Nursing diagnosis – risk prone health behavior

Risk prone health behavior
Impaired ability to modify lifestyle/behaviors in a manner consistent
with a change in health status
• Demonstration of nonacceptance of health status to achieve optimal
sense of control
• Failure to take action to prevent future health problems
• Denial of health status change
• Inadequate comprehension
• Inadequate social support
• Low self-efficacy
• Multiple stressors
• Negative attitude toward healthcare
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Behavior
• Communication
• Coping
The patient will
• Identify inability to cope and will adjust adequately.
• Express understanding of the illness or disease.
• Participate in healthcare regimen including planning activities.
• Demonstrate ability to manage health problems.
• Help perform self-care activities.
• Show ability to accept and adapt to a new health status and integrate
• Demonstrate new coping abilities.
Acceptance: Health Status; Adaptation to Physical Disability; Coping;
Health Seeking Behavior; Participation in Healthcare Decisions;
Psychosocial Adjustment: Life Change; Social Support; Treatment
Behavior: Illness
Determine: Assess patient’s present understanding of health status
and treatment to form the basis for any further planning. Assess
feelings about present health status. Do this in a safe, nonthreatening
environment to allow the patient to gain insight into and rationally
define fears, goals, and potential problems. Monitor patient
involvement in care-related activities.
Perform: Make changes in the environment that will encourage
healthy behavior.
• Knowledge
• Self-perception
Inform: Teach patient and caregiver the skills necessary to manage
care adequately. Teaching will encourage compliance and adjustment
to optimum wellness.
Teach patient how to find areas in which it is possible to maintain
control to avoid feelings of powerlessness and allow the patient to
feel like a member of the team’s effort to assist him or her.
Teach caregivers to assist patient with self-care activities in a way
that maximizes patient’s potential. This enables caregivers to participate
in patient’s care and encourages them to support patient’s independence.
Attend: Provide emotional support and encouragement by listening
to the patient’s feelings. This will reassure the patient that you care.
Allow patient to grieve. Grieving is a normal and essential aspect
of any kind of negative change in health status. After working
through denial and isolation, anger, bargaining, and depression, the
patient will progress toward acceptance.
Provide reassurance that the patient’s feelings, under the circumstances,
are normal. By realizing that it is acceptable to grieve, the
patient will be willing to look for positive ways of coping.
Involve patient in planning and decision making. Having the ability
to participate will encourage greater compliance with the plan
for activity.
Discuss health problems with family members to encourage participation
in the patient’s care.
Manage: Refer to a mental health specialist if patient develops severe
depression or other psychiatric problem. Although trauma or illness
commonly causes some depression or other psychiatric disorders,
consultation with a mental health professional may help minimize it.
Arrange for an individual who has the same problem to meet
with the patient. This exposes the patient to suitable role models
and may encourage a supportive relationship to evolve.
Anxiety Reduction; Behavior Modification; Coping; Enhancement;
Counseling; Decision-Making Support; Mutual Goal-Setting; Role
Enhancement; Support System Enhancement
Telford, K., et al. (2006, August). Acceptance and denial: Implications for
people adapting to chronic illness: Literature review. Journal of Advanced
Nursing, 55(4), 457–464.