00293 Willingness To Improve Health Self -Management

Domain 1: health promotion
Class 2: Health Management
Diagnostic Code: 00293
Nanda label: willingness to improve health self -management
Diagnostic focus: health self -management
approved 2020 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « disposition to improve health self -management is defined as: satisfactory management pattern of symptoms, treatment, physical, psychic and spiritual consequences and changes in style of life inherent to live with a chronic condition, which can be reinforced

Definite characteristics

  • Expresses desire to improve the acceptance of the problem
  • Expresses desire to improve daily life choices to achieve objectives
  • Expresses desire to improve the involvement in the monitoring of care
  • Express desire to improve decision making
  • Expresses desire to improve the inclusion of the therapeutic regime in daily life
  • Expresses desire to improve the management of risk factors
  • Expresses desire to improve signs management
  • Expresses desire to improve symptom management
  • Express desire to improve the recognition of disease signs
  • Expresses desire to improve the recognition of disease symptoms
  • Express desire to improve satisfaction with the quality of life

Suggestions of use

This diagnosis does not need the inclusion of related factors, because it is a well -being label.

NOC Results

  • Adhesion behavior: personal actions aimed at achieving optimal levels of well -being, recovery and rehabilitation
  • Compliance behavior: personal actions aimed at achieving optimal levels of well -being, recovery and rehabilitation, recommended by a health professional
  • Therapeutic behavior: disease or injury: personal actions to mitigate or eliminate a pathology
  • Knowledge: Treatment regime: degree of understanding transmitted about a specific treatment regime
  • Risk control: Personal actions to prevent, eliminate or reduce threats to health that can be modified
  • Health orientation: Personal commitment to consider healthy behaviors as priorities in lifestyle
  • Participation in health care decisions: Personal involvement in the choice and evaluation of health care alternatives to achieve the desired result

Evaluation objectives and criteria

  • Demonstrates adhesion behavior, as manifested by the following indicators (specify from 1 to 5: never, rarely, sometimes, often or usually):
    • Use good source information to develop health strategies
    • Adopt a founded health regime
    • Describe information to avoid deviating from a recommended health regime
    • Watch your own state of health
  • It demonstrates participation in health care decisions, as manifested by the following indicators (specify from 1 to 5: never, rarely, sometimes, often or usually): evaluates satisfaction with the results of care for care for care health
  • Demonstrates risk control, as manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
    • Watch environmental risk factors and personal behavior
    • Participate in the tests to detect related health problems and identified risks
  • Other examples

    • Describe and meets the prescribed health regimes (for example, diet, exercise)
    • Change or modify the health regime according to the indications of the health provider
    • Report control of symptoms

    NIC Interventions

    • Support in decision making: Provision of information and support to a patient who is making a decision regarding his health
    • Support for personal change: reinforcement of personal changes initiated by the patient, in order to achieve important personal objectives
    • Health Education: Preparation and supply of information and teachings to facilitate the voluntary adoption of health behaviors in individuals, families, groups or communities
    • Teaching: Individual: Planning, application and evaluation of an educational program, designed to address the specific needs of a patient
    • Teaching: Procedure or treatment: Preparation of a patient to understand and adapt mentally to a prescribed procedure or treatment
    • Establishment of shared objectives: collaboration with the patient to identify and give priority to the care objectives, and then develop a plan to achieve those objectives
    • Promotion of family participation: facilitation of family participation in the emotional and physical care of the patient
    • Anticipatory Guide: Preparation of a patient for an anticipated situational or development crisis
    • Risk identification: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
    • Orientation on the health system: facilitation to a patient of the location and use of adequate health services

    Nursing Activities


    • Evaluate the patient’s knowledge about disease prevention and health promotion
    • Identify the coping methods and problem solution that the patient usually uses

    Patient and family education

    • Help the patient plan the future by giving information about the normal course of their disease
    • Instruct about stress management techniques
    • (NIC) Orientation on the health system:
      • Explain the immediate health care system, how the patient and family can expect
      • Inform the patient about accreditation and the requirements of the State Health Department to judge the quality of an institution
      • Provide written instructions on the purpose and location of health care activities, as required
      • Inform the patient about the way of accessing emergency services through the telephone and a vehicle, as required

    Collaboration activities

    • Offer information on specific community resources for patient’s health objectives (for example, support groups)
    • (NIC) Orientation on the health system: identify and facilitate communication between health suppliers and the patient and their family, as required


    • Help the patient to identify and prepare for future development milestones, changes in situational roles or crisis
    • Help the patient identify situational obstacles that interfere with compliance with the therapeutic regime
    • Plan appointments with the patient in strategic situations or moments of development
    • (NIC) Orientation on the health system: motivate the patient and the family to raise their doubts about services and costs