00074 Compromised family coping

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00074 Compromised family coping

Definition of the NANDA label

State in which family members or other significant people who habitually give support to the sick person temporarily respond to a change in health with insufficient help or inappropriate behaviors for the adaptation needs of the situation.

An usually supportive primary person (family member, significant other, or close friend) provides insufficient, ineffective, or compromised support, comfort, assistance, or encouragement that may be needed by the client to manage or master adaptive tasks related to his or her health challenge.

Defining characteristics

Objectives

• The reference person attempts to implement helpful or supportive behaviors with unsatisfactory results.
• The reference person shows a disproportionate behavior (by excess or by defect) in relation to the capacities or need for autonomy of the sick person.
• The reference person withdraws or establishes limited or temporary personal communication with the ill person in time of need.

Subjective

• The sick person expresses or confirms a complaint or concern about the response of the person or persons of reference to their health problem.
• The reference person describes or confirms an inadequate understanding or knowledge that interferes with effective helping or support behaviors.
• The reference person’s reaction demonstrates concern (eg, fear, anticipated grief, guilt, anxiety) at the client’s illness or disability, or any other developmental or situational crisis.

Related factors

• Prolonged illness or progressive disability that exhausts the ability to provide support to the sick family member.
• Insufficient knowledge, incorrect information, or inadequate understanding of the affected family member’s illness.
• The reference person is temporarily preoccupied and tries to manage her emotional conflicts and personal suffering, so she is unable to perceive or act effectively with respect to the needs of the sick person.
• Temporary family disorganization and role changes.
• Little support from the patient to the person of reference.
• Situational or developmental crises that the reference person may be facing.

At risk population

• Developmental crisis experienced by support person – Family role change
• Prolonged disease that exhausts capacity of support person – Situational crisis faced by support person

NOC

• Family normalization.
• Family care stressors.
• Relationship between main caregiver and patient.
• Emotional health of the family caregiver.
• Overcoming family problems.

NIC

• Family support.
• Support for the main caregiver.
• Increase coping.
• Promotion of family involvement.
• Family mobilization.
• Maintenance in family processes.
• Advice.
• Health education.
• Promote family normalization.
• Emotional Support.
• Intermittent care.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.

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