00177 Overload Stress

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00177
Nanda label: overload stress
Diagnostic focus: stress
approved 2006 • Evidence level 3.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « overload stress is defined as: excessive quantity and type of demands that require action.

Definite characteristics

  • Difficulty in decision making
  • Express feel pressed
  • Express increase in anger
  • Express tension
  • functional deterioration
  • Increase in impatience
  • Negative stress impact

Related factors

  • Inadequate resources
  • Repeated stressful factors
  • Stressors

Suggested alternative diagnostics

  • Ineffective coping
  • Caregiver, tiredness of the role of
  • Family therapeutic regime, ineffective management of

NOC Results

  • coping: personal actions aimed at handling the stressful factors that test the resources of an individual
  • Agitation level: severity of behavioral and psychological manifestations disturbing stress or biochemical triggers
  • Anxiety level: severity of manifest apprehension, tension or discomfort, whose origin is not identifiable
  • Stress level: severity of referred physical or mental tensions, secondary to factors that alter the existing balance

Evaluation objectives and criteria

  • It demonstrates an acceptable level of stress that is manifested by the following indicators (specify from 1 to 5: severe, substantial, moderate, light or none):
    • Anxiety
    • Changes in food intake
    • Frequent cognitive errors
    • Emotional starts
    • Sleep disorders
    • Tensional headache
  • Other examples

    The patient will be able to:

    • Express a manageable anxiety level
    • Have vital signs within the normal range
    • Do not experience muscle tension
    • Do not display maladaptive coping responses (for example, alcohol consumption, self -medication, smoking)
    • Perform the usual roles properly
    • Describe methods to reduce stressful factors
    • Plan well -adapted strategies to face stressful factors that cannot be eliminated

    NIC Interventions

    • Support for anger control: facilitation of anger expression in an adaptive way, without violence
    • Improvement of support systems: facilitation to the patient of family support, friends, and community
    • Improvement of coping: Help the patient to adapt to stressful factors, changes or perceived threats, which interfere with the satisfaction of the demands and the roles of life
    • Anxiety reduction: minimum reduction of apprehension, fear, feeling or discomfort related to an anticipated danger of unknown origin
    • Relaxation therapy: use of techniques to favor and achieve relaxation in order to reduce undesirable signs and symptoms such as pain, muscle tension or anxiety

    Nursing Activities


    • Identify the real and perceived stressful factors of the patient
    • Assess the physical and emotional responses to the stressful factors present (for example, sleep patterns, nutrition, mood)
    • Ask the patient to describe how stressful factors worked successfully
    • Identify the failed or inappropriate coping strategies of the patient
    • Assess the level of anxiety
    • Identify the usual roles of the patient in the family, work and community
    • Identify patient support systems
    • (NIC) Improvement of coping:
      • Evaluate patient skills to make decisions
      • Evaluate the impact of the patient’s life situation on roles and relationships

    Patient and family education

    • Teach techniques for stress management, such as progressive relaxation, visualization, bioretro -food, listen to music and write a newspaper

    Collaboration activities

    • Channel with spiritual leaders, counselors, social workers, psychologists and other professionals, if necessary


    • Help the patient recognize their negative vision and to restructure their thinking in more positive and realistic ways
    • Promote positive personal dialogue: when listening to the patient to make a negative comment about himself, ask him to express him in a positive way
    • Provide intervention in crisis, if necessary
    • Help the patient specifically identify stressful factors; Then, explore ways in which you could eliminate or reduce them
    • Help the patient recognize which of their coping strategies are successful and which are inadequate
    • Motivate the patient to use coping strategies that have been successful in the past

    At home

    • The above activities are appropriate for home use