Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00158
Nanda label: Readiness for enhanced coping
Diagnostic focus: Coping
Introduction to Nursing Diagnosis: Readiness for Enhanced Coping
The need for improved coping strategies among health care providers is an increasingly important topic in the healthcare industry. Nursing diagnosis of “readiness for enhanced coping” allows nurses to quickly assess a patient’s ability to manage stress and develop coping strategies that are in line with their individual needs. In order to provide adequate nursing care, it is important for nurses to understand both the factors that influence a patient’s ability to cope and their individual readiness for enhanced coping.
NANDA Nursing Diagnosis Definition
NANDA (North American Nursing Diagnosis Association) defines “readiness for enhanced coping” as “the family or individual demonstrating increased insight, problem-solving skills, and planning techniques to manage stress and life changes.” It is important to note that this particular nursing diagnosis can be used when assessing patients from diverse backgrounds.
Defining Characteristics of Readiness for Enhanced Coping
Subjective Characteristics:
- Expresses the desire to improve coping skills
- Identifies resources available to individual or family
- Recognizes activities that promote or counteract stress
Objective Characteristics:
- Participates in activities that increase coping skills
- Modifies lifestyle to promote reduction of stress
- Applies newly acquired coping strategies
Suggestions for Use
Nurses should utilize the nursing diagnosis of “readiness for enhanced coping” when providing patient assessment and care. As part of their assessment, nurses should ask patients about their current coping strategies and identify any potential areas where the patient could increase their understanding, insight, and skill in managing stress. The nurse may also refer the patient for further assessment as needed.
Suggested Alternative Nursing Diagnosis
In some cases, “readiness for enhanced coping” may be complemented by one or more of the following alternative nursing diagnoses and treatments:
- Ineffective Coping: This nursing diagnosis is used to describe an individual’s inability to effectively manage stressors in their environment. Nurses may provide supportive measures and therapeutic interventions to help the patient build coping mechanisms.
- Powerlessness: This diagnosis refers to a feeling of helplessness when faced with stressful situations and can often lead to loss of control. Nurses may provide guidance and direction to help the patient to regain power in their life while living with their disease or condition.
- Pain: Pain can contribute to overall stress levels, so nurses should be sure to assess patient-reported pain levels on a regular basis and recommend appropriate medications and therapies to help the patient manage their discomfort.
NOC Outcomes of Enhance Readiness for Coping
The following NOC outcomes are associated with enhanced readiness for coping:
- Stress Tolerance: This outcome reflects an individual’s capacity to manage stress in situations where force or demand is placed on them. It is typically measured by their ability to adapt change, use their resources effectively, or set realistic goals in order to manage stressful situations.
- Self-Care: This outcome refers to an individual’s ability to properly perform activities required to maintain physical and mental wellbeing, such as hygiene, exercise, nutrition, and rest.
- Mood Status: An individual’s mood status is typically measured by their engagement level, affect balance, and self-perception. A patient’s response to their environment and ability to maintain social relationships can also be indicators of an individual’s overall mood status.
- Coping: This outcome assesses an individual’s current methods of managing stress and responding to life events. It is important to assess a patient’s coping strategies in order to develop an appropriate treatment plan that encompasses both problem-focused techniques and emotion-focused techniques.
Evaluation Objectives and Criteria for Enhance Readiness for Coping
When evaluating a patient’s readiness for enhanced coping, the nurse should assess multiple factors including the patient’s knowledge and insight of the situation, their attitude towards the situation, as well as their ability to develop new and different coping strategies. The nurse should assess the patient’s ability to recognize the stressors in their environment and their capacity to develop appropriate techniques to manage those stressors.
NIC Interventions for Enhance Readiness for Coping
NIC (Nursing Interventions Classification) has identified two specific interventions for enhanced readiness for coping:
- Stress Management Teaching: This intervention focuses on teaching the patient strategies for reducing and managing stress in order to prevent or treat stress-related problems. This may include cognitive restructuring, relaxation techniques, or anticipatory guidance.
- Health Maintenance Teaching: This intervention focuses on helping the patient increase their level of overall health and well-being. This may include teaching the patient a healthy diet, physical activity, or stress management.
Nursing Activities for Enhance Readiness for Coping
When providing care to individuals suffering from stress related issues, nurses may provide the following nursing activities:
- Assessing a patient’s current level of distress and readiness for enhanced coping.
- Discussing coping strategies and exploring individual triggers for stress.
- Teaching relaxation techniques, problem-solving, and other approaches to cope with stress.
- Providing support and assistance to patients in developing healthier coping mechanisms.
- Referring the patient to a counsellor, as needed.
Conclusion
Ultimately, nurses should use the assessment of “readiness for enhanced coping” as part of their overall assessment when determining an individual or family’s plan of care. This nursing diagnosis allows the nurse to quickly assess a patient’s ability to manage stress and develop coping strategies that are in line with their individual needs. With the proper interventions, nurses can help a patient achieve increased insight, problem-solving skills, and planning techniques to better manage their life changes and stress.
Frequently Asked Questions (FAQs)
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Frequently Asked Questions (FAQs)
-
What is a nursing diagnosis of “Readiness for Enhanced Coping”?
NANDA (North American Nursing Diagnosis Association) defines “readiness for enhanced coping” as “the family or individual demonstrating increased insight, problem-solving skills, and planning techniques to manage stress and life changes.” It is important to note that this particular nursing diagnosis can be used when assessing patients from diverse backgrounds. -
What are objective characteristics of readiness for enhanced coping?
Objective characteristics of readiness for enhanced coping include participating in activities that increase coping skills, modifying lifestyle to promote reduction of stress, and applying newly acquired coping strategies. -
What are alternative nursing diagnoses to “Readiness for Enhanced Coping”?
Alternative nursing diagnoses to “readiness for enhanced coping” are ineffective coping (the inability to effectively manage stressors in the environment), powerlessness (a feeling of helplessness when faced with stressful situations), and pain (which can contribute to overall stress levels). -
What are NOC outcomes of enhanced readiness for coping?
NOC outcomes associated with enhanced readiness for coping are stress tolerance, self-care, mood status, and coping. -
What are nursing activities for enhance readiness for coping?
Nursing activities to enhance readiness for coping include assessing a patient’s current level of distress and readiness for enhanced coping, discussing coping strategies and exploring individual triggers for stress, teaching relaxation techniques, problem-solving, and other approaches to cope with stress, providing support and assistance to patients in developing healthier coping mechanisms, and referring the patient to a counsellor, as needed.