00074 Committed Family Coping

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00074
Nanda label: compromised family coping
Diagnostic focus: coping
Approved 1980 • Revised 1996, 2017

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « compromised family coping is defined as: a reference person who usually provides support (family member, significant person or intimate friend), providing comfort, help or stimulus, or A necessary assistance or stimulus for the patient to handle or dominate adaptive tasks related to their change in health, does so insufficient or ineffective, or said support is compromised.

Definite characteristics

  • The patient expresses complaint about the response of the person of reference to the health problem
  • The patient informs about the response of the reference person to the health problem
  • Limitation of communication between the reference person and the patient
  • Protective behavior of the incongruous reference person with patient skills
  • Protective behavior of the incongruous reference person with the patient’s autonomy needs
  • The reference person reports inappropriate knowledge
  • The reference person manifests an inadequate understanding
  • The reference person manifests concern about personal reactions to the needs of the patient
  • The reference person leaves the patient
  • Unsatisfactory assistance behaviors by the reference person

Related factors

  • Coexisting situations that affect the reference person
  • Exhausted capacity of the support person
  • Family disorganization
  • erroneous information provided by others
  • Inadequate available information for the reference person
  • Inappropriate reciprocal support
  • Inadequate support provided by the patient to the reference person
  • Inadequate understanding of information by the reference person
  • Erroneous understanding of information by the reference person
  • Concern from the reference person for issues outside the family

Risk population

  • Families with a member with family role alteration
  • Families whose reference person experiences abilities of abilities due to prolonged disease
  • Families whose reference person experiences development crises
  • Families whose reference person experiences situational crises

Suggestions of use

  • (a) The diagnosis of tiredness of the caregiver role focuses on the needs of the family that provides care, while the compromised family coping label focuses more on the patient’s needs,

    (b) The difference between this diagnosis and the interruption of family processes is not clear,
    (c) In case of severe dysfunction or destructive or abuse situations, use disabling family coping, which has the following defining characteristics:

  • Denial of the presence or severity of the disease of a family member
  • Despair, rejection
  • Abandonment
  • Abuse (Infant, from the spouse, of the old man)

Suggested alternative diagnostics

NIC Interventions

  • Caregiver Support: Provide the information, aid and support necessary to facilitate the fundamental care of a patient, carried out by Poralgien who is not a health care professional
  • Emotional support: provide comfort, acceptance and encouragement during the momentary tension
  • Family support: foster family values, interests and objectives
  • Care to give a breath: to supply care in the short term to relieve the cargo of the family caregiver
  • Learning facilitation: Promote the ability to process and understand information
  • Maintenance of family processes: reduce the effects of destabilization of family processes
  • Improvement of coping: help the patient adapt to stressful factors, changes or perceived threats that interfere with the satisfaction of the demands and the roles of life
  • Family mobilization: use of family strength to help the patient’s health positively
  • Orientation on the health system: to facilitate a patient the location and use of appropriate health services
  • Promotion of standardization: Assist parents and other members of children of children with chronic diseases or disabilities to provide their own experiences of their children and families
  • Promotion of family participation: facilitate family participation in the emotional and physical care of the patient

Nursing Activities

In general, nursing activities for this diagnosis focus on evaluating abuse behaviors, promoting a positive pattern of family communication, teaching family members to take care of the patient, and give emotional information and support


  • Determine the patient’s self -care deficiencies and the degree of dependency in the family
  • Assess the interaction between the patient and the family; be alert to possible destructive behaviors
  • Evaluate the ability and disposition of relatives to learn
  • Determine to what extent family members want to participate in patient care
  • Identify family expectations regarding the patient
  • Identify family structure and roles
  • (NIC) Family support.
    • Evaluate the emotional response of the family to patient’s disease
    • Identify the nature of spiritual support for the family

Patient and family education

  • Comment on the normal reactions to health problems (anxiety, dependence, depression, etc.)
  • Give information about the specific health problem and the necessary coping skills
  • Teach the family the necessary skills to take care of the patient: specify the skills
  • Teach, model and reinforce communication skills, including active listening, reflection, first -person phrases, conflict resolution
  • (NIC) Family support.
    • Teach the family of medical and nursing care plans
    • Provide the family with the necessary information about the alternatives, to help you make decisions about patient care

Collaboration activities

  • Explore with the family hospital resources and support systems available
  • Request a consultation to social services to help the family determine the needs subsequent to hospitalization and identify sources of support in the community (for example, support groups for family members of Alzheimer’s patients)
  • Organize a multidisciplinary meeting on patient care, in which the patient and family are involved in solving problems and communication facilitation
  • (NIC) Family support.
    • Provide spiritual help to the family, if adequate
    • Plan respite care, if they are indicated and the family wishes,
    • Provide access to support groups


  • Promote an open and trusted relationship with the family
  • Encourage the patient and the family to focus on the positive aspects of the patient’s situation
  • Help the family identify behaviors that can jeopardize the indicated treatments
  • Help the family be realistic regarding the needs of the patient and the family unit
  • Help the family in decision making and problem solving
  • Encourage the family to identify the necessary role changes to maintain family integrity
  • Encourage the family to recognize changes in interpersonal relationships
  • Explore the effect of values ??of values ??or coping on family relationships
  • Encourage the family to visit or care for the patient whenever possible; ensure privacy to facilitate family interactions
  • Provide structures for family interaction. Consider the nature of the interaction, the visit, the support of the staff during the visit, and which member or members of the family will visit the patient, based on the patient treatment plan
  • (NIC) Family support.
    • Promote realistic expectations
    • Listen about the concerns, feelings and questions of the family
    • Facilitate the expression of concerns and feelings between patients and family, or among family members
    • Answer all family members or help you get the answers
    • Provide patient care to relieve the family or when it is unable to provide them
    • Provide feedback to the family with respect to their coping form

At home

• All previous interventions can be done at home
• Establish telephone support for caregivers of a patient with dementia

Babies and Children

• Encourage parents to play, speak and sing the child, even when he is seriously ill

Older people

  • Assess the needs and capabilities of the caregiver spouse
  • Remove the caregiver about his ability to handle care and make him see the positive aspects of each situation