Introduction to Nursing Diagnosis: InAdapted Duel
Nursing Diagnosis: InAdapted Duel is a category of nursing diagnoses used to express a patient’s difficulty in adapting to changes or transitions. This can come in the form of extreme stress at work, home, or school, or even through an illness. This diagnosis can help nurses to identify potential problems prior to deterioration in health or an inability to cope with daily life.
NANDA Nursing Diagnosis Definition of InAdapted Duel
NANDA Nursing Diagnosis categorizes InAdapted Duel as a type of Stressor-related Diagnoses, and defines it as “a state in which an individual is experiencing difficulty with the transition or challenge associated with change or a transition”.
Defining Characteristics
Subjective Characteristics
- Experiences changes in mood or affect
- Decrease in sense of self-competence
- Difficulty coping with stress from daily life
- Statements of feeling overwhelmed or unable to cope
- References of fear or anxiety about facing the transition
Objective Characteristics
- Changes in behavior, including withdrawal, avoidance, or lack of concentration
- Low motivation towards tasks or small projects
- Significant distress, as evidenced by crying, or increased agitation/restlessness/irritability
- Changes in level of interaction and engagement with family and friends
- Changes in daily routine such as oversleeping, restlessness and lack of sleep, or loss of appetite
Related Factors
The related factors of InAdapted Duel are scenarios where the patient may have difficulty transitioning or adapting. These scenarios may include:
- Developmental Transitions: Moving through life stages, attending a new school, changing jobs, changing residence
- Mental Health Issues: Suffering from depression, Post Traumatic Stress Disorder, anxiety, bipolar disorder
- Interpersonal Situations: Divorce, death of a family member, relational misconduct, physical and sexual abuse
- Substance Abuse: Withdrawal from substance or addiction to substance
Risk Population
People likely to experience InAdapted Duel include adolescents, pregnant women, women whose lives have been drastically changed due to divorce, families in crisis situations such as relocation, or those who experience sudden changes in financial or employment status.
Associated Problems
Those diagnosed with NANDA Nursing Diagnosis: InAdapted Duel are at greater risk for poor judgment, violence to oneself or others, reduced social and activity involvement, increased risk-taking behaviors, and decreased concentration.
Suggestions for Use
Because InAdapted Duel can affect a person’s ability to cope and adjust to changes, it is important for nurses to be aware of this diagnosis. To successfully assess and treat patients affected by InAdapted Duel, it is important to understand their current ability to cope with the changes they are experiencing and to develop an appropriate plan of care.
Suggested Alternative NANDA Diagnoses
Alternative NANDA Nursing Diagnoses that may be related to InAdapted Duel include:
- Powerlessness
- Chronic Low Self-Esteem
- Ineffective Coping
- Impaired Social Interaction
- Disturbed Thought Process
Usage Tips
When assessing a patient, it can be helpful to ask questions related to the usage tips below:
- Determine the patient’s history of adapting to past changes.
- Discuss the presence of any of the defining characteristics and related factors.
- Assess the patient’s current attitude towards the transition or change.
- Ask if the patient has identified any aspects of the change or transition they find overwhelming.
- Explore if the patient has identified acceptable or effective coping strategies or techniques.
- Describe the expected prognosis or plan of care.
NOC Results
The following results can be used to assess a patient’s progress when addressing InAdapted Duel:
- Coping – The patient will identify personal coping techniques and understand the impact of change upon daily functioning.
- Competence – The patient will be able to successfully manage the change process by engaging in goal-directed behavior.
- Family Therapeutic Intervention – The patient and family will be able to verbalize understanding of family dynamics, roles and use of healthy communication skills.
- Resource Utilization – The patient will attain control, understanding and utilization of available resources and/or referral sources.
NIC Interventions
The following interventions are commonly used when treating patients with NANDA Nursing Diagnosis: InAdapted Duel:
- Environmental Management – Establish a safe environment by guiding the patient toward adaptive changes, providing a healthy and independent lifestyle, and promoting family support and assistance.
- Emotional Support – Assist the patient and family with emotional support, provide encouragement and feedback, and refer to mental health agencies as needed.
- Collaborative Care – Cooperate continuously with oral health professionals, pathology and other technical staff, and pursue continuing education, research, and consultation to ensure patient care.
- Symptom Management – Monitor for signs and symptoms of distress and use distraction methods and cognitive or behavior therapy as necessary.
Conclusion
By being aware of NANDA Nursing Diagnosis: InAdapted Duel, nurses can help to identify and recognize the signs and symptoms of the diagnosis, aid in providing appropriate treatments, and help patients to successfully adapt to changes or transitions. Through recognizing this diagnosis and intervening appropriately, nurses can help to improve overall patient outcomes and quality of life.
FAQ
Q: What is NANDA Nursing Diagnosis: InAdapted Duel?
A: NANDA Nursing Diagnosis: InAdapted Duel is a type of nursing diagnose used to express a patient’s difficulty in adapting to changes or transitions in their life such as moving through life stages, changes in employment status, or conditions such as depression.