Nursing diagnosis – RISK FOR COMPROMISED HUMAN DIGNITY

RISK  FOR  COMPROMISED  HUMAN  DIGNITY

DEFINITION

At risk for perceived loss of respect and honor

DEFINING CHARACTERISTICS

• Cultural incongruity

• Disclosure of confidential information

• Exposure of the body

• Inadequate participation in decision making

• Loss of control of bodily functions

• Perceived dehumanizing treatment

• Perceived humiliation

• Perceived invasion of privacy

• Use of undefined medical terms

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Communication

• Values and beliefs

• Behavior

• Coping

EXPECTED OUTCOMES

The patient will

• Express satisfaction with level of respect.

• Identify those things that will reduce feelings of powerlessness and

vulnerability and increase perception of autonomy.

The patient and family will

• Agree on a plan to protect patient’s privacy and respect patient’s

confidentiality; family members will evaluate the progress they are
making in protecting the patient’s right to confidentiality.

• Express satisfaction with the level of respect shown to patient’s

human dignity.

SUGGESTED NOC OUTCOMES

Client Satisfaction; Protection of Rights; Coping; Personal

Autonomy; Self-Esteem

INTERVENTIONS AND RATIONALES

Determine: Assess patient’s perception of the current health problem

and problem-solving techniques he or she uses to cope. Determine

level of family involvement and support. Ask about support systems,

including family, friends, and clergy. Determine patient’s legal status,

including the authority to give consent for treatments or procedures.

Assessment of these factors will assist in identifying appropriate

interventions.

Perform: Schedule time to spend with the patient to listen to

concerns and feelings about current situation.

Develop a plan visiting with patient to ensure that the desirable

level of privacy is being maintained.

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Incorporate questions into discussions with the patient that are

open-ended, and start with such words as “what,” “how,” and

“could,” rather than “why.” Open-minded, nonthreatening question-

ing encourages the patient to discuss issues of concern and improve

ability to articulate what he or she desires.

Schedule team meetings with staff to ensure that communication

with the patient is consistent and truthful.

Inform: Provide education on legal and ethical rights of the patient

to have his human dignity respected, as well as the hospital’s or

agency’s policies on respecting the rights of patients. Include family

in this process. Every patient is entitled to have a copy of the hospi-

tal’s Bill of Patient’s Rights.

Arrange a team conference with the staff to review with patient

and family information on bioethics and moral rights of patients.

Role model or provide case studies with situations to allow staff to

design strategies for handling difficult issues associated with patient’s

rights.

Attend: Encourage discussion of thoughts and feelings about the

overuse of negative expressions on the part of the patient by

suggesting strategies such as a rubber band on the wrist to snap

every time negative expressions begin. Negative expressions can

impair the patient’s progress toward a healthy lifestyle.

Encourage role-playing of verbal and nonverbal communication

techniques in a safe environment to enhance communication skills.

Provide support through active listening, appropriate periods of

silence, reflection on feelings, and paraphrasing and summarizing

comments. Active listening techniques encourage patient

participation in communication.

Make sure that patient has clear explanations for everything that

will happen to him. Ask for feedback to ensure that patient under-

stands. Anxiety may impair patient’s cognitive abilities.

Manage: Refer patient and/or family to a support network that will

relate to them in regards to caregiving, the pressures of illness, and

other issues related to respecting human dignity. A support network

will provide an outlet for the family members as they work through

the various issues.

SUGGESTED NIC INTERVENTIONS

Body Image Enhancement; Self-Awareness Enhancement; Self-Esteem

Enhancement

Reference

Coventry, M. L. (2006, May). Care with dignity: A concept analysis. Journal

of Gerontological Nursing, 32(5), 42–48.

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