Nursing Diagnosis : Ineffective Individual Coping
related to:
- Inability to trust others.
- Freaking Out.
- Sensitivity (vulnerability) someone.
- Low self-esteem.
- Examples of negative feelings.
- Pressing fear.
- Inadequate support systems.
- Ego less developed.
- Possibility heriditer factor.
- Family system dysfunction.
Defining characteristics:
- Abnormalities in social participation.
- Inability to fulfill basic needs.
- The use of self-defense mechanism is not appropriate.
Planning
General purpose:
- The patient can use adaptive coping, as evidenced by a lack of compatibility between the interaction and the desire to participate in society.
- The patient will develop a sense of trust in others,
- The patient is not easy to panic.
- The patient can control the fear and low self-esteem.
- The patient can assess the situation realistically passage and no action projection feelings in that environment.
- The patient can recognize and clarify the possibility of misinterpretation of the behavior and words of others.
- The patient eat food from a plate in hospital and take medicine without showing distrust.
- The patient can interact appropriately / accordance with cooperative with nurses and colleagues.
Intervention and rational:
1. Instruct the same nurse to work with the patient as much as possible.
Rational:
Facilitate the development of a trusting relationship.
2. Avoid physical contact.
Rational :
The patient who suspect may interpret the touch as the body language that suggests the threat.
3. Avoid laughing, whispering, or speak slowly near the patient so that the patient can see it but can not hear what was being said.
Rational:
The patient suspicious, often believe that other people were talking about him, and secretive attitude will support the emergence of suspicion.
4. To be honest and always keep it just a promise.
Rational:
Honesty requires a sense of other people will support the emergence of a trusting relationship.
5. Most likely it takes a creative approach to support the input of food (eg canned food, food specialties private or family that will provide greater opportunity for that matter).
Rational:
The patient suspicious, often believe that they will diuracuni so that the patient refused to eat food prepared by someone in his plate.
6. Check the patient's mouth after taking the drug.
Rational:
Ensure that the patient had swallowed the medicine.
7. Do not provide activities that are competitive. Activities that support the existence of interpersonal relationships (one on one) with a nurse or therapist is the best activity.
Rational:
Competitive activity is an activity that is threatening patients suspicious.
8. Motivation the patient to tell the true feelings. Nurses should avoid rejection of the anger aimed at the patient directly to the nurses themselves.
Rational:
Verbally express feelings in a non-threatening environment might help the patient to arrive at a particular moment in which the patient can confide that have been long buried.
9. Assertiveness, according reality, a friendly approach would be things that do not threaten the patients were suspicious.
rational:
The patient suspicious, do not have the ability to connect with a friendly attitude or that cheerful once.