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NANDA-I Definition

A usually supportive primary person (family member, significant other, or close friend) provides insufficient, ineffective, or compromised support, comfort, assistance, or encouragement that may be needed by the client to manage or master adaptive tasks related to his or her health challenge

NANDA-I Defining Characteristics

Client complaint about support person's response to health problem

Client reports concern about support person's response to health problem

Limitation in communication between support person and client

Protective behavior by support person incongruent with client's abilities

Protective behavior by support person incongruent with client's need for autonomy

Support person reports inadequate knowledge

Support person reports inadequate understanding

Support person reports preoccupation with own reaction to client's need

Support person withdraws from client

Unsatisfactory assistive behaviors of support person

NANDA-I Related Factors

Pathophysiologic

Related to impaired ability to fulfill role responsibilities secondary to:

Their acute or chronic illness

Situational (Personal, Environmental)

NANDA-I approved*

Related to coexisting situations affecting support person*

Related to depleted capacity of support person*

Related to family disorganization*

Related to inaccurate information presented by others*

Related to inadequate information available to support person*

Related to inadequate reciprocal support*

Related to inadequate support given by client to support person*

Related to inadequate understanding of information by support person*

Related to misunderstanding of information by support person*

Related to preoccupation by support person with concern outside of family*

Related to impaired ability to constructively manage stressors secondary to:

Substance abuse (e.g., alcoholism)

Negative role modeling

History of ineffective relationship with own parents

History of abusive relationship with parents

Related to unrealistic expectations of child by parent

Related to unrealistic expectations of parent by child

Related to unmet psychosocial needs of child by parent

Related to unmet psychosocial needs of parent by child

Related to marital stressors secondary to:

Financial difficulties

Separation

Infidelities

Problematic children

Problematic relatives

NANDA-I At Risk Population

Families with member with altered family role

Families with support person experiencing depleted capacity due to prolonged disease

Families with support persons experiencing developmental crisis

Families with support persons experiencing situational crisis

AUTHOR'S NOTE

This nursing diagnosis describes situations similar to the diagnosis Interrupted Family Processes or Risk for Interrupted Family Processes. Until clinical research differentiates this diagnosis from other nursing diagnosis, use Interrupted Family Processes.