00300 Ineffective Household Maintenance Behaviors

Domain 1: health promotion
Class 2: Health Management
Diagnostic Code: 00300
Nanda label: ineffective behavior of home maintenance
Diagnostic focus: household maintenance behaviors
approved 2020 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective household maintenance behaviors is defined as: unsatisfactory pattern of knowledge and activities for the safe maintenance of the residence itself.

Definite characteristics

  • Crowded environment
  • Difficulty in maintaining a comfortable environment
  • Failure to demand assistance for household maintenance
  • Anxiety related to home tasks
  • Stress related to home tasks
  • Deterioration of the ability to regulate finance
  • Negative affection for home maintenance
  • Negligence with laundry
  • Pattern of hygiene -related diseases
  • garbage accumulation
  • Usecide culinary equipment
  • Antihigienic environment

Related factors

  • Cognitive dysfunction
  • Contradictory demands
  • Depressive symptoms
  • Difficulty in decision making
  • Limitations of the environment
  • deterioration of physical mobility
  • Postural balance deterioration
  • Inappropriate knowledge about home maintenance
  • Inappropriate knowledge about social resources
  • Inadequate organizational skills
  • Inappropriate role models
  • Inadequate social support
  • Insufficient physical resistance
  • Neurocomportal manifestations
  • Impotence
  • Psychological discomfort

Risk population

  • People at economic disadvantage
  • People who live alone
  • Older adults

Associated problems

  • Depression
  • Mental disorders
  • Neoplasms
  • Neurocognitive disorder
  • Sensitivity disorders
  • Vascular diseases

Suggestions of use

This diagnosis highlights the inability to handle the domestic environment (such as clothing, cleaning and food preparation). If there are difficulties in handling medicines or treatments, ineffective management of the family therapeutic regime or ineffective management of health itself should be used. If it is mainly a difficulty in handling self -care, such as cleaning and dress, self -care deficit (specify) should be used. It is also necessary to differentiate between this label and the tiredness of the caregiver role.

Suggested alternative diagnostics

  • Committed family coping
  • Self -care, deficit of (specify)
  • Caregiver, tiredness of the role of
  • injury, risk of
  • ineffective management of health
  • Family therapeutic regime, ineffective management of

NOC Results

  • Self -care: Activities of daily life (AVD): Ability to perform the necessary tasks to function independently at home or in the community, with or without auxiliary devices
  • Safe domestic environment: physical organization at home to reduce environmental factors that could cause physical damage or injuries

Evaluation objectives and criteria

  • The deterioration of household maintenance is eliminated or reduced, as evidenced by a safe domestic environment and self -care: instrumental activities of daily life (AIVD)
  • A safe domestic environment is demonstrated, as manifested by the following indicators (specify from 1 to 5: at all, slightly, moderately, substantially or totally adequate):
    • Building maintenance
    • Potable water availability
    • Housing cleaning
    • Safe storage of hazardous materials
  • Self -care: Activities of daily life (AVD), which is demonstrated by the following indicators (specify from 1 to 5: seriously, substantially, moderately, slightly or not compromised):
    • Buy edible products
    • Perform domestic work
    • Manage money
    • Open containers
  • Other examples

    The patient, the family and/or household members will be able to:

    • Follow a specific plan for home maintenance
    • Identify options to overcome economic restrictions
    • Verbally express that they are aware of the limitations in the domestic situation due to the disease of a family member
    • Verbally express that they have knowledge of available resources
    • Perform home maintenance tasks (for example, shopping, prepare food, wash clothes, clean the patio, make housework)
    • With a car (for example, to go shopping)
    • Eliminate the environmental hazards of the home
    • Cover the physical needs of dependent people in the home
    • Supervise children (for example, with playmates, nursery employees, etc.)

    NIC Interventions

    • Help in self -care: AIVD: Help and instruction to a person to carry out the instrumental activities of daily life (AIVD) necessary to drive at home or in the community
    • HELP FOR HOME MAINTENANCE: Help the patient and family to keep the home as a clean, safe and pleasant place to live
    • Management of the environment: manipulation of the patient’s environment to provide a therapeutic and aesthetic benefit, as well as psychological well -being
    • Environment management: Security: Control and manipulation of the physical environment to favor security

    Nursing Activities

    Valuations

    • (NIC) Help for home maintenance, determine the maintenance requirements of the patient’s home

    Patient and family education

    • Provide written information about home maintenance
    • (NIC) Help for home maintenance, provide information on how to achieve a safe and clean environment in the home

    Collaboration activities

    • Evaluate and record the need to track after discharge with a public health nursing professional
    • Contact the hospital discharge planner or the social worker to establish a realistic domestic maintenance plan
    • For admitted patients, organize a home visit to evaluate the patient’s skills to drive independently after leaving the hospital
    • (NIC) Help for home maintenance.
      • Provide information about care to allow a break, as required
      • Request domestic aid services, as appropriate

    Others

    • Accept and criticize the situation at home
    • Help the patient, the family or the family, to identify the strengths of the family unit, as well as the support systems that will help the maintenance of the home
    • Help the patient, the family or the family, to identify obstacles or hazards in the home that could prevent their maintenance
    • Start a conversation with the patient and his family about the state of health of all family members, since the diseases of other family members could affect domestic maintenance management
    • (NIC) Help for home maintenance.
      • Involve the patient and his family in decisions about the needs of domestic maintenance
      • Suggest the structural alterations necessary to make home accessible
      • Suggest services for pest control, if necessary
      • Suggest services for domestic repairs, if necessary
      • Talk about the cost of required maintenance and available resources

    At home

    • All previous interventions are appropriate for home care, which are the objective of this nursing diagnosis

    Older people

    • Evaluate whether the patient can conduct himself independently at home (for example, evaluate his vision, hearing, mobility and other functional capacities)
    • Help the patient obtain auxiliary devices (for example, walkers, alarms) necessary to maintain independent behavior
    • Channel to health care services or domestic aid, as necessary
    • Make sure that family members are aware that the patient needs help to continue living in their home
    • Help the patient to locate community resources to obtain help with the instrumental tasks of daily life (for example, centers for the elderly where they serve meals, there are community nurses, or home food services)
    • Evaluate the domestic environment to detect threats to safety (for example, make sure there are handrails on the stairs, safety bars in the bathroom, adequate lighting)
    • Evaluate the possibility of abuse to older people