00273 Energy Field Imbalance

Domain 4: activity/rest
Class 3: energy balance
Diagnostic Code: 00273
Nanda label: Energy field imbalance
Diagnostic focus: Energy field balance
Approved 2016 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda’s nursing diagnosis « imbalance of the energy field is defined as: alteration in the vital fluid of human energy, which is usually a continuous whole, which is unique, dynamic, creative and not linear.

Definite characteristics

  • Energy fluid block
  • Patterns congested from the energy field
  • Energy fluid congestion
  • Energy field patterns with dissonant rhythms
  • Energy deficit in the energy fluid
  • Expression of the need to recover the experience of all
  • Energy fluid hyperactivity
  • Irregular patterns of the energy field
  • Magnetic attraction to an energy field area
  • The frequency of the energy field varies from hammer pulsation
  • Pulsations feel in the energy fluid
  • Random energy field patterns
  • Fast energy field patterns
  • Slow energy field patterns
  • Strong field patterns
  • Cold temperature differentials in the energy fluid
  • Differentials of heat temperature in the energy fluid
  • Sensation of tingling in the energy fluid
  • Disordated energy field patterns
  • Sensation of uninconfined rhythms in the energy fluid
  • Weak energy field patterns

Related factors

  • Anxiety
  • Excessive stress
  • Interventions that alter the pattern or energy fluid
  • Pain

Risk population

  • People who experience vital transitions
  • People who experience personal crisis

Associated problems

  • Deterioration of health status
  • Injury

Suggestions of use

This diagnosis suggests independent but not traditional nursing interventions, which require specialized and practical learning. Therefore, they should only use nursing professionals with this type of experience (Krieger, 1979; Meehan, 1991).

Suggested alternative diagnostics

Other examples

The patient will be able to:

  • Verbally express the relief of symptoms (for example, pain, anxiety) after treatment
  • Demonstrate physical relaxation tests (such as reducing blood pressure, pulse, respiratory rate and muscle tension)
  • Indicate satisfaction with its psychological, social, spiritual, physiological and cognitive functioning
  • Demonstrate adequate coping skills

NIC Interventions

Note : several noc interventions are available to handle the related factors of the energy field. The therapeutic touch is the main intervention.

  • Acopress: Application of a very sustained pressure in special points of the body to reduce pain, produce relaxation and avoid or reduce nausea
  • Management of the environment: comfort: manipulation of the patient’s environment to promote optimal comfort
  • Simple massage: Skin stimulation and underlying tissues with different degrees of manual pressure to reduce pain, produce relaxation and/or improve circulation
  • Improvement of self -awareness: help the patient explore and understand their thoughts, feelings, motivations and behaviors
  • Therapeutic touch: Entering tune with the universal healing field, trying to act as an instrument of healing influence and use the natural sensitivity of the hands to focus and directly direct the intervention process

Nursing Activities

Before administering the therapeutic touch

  • Have privacy
  • Obtain the patient’s permission to use the therapeutic touch
  • Make the patient feel or lie down in a relaxed position with the aligned body
  • Indicate the patient to close the eyes and breathe regularly and slowly
  • (NIC) Therapeutic touch:
    • Focus awareness in the inner self
    • Focus on the intention of facilitating fullness and healing at all levels of consciousness


  • Nic (therapeutic touch):
    • Place the hands at a distance between 2.5 and 5.0 cm from the patient’s body
    • Start the evaluation by slowly and gently on the largest possible surface of the patient’s body, from the head to the feet and from front to back
    • Observe the general pattern of energy flow, especially any area with problems, such as congestion or irregularities, which can be perceived by means of very subtle indications in the hands, such as temperature changes, tingling or other subtle sensations of Movement (after treatment) Observe if the patient has experienced a relaxation response and in any related result
  • Ask for feedback to the patient during the procedure
    • Treatment
  • Concentrate completely on the patient, with unconditional love and compassion, and with the intention of helping him
  • When working in the head of the head or with sensitive patients (for example, mentally ill, elderly or premature children), the therapeutic touch should be used smoked and only during brief periods
  • Apply physical contact and real massage, as necessary
  • Provide a rest period to the patient after treatment
  • (NIC) Therapeutic touch:
    • Focus the intention on facilitating symmetry and healing in disturbed areas
    • Start with very soft movements of the hands down in the patient’s energy field, thinking about him as a whole and facilitating an open and balanced energy flow
    • Continue treatment with great smoothness facilitating the flow of healing energy in the disturbance areas
    • Finish when it is considered that the appropriate amount of change has already been given (that is, between one and two minutes for an infant, and between five and seven minutes for an adult), having in mind the importance of softness < /li>

Patient and family education

  • Teach the therapeutic touch to family members
  • Teach the patient deep breathing exercises to help their relaxation
  • Teach the patient to use the guided imagination together with the treatment of therapeutic touch

At home

  • Collaborate with the family to provide a space in which to apply the therapeutic touch

Babies and Children

  • The therapeutic touch is harmless for children and is even used with premature infants
  • It must be used gently and for one to two minutes by treatment

Older people

  • The therapeutic touch can be effective in the relief of anxiety and agitation in patients with dementia