00302 Inadapted Duel Risk

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00302
Nanda label: risk of misfits
Diagnostic focus: duel
approved 2020 • Evidence level 3.4

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « risk of misfits is defined as: susceptible to a disorder that occurs after the death of a significant person, in which the experience of suffering that accompanies the mourning It does not follow sociocultural expectations, which can compromise health.

Risk factors

  • Difficulty dealing with recurring crises
  • Excessive emotional alteration
  • Anxious linking
  • Inadequate social support
  • Avitative linking

Risk population

  • People at economic disadvantage
  • People who experience unacceptable losses
  • People who experience sudden death of significant people
  • People who experience violent death of significant people
  • Unsatisfied people with the notification of death
  • People who have witnessed uncontrolled symptoms of the deceased
  • People with a history of child abuse
  • People with an unresolved mourning history
  • People with significant dependence on the deceased before death
  • People with strong emotional proximity to the deceased
  • People with unresolved conflicts with the deceased
  • People without paid employment
  • Women

Associated problems

  • Anxiety disorders
  • Depression

Suggested alternative diagnostics

  • Ineffective coping
  • Social isolation
  • Health risk behavior, a tendency to adopt
  • Religiosity, risk of deterioration of
  • loneliness, risk of
  • Spiritual suffering, risk of

NOC Results

  • coping: personal actions aimed at handling the stressful factors that test the resources of an individual
  • Comfort status: psycho -spiritual: psycho -spiritual tranquility related to self -concept, emotional well -being, the source of inspiration, and the meaning and purpose of life
  • Comfort status: sociocultural: social tranquility associated with interpersonal, family and social relationships, within a cultural context
  • Affliction resolution: adjustment to a real or imminent loss

Evaluation objectives and criteria

Examples with the use of noc> terms

  • • The patient and the family do not experience a complicated duel, as evidenced by successful coping and the resolution of the affliction
  • • See the evaluation objectives/criteria, as well as other examples, for the duel and resolution of the affliction

NIC Interventions

  • Active listening: carefully attend and give meaning to the verbal and nonverbal messages of the patient
  • Facilitate the expression of duel: Help with the resolution of a significant loss
  • Facilitate the expression of duel: perinatal death: Help with the resolution of a perinatal loss
  • Promotion of family integrity: improvement of cohesion and family unit
  • Improvement of coping: help the patient adapt to stressful factors, changes or perceived threats that interfere with the satisfaction of the demands and the roles of life
  • Presence: Be with another person during difficult times, both physically and psychologically
  • Surveillance: Collection, interpretation and synthesis of patient data, continuously and with an end, to make clinical decisions

Nursing Activities

  • See nursing activities for duel and complicated duel.