Ineffective Individual Coping
(_)Actual (_) Potential
| (_)
Illenss:____________________________ ____________________________________ (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_)
Change in usual communication patterns (in acute). (_) Verbalization of inability to cope. (_) Inappropriate use of defense mechanisms. (_) Inability to meet role expectations. |
| Minor:
(May be present) |
(_)
Anxiety (_) Reported life stress. (_) Inability to
problem-solve. (_) Alteration in social participation. (_) Destructive behavior toward self or others. (_) High incidence of accidents. (_) Frequent illnesses. (_) Verbalization of inability to ask for help. (_) Verbal manipulation. (_) Inability to meet basic needs. |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Verbalize feelings related to emotional state. (_) Identify individual strengths. (_) Identify coping mechanisms (new and old). (_) Utilize effective coping mechanisms as evidenced by:
(_) Other:
|
(_)
Encourage verbalization of feelings, perceptions, and
fears. (_) Assist to set realistic goals. (_) Encourage
independence by: (_) Assist with identification of petential solutions to present problems. (_) Consult with:
(_) Identify problems that cannot be controlled. (_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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