Nursing diagnosis – READINESS FOR ENHANCED HOPE

READINESS  FOR  ENHANCED  HOPE

DEFINITION

A pattern of expectations and desires that is sufficient for mobilizing

energy on one’s own behalf and can be strengthened

DEFINING CHARACTERISTICS

Expresses desire to enhance:

• Ability to set personal goals

• Belief in possibilities

• Congruency of expectations with desires

• Hope

• Interconnectedness with others

• Problem solving to meet goals

• Sense of meaning to life

• Spirituality

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Behavior

• Roles/responsibilities

• Coping

• Self-perception

• Emotional status

EXPECTED OUTCOMES

The patient will

• Express desire for positive health outcomes.

• Share personal goals to increase autonomy and personal

satisfaction.

• Increase quality of life.

• Plan to promote maximal physical, mental, social, and psychologi-

cal abilities.

• Share strategies to live a meaningful life.

• Express awareness of the need for developing and maintaining a

positive attitude of hope.

• Seek spiritual support as needed.

SUGGESTED NOC OUTCOMES

Hope; Personal Well-Being; Quality of Life; Will to Live

INTERVENTIONS AND RATIONALES

Determine: Assess patient’s perception of ability to set personal goals.

Assess expression of desire to build on possibilities for the future,

and ability to align desires and expectations. Assess ability of patient

to maintain and enhance relationships with others. Assess patient’s

and family’s spiritual needs, including religious beliefs and affiliation.

Information from assessment will assist in determining appropriate

interventions.

Perform: Schedule time to meet with family and patient to listen to

ways in which they plan to enhance their coping skills in the present

situation.

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Facilitate opportunities for spiritual nourishment and growth to

address patient’s holistic needs for maximal therapeutic environment.

Inform: Teach self-healing techniques to both the patient and family,

such as meditation, guided imagery, yoga, and prayer, to promote

relaxation.

Teach patient how to incorporate the use of self-healing techniques

in carrying out usual daily activities. Practicing will increase the

chance that the patient will himself use these techniques.

Teach caregivers to assist patient with self-care activities in a way

that maximizes patient’s comfort. Comfort will reduce anxiety and

help patient cooperate with his or her treatment.

Demonstrate procedures and encourage participation in patient’s

care.

Provide patient with concise information about patient’s condition.

Be aware of what the family members have already been told.

Attend: Reinforce family’s efforts to care for the patient. Let them

know they are doing well to ease adaptation to new caregiver roles.

Encourage family to support patient’s independence.

Encourage patient’s cooperation as you continue with healing

techniques, such as therapeutic touch. Cooperation will enhance the

effect of the therapy.

Provide emotional support to family and be available to answer

questions. Being available to answer questions and listen builds trust

of the family.

Manage: Refer family to community resources and support groups to

assist in managing patient’s illness and providing emotional 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

Hope Facilitation; Self-Esteem Enhancement; Spiritual Growth Facili-

tation

Reference

Davidson, P. M., et al. (2007, January–February). Maintaining hope in transi-

tion: A theoretical framework to guide interventions for people with heart
failure. Journal of Cardiovascular Nursing, 22(1), 58–64.

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