Willingness To Improve Health Self -Management

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Introduction

nursing diagnosis: Willingness to Improve Health Self-Management is a part of NANDA’s taxonomy II, specifically under the domain of Health Promotion and Maintenance. This nursing diagnosis reflects an individual’s readiness to take action in regards to establishing and maintaining health, lifestyle, and personal development goals for self-care and well-being.

Nursing Diagnosis Definition

Willingness to Improve Health Self-Management: Readiness exhibited by an individual to make lifestyle or self-care behavior changes in order to achieve and maintain optimal health.

Defining Characteristics

Subjective:

• Expresses commitment to change lifestyle/self-care behaviors
• Expressed acceptance of personal responsibility for health
• Expresses confidence in taking control over own health
• Recognizes current level of performance related to lifestyle/self-care
• Expresses willingness to make changes

Objective:

• Asks questions regarding health related lifestyle/behavior changes
• Complies with care/treatment plan
• Explains process involved in devising/carrying out health promoting strategies
• Follows guidelines for desired lifestyle/self-care changes

Related Factors

• Affective Influence: Unsupportive family environment, unsupportive peers, lack of motivation, poor self-esteem, fear of change, feelings of hopelessness
• Cognitive Influence: Poor problem solving skills, low literacy levels, unrealistic goals, confusion, misinformation
• Environmental Influence: Cultural influences, community norms, insufficient material or financial resources
• Interpersonal Influence: Negative family dynamics, lacks support system
• Intrapersonal Influence: Personality factors, internal barriers to change, misperception of risks, attitudes about health care

Risk Population

Populations experiencing potential difficulty with exercising sufficient health self-management include: The elderly, low income individuals, those with chronic disease states, the young, women and men of childbearing age, and individuals located in remote areas.

Associated Problems

Associated health problems include: Acute pain, High blood pressure, Anxiety/fear, Sleep pattern disturbance, Anger/hostility, Lack of knowledge, Injury/trauma, Activity intolerance, Low self-esteem, Impaired physical mobility, Ineffective health maintenance and Sexual Dysfunction.

Suggestions For Use

This diagnosis can best be used with an individual needing assistance in improving their health self management abilities. It is often seen in cases where long term health management such as diabetes, weight loss, malnutrition or stress management intervene would be helpful. Suggested actions for this nursing diagnosis are focused on providing education and helping the individual break down goals and create plans of action to directly support increased health self management.

Suggested Alternative Nursing Diagnosis

These diagnoses could be considered alternative to Willingness to Improve Health Self-Management:

• Ineffective Health Management
• Readiness for Enhanced Health Management
• Knowledge Deficit (Learning Need)
• Chronic Confusion

Usage Tips

• Build a trusting relationship with the client.
• Create a calm environment for the client.
• Identify any existing positive aspects of the client's health Self-Management efforts.
• Encourage the patient to verbalize his/her needs.
• Provide patient-centered care.
• Give praise when the patient sets realistic goals.

NOC Results

Outcome concepts for this diagnosis that indicate successful nursing intervention on the patient's behalf include:

• Health Awareness: recognition of feelings, responses and behaviors of individuals that could affect health.
• Health Management: utilization of self-care activities and health promotion strategies to care for one's own health.
• Prevention of Complications: preventing the occurrence of adverse effects from health conditions or treatments.
• Tissue Integrity: undisturbed bodily structure and function of skin, eyes, ears, and other organs and systems.

NIC Interventions

Interventions suggested by the NANDA Nursing Interventions Classification (NIC) for this nursing diagnosis are:

• Behavior Modification: dynamic psychotherapeutic process used for changing behavior.
• Domain Referral: directing or re-directing the patient to appropriate service providers.
• Health Education: facilitation of knowledge and understanding of the principles of health.
• Planning Care: designing a regimen of care with set goals that reflect an individual's needs.
• Support System Enhancement: linking individuals to supportive services.

Conclusion

nursing diagnosis: Willingness to Improve Health Self-Management is a nursing diagnosis used to evaluate and improve an individual's readiness for establishing and maintaining health, lifestyle and personal development goals in order to achieve and sustain optimal health. The interventions associated with this diagnosis stress the need for education, confidence building and setting attainable goals while considering related factors, risk populations and associated problems.

FAQ

• What is NANDA?
• NANDA stands for the North American Nursing Diagnosis Association, an organization dedicated to the development, promotion and usage of standardized nursing diagnoses.
• What does “Willingness To Improve Health Self-Management” mean?
• It means an individual's readiness to make lifestyle or self-care changes in order to achieve and maintain optimal health.
• What are the NOC results relating to this diagnosis?
• The NOC result relates to this diagnosis are Health Awareness, Health Management, Prevention of Complications, and Tissue Integrity.