00073 Incapacitating Family Coping

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00073
NANDA Tag: Incapacitating family coping
Diagnostic focus: coping
Approved 1980 • Revised 1996, 2008 • Level of evidence 2.1

NANDA Nursing Diagnosis Definition

Nanda’s nursing diagnosis « incapacitating family coping is defined as:
Behavior of a reference person (family, significant person or intimate friend) who disables their own abilities and those of the patient to effectively address the essential tasks for the adaptation of one of them to the change in health.

Definite characteristics

  • Abandon the patient
  • Adopt the symptoms of patient condition
  • Aggressive behaviors
  • Depressive symptoms
  • Difficulty to structure a significant life
  • Indifference to the basic needs of the patient
  • Indifference to family relationships
  • Distortion of reality about the patient’s health problem
  • Express feeling of abandonment
  • Behaviors of relatives harmful to well -being
  • Hostility
  • Individualization deterioration
  • Inadequate ability to tolerate the patient
  • Loss of patient independence
  • Desaction to the therapeutic regime
  • Realization of routines without taking into account the needs of the patient
  • Prolonged hyperate to the patient
  • Psychomotor agitation
  • Psychosomatic symptoms

Related factors

  • Ambivalent family relationships
  • Feelings not expressed chronic by the reference person
  • Different coping styles between the reference person and the patient
  • Different coping styles between reference people

Suggestions of use

  • This diagnosis is adequate when there is serious dysfunction or for destructive or abuse situations. It represents a more dysfunctional situation than the interruption of family processes or compromised family coping. The diagnosis of tiredness of the caregiver role focuses on the needs of the relative that provide care, while the face -to -see in disabling is more focused on the needs of the patient or the family unit. If there is violence in the family, the diagnosis could be of disabling family coping related to the use of violence for conflict management. When abuse behavior is possible but not real, the diagnosis of risk of violence should be used.

Suggested alternative diagnostics

  • Committed family coping
  • Caregiver, tiredness of the role of (real or risk of)
  • Paternity, deterioration of the
  • Family therapeutic regime, ineffective management of
  • Violence aimed at others, risk of

NOC Results

  • Acting of the caregiver: Direct care: Personal and health care provided by the caregiver to a member of his family
  • Acting of the caregiver: indirect care: a relative plans and supervises that the patient receives adequate care
  • Family coping: family actions to manage stressful factors that test family resources
  • Welfare of the caregiver: how positive the state of health and the life circumstances of the primary caregiver are perceived
  • Cessation of negligence: proof that the victim is no longer receiving low quality care
  • Family Standardization: Ability of the family system to maintain habits and develop strategies to achieve optimal functioning when a member suffers from chronic disease or disability
  • Relationship between caregiver and patient: interactions and positive links between the caregiver and the person who receives care
  • Caregiver Resistance: Factors that favor the caregiver’s ability to provide care for a long period

Evaluation objectives and criteria

  • The family does not have disabling family coping, as demonstrated by the satisfactory state of the relationship between caregiver and patient, caregiver’s performance: direct and indirect care, resistance of the caregiver, well -being of the caregiver, family coping, family normalization , and cessation of negligence.
  • Family coping indicators include the following (specify from 1 to 5: never, rarely, once or usually)
    • Establish flexibility in roles
    • Manage family problems
    • meets the needs of all family members
    • Maintain economic stability
    • Get family help
  • Other examples

    The family will be able to:

    • Achieve economic stability to meet the needs of its members
    • Recognize the needs of the family unit
    • Recognize the needs of the patient
    • Start showing effective interpersonal skills
    • Demonstrate your ability to resolve conflicts without resorting to violence
    • Show greater capacity to face changes in family structure and dynamics
    • Express unresolved feelings
    • Identify and maintain intrafamily sexual limits
    • Identify confrontation styles with confrontation
    • Participate in the effective solution of problems
    • Participate in the development and application of the treatment plan

    NIC Interventions

    • Caregiver Support: Provide the information, aid and support necessary to facilitate the fundamental care of a patient, made by someone who is not a health care professional
    • Support in protection against abuse: identification of acts and high -risk dependence relationships, to prevent physical or emotional damage from being inflicted
    • Family support: promotion of the values, interests and objectives of the family
    • Care to give a breath: to supply care in the short term to relieve the cargo of the family caregiver
    • Learning facilitation: Promote the ability to process and understand information
    • Management of the environment: home preparation: home arrangements so that the patient receives safe and effective care
    • Improvement of coping: help the patient adapt to stressful factors, changes or perceived threats that interfere with the satisfaction of the demands and the roles of life
    • Orientation on the health system: facilitate a patient the location and use of adequate health services
    • Promotion of standardization: help parents and other family members with children with chronic or disabled diseases to provide normal vital experiences to their children and family
    • Promotion of family participation: foster family participation in the emotional and physical care of the patient
    • Family therapy: help family members lead to the family to a more productive way of life

    Nursing Activities

    In general, nursing activities for this diagnosis focus on evaluating the danger for the victim, assess family to face the current situation and refer to the required services.

    also consult the nursing activities corresponding to the compromised family coping.

    Valuations

    • Obtain the history of the pattern of family behaviors and interactions and the changes that have occurred
    • Determine the physical, emotional and educational resources of family members
    • Evaluate the motivation and desire of family members to solve areas of dissatisfaction or conflict
    • (NIC) Family support: Determine the psychological burden that implies the prognosis for the family

    Patient and family education

    • Explain that violence is a learned behavior and that it can be transmitted to the children
    • Comment with the family effective ways to demonstrate feelings

    Collaboration activities

    • Channel to the family and their members to support groups, psychiatric treatment, social services (such as substance addiction programs, parents of incest survivors, minor protection services, shelters for battered women)
    • Communicate the indications of physical abuse or sexual abuse, as defined by laws, to the corresponding authorities
    • In talks with the family, start with the subjects with less emotional load
    • Help the family recognize the problem (for example, use of conflict violence, sexual abuse)
    • Encourage the family to participate in all group sessions
    • Encourage the family to express their concerns and help him plan the care after hospitalization
    • Help motivate the family for change
    • Help the family find better ways to manipulate dysfunctional behaviors
    • Assign “tasks” to family members (for example, one night without television or eating together)
    • Help family members clarify what they need and expect from each other
    • Provide an exact and complete lesions record, together with the patient’s comments and caregivers in this regard (for example, type, occurrence, frequency)

    At home

    • All previous interventions can also be done at home

    Others

    Babies and Children

    • See the care of babies and children in family caresses committed
    older people

    • Channel to centers for older individuals and day care programs
    • See the care of the elderly in compromised family coping