Sie sind auf Seite 1von 3

.

Ineffective coping related to inadequate psychological resources as evidenced by verbalization of inability to cope, chronic depression and inability to make decisions ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS
OBJECTIVE:

RATIONALE

EVALUATION
After nursing interventions, the patient was able to

Verbalization of inability to cope * Inability to make decisions * Inability to ask for help * Destructive behavior toward self * Inappropriate use of defense mechanism lack of appetite * Headaches * Chronic depression * Emotional tension * Insomnia

imbalanced nutrition less than body requirements related to UNWILLINGNESS TO EAT AS EVIDENCED BY STARVATION, WEIGHT LOSS, AND ANOREXIA

After nursing intervention, the patient will be able to 1. Encourage patient to seek information that Patient identifies increases coping skills own maladaptive coping behaviors. * Patient identifies 2. Provide opportunities to available express concerns, resources and fears, feelings, and support systems. expectations * Patient 3. Convey feelings of describes and acceptance and initiates understanding. Avoid alternative coping false reassurances strategies. 4. Encourage patient to identify own strengths and abilities. During crises, patients may not be able to recognize their strengths 5. Establish a working relationship with patient through continuity of care.

1 An ongoing relationship establishes trust, reduces the feeling of isolation, and may facilitate coping 2 Verbalization of actual or perceived threats can help reduce anxiety 3 to avoid losing the trust of patient 4 Fostering awareness can expedite use of these strengths

1. Patient

5 An ongoing relationship establishes trust, reduces the feeling of isolation, and

2.

identifies own maladaptiv e coping behaviors. * Patient identifies available resources and support systems. * Patient describes and initiates alternative coping strategies.

may facilitate coping 6. Encourage patient to seek information that increases coping skills 7. Provide information the patient wants and needs. Do not provide more than patient can handle 8. encourage patient to set realistic goals 6 Patients who are not coping well may need more guidance initially 7 Patients who are coping ineffectively have reduced ability to assimilate information 8 This helps patient gain control over the situation. Guiding the patient to view the situation in smaller parts may make the problem more manageable. 9 Patients who are coping ineffectively may not be able to assess progress. 10 Unexpressed feelings can increase stress. 11 This helps patient focus on more appropriate strategies

9. Point out signs of positive progress or change 10. Encourage patient to communicate feelings with significant others 11. Point out maladaptive behaviors

http://www.google.com/imgres?imgurl=http://maisonave63.blackapplehost.com/talambuhay_ni_jose_rizal_sa_isinulat_nya_el_filibusterismo_cwJbUTx.jpg&imgref url=http://maisonave63.blackapplehost.com/buong-talambuhay-ni-joserizal.html&usg=__zwhy6u75_gjjmvwPojjVv3i0qFU=&h=225&w=165&sz=10&hl=en&start=69&zoom=1&tbnid=WRuOSY1X9qqtrM:&tbnh=108&tbnw=79&ei=P3sY Tstkz42ZBfGP1Sw&prev=/search%3Fq%3Del%2Bfilibusterismo%2Bby%2Brizal%26hl%3Den%26biw%3D1024%26bih%3D439%26gbv%3D2%26tbm%3Disch&it bs=1 http://www.google.com/imgres?imgurl=http://maisonave63.blackapplehost.com/talambuhay_ni_jose_rizal_sa_isinulat_nya_el_filibusterismo_cwJbUTx.jpg&imgref url=http://maisonave63.blackapplehost.com/buong-talambuhay-ni-joserizal.html&usg=__zwhy6u75_gjjmvwPojjVv3i0qFU=&h=225&w=165&sz=10&hl=en&start=69&zoom=1&tbnid=WRuOSY1X9qqtrM:&tbnh=108&tbnw=79&ei=P3sY Tstkz42ZBfGP1Sw&prev=/search%3Fq%3Del%2Bfilibusterismo%2Bby%2Brizal%26hl%3Den%26biw%3D1024%26bih%3D439%26gbv%3D2%26tbm%3Disch&it bs=1