00193 Personal Carelessness

Domain 4: activity/rest
class 5: self -care
Diagnostic Code: 00193
Nanda Tag: personal carelessness
Diagnostic focus: personal carelessness
Approved 2008 • Revised 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « personal carelessness ” is defined as: constellation of culturally framed behaviors that imply one or more self -care activities in which there is a failure to maintain socially health and well -being Acceptable (Gibbons, Lauder and Ludwick, 2006).

Definite characteristics

  • Inadequate environment hygiene
  • Inadequate personal hygiene
  • No adherence to health -related activities

Related factors

  • Cognitive dysfunction
  • Fear of institutionalization
  • Executive function deterioration
  • Inability to maintain control
  • Choice of lifestyle
  • Neurocomportal manifestations
  • Stressors
  • Inappropriate use of substances

Associated problems

  • Gap Syndrome
  • Frontal lobe dysfunction
  • functional deterioration
  • Difficulty for learning
  • Simulation of disease
  • Mental disorders
  • Psychotic disorder

Suggested alternative diagnostics

Other examples

  • Perform daily activities (for example, use the toilet, bathe, dress)
  • The caregiver helps the patient handle the environment, as required

NIC Interventions

  • Support for self -care: Help another person to carry out the basic activities of daily life
  • Support for self -care: AIVD: Assistance and instruction to a person to carry out the daily instrumental activities (AIVD) necessary to function at home or in the community
  • Support for self -care: bath/hygiene: Help the patient to perform personal hygiene
  • Support for self -care: Use of the toilet: Help another with the elimination
  • Support for self -care: Dress/Personal arrangement: Help the patient to dress and make up
  • Oral health maintenance: maintenance and promotion of oral and dental hygiene of the patient that has a risk of developing oral or dental lesions

Nursing Activities

Nursing activities focus on identifying the etiological factors of patient’s personal carelessness, determining the seriousness of the problem or facilitating the patient for efforts to face it.


  • Perform a mental state exam
  • Perform a complete physical evaluation, paying special attention to personal hygiene
  • Assess the way of life and people available to help with daily activities
  • Perform a home security evaluation
  • Determine the level of participation and support of family members and other loved ones
  • Inquire about recent changes in the circumstances of life (for example, loss of a couple, physical changes)
  • Evaluate the patient’s desire and skills to change the situation
  • Monitor the indicators of personal carelessness resolution
  • (NIC) Support for self -care:
    • Monitor patient skills to perform self -care independently
    • Monitor the need of the patient for help devices for personal hygiene, dress, groom, eat and use the toilet

Patient and family education

  • (NIC) Support for self -care: teach parents or family to promote independence, when intervening only when the patient is unable to do things
  • Provide specific information to patient needs (for example, comment on diet requirements)

Collaboration activities

  • Create a multidisciplinary team, if possible (for example, who handles the case, nutritionist, doctor, occupational therapist)
  • Channel with a home food service, as required
  • Recommend alternative places for the patient, if a satisfactory level of home care is not achieved.


  • Develop a therapeutic relationship with the patient and his family
  • Encourage the patient to express their concerns
  • Help the patient identify the objectives and priorities
  • Encourage family members to participate in the planning and decision -making of care
  • Help establish a safe medical regime
  • (NIC) Support for self -care:
    • Take into account the patient’s age by promoting self -care activities
    • Encourage the patient to perform daily activities according to their skills
    • Establish a routine for self -care activities