Nursing diagnosis is an important tool which helps nurses to identify, analyze and determine the potential responses to health problems of the individual. NANDA-International (formerly North American Nursing Diagnosis Association) is a global nursing organization which provides standardized languages and taxonomies for nursing diagnosis. The NANDA nursing diagnosis ‘Risk of Ineffective Behavior of Household Maintenance’ is a nursing diagnosis that defines the behavior of poor household management which can create a risk for the health of individuals.
NANDA Nursing Diagnosis Definition
The definition of this diagnosis as prescribed by NANDA-I (2013) is:
- Risk of ineffective behavior of household maintenance: The individual’s impaired ability to meet home management needs that compromise safety, health, and well-being
- Reporting feeling overwhelmed by tasks associated with household management.
- Verbalizing dissatisfaction changes in household routines.
- Expressing feelings of guilt or failure during household tasks.
- Verbalizing confusion managing and completing daily household activities.
- Complains of lack of energy to complete household tasks.
- Inconsistent and/or inadequate performance of household maintenance.
- Damaged or unclean areas and/or neglected items within the household.
- Inadequately completed or substandard performance of household roles.
- Delay in responding to home management needs.
- Statement verbalizing lack of understanding about how to manage the needs of the home.
Factors related to this nursing diagnosis may include, but are not limited to:
- Lack of knowledge regarding home health, safety and maintenance.
- Inability to learn and/or retain instruction related to home health, safety and maintenance.
- Cognitive deficits, including delirium, dementia, depression, etc.
- Low self-esteem.
- Physical limitations, such as reduced mobility or strength, decreased energy.
- Lack of motivation or interest in performing maintenance activities due to various reasons, such as social isolation, increased stress, psychiatric disorders.
- Poor coordination in household activities (e.g., unprepared, incomplete tasks, delayed goals).
- Few available resources (financial, material, and/or human), including family members.
- Worsening of chronic illness.
The individuals who are at risk for ineffective behavior of household maintenance are those who are living alone in their own home, have cognitive impairment, have physical disabilities, have lower knowledge base on household activities, have financial and time constraints, have little or no family support, have mental health issues and have worsening chronic illnesses.
The patient may suffer from problems related to home hygiene, poor ventilation, high temperature, inadequate storage for food and the accumulation of insect infestation, etc. if the risks posed by ineffective behaviors of household maintenance are not met properly.
Suggestions of Use
This nursing diagnosis should be used when there is an impaired ability to meet home management needs that can compromise the safety, health, and well-being of the individual. It is important to assess the deficits and limitations related to household maintenance and to take appropriate interventions to maintain the home environment so that it can support the health and safety of individuals at home.
Suggested Alternative NANDA Nursing Diagnosis
Alternative nursing diagnoses associated with this diagnosis may include:
- Decisional conflict (specify)
- Home maintenance: Performance, ineffective
- Infection risk
- Readiness for enhanced Resilience
- Risk for Injury
- Situational low Self-Esteem
- This nursing diagnosis is applicable for all age groups.
- It should be assessed through interviews and observation of the patient.
- It is important to assess the physical, psychological, sociocultural, economic, family, and environmental factors that might lead to the presence of risk for ineffective behavior of household maintenance.
- Be mindful of the culture and the beliefs of the patient when assessing this.
The expected outcomes of providing care interventions to the patient on the basis of nursing diagnosis ‘Risk of Ineffective Behavior of Household Maintenance’ are as follows:
- Knowledge: Home Maintenance: The patient will demonstrate knowledge on how to maintain a safe and healthy home environment.
- Safety Management: Household: The patient will be able to make the home environment safe for living.
- Sensory Perception: Visual: The patient will show adequate understanding of written information related to home safety.
- Coping: The patient will be able to cope with daily home activities using basic problem solving techniques.
- Caregiver Role Strain: The patient will demonstrate avoidance of exhaustion from taking care of too many tasks.
The following are the possible nursing interventions associated with this diagnosis:
- Home Environmental Teaching: Provide demonstration and repetition of basic skills required to maintain his/her home and personal hygiene.
- Safety Management: Household: Monitor, assess, and modify home environment to ensure safety.
- Injury Prevention Teaching: Provide safety teaching based on cognitive, physical and/or developmental abilities.
- Problem Solving Therapy: Assist with development of problem-solving models to enhance coping.
- Stress Management Training: Provide teaching in stress reduction and the use of relaxation techniques such as deep breathing, meditation or yoga.
The nursing diagnosis ‘Risk of Ineffective Behavior of Household Maintenance’ can help nurses to identify patients who have the potential to be affected by household risks and provide them necessary interventions to reduce the risk of injury and improve the home environment. Nurses can also collaborate with other health professions to find interventions and learn strategies to help these patients with effective management of home tasks.
- What is NANDA nursing diagnosis?
NANDA nursing diagnosis is a standardized language for nursing diagnosis developed by NANDA International and used by nurses for clinical decision making related to patient care.
- What is the NANDA diagnosis ‘Risk of Ineffective Behavior of Household Maintenance’?
This is a nursing diagnosis that describes the impaired ability to meet home management needs that can compromise the safety, health, and well-being of the individual.
- What are the factors associated with this diagnosis?
Factors associated with this diagnosis include lack of knowledge regarding home health, safety and maintenance, ability to learn and/or retain instruction related to home health, safety and maintenance, cognitive deficits, low self-esteem, physical limitations, lack of motivation or interest in performing maintenance activities, poor coordination in household activities and few available resources.