00174 Risk Of Commitment Of Human Dignity

Domain 6: self -perception
Class 1: self -concept
Diagnostic Code: 00174
Nanda label: commitment risk of human dignity
Diagnostic focus: human dignity
Approved 2006 • Revised 2013 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « risk of commitment of human dignity is defined as: susceptible to perception of loss of respect and honor, which can compromise health.

Risk factors

  • Dehumanization
  • Revelation of confidential information
  • Body exposure
  • HUMILATION
  • Inadequate understanding of health information
  • Insufficient intimacy
  • Intrusion by clinical professionals
  • Loss of control of bodily functions
  • Social stigma perception
  • incongruous values ??with cultural norms

Risk population

  • People with limited experience in decision making

Suggestions of use

  • The authors do not recommend using this nursing diagnosis, except perhaps in very unusual circumstances, until it deepens more in it. All sick people, and naturally all hospitalized patients, run the risk of being affected their human dignity, so that it would be difficult to find a patient to whom this diagnosis cannot be applied.
  • Even more, professional and moral norms dictate that the nursing professional must take into account human dignity in every nursing action that is taken. Therefore, you must question what interventions, according to this diagnosis, are beyond the care
  • “Normal” nursing. In addition, it would seem that the diagnosis suggests the need for a certain attitude or method of nursing, rather than specific nursing interventions.
  • In situations in which the risk factors do not come from the actions of the nursing professional, their role as a patient defender must determine his intervention without the need for a nursing diagnosis.

NOC Results

  • Comfort state: Physical: physical comfort related to body sensations and homeostasis mechanisms
  • Comfort status: psycho -spiritual: psychoesyritual comfort related to self -concept, emotional well -being, the source of inspiration, and the meaning and purpose of life
  • Comfort status: sociocultural: social comfort associated with interpersonal, family and social relationships, within a cultural context
  • Dignified death: Personal actions to maintain control by approaching the end of life
  • Patient satisfaction: care: positive perception of the concern of nursing staff for the patient
  • Patient satisfaction: Defense of rights: perception of the degree to which nursing staff protects the legal and moral rights of a patient

Evaluation objectives and criteria

  • Human dignity is respected, as evidenced by the care and satisfaction of the patient, as well as the defense of rights
  • Human dignity is respected, as evidenced by the state of comfort: physical, psycho -spiritual and sociocultural, as well as a dignified death
  • Patient satisfaction is demonstrated: defense of rights, as manifested by the following indicators (specify from 1 to 5: nothing, slightly, moderately, much or completely satisfied):
    • Respect for privacy
    • Maintenance of the confidentiality of patient information
    • Participate in decisions about their care
  • Other examples

    The patient will be satisfied with:

    • The courtesy and respect shown by caregivers
    • Personnel attention to their cultural practices
    • Emotional support provided by staff
    • The clarity and adaptation of the communication shown by the staff

    NIC Interventions

    • Support in decision making: Offer of information and support to a patient who is making a decision regarding his health
    • Income care: facilitation of a patient’s entry into a health institution
    • Intestinal incontinence care: Promotion of fecal continence and maintenance of the integrity of the perianal skin
    • Defense of patient rights: protection of a patient’s health care rights, especially if they are a minor, disabled or incompetent, unable to make decisions
    • Anticipatory Guide: Patient preparation for a situational or development crisis that is coming
    • Risk identification: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
    • Cultural intermediation: Deliberate use of culturally competent strategies to mediate between the patient’s culture and the biomedical health system
    • Orientation on the health system: facilitation to a patient of the location and use of adequate health services
    • High planning: Preparation to transfer a patient from one level of care to another, inside or outside the current health institution
    • Surveillance: Collection, interpretation and synthesis of patient data, continuously and with an end, to make clinical decisions

    Nursing Activities

    Valuations

    • Evaluate the level of patient satisfaction with nursing care
    • Monitor the respect that other caregivers show for human dignity
    • Determine the patient’s wishes in relation to their care
    • Determine who is legally responsible for granting consent for treatments
    • Determine if the patient has early guidelines

    Patient and family education

    • (NIC) Defense of patient rights: Provide the patient with a copy of the Patient Rights Charter (or other similar document)

    Collaboration activities

    • (NIC) Defense of patient rights:
      • Collaborate with the doctor and hospital administration to honor the wishes of the patient and his family
      • Respect written orders of “not to revive” (DNR)

    Others

    • Offer privacy (for example, close the curtains, cover the patient) during procedures
    • Ensure privacy during conversations between the patient, the family and the caregivers
    • Do not force or coerce a patient (for example, with the use of frightening tactics) to accept a treatment
    • Protect the confidentiality of patient health information
    • Respect the wishes expressed by the patient (or other anticipated guidelines)
    • (NIC) Defense of patient rights: intervene in situations that involve insecure or inappropriate care

    Babies and Children

    • Machine yourself with state legislation and institutional policies on the age in which children are considered to be legally capable of granting consent for treatments

    Older people

    • Evaluate the patient’s ability to provide legal consent to receive care and treatments