NANDA (North American Nursing Diagnosis Association) is a standard that provides a framework for nursing diagnoses. One of the diagnoses included in the NANDA list is “Ineffective Protection.” This diagnosis addresses the patient’s inability to protect themselves from harm or danger. It is important for nurses to be able to recognize and address this diagnosis in order to provide appropriate care for their patients.
NANDA Nursing Diagnosis Definition
According to NANDA, the definition of “Ineffective Protection” is “At risk for harm to self or others due to impaired ability to identify or avoid environmental hazards or prevent physical harm.”
Defining Characteristics
- Subjective:
- Verbalization of fear or anxiety about being harmed
- Reports of past accidents or injuries
- Objective:
- Evidence of environmental hazards in the patient’s immediate surroundings
- Injuries or accidents that have occurred
- Inability to identify potential hazards
Related Factors
- Impaired physical mobility
- Cognitive impairment
- Mental illness
- Lack of knowledge about safety measures
Risk Population
Patients who are at risk for “Ineffective Protection” include those who are elderly, have cognitive impairment, have a history of accidents or injuries, and those with mental illness.
Associated Problems
- Accidents and injuries
- Decreased quality of life
- Increased healthcare costs
Suggestions for Use
- Assess the patient’s ability to identify and avoid hazards in their environment
- Educate the patient and their family about safety measures
- Implement safety measures in the patient’s immediate surroundings
Suggested Alternative NANDA Diagnoses
- Impaired physical mobility
- Cognitive impairment
- Impaired verbal communication
Usage Tips
- Consider the patient’s individual needs and abilities when implementing safety measures
- Evaluate the effectiveness of the safety measures in place
- Regularly re-assess the patient’s risk for harm
NOC Results with Explanation
- Injury prevention: The patient is able to identify and avoid hazards in their environment, thus reducing their risk for injury.
- Safety status: The patient’s overall safety is improved as a result of the implementation of appropriate safety measures.
NIC Interventions with Explanation
- Environmental management: This intervention involves identifying and removing hazards in the patient’s immediate surroundings to reduce their risk for harm.
- Safety education: This intervention involves educating the patient and their family about safety measures they can implement to protect themselves from harm.
- Mobility assistance: This intervention involves providing assistance to the patient with physical mobility, helping them to avoid hazards and protect themselves from harm.
Conclusion
NANDA’s “Ineffective Protection” nursing diagnosis addresses the patient’s inability to protect themselves from harm or danger. It is important for nurses to be able to recognize and address this diagnosis in order to provide appropriate care for their patients. By assessing the patient’s risk for harm, implementing safety measures, and educating the patient and their family, nurses can help to reduce the patient’s risk for accidents and injuries and improve their overall safety.