Nursing diagnosis – IMPAIRED HOME MAINTENANCE

IMPAIRED  HOME  MAINTENANCE

DEFINITION

Inability to independently maintain a safe growth-promoting imme-

diate environment

DEFINING CHARACTERISTICS

• Difficulty in maintaining home in a comfortable environment

• Outstanding debts or financial crises

• Request for assistance with home maintenance

• Disorderly surroundings

• Unwashed or unavailable cooking equipment, clothes, or linens

• Accumulation of dirt, food wastes, or hygienic wastes

• Offensive odors

• Inappropriate household temperatures

• Lack of necessary equipment or aids

• Presence of vermin or rodents

RELATED FACTORS

• Deficient knowledge

• Impaired functioning

• Disease

• Insufficient finances

• Inadequate support systems

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Communication

• Roles/relationships

• Coping

• Self-perception

• Knowledge

EXPECTED OUTCOMES

The patient and family members will

• Express concern about poor home maintenance.

• Verbalize plans to correct health and safety hazards in home.

• Identify community resources available to help maintain home.

SUGGESTED NOC OUTCOMES

Family Functioning: Role Performance; Self-Care: IADLs

INTERVENTIONS AND RATIONALES

Determine: Assess home environment, financial resources, patient’s

knowledge about self-care; and communication patterns in the fam-

ily. Assessment information will assist in identifying appropriate

interventions.

Perform: List obstacles to effective home maintenance management

with patient and family to develop understanding of potential and

actual health and safety hazards. Begin discussions at patient’s level

of comfort. Adult learners learn best where they have specific needs

to fulfill.

Assist family members to assign daily and weekly responsibility

for home maintenance activities. Having a schedule will promote

consistency in following the plan of care.

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Inform: Teach patient and family the importance of home

maintenance to ensure safety. Provide written materials on environ-

mental aspects of home maintenance.

Teach skills such as setting down and choosing from a list of

options, and assertiveness skills to enhance coping strategies. Help

patient and family develop a program by using relaxation strategies

(i.e., meditation, guided imagery, yoga, exercise) to reduce anxiety.

Attend: Encourage weekly discussions about progress in maintaining

home maintenance schedule to develop family unity and allow mem-

bers to address problems before they become overwhelming.

Manage: Assist family members to contact community agencies that

can assist them in their efforts to improve home maintenance man-

agement, such as self-help groups, cleaning services, and extermina-

tors. Community resources can lessen family’s burden while

members learn to function independently.

SUGGESTED NIC INTERVENTIONS

Active Listening; Coping Enhancement; Counseling; Emotional

Support; Family Integrity Promotion; Family Support; Home

Maintenance Assistance

Reference

Horvath, K. J., et al. (2005, September–October). Caregiver competence to

prevent home injury to the care recipient with dementia. Rehabilitation
Nursing, 30(5), 189–196.

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