Nursing diagnosis – DISTURBED ENERGY FIELD


Disruption of the flow of energy surrounding a person’s being that

results in disharmony of body, mind, and/or spirit


Perceptions of changes in patterns of energy flow, such as changes in

• Hearing (tones, words).

• Perception of movement (wave spike, tingling, dense, flowing).

• Temperature.

• Sight (image, color).


Factors secondary to the slowing or blocking of energy flows may

be as follows:

• Maturational (age-related devel-

• Situational (anxiety, fear, griev-

opmental crisis and/or develop-
mental [mental] difficulties)

ing, and pain)
• Treatment-related (chemother-

• Pathophysiologic (illness,

apy, immobility, labor & deliv-

injury, and pregnancy)

ery, perioperative experience)

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Behavior

• Emotional status

• Coping

• Sensation/perception


The patient will

• Feel increasingly relaxed by slower and deeper breathing, skin

flushing in treated area, audible sighing, or verbal reports of feel-
ing more relaxed.

• Visualize images that relax him.

• Report feeling less tension or pain.

• Use self-healing techniques such as meditation, guided imagery,

yoga, and prayer.


Comfort Level; Health Beliefs; Personal Health Status; Personal

Well-Being; Spiritual Health


Determine: Assess how much support patient desires. Evaluate the

presence of a disorder that is life threatening or requires surgery.

Monitor levels of pain and disorders that may affect the senses.

Assess patient’s spiritual needs, including religious beliefs and affilia-

tion. Assessment of these areas will help to identify appropriate


Perform: Implement measures to promote therapeutic healing. Place

your hands 4   to 6   above the patient’s body. Pass hands over the

entire skin surface to become intoned to the patient’s energy fields,

which is the flow of energy that surrounds the human being. Identify


areas where there is energy disturbance considering cues such as

cold, heat, tingling, and electric sensation. This technique helps you

become attuned to patient’s energy field, the flow of energy that sur-

rounds a person’s being.

Administer medication as ordered to relieve pain.
Turn and reposition patient at least every 2 hr. Establish a turning

schedule for the dependent patient. Post schedule at bedside and

monitor frequency. Turning and repositioning prevent skin

breakdown, improve lung expansion, and prevent atelectasis.

Provide comfort measures such as bathing, massage, regulation of

environmental temperature, and mouth care, according to the

patient’s preferences. Comfort measures done for and with the

patient reduce anxiety and promote feelings of well-being.

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

(e.g., meditation, guided imagery, yoga, and prayer). Teach patient

how to incorporate the use of self-healing techniques in carrying out

usual daily activities. It will take repeated use of strategies to induce

a spirit of well-being.

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

that maximizes his or her comfort. Caregivers may need assistance

with techniques. Lack of skill can cause the patient unnecessary


Attend: Encourage patient’s cooperation as you continue with heal-

ing techniques, such as therapeutic touch. Listen for evidence of

effectiveness of treatment by patient’s statements about reduction in

tension or pain. One treatment rarely restores a full sense of well-


Manage: Refer to mental health specialist or other community agen-

cies as needed. It is important for patient to have ongoing support.

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.


Therapeutic Touch; Discharge Planning; Anxiety Reduction; Pain



Robb, W. J. (2006, April–June). Self-healing: A concept analysis. Nursing

Forum, 41(2), 60–77.