coping/stress tolerance Class 2: coping responses Diagnostic Code: 00137 Nanda label: chronic affliction Diagnostic focus: affliction approved 1998 • Revised 2017
NANDA Nursing Diagnosis Definition
Nanda nursing diagnosis «
chronic affliction is defined as: cyclical, recurrent and potentially progressive pattern of generalized, experienced sadness (by a parent, caregiver, person with a chronic disease or disability) In response to continuous loss, in the course of a disease or disability.
Express feeling that interferes with well -being
Overns negative feelings
Crisis in disability management
Crisis in condition management
People who experience development crisis
People who experience loss of significant people
People who work in the role of caregivers for prolonged periods of time
Suggestions of use
compared to the normal suffering that occurs in response to a loss, chronic affliction diagnosis does not decrease over time, partly because the loss continues present (as occurs in the case of chronic disability) and the condition is a Constant loss reminder. Chronic affliction implies a more effective coping than the one presented in the case of complicated grief.
Many of the defining characteristics of chronic affliction are, for themselves, nursing diagnoses. When more than one of the following diagnoses occurs: fear, hopelessness, loneliness, low chronic self -esteem and impotence, chronic affliction is more useful.
Suggested alternative diagnostics
acceptance : Health state: reconciliation with a relevant health change
psychosocial adjustment : Change of life: psychosocial response of adaptation of a person to an important change of life
depression self -control : personal actions to reduce melancholy and maintain interest in life events
emotional balance : appropriate adjustment of the predominant emotional tone in response to circumstances
Esperanza : Optimism that is personally satisfactory and promoter of life
depression level : severity of melancholic mood and loss of interest in life events
duel resolution : adaptation to a real or imminent loss
Evaluation objectives and criteria
Demonstrates duel resolution, as manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
Verbally express the acceptance of the loss
Participate in the planning of the funeral
refers to reduction of concern for loss
Share the loss with your loved ones
Progress through the duel stages
Keep hygiene and personal toilet
The patient will be able to:
Express feelings of guilt, anger or suffering
Identify and use effective coping strategies
Verbally express the impact of the loss (s)
Find information about disease and treatment
Identify and use the available social support, including loved ones
Work to accept the loss (s)
Lean at spiritual beliefs to console
Report adequate sleep and food
spiritual support : Help the patient to feel in balance and in communion with a superior power
facilitation of the expression of the duel : Help with the resolution of an important loss
facilitation of the expression of the duel : perinatal death: help with the resolution of a perinatal loss
inspiration of hope : Facilitation of the development of an optimistic perspective in a certain situation
mood management : provision of security, stability, recovery and maintenance, to a patient who abnormally experiences a depressed or elevated mood
coping improvement : Help to patient to adapt to stressful factors, changes or perceived threats, which interfere with the satisfaction of the demands and the roles of life
See nursing activities for duel and complicated duel.
See also the nursing activities corresponding to spiritual suffering.
For patients whose diagnosis is an etiology, see nursing activities corresponding to the diagnosis of fear.
For patients whose diagnosis of low chronic self -esteem is an etiology, seeing nursing activities corresponding to low chronic self -esteem.
For patients whose diagnosis of hopelessness is an etiology, seeing nursing activities of despair diagnoses and disposition to improve hope.
For patients whose impotence diagnosis is an etiology, see nursing activities for impotence.
Value and document the presence and origin of the patient’s affliction
Patient and family education Comment on the characteristics of a normal affliction and an abnormal
Provide the patient and family information about community and hospital resources, as well as self -help groups
Organize a meeting on patient care to review their needs and those of family members regarding the stage of grief in which they are, and to establish a care plan
Recognize the patient and family’s grief reactions while the necessary care activities continue to be carried out
Comment with the patient and relatives the impact of loss on the family and its operation
Establish a contact schedule with the patient
Establish a relationship of trust with the patient and relatives
Provide a safe and private environment to facilitate the patient and family grieving process
Recognize and reinforce the strengths of each family member
(NIC) Facilitation of the expression of the duel:
Help the patient identify the nature of attachment with the lost object or person
Include close people in debates and decisions, as required
Encourage the patient to establish cultural, religious and social rites, related to loss
Encourage the patient to express their feelings regarding the loss
Notes to apply in the nursing diagnosis
(NIC) Facilitation of the expression of the duel:
Answer the questions of children related to loss
Help the child clarify erroneous ideas