00101 Inability of the adult to maintain its development

00101 Inability of the adult to maintain its development

Definition of the NANDA label

Progressive functional impairment of a physical and cognitive nature. A marked decrease in a person’s ability to live with a multisystem disease, cope with subsequent problems, and manage their own care.

Defining characteristics

• Lack of appetite: does not eat food when it is offered.
• Says that they have no appetite, that they are not hungry or “I don’t want to eat.
• Inadequate nutritional intake; intake less than body requirements.
• Consume little or no food at most intakes (eg, consume less than 75% of normal requirements).
• Weight loss (below reference weight):
– Involuntary loss of 5% in 1 month.
– Involuntary loss of 10% in 6 months.
• Physical decline (decline in bodily function): evidence of fatigue, dehydration, bowel and bladder incontinence.
• Frequent exacerbation of chronic health problems (eg, pneumonia or urinary tract infections).
• Cognitive decline (decline of mental processes) evidenced by:
– Difficulties responding adequately to environmental stimuli.
– Demonstration of difficulty in reasoning, making decisions, making judgments, memory and concentration.
– Decreased perception.
• Decreased social skills or social withdrawal: perceptible reduction in the usual previous behavior of trying to establish or participate in cooperative and interdependent relationships (eg, decreased verbal communication with team, family, friends).
• Decreased participation in activities of daily living that the elderly person used to like.
• Self-care deficit: you no longer take care of or care about your hygiene or physical appearance.
• Difficulty performing simple self-care tasks.
• Neglect of the domestic environment or financial responsibilities.
• Apathy evidenced by the absence of observable feelings or emotions in terms of normal activities of daily life and the environment.
• Altered mood: expression of feelings of sadness, of being low in spirits.
• Manifestation of loss of interest in pleasant things such as food, sex, work, friends, family, hobbies or entertainment.
• Expression of wishes to die.

Related factors

• Apathy.
• Fatigue.
• Depression.


• Psychosocial adaptation: life change.
• Personal care (AVD).
• Desire to live.
• State of physical aging.
• Nutritional condition.


• Increase coping.
• Helps with self-care.
• Spiritual support.
• Give hope.
• Assistance in home maintenance.
• Identification of risks.