00211 Risk Of Resilience Deterioration

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00211
Nanda label: resilience deterioration risk
Diagnostic focus: resilience
Approved 2008 • Revised 2013, 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « risk of resilience deterioration is defined as: likely to reduce the ability to recover from an adverse or changing situation, through a dynamic adaptation process, that can compromise health.

Risk factors

  • Alteration of family relationships
  • Violence in the community
  • Interruption of family rituals
  • Interruption of family roles
  • Dysfunctional family processes
  • Inadequate health resources
  • Inadequate social support
  • Inconsistent parenting
  • Inephic impulse control
  • Coexistence of multiple adverse situations
  • Vulnerability perception
  • Inappropriate use of substances

Risk population

  • People at economic disadvantage
  • People who experience a new crisis
  • People who experience chronic crises
  • People exposed to violence
  • People belonging to an ethnic minority
  • People whose parents suffer from mental disorders
  • People with a history of exposure to violence
  • People with large families
  • Mothers with low educational level
  • Women

Associated problems

  • Intellectual disability
  • Psychological disorder

Suggestions of use

  • See the diagnosis of deterioration of personal resilience.

Suggested alternative diagnostics

  • Social isolation
  • Low self -esteem, chronic or situational
  • Paternity, deterioration of the

NOC Results

  • Personal resilience: adaptation and positive functioning of an individual after an important crisis or problem

Evaluation objectives and criteria

  • • Resilience is not compromised, as demonstrated by personal resilience
  • • Personal resilience is demonstrated, as manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
    • Verbally express a positive perspective
    • Verbally express a greater sense of control
    • It adapts to adversities and challenges
    • Avoid misuse of drugs (or alcohol)
    • It has a job
    • Participate in curricular (and extracurricular) school activities
    • Express self -efficacy
  • Other examples

    • • Search and use the resources available to strengthen its adaptation and resilience

    NIC Interventions

    • Support for subsistence: Help an individual or family needed to get food, clothing or refuge
    • Anticipatory Guide: Patient preparation for a crisis of development and/or anticipated situational
    • Risk identification: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
    • Inspiration of hope: Facilitation of the development of an optimistic perspective in a certain situation
    • Cultural intermediation: Deliberate use of culturally competent strategies to mediate between the patient’s culture and the biomedical health system
    • Intervention in crisis: Use of brief psychological orientation to help the patient to face a crisis and restore a similar functional state, or better, to the state prior to the crisis
    • Case management: Coordination of care and support for specific individuals and populations of patients in different areas, to reduce costs and use of resources, as well as improve the quality of health services and achieve the desired results
    • Improvement of self -efficacy: Strengthening of an individual’s trust in his ability to perform health behavior
    • Behavior modification: favoring a behavior change
    • Orientation on the health system: facilitation to a patient of the location and use of adequate health services
    • Multidisciplinary meeting on care: Planning and evaluation of patient care with other disciplines health professionals

    Nursing Activities


    • • Identify underlying stressful factors and related factors (for example, chronic diseases, unemployment)
    • • Evaluate family dynamics and communication patterns
    • • Determine the educational level of the patient
    • • Assess the coping behavior patterns
    • • Evaluate family resources (economic, support groups)
    • • Identify cultural and spiritual beliefs and practices

    Patient and family education

    • • Provide information, as required (for example, nutrition, substance consumption)

    Collaboration activities

    • • Channel to support groups, as required (for example, for substance abuse programs or domestic violence)


    • • Encourage the patient to express their feelings, pointing out the differences between feelings and behavior
    • • Recognize the difficulty of making changes to the situation
    • • Facilitate communication between the patient and his relatives
    • • Concentrate on the patient’s strengths and reinforce them
    • • Strengthen personal responsibility in decisions and actions