READINESS FOR ENHANCED COPING
A pattern of cognitive and behavioral efforts to manage demands
that is sufﬁcient for well-being and can be strengthened
• Deﬁnes stressors as manageable
• Seeks knowledge of new strategies
• Seeks social support
• Uses a broad range of problem-oriented and emotion-oriented
• Uses spiritual resources
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
The patient will
• Identify major issues that require ongoing enhancement of coping
• Express feelings associated with coping strategies.
• Demonstrate readiness to develop enhanced strategies.
• Identify support persons and activities that will assist in goal
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.
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
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.