00199 Inefica Planning Of Activities

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00199
Nanda label: ineffective planning of activities
Diagnostic focus: activities planning
Approved 2008 • Revised 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective planning of activities is defined as: inability to prepare for a set of actions set in time and under certain conditions.

Definite characteristics

  • Absence of a plan
  • Express anxiety for a task
  • Inadequate health resources
  • Inadequate organizational skills
  • Failure pattern
  • Informs fear of doing a task
  • Lack of achievements for the chosen task

Related factors

  • Bend behavior when facing the proposed solution
  • Hedonism
  • Inadequate ability to process information
  • Inadequate social support
  • Non -realistic perception of the event
  • Non -realistic perception of personal skills

Risk population

  • People with a history of delay

Suggestions of use

  • If the task to be performed is related to the management of the individual’s disease, or to the conservation or improvement of health, the diagnosis of ineffective health could be considered.
  • The ineffective planning of activities is very general, since it covers all kinds of tasks and is not limited to activities related to health and disease.

NOC Results

  • Cognition: Ability to execute complex mental processes
  • Communication: Reception, interpretation and expression of verbal, written and nonverbal messages
  • Beliefs on health: perceived ability to act: Personal conviction that one can carry out a certain health behavior
  • Motivation: Interior desire that drives or makes a person perform positive actions
  • Anxiety level: severity of manifest apprehension, tension or discomfort, whose origin is not identifiable
  • Fear level: severity of the apprehension, tension or discomfort that arise from an identifiable source
  • Information processing: Ability to acquire, organize and use information
  • Decision making: ability to judge and choose between two or more alternatives

Evaluation objectives and criteria

  • Manifest motivation, as evidenced by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often, usually):
    • Prepare an action plan
    • Look for support if necessary
    • Express that he believes in his ability to act
  • Other examples

    The patient will be able to:

    • Express that he tries to act to complete the task
    • Complete the task (on a specific date)
    • Demonstrate and express a positive self -esteem
    • Transmit messages congruently
    • Understand the messages of others

    NIC Interventions

    • Support in decision making: Provision of information and support to a patient who is making a decision regarding their health
    • Family support: promotion of family values, interests and objectives
    • Support for personal change: reinforcement of self -directed change, initiated by the patient to achieve personal importance objectives
    • Increased self -efficacy: Strengthening of individual’s confidence in their ability to exhibit healthy behavior
    • Teaching: Individual: Planning, application and evaluation of a teaching program designed to deal with the particular needs of a patient
    • Establishment of shared objectives: collaboration with the patient to identify and prioritize care objectives and then develop a plan to achieve these objectives
    • Facilitate personal responsibility: impulse to the patient to assume greater responsibility for their own behavior
    • Anxiety reduction: minimize apprehension, fear, anticipation or discomfort, related to an anticipated danger of unknown origin
    • Technique to reassure: decreased anxiety in a patient that has acute anxiety

    Nursing Activities

    Valuations

    • Evaluate the verbal and nonverbal signs of anxiety of the patient
    • Evaluate the patient’s knowledge and levels with respect to the identified task
    • Monitor the patient’s progress towards the performance of the task
    • Evaluate the quantity and quality of family support

    Patient and family education

    • Teaching relaxation techniques

    Collaboration activities

    • Recommend family therapy or group support, as required
    • Administer medications to reduce anxiety, if necessary

    Others

    • Encourage the patient to speak about their feelings and fears regarding the task
    • Promote independence, but supporting the patient if he is unable to perform the task by himself
    • Help the patient identify areas in which he can easily assume greater responsibility
    • Support the patient to establish goals for change
    • Support the patient to identify the steps to follow to achieve task and even create an itinerary
    • Help the patient identify rewards for the achievement of the task or steps to complete it
    • Provide positive feedback even for small advances
    • Encourage the family to express concerns, feelings and doubts