00073 Disabled family coping

00073 Disabled family coping

Definition of the NANDA label

State in which family members or other significant people for the sick person respond with behaviors that disable their own capacities and those of the sick person to effectively face the activities necessary for everyone to adapt to the health challenge.

Behavior of primary person (family member, significant other, or close friend) that disables his or her capacities and the client’s capacities to effectively address tasks essential to either person’s adaptation to the health challenge.

Defining characteristics


• Agitation.
• Depression.
• Aggression.
• Hostility.
• Indecision.
• Hopelessness.
• Bad relationship with the rest of the family members.
• Tendency to systematic abuse of toxic or harmful substances.
• Development of hopelessness and / or an attitude of inactive dependency or helpless dependency.
• Lack of satisfaction of needs.


• Neglect of the sick family member regarding their basic needs and the treatment of their condition.
• Distortion of reality with respect to the health problem of the sick family member, reaching the absolute denial of the seriousness or existence of their condition.
• Carrying out the usual family activities with disregard for the needs of the sick member.
• Rejection.
• Abandonment.
• Intolerance.
• Adoption of family decisions and actions to the detriment of the economic and social well-being of the whole or of the sick member.
• Excessive vigilance of a member of the family.
• Abuse of children, the spouse or the elderly.

Related factors

• Family member with chronic unexpressed feelings of guilt, anxiety, despair, or hostility.
• Very ambivalent family relationships.
• Dissonant discrepancy of coping styles to cope with adaptive tasks between the significant person and between several significant people.
• Defensive attitude of family members against the problem of a member and inability to adequately treat the underlying anxiety.


• Family normalization.
• Possible resistance to family care.
• Relationship between family caregiver and patient.
• Emotional health of the family caregiver.
• Overcoming family problems.


• Family support.
• Promotion of family normalization.
• Family therapy.
• Support to the family caregiver.
• Emotional Support.
• Intermittent care.
• Increase coping.