Definition:
inability to form a valid appraisal of stressors, inadequate choices of
responses, and/or inability to use available resources
1. Your initials (required):
2. Defining Characteristics - check those that apply to your client:
None- high
risk diagnosis
verbalization
of inability to cope
fatigue
change
in usual communication patterns
inability
to meet role expectations
decreased use of social support
destructive
behavior toward self and/or others
high
illness rate
lack of goal
directed behavior
sleep
disturbance
inability
to meet basic needs
3. Related Factors- check those that apply to your client:
changes in body integrity (loss of body part, disfigurement, severe
or fatal illness)
inadequate opportunity to prepare for stressor
inadequate resources available
inadequate social support
maturational crisis (physical and emotional changes, signs of aging,
career choices)
altered mental status related to disease state or drugs
institutionalization
sensory overload
inadequate psychologic resources (poor self esteem, lack of motivation,
immaturity)
4. Goal (ultimate, long term)
5. Outcome Criteria (short term)
6. Evaluation: Was the outcome criteria met?
Yes- Give
Evidence:
No- Explain
how you would change the plan:
7A. Interventions
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5.
6.
7B. Rationale for each intervention
1.
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6.