Nursing diagnosis – READINESS FOR ENHANCED COPING

READINESS  FOR  ENHANCED  COPING

DEFINITION

A pattern of cognitive and behavioral efforts to manage demands

that is sufficient for well-being and can be strengthened

DEFINING CHARACTERISTICS

• Defines stressors as manageable

• Seeks knowledge of new strategies

• Seeks social support

• Uses a broad range of problem-oriented and emotion-oriented

strategies

• Uses spiritual resources

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Behavior

• Roles/relationships

• Communication

• Self-perception

• Coping

EXPECTED OUTCOMES

The patient will

• Identify major issues that require ongoing enhancement of coping

strategies.

• Express feelings associated with coping strategies.

• Demonstrate readiness to develop enhanced strategies.

• Identify support persons and activities that will assist in goal

attainment.

SUGGESTED NOC OUTCOMES

Coping; Quality of Life

INTERVENTIONS AND RATIONALES

Determine: Assess patient’s usual coping mechanisms, roles and

responsibilities, social support, spiritual resources, and use of alcohol

and tobacco in order to decide on a focus for interventions.

Perform: Establish a trusting relationship with patient by spending

time with the patient each shift, which will encourage the patient to

be more honest and open.

Begin discussions at patient’s level of comfort. If patient wants to

express anger or other emotion, listen carefully. Until the patient has

had an opportunity to talk, you will not be able to move him to a

place where the issue can be discussed logically.

Inform: Provide information on informed consent because parents

will be making decisions for the child’s care.

Teach additional skills that enhance coping strategies. Help the

patient develop a program by using relaxation strategies (i.e., medi-

tation, guided imagery, yoga, exercise); these strategies will help to

reduce anxiety and allow the patient to concentrate.

Teach problem-solving skills. Have patient role-play to

demonstrate how to set up options and choose from among them.

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Attend: Encourage patient to continue adhering to his plan for

enhanced coping strategies. Compliance with the plan will produce

results for the patient. It will also help patient measure success.

Encourage patient to continue involvement in a wide range of

activities. More activities will involve more choices.

Encourage patient to look for volunteer opportunities in the com-

munity as a way of keeping the patient involved with others.

Offer to meet with patient regularly, if desired, to help patient

continue developing enhanced coping skills.

Manage: Refer patients to support groups and offer ideas about edu-

cational opportunities in the community.

SUGGESTED NIC INTERVENTIONS

Active Listening; Coping Enhancement

Reference

Fiks, A. G., et al. (2006, December). Identifying factors predicting immuniza-

tions delay for children followed in an urban primary care network using
an electronic health record. Pediatrics, 118(6), 1680–1686.

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