Ineffective Coping - Therapeutic Nursing Interventions

Therapeutic Nursing Interventions

• Observe the cause of ineffectiveness of countermeasures such as poor self-concept, sadness, lack of skills in problem solving , lack of support , or changes in life.
• Observe powers such as the ability to tell the reality and identify the source of the pressure.
• Monitor the risk of harm to self or others and handle them appropriately.
• Help the patient determine realistic goals and identify personal skills and knowledge.
• Use empathic communication, and encourage patient / family to express fears, expressing emotions, and set goals.
• Instruct the patient to make choices and participate in treatment planning and activities scheduled.
• Provide physical and mental activity which does not exceed the ability of the patient (eg, reading, television, radio, carving, sightseeing, cinema, eating out, social gatherings, exercise, sports, games)
• If you have the physical ability, suggest that moderate aerobic exercise.
• Use touch with permission. Give the patient in the form of a sweep back massage slowly and rhythmically by hand. Use the swab 60 times in a minute for 3 minutes on an area of 2 inches on either side ranging from the top to the bottom.
• Provide information about treatment before treatment is given.
• Discuss the changes with the patient.
• Discuss about the ability of the patient / family to change the situation or needs to accept the situation.
• Use active listening and acceptance in helping the patient express emotions such as mengangis, guilt, and anger (within the limits of the right).
• Avoid appeasement is wrong ; give an honest answer and give only the information requested.
• Encourage the patient to describe previously faced pressure and coping mechanisms are used.
• Support the reduction behavior ; give the patient time to relax.
• Help the patient to explain the meaning of their symptoms.
• Encourage the use of cognitive behavioral relaxation (eg music therapy, guided imagery).
• Use distraction techniques during a procedure that causes the client to feel fear.
• Use a systematic way of eliminating sensitivity when introducing new people, places, or procedures that may lead to fear and change mitigation.
• Provide patient / family video on a scary procedure to be seen before the procedure.
• Show counseling as long as necessary.