NANDA, or the North American Nursing Diagnosis Association, is a global organization that has created evidence-based nursing diagnoses to aid in advanced and comprehensive patient care. The diagnosis “Provision to Improve Self-Care” is designed to promote a patient’s health and wellbeing. This post will discuss the NANDA Nursing Diagnosis Definition, Defining Characteristics, Related Factors, Risk Population, Associated Problems, Suggested Use, Suggested Alternative NANDA Diagnoses, Usage Tips, NOC Results, NIC Interventions, and a Conclusion & FAQ.
NANDA Nursing Diagnosis Definition
The NANDA Nursing Diagnosis “Provision to Improve Self-Care” states that the individual is capable of behaviors and/or skills required for balance, or achieving physical and psychological equilibrium needed to maintain optimal health – and it is the nurse’s task to provide the patient with assistance needed for fostering the provision to improve self-care.
- Verbalization of not knowing what to do to maintain health
- Verbalization of a desire to improve self-care
- Verbalization of knowledge and skills deficit
- Inability to secure or use assistance for promotion of self-care
- Non-adherence to care plan/lack of presented evidence of self-care activity
- Physical disability that impairs ability to maintain self-care
- Lack of supporting resources to independent self-care, from family
- Lack of education or knowledge: The patient may lack education or knowledge regarding what they need to do to increase self-care.
- Lack of financial resources: The patient may not have the necessary funds to secure proper resources that would aid in self-care.
- Lack of appropriate environment: The patient may lack support or an environment that encourages the practices of self-care.
- Physiological damage: The limitations of organ health, physical disability, and/or physiological damage may impede on the capacity for quality self-care practices.
People who suffer from chronic illness, poverty, homelessness, aging, mental disorders, and limited access to healthcare services are at a higher risk for below provision self-care.
The associated problems with Provision to Improve Self-Care diagnoses are those related to a lack of self-care skills, knowledge, available resources, and/or motivation. Patients with mental health challenges may also be at risk for a lack of self-care.
Nurses are suggested to use the Provision to Improve Self-Care diagnosis to assess, monitor, evaluate, and modify interventions designed to restore balance and maintain a patient’s ideal health.
Alternative NANDA Diagnoses
Other NANDA Nursing Diagnoses which could be used in similar situations to the Provision to Improve Self-Care diagnosis include and/or suggest: Ineffective Health Management, Ineffective Coping, Readiness for Enhanced Self-Health Management, Decisional Conflict, and Risk for Injury.
The following tips apply to using the Provision to Improve Self-Care diagnosis:
- Work on naturalizing and/or internalizing autonomous self-care behavior with patient over time.
- Administer periodic assessments to check for changes in self-care behaviors.
- Refer to other aides if further help is needed to an occupational therapist or psychologist.
- Cognitive or callisthenic activities can be advised to the patient to increase function and coordination.
- Encourage patient to stick to plan of care and all appointments.
NOC Results associated with the Provision to Improve Self-Care diagnosis, include but are not limited to:
- Health Beliefs: Represents the knowledge of the patient regarding their health and their beliefs of the effects when following their health plan.
- Self-care: Displays the patient’s capacity for self-care ability, measures of performance of activities, and any constraints that affect self-care ability in general.
- Self-Concept: Refers to the patient’s capability to self-direct, judge, or evaluate how to manage their own health in terms of career, education, and personal activities.
- Coping: Displays the way in which the patient works with challenges and crises that come up in their daily life.
- Participation in Health Care: Shows the patient’s active role in monitoring, managing and managing a plan of care.
NIC Interventions related to the Provision to Improve Self-Care diagnosis include but are not limited to:
- Self-Care Assistance: Involves teaching and guiding patients in taking charge of their own health with customized auto-care services.
- Health Behavior Self-management: Treatment to assist patient’s needs and goals in maintaining health and well-being.
- Self-Awareness Awareness: Assists patients in recognizing the discrepancies between their current and health status.
- Management Support: Encourages and guides patients to create solutions as well as guide them to adhere to their health plan.
- Health Education: Supplies information to optimize patient knowledge and skills related to self-care.
Conclusion & FAQ
The NANDA nursing diagnosis “Provision to Improve Self-Care” helps fill the gap of the patient’s understanding of what to do to promote their health and wellbeing. Through providing the necessary resources and understanding, nurses can empower the patient to make positive changes to their self-care.
If you have any other questions about the “Provision to Improve Self-Care” NANDA nursing diagnosis, please comment below!