations between family members. In the compromised family coping, the stressful factor is due to the fact that the couple withdraw their support and not necessarily to an external factor, such as death or divorce (as in the interruption of family processes). Committed family coping can only involve the patient and his partner, while the interruption of family processes involves the whole family. Likewise, the arrangement of the caregiver role focuses specifically on the caregiver, rather than the family as a whole.
  • The interruption of family processes describes a family that has the resources to effectively face stressful factors, unlike the disabling family coping, which describes a family that presents destructive behaviors. If stressful factors are not effectively resolved, the interruption of family processes could become disabling family coping. To differentiate between the suggested alternative diagnoses, the defining characteristics and related factors of each should be carefully examined.

Suggested alternative diagnostics

  • Committed family coping
  • Incapacitating family coping
  • Caregiver, tiredness of the role of (real and risk of)
  • Complicated duel
  • Paternity, deterioration of the
  • Dysfunctional family processes
  • Family therapeutic regime, ineffective management of
  • Parental role, conflict of

NOC Results

  • Family coping: family actions to manage stressful factors that test family resources
  • Family support during treatment: presence and emotional support of the family for the person subject to treatment
  • Family social atmosphere: support environment characterized by the objectives and relations between family members
  • Family operation: Family system capacity to meet the needs of its members during development transitions
  • Family Standardization: Family system capacity to maintain habits and develop strategies to achieve functioning
  • optimal when a member suffers from a chronic disease or disability
  • Family resilience: Positive adaptation and functioning of the family system after an important crisis or problem
  • Evaluation objectives and criteria

Evaluation objectives and criteria

  • • The family does not have the interruption of family processes, as demonstrated by satisfactory levels of family coping, family functioning, family standardization, family resilience, family social atmosphere and family support during treatment
  • Other examples

    The patient and family will be able to:

    • • Recognize changes in family roles
    • • Identify coping patterns
    • • Participate in decision -making processes regarding the care of hospitalization
    • • Provide mutual support to each family member
    • • Identify more effective coping modes

    NIC Interventions

    • Family support: promotion of family values, interests and objectives
    • Parent Education: Adolescent: Help parents to understand and help their teenage children
    • Parent education: family and upbring
    • Parent Education: Small Child: Teaching about food and the necessary physical care during the first year of life
    • Facilitation of family presence: presence of the family in support of a person who experiences resuscitation and/or invasive procedures
    • Promotion of family integrity: improvement in family cohesion and unit
    • Promotion of family integrity: parenting: facilitation of the growth of individuals or families that add a child to the family unit
    • Promotion of family participation: facilitation of family participation in the physical and emotional care of the patient
    • Maintenance of family processes: Reduction of the effects of the destabilization of family processes
    • Improvement of coping: Help the patient to adapt to stressful factors, changes or perceived threats, which interfere with the satisfaction of the demands and the roles of life
    • Promotion of normalization: It helps parents and other family members whose children suffer from chronic diseases or disabilities, to provide normal vital experiences to their children and family
    • Resilience promotion: Help people, families and communities, to develop, use and strengthen protective factors that must be used to face environmental and social stressful factors

    Nursing Activities

    • Some of the interventions used to achieve the desired results can also be used to deal with related factors, such as those that produce the symptoms of this nursing diagnosis

    Valuations

    • • Evaluate the interaction between the patient and the family, with alerts on possible destructive behaviors
    • • Evaluate the child’s limitations, in order to make the adjustments that allow the child to participate in the usual activities
    • • (NIC) Promotion of family integrity.
      • Determine the understanding of the family about the disease
      • Determine the feelings of the family regarding their situation
      • Determine typical family relationships
      • Monitor current family relationships
      • Identify priority conflicts between family members

    Patient and family education

    • • Teach to the family skills (for example, time administration, treatments) required for patient care
    • • Indicate the family the need to collaborate with the school system to guarantee access to appropriate educational opportunities for the child with chronic disease or disability

    Collaboration activities

    • • Organize a meeting on multidisciplinary care for the patient, where the patient and family participate in problem solving and communication facilitation
    • • Offer continuity of care by maintaining [effective personnel between personnel members through nursing reports and care planning
    • • Request consultation with social services to help the family determine the needs subsequent to hospitalization, and identify community support sources (for example, for child care)
    • • Channel to the family a financial advisor
    • • Channel to a support group, if necessary
    • • (NIC) Family Family: Channel to family therapy, as indicated

    Others

    • • Help the family identify behaviors that could be hindering the prescribed treatment
    • • Help the family identify personal strengths
    • • Encourage the family to express feelings and concerns
    • • Encourage the family to participate in patient care and plan after hospitalization care
    • • Offer flexible visit schedules to adapt family visits
    • • Conserve family routines and rituals (for example, allow private meals together, or family decision making)
    • • Provide positive reinforcement in the effective use of coping mechanisms
    • • (NIC) Promotion of family integrity.
      • Allow the family to have privacy
      • Facilitate open communication between family members
      • Advise family members about additional effective coping skills for their own use
      • Help the family in conflict resolution

    At home

    • • Explore with the family the available hospital and community resources
    • • Most previous interventions and activities can be adapted for home use

    Babies and Children

    • • Help the family focus on the child and not on disease or disability
    • • Encourage the family to participate in the care of the hospitalized child
    • • Involve social services to evaluate the need to place children in guardian care. The possibility of gathering the child with biological parents should also be evaluated, when appropriate.
    • • Offer more opportunities for the child with chronic disease or disability to enjoy normal children’s experiences