Nursing diagnosis – ineffective activity planning

Ineffective Activity Planning
DEFINITION
Inability to prepare for a set of actions fixed in time and under
certain conditions
DEFINING CHARACTERISTICS
• Verbalization of fear toward a task to be undertaken
• Verbalization of worries toward a task to be undertaken
• Excessive anxieties toward a task to be undertaken
• Failure pattern of behavior
• Procrastination
• Unmet goals for chosen activity
• Lack of sequential organization
• Lack of plan
RELATED FACTORS
• Lack of family support
• Lack of friend support
• Unrealistic perception of events
• Defensive flight behavior when
faced with proposed solution
• Hedonism
• Compromised ability to
process information
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Behavior
• Communication
EXPECTED OUTCOMES
The patient will
• Demonstrate improved self-confidence to accomplish tasks.
• Demonstrate improved concentration in task planning and execution.
• Minimize procrastination.
• Articulate personal goals for activity planning and completion.
• Verbalize diminished fear and anxiety concerning task planning
and execution.
SUGGESTED NOC OUTCOMES
Cognition; Cognition Orientation; Concentration; Decision-Making;
Information Processing; Memory
INTERVENTIONS AND RATIONALES
Determine: Assess patient’s concerns related to activity planning and
execution to be able to suggest strategies to overcome challenges.
Perform: Model effective techniques for planning and executing
activities. Patients who are challenged by planning and executing
activities often find it helpful to observe practical approaches instead
of solely hearing theoretical information.
Inform: Teach behavior management strategies to help the person
minimize fears of failure.
• Roles/relationships
• Self-perception
Attend: Praise successes in any steps of planning or executing activities;
positive reinforcement enhances self-confidence.
Manage: Refer or comanage with behavioral specialists. Colleagues
in related disciplines bring valuable additional perspectives to these
complex clinical situations.
SUGGESTED NIC INTERVENTIONS
Anxiety Reduction; Behavior Management; Behavior Modification;
Calming Technique; Memory Training; Planning Assistance;
Sequence Guidance
Reference
Adler, D. A., McLaughlin, T. J., Rogers, W. H., Chang, H., Lapitsky, L., &
Lerner, D. (2006). Job performance deficits due to depression. American
Journal of Psychiatry, 163, 1569–1576.

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