Introduction to Nursing Diagnosis: Risk of Resilience Deterioration
Nursing diagnosis is a key step in the nursing process. It allows nurses and healthcare providers to be more precise when assessing a patient’s condition and recommending an appropriate plan of care. Risk of Resilience Deterioration is a nursing diagnosis that is applicable to a wide range of patients who may have experienced a significant amount of psychological or physical stress. This diagnosis emphasizes the importance of promoting patient resilience, which helps to reduce the risk for further deterioration of health.
NANDA Nursing Diagnosis Definition
Risk for Deterioration of Resilience is defined as “an increased susceptibility to loss of protective resources which could lead to a worsened state”. It is classified as one of the 23 NANDA clinical nursing diagnoses, which are approved by the North American Nursing Diagnosis Association.
- Verbalizes decreased ability to cope with external stresses
- Demonstrates reduced motivation
- Expresses feelings of exhaustion or helplessness
- Appearance of difficulty maintaining a sense of composure
- Assuming of more passive coping strategies
- Decreased participation in meaningful activities or hobbies
The Risk for Deterioration of Resilience is commonly related to:
- Excessive psychological or physical stress
- Social isolation
- Social stigma
- Poor access to resources such as education, income and transportation
- Lack of social support
- Significant life changes/disruptions
- History of trauma or abuse
Patients who are at the highest risk for an increased susceptibility to loss of protective resources include:
- Older adults
- Individuals with chronic illnesses
- Individuals with limited financial resources
- Caretakers for chronically ill family members
If left unchecked, the Risk for Deterioration of Resilience can lead to other problems, such as:
- Physical symptoms
- Substance abuse
- Sleep disorders
- Compromised immune system
Suggestions of Use
Risk of Resilience Deterioration is best used to assess and promote resilience in patients who are experiencing undue stress or have experienced significant or traumatic events. It can be used to identify at-risk patients and individuals who may benefit from interventions to increase their capability for resilience.
Suggested Alternatives to NANDA Diagnosis
Other diagnoses which may be considered as alternatives for Risk for Deterioration of Resilience are Adjustment Reaction, Hopelessness and Impaired Social Interaction.
- Assess the patient’s perceived ability to cope with external stresses
- Identify any possible mitigating factors
- Evaluate the patient’s environment and support system
- Provide patient education on available resources and self-care strategies
- Encourage positive coping strategies to promote resilience
When using this diagnosis, patients may experience various outcomes, such as:
- Stress Tolerance: Ability to tolerate emotional distress while maintaining appropriate problem solving behaviors
- Spiritual Well-Being: Positive outlook on life based on inner strength, faith and hope plus interconnectedness with others
- Self-Care Agency: Confidence in ability to master and maintain healthy lifestyles
- Resilient Coping: Ability to adjust to challenging life stressors
Some suggested interventions for Risk of Resilience Deterioration include:
- Relaxation Therapy
- Problem Solving Therapy
- Cognitive Restructuring
- Nutrition Education
- Motivational Interviewing
- Multidisciplinary Care Planning
Risk of Resilience Deterioration is an important nursing diagnosis that can be used to understand and to intervene with patients who are facing high amounts of stress. By recognizing this diagnosis early and developing an appropriate plan of care, healthcare providers can help patients to regain and retain their resilience.
- What is Risk of Resilience Deterioration? Risk of Resilience Deterioration is a NANDA nursing diagnosis that is applicable to a wide range of patients who have experienced a great deal of psychological or physical stress. It emphasizes the importance of promoting patient resilience.
- What is the definition of Risk of Resilience Deterioration? The Risk for Deterioration of Resilience is defined as “an increased susceptibility to loss of protective resources which could lead to a worsened state”.
- Who is at risk for this diagnosis? Patients who are at the highest risk for deterioration of resilience include older adults, individuals with chronic illnesses, individuals with limited income and social supports, and caregivers for chronically ill family members.
- What interventions can be used to promote resilience? Interventions for Risk of Resilience Deterioration include relaxation therapy, problem solving therapy, cognitive restructuring, nutrition education, motivational interviewing and multidisciplinary care planning.