00125 Impotence

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00125
Nanda label: impotence
Diagnostic focus: power
Approved 1982 • Revised 2010, 2017, 2020 • Evidence level 2.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « impotence ” is defined as: state of real or perceived loss of control or influence on factors or events that affect well -being, personal life or society ( Adapted from the American Psychology Association)

Definite characteristics

  • Recovery delay
  • Depressive symptoms
  • Express doubts about the execution of the role
  • Express frustration for the inability to carry out previous activities
  • Expresses lack of purpose in life
  • Express dishonor
  • Fatigue
  • Loss of independence
  • Informs inadequate control feeling
  • Social alienation

Related factors

  • Anxiety
  • Tiredness of the caregiver role (a)
  • Dysfunctional institutional environment
  • deterioration of physical mobility
  • Inappropriate interest in improving the personal situation
  • Inadequate interpersonal relationships
  • Inappropriate knowledge to handle a situation
  • Inadequate motivation in improving the personal situation
  • Inadequate participation in the therapeutic regime
  • Inadequate social support
  • Ineffective coping strategies
  • Low self -esteem
  • Pain
  • Perception of complexity of the therapeutic regime
  • Social stigma perception
  • Social marginalization

Risk population

  • People at economic disadvantage
  • People exposed to traumatic events

Associated problems

  • Cerebrovascular disorders
  • Cognitive disorders
  • Severe condition
  • Progressive condition
  • Unpredictability of the condition of the condition

Suggestions of use

Distinguish between impotence and hopelessness. Despair implies that the person believes that there is no solution to their problem (that is, “there is no way out”). In the case of impotence, patients can know the solution to their problem, but believe that the solution is beyond their control. If impotence extends, it can cause hopelessness. Nursing professionals must be careful to diagnose impotence from the patient’s point of view and not assume that he perceives the situation as they would. There are cultural and individual differences in the need of a person to feel that controls the situation (for example, knowing that he has a deadly disease).

Suggested alternative diagnostics

  • Ineffective coping
  • Anxiety
  • Anxiety before death
  • Low chronic self -esteem
  • Desperateness
  • Complicated duel
  • Postraumatic syndrome
  • Traumatic violation syndrome
  • Spiritual suffering
  • Fear

NOC Results

  • Depression self -control: personal actions to reduce melancholy and maintain interest in life events
  • Personal autonomy: personal actions of a competent individual to make decisions about his life
  • Beliefs on health: perceived ability to act: Personal conviction that one can carry out a certain health behavior
  • Beliefs on health: Control perception: Personal certainty that a health result can be influenced
  • Beliefs on health: Perceived resources: Personal conviction that is available for the appropriate means to act in a healthy way
  • Participation in health care decisions: personal involvement in the choice and evaluation of health care alternatives to achieve the desired result

Evaluation objectives and criteria

  • Demonstrates self -control of depression, beliefs on health, perceived ability to act, perception of control and resources, participation in health care decisions and personal autonomy (specify the level of 1 to 5)
  • It demonstrates participation in health care decisions, as manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
    • Identify the priorities of health results
    • Use problem solving techniques to achieve the desired results
    • Negotiates obtaining the care of your preference
  • Other examples

    The patient will be able to:

    • Verbally express any feeling of impotence
    • Identify actions that are under your control
    • Express the absence of obstacles to act
    • Verbally express the ability to carry out the necessary actions
    • Indicates that it receives proper support from those loved ones, friends and neighbors
    • Indicates that you have time, medical insurance and sufficient economic resources
    • Indicates the availability of equipment, supplies, services and transport

    NIC Interventions

    • Also see the NIC diagnosis interventions willing to improve power.
    • Economic resources support: Help a person or a family to maintain and manage economic resources to cover their health needs
    • Emotional support: provision of comfort, acceptance and encouragement, during moments of tension
    • Support in decision making: Provision of information and support to a patient who is making a decision regarding his health
    • Defense of patient rights: protection of a patient’s rights to health care, especially if they are a minor, disabled or incompetent unable to make decisions
    • Establishment of shared objectives: collaboration with the patient to identify and give priority to the care objectives, and then develop a plan to achieve those objectives
    • Facilitation of personal responsibility: motivation of the patient to assume greater responsibility for their own behavior
    • mood management: provide safety, stability, recovery and maintenance, to a patient who experiences a depressed or abnormally elevated mood
    • Improvement of self -efficacy: reinforcement of the individual’s confidence in their ability to exhibit healthy behavior
    • Improvement of self -esteem: helps a patient to increase the way he judges his personal value
    • Improvement of the Support System: Facilitation of patient support by family, friends and the community
    • Orientation on the health system: facilitation to a patient of the location and use of adequate health services
    • Cognitive restructuring: I challenge a patient to modify his patterns of distorted thoughts and see himself and the world in a more realistic way

    Nursing Activities

    Assessment

    • (NIC) Improvement of self -esteem:
      • Determine the patient control locus
      • Determine the patient’s confidence in their own criteria
      • Monitor self -esteem levels over time, as required
    • (NIC) Facilitation of personal responsibility:
      • Monitor the level of responsibility assumed by the patient
      • Determine if the patient has adequate knowledge about the health service situation

    Collaboration activities

    • Organize a multidisciplinary meeting on patient care to analyze and develop a care routine

    Others

    • Help the patient identify factors that can contribute to impotence
    • Talk to the patient about realistic care options, offering explanations of these options
    • Involve the patient in decision making about care
    • Explain to the patient the reasons for any change in the care plan
    • (NIC) Improvement of self -esteem:
      • Explore previous achievements
      • Strengthen the personal strengths that the patient identifies
      • Transmit confidence in the patient’s ability to handle the situation
    • (NIC) Facilitation of self -responsibility:
      • Motivate the verbal expression of feelings, perceptions and fears regarding assuming responsibility
      • Promote independence, but help the patient when he cannot act

    At home

    • The above interventions are suitable for home care
    • Evaluate the existence of abuse
    • If abuse is suspected, make the corresponding reports and help the victim take measures to guarantee their safety
    • Evaluate family’s negative attitudes towards the patient that could contribute to the feeling of impotence

    Older people

    • Determine the existence of multiple losses, which is common in the elderly and that usually cause impotence
    • Assess the place of control (internal or external)
    • Assess the physical conditions (for example, loss of mobility) that could contribute to impotence
    • Motivate and facilitate interaction with colleagues (for example, center for older people, groups)
    • Encourage the patient to be independent, as far as possible, in the activities of daily life
    • Assess the impotence in caregivers
    • Channel to home assistance services, if necessary