Ineffective Coping Care Plan | Nursing Diagnosis

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Ineffective Coping Care Plan and Nursing Diagnosis

Ineffective coping can be defined as the inability to realistically assess stressors and use available resources to cope with your stress. Everyone gets stressed in one way or another, but if you are unable to respond to your stressors you are said to have ineffective coping.

Most persons suffer from stress or pressure especially when expected demands from them are above their coping ability. For instance, if family members, friends, colleagues, or professionals expect from individuals more than their capacity or power, they become under pressure to meet the expectations and when they are overwhelmed by such situations they get stressed.

Situations that often lead to stress include financial crisis, illness, divorce, or at times loss of a family member. These circumstances make everyone feel agitated and stressed. An individual with these or any of these conditions requires an Ineffective Coping Plan to ensure proper management of their condition.

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What are the Causes of Ineffective Coping?

There are objectives that cause problems such as ineffective coping. These kinds of objectives must be spotted before developing an ineffective coping nursing care plan. These reasons include:

Behavioral unpredictability
Crisis related to mature emotions
Threats of higher level
Coping methods due to gender difference
Deficiency of supporting the process
inability to preserve flexibility energies
Lack of confidence in capabilities to cope
Available resources deficiency
Lack of preparations to handle stress
Decreased use of social interaction tools
Disturbance in tension handling process

Characteristics and Symptoms of Ineffective Coping

An ineffective care plan can assist caregivers to diagnose the signs and symptoms of ineffective coping. The following are some of the characteristics and symptoms that help diagnose an ineffective coping plan.

Exhaustions
A high rate of sickness
Restlessness during sleep time
Self-destructive attitude
Change in the usual communication pattern
Deficiency of ambition directed behavior
Unsuitable usage of defensive mechanism
Lack of confidence to ask for help
Change of behavior –fatigue, frustration, impatience e.t.c
Absence of social assertiveness
Poor verbalization
Sleep Disturbance
Lack of decision-making powers
Inadequate Level of Confidence
Inadequate Problem Solving
Poor Concentration
Destructive behavior toward self or others

Nursing Diagnosis of Ineffective Coping

Assessment and diagnosis are required in every stage of ineffective coping. Proper assessment is paramount to distinguish between problems and solutions. Here are some tips that help nurses in the diagnosis of ineffective coping. The nurse should:

Identify the reasons behind the stressors since it will help them in developing an appropriate strategy to aid the patient’s coping level.

Observe the influence of all customs, events, norms, and values on the patient to observe his psychological and behavioral conditions.

Observe the reasons behind ineffective coping such as crises, threats, support deficiency, frustration, disturbance, or any other reason. Once the reason is identified, the health caregiver can understand the present situation of the patient and help them in picking the most effective remedial method.

Identify the inter-personal relations of patients and their level. Thereafter, check out about any family problem that can cause the over-whelming of an individual’s coping ability.

Observe the strengths and weaknesses of patients. By doing so, they can help them improve their strengths by appreciating them. Besides, they can avoid negative or weak points that can affect the coping ability of an individual. As such, the individual will feel much better and confident before you.

Monitor the patient’s self-destruction abilities because if the patient is restless and hopeless, it can lead to suicide or hurting.

Quickly identify a plan at an emergency. In case a patient is risky and tends to be suicidal, such a patient shouldn’t be treated at home but admitted to the hospital for critical observation.

All these aspects ought to be noticed before proceeding to the desired outcomes.

Goals and Outcomes

The primary role and responsibility of a nurse are to help the patient go through an emotional, physical, or medical condition and fully recover. Whenever preparing a care plan, goals, and positive results should be part of it. The common goals and desired outcomes for ineffective coping are aimed to help the patient to attain the following aspects: The patient should:

Be able to ask for help from anyone
Be able to communicate well to meet his needs
Be able to explain and adopt coping strategies
Focus and concentrate on a specific approach that is developed in them
Be able to observe the positive results from a new experience
Be precise and decisive about his aims and goals
Be able to utilize the available assistance
Help themselves to get out from their frustrating situation
Establish a positive and healthy environment in their surrounding
Be able to have regular relaxing sessions and sleep time that is fixed to motivate the patient.

Assessment and Rationale

Whenever planning for coping care plans, proper assessment, and rationale should be part of the entire process. Here are some of the factors that will guide the process of assessment.

Observe the patient for causes of ineffective coping
Identify specific stressors
Establish the patient strengths
Monitor suicidal tendencies and risk to harm others
Evaluate the available resources and support systems

Infective Coping Care Plan’s Interventions

One can reduce the effect of stress by following a proper care plan without the help of a caregiver. For the affected individual to attain the desired outcome, the following intervention will play a great role.

Observe yourself daily. Keep track of your activities towards your daily routines, actions, behaviors, and take note of the change, if any.
Observe your response to values, customs, and events.
Build up your confidence to make decisions
Spend a specific amount of time with your loved one to initiate positivity in yourself. Organize for a get-together and have a good time among them.
Use your confidence during communication among your friends and family.
Encourage yourself to tackle problems and handle them with the proper plan without getting frustrated.
Arrange meetings with professionals and have healthy discussions with them.
Observe the care plan and check to mark the valuable result while you improve on the points that you are still deficient in.

If the ineffective coping continues even after the intervention process, it is recommended to refer the patient for counseling or medical services.

Physical and Mental Activities

It is important to consider mental and physical activities that form the foundation of the ineffective coping care plan. The nurse should consider the best mode of delivering the intervention for example through reading, watching television, games and socializing.

The nurse should choose an intervention from the one identified to help the patient improve his/her awareness in order to help the patient regain his ability to cope and relax. These activities will help the patient be able to cope with stressors in his environment. Physical activities and proper nutrition play a big role in improving their ability to cope and improved high blood pressure.

Self-evaluation and Communication

The nurse should help the patient in assessing the situation. The nurse and patient as a team should come up with the solution, but the nurse should not impose the solution. It’s important that the patient knows what is required of him in order to manage the situation effectively. The nurse should not stretch the patient but should have realistic expectations in order to enhance patient coping behaviors.

The patient should provide information that the nurse requires and needs. The nurse should give information that the patient needs in order to improve his coping capabilities. As a nurse, you should take into consideration that ineffective coping has limited self-esteem.

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