F> Ineffective Health Maintenance

Related to
 Disabled family coping, perceptual-cognitive impairment (complete or
partial lack of gross or fine motor skills)
 Lack of or significant alteration in communication skills (written, verbal, or
gestural)
 Unachieved developmental tasks
 Lack of material resources
 Dysfunctional grieving
 Disabling spiritual distress
 Inability to make deliberate and thoughtful judgments
 Ineffective coping

D:
> Vital signs
> Defining Characteristics:
> History or lack of health-seeking behavior
> Reported or observed lack of equipment, financial, and/or other resources
> Reported or observed impairment of personal support systems
> Expressed interest in improving health behaviors
> Demonstrated lack of knowledge regarding basic health practices
> Demonstrated lack of adaptive behaviors to internal and external
environmental changes
> Reported or observed ability to take responsibility for meeting basic health
practices in any or
or all functional pattern areas

A:
> Assess client’s feelings, values, and reasons for not following prescribed plan of
care
> Assess for family patterns, economic issues, and cultural patterns that influence
compliance with a given medical regimen
> Help client determine how to arrange a daily schedule that incorporates the new
health care regimen
> Refer client to social services for financial assistance if needed
> Identify support groups related to the disease process
> Help client to choose healthy lifestyle and to have appropriate diagnostic
screening tests
> Identify complementary healing modalities such as herbal remedies, acupuncture,
healing touch, yoga, or cultural shamans that the client uses in addition to or
instead of the prescribed allopathic regimen
> Refer client to community agencies for appropriate follow-up care
> Obtain or design educational material that is appropriate for client
> Ensure that follow-up appointments are scheduled before the client is discharged

R:
>