IMPAIRED HOME MAINTENANCE
Inability to independently maintain a safe growth-promoting imme-
• Difﬁculty in maintaining home in a comfortable environment
• Outstanding debts or ﬁnancial crises
• Request for assistance with home maintenance
• Disorderly surroundings
• Unwashed or unavailable cooking equipment, clothes, or linens
• Accumulation of dirt, food wastes, or hygienic wastes
• Offensive odors
• Inappropriate household temperatures
• Lack of necessary equipment or aids
• Presence of vermin or rodents
• Deﬁcient knowledge
• Impaired functioning
• Insufﬁcient ﬁnances
• Inadequate support systems
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
The patient and family members will
• Express concern about poor home maintenance.
• Verbalize plans to correct health and safety hazards in home.
• Identify community resources available to help maintain home.
SUGGESTED NOC OUTCOMES
Family Functioning: Role Performance; Self-Care: IADLs
INTERVENTIONS AND RATIONALES
Determine: Assess home environment, ﬁnancial resources, patient’s
knowledge about self-care; and communication patterns in the fam-
ily. Assessment information will assist in identifying appropriate
Perform: List obstacles to effective home maintenance management
with patient and family to develop understanding of potential and
actual health and safety hazards. Begin discussions at patient’s level
of comfort. Adult learners learn best where they have speciﬁc needs
Assist family members to assign daily and weekly responsibility
for home maintenance activities. Having a schedule will promote
consistency in following the plan of care.
Inform: Teach patient and family the importance of home
maintenance to ensure safety. Provide written materials on environ-
mental aspects of home maintenance.
Teach skills such as setting down and choosing from a list of
options, and assertiveness skills to enhance coping strategies. Help
patient and family develop a program by using relaxation strategies
(i.e., meditation, guided imagery, yoga, exercise) to reduce anxiety.
Attend: Encourage weekly discussions about progress in maintaining
home maintenance schedule to develop family unity and allow mem-
bers to address problems before they become overwhelming.
Manage: Assist family members to contact community agencies that
can assist them in their efforts to improve home maintenance man-
agement, such as self-help groups, cleaning services, and extermina-
tors. Community resources can lessen family’s burden while
members learn to function independently.
SUGGESTED NIC INTERVENTIONS
Active Listening; Coping Enhancement; Counseling; Emotional
Support; Family Integrity Promotion; Family Support; Home
Horvath, K. J., et al. (2005, September–October). Caregiver competence to
prevent home injury to the care recipient with dementia. Rehabilitation
Nursing, 30(5), 189–196.