00124 Hopelessness

Domain 6: self -perception
Class 1: self -concept
Diagnostic Code: 00124
Nanda label: despair
Diagnostic focus: hope
Approved 1986 • Revised 2017, 2020 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda’s nursing diagnosis « hopeless

Definite characteristics

  • Anorexia
  • Avitation behaviors
  • Decreased affective samples
  • Decrease in initiative
  • Decreased response to stimuli
  • Decrease in verbalization
  • Depressive symptoms
  • Express dejection
  • Express decrease in hope
  • Express feeling of an uncertain future
  • Express motivation inadequate for the future
  • Express negative expectations about yourself
  • Express negative expectations about the future
  • Express feeling of incompetence to achieve the objectives
  • Implication in inadequate personal care
  • Overview the possibility of unfortunate events
  • Passivity
  • Express alteration of the sleep-vigilia cycle
  • Suicide behaviors
  • Unable to imagine life in the future
  • It underestimates the occurrence of positive events

Related factors

  • Chronic stress
  • Fear
  • Inadequate social support
  • Loss of trust in spiritual power
  • Loss of confidence in transcendental values ??
  • Low self -efficacy
  • Prolonged immobility
  • Social isolation
  • Violence not attended
  • Symptoms of uncontrolled serious illness

Risk population

  • teenagers
  • Displaced people
  • People at economic disadvantage
  • People who experience infertility
  • People who experience significant losses
  • People with a history of suicide attempt
  • People with a history of having been abandoned
  • Older adults
  • People without employment

Associated problems

  • Severe condition
  • Depression
  • deterioration of physical condition
  • Eating and nutrition disorders
  • Mental disorders
  • Neoplasms
  • Terminal condition

Suggestions of use

  • This label must be distinguished from impotence. Despair implies that a person believes that there is no solution for their problem (which
  • “There is no way out”). In impotence it is possible that the person knows a solution for their problem, but believes that it is out of control to achieve it. Prolonged feelings of impotence can result in hopelessness. Although both diagnoses share some defining characteristics, the following are specific to impotence: irritability, resentment, anger, guilt and fear of a distancing from caregivers. For some patients, hopelessness can be a risk factor for suicide.

Suggested alternative diagnostics

Other examples

See other examples in NIC Interventions

Nursing Activities

See also the nursing activities for the diagnosis of Provision to improve hope


  • Evaluate and document the possibility of suicide
  • Monitor the affection and decision -making capacity
  • Control nutrition: intake and body weight

Patient and family education

  • (NIC) Inspiration of hope: teach to recognize reality when reviewing the situation and preparing contingency plans

Collaboration activities

  • Obtain psychiatric consultation


  • Promote active participation in group activities to provide social support opportunities and problem solving
  • Explore with the patient the factors that contribute to the feelings of hopelessness
  • Provide positive reinforcement to the behavior that demonstrates initiatives such as visual contact, revelation of their thoughts, reduction of time dedicated to sleep, improves self -care, increased appetite