Introduction to Nursing Diagnosis: Resilience Deterioration
Nursing Diagnosis (or NANDA-I Nursing Diagnosis) such as Resilience Deterioration, is a classification system that includes standardized nursing diagnoses defined by their “defining characteristics”. Such diagnosis are used as part of interventions and evaluations of nursing interventions. It should also be noted that when looking at Health Resources and Services Administration's descriptive systems for diagnoses and interventions, these diagnoses are referred to as being “selected directly from other systems, including the International Classification of Diseases (ICD).
Nursing Diagnosis Definition
The nursing diagnosis resilience deterioration is defined as an “insufficient adaptive capacity to effects of situational stressors resulting in decreased functioning of individuals, families, and communities. This can either come from an inability to cope after a traumatic event or due to long-term stress and hardships.
Defining Characteristics
Subjective Defining Characteristics
- Expresses feelings of helplessness or despair
- Feels overwhelmed or unable to cope with current situation
- Perceives prolonged stress or lack of resources
- Reports sense of waning optimism or general outlook
- Voices feelings or isolation, alienation, hopelessness, or worthlessness
Objective Defining Characteristics
- Demonstrates exhaustion physically, mentally, and/or spiritually
- Exhibits poor decision-making by taking inappropriate risks
- Shows signs of increased absenteeism from work or school
- Sustains weakened work performance
- Uses maladaptive behavior for stress including drugs, alcohol, unplanned pregnancy
Unmanaged or inadequately managed physical and psychosocial demands are related factors to Resilience Deterioration. This can also include resource imbalances where an individual, family, or community possess insufficient tools to respond effectively to acute or chronic stress.
Risk Population
The population at risk of resilience deterioration includes those exposed to severe or persistent stress such as physical abuse or neglect; effects of chronic illness; war survivors; immigrants adapting to a new culture; poverty; or any other life situations beyond an individual’s level of coping.
Associated Problems
Associated problems with resilience deterioration include difficulty expressing emotions, cognitive confusion, changes in self-worth, excessive emotions, changes in self-concept, difficulty concentrating, and disturbed eating and/or sleeping patterns.
Suggestions for Use
A Nursing Diagnosis for Resilience Deterioration can be used to identify individuals, families, and communities who have suffered compromises in their adaptive capacities in various life situations.
Suggested Alternative Nursing Diagnoses
Suggested alternative NANDA diagnoses include Powerlessness, Impaired Social Interaction, and Loss.
Usage Tips
When assessing and diagnosing resilience deterioration, it is best to focus on the individual or family’s current psychiatric symptoms, incidence of hospitalization and/or suicide attempts, substance use, prior illnesses, and medication history.
NOC Results
- Ability to Cope - Patients' ability to cope with stressors and make educated decisions.
- Coping - Capacity to regulate affects appropriately and successfully manage stress.
- Crisis Intervention - Response to crisis or acute situation utilizing available support systems.
- Family Coping - Ability of families to use resources and problem solve during difficult life events.
- Self-Care - Utilizing strategies to establish realistic goals and beliefs regarding current situations.
- Resilience - Ability to bounce back after hardships.
NIC Interventions
- Advance Directives Counseling - Offering information on the importance of an advance directive to other individuals.
- Discharge Planning - Assist patients in constructing a plan for continuing care once discharged from their current facility.
- Mental Health Support Provision - Connect patients to various counseling and mental healthcare resources.
- Online Mental Health Resources Referral - Recommending and connecting patients to online mental health programs, websites, applications, and articles.
- Peer Support Groups Facilitation - Creating and managing a supportive environment within communities, specifically focusing on helping peers improve their mental health.
- Progressive Relaxation- Instructing patients on anti-stress techniques such as progressive relaxation.
- Support System Enhancement - Improving an individual or family's social circle by connecting them to beneficial support networks.
Conclusion
While Nursing Diagnosis such as Resilience Deterioration is traditionally used in professional nursing practice, understanding the basics of such diagnosis can help any healthcare worker, professional or not, assist a patient in need.
FAQ
- What is Nursing Diagnosis? - Nursing Diagnosis is a classification system that includes standardized nursing diagnoses defined by their defining characteristics.
- What is Resilience Deterioration? - Resilience Deterioration is defined as an insufficient adaptive capacity to effects of situational stressors resulting in decreased functioning of individuals, families, and communities.
- Who Is At Risk? - The population at risk of resilience deterioration includes those exposed to severe or persistent stress such as physical abuse or neglect; effects of chronic illness; war survivors; immigrants adapting to a new culture; poverty; or any other life situations beyond an individual’s level of coping.
- What are the associated problems to watch out for? - Common associated problems with resilience deterioration include difficulty expressing emotion, cognitive confusion, changes in self-worth, excessive emotions, changes in self-concept, difficulty concentrating, and disturbed eating and/or sleeping patterns.
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