READINESS FOR ENHANCED
Effective management of adaptive tasks by family member involved
with the client’s health challenge, who now exhibits desire and
readiness for enhanced health and growth in regard to self and in
relation to the client
• Individual expresses interest in making contact with others who
have experienced a similar situation.
• Family member attempts to describe growth impact of crisis.
• Family member moves in direction of enriching lifestyle.
• Family member moves in direction of health promotion.
• Individual chooses experiences that optimize wellness.
• Adaptive tasks effectively addressed to enable goals of self-
actualization to surface
• Needs sufﬁciently gratiﬁed to enable goals of self-actualization
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Emotional status
Family members will
• Discuss the impact of patient’s illness and feelings about it with
• Participate in treatment plan.
• Establish a visiting routine beneﬁcial to the patient.
• Demonstrate the care needed to maintain patient’s health status.
• Identify and use available support systems.
SUGGESTED NOC OUTCOMES
Caregiver–Patient Relationship; Caregiver Well-Being; Family
Coping; Family Normalization; Health-Promoting Behavior
INTERVENTIONS AND RATIONALES
Determine: Assess normal pattern of communication among family
members; understanding and knowledge of family members about
patient’s condition; family’s past response to crises; patient’s percep-
tion of health problem. Assess patient and family’s spiritual needs,
including religious beliefs and afﬁliation. Assessment of these factors
will assist in selecting appropriate interventions.
Perform: Schedule time to meet with family and patient in order to
listen to ways in which they plan to enhance their coping skills in
the present situation.
Provide comfort measures such as bathing, massage, regulation of
environmental temperature, and mouth care, according to the
patient’s needs and preferences. Comfort can promote ability to
cooperate with the plan.
Establish a visiting schedule that will not tax patient’s or family’s
resources. Use patient’s daily routine to aid in planning (e.g., no vis-
iting during treatments or during periods of uninterrupted rest).
Establishing a routine will allow the patient have consistency and a
measure of control.
Inform: Teach self-healing techniques to patient and family such as
meditation, guided imagery, yoga, and prayer. These strategies pro-
mote anxiety reduction.
Teach patient how to incorporate the use of self-healing
techniques in carrying out usual daily activities in order to encour-
age ongoing use of the strategies.
Demonstrate procedures and encourage participation in patient’s
care in a way that maximizes patient’s comfort. Both patient and
family need to work together to implement the plan with patient’s
comfort in mind.
Provide patient with concise information about condition. Be
aware of what family members already know. Honesty is important
when conveying information.
Attend: Reinforce family’s efforts to care for patient. Let family
know they are doing well to ease adaptation to new caregiver roles.
Ensure privacy for patient and family visits to foster open
Encourage family to support patient’s independence. Encourage
patient’s cooperation as you continue with healing techniques, such
as therapeutic touch. There is a need to allow for as much independ-
ence on the part of the patient as possible. At times the family will
try to promote dependency to the detriment of the patient.
Provide emotional support to family by being available to answer
questions. Availability will communicate to the family that you are
concerned for them and the patient.
Manage: Refer family to community resources and support groups
available to assist in managing patient’s illness and providing emo-
tional and ﬁnancial assistance to caregivers.
Refer to a member of the clergy or a spiritual counselor, accord-
ing to the patient’s preference, to show respect for the patient’s
beliefs and provide spiritual care.
SUGGESTED NIC INTERVENTIONS
Coping Enhancement; Family Process Management
Nelson, J. E., et al. (2005, March). When critical illness becomes chronic: Infor-
mational needs of patient and family. Journal of Critical Care, 20(1), 79–89.