Ineffective coping can be defined as “lack of capability to assess agitation, insufficient options to handle reactions, and lack of capacity of utilizing the available choices to solve a problem.”
Among society, many of the individuals suffer from pressure or stress situations when expected demands from them are more than their coping ability. If other relations family, colleagues, professionals, or friends expect from individuals more than their capacity or power, they become under-pressure and unable to handle such situations when over-whelmed. These situations can be illness, financial crisis, divorce, or sometimes loss of the family members. Under such circumstances, everyone feels agitated and stressed. But the mechanism that one follows to handle such state of affairs depends upon their coping abilities and related assets.
An ineffective coping care plan must be designed to help such individuals. Nurses should diagnose and asses the problem in such a way that it should be beneficial for all patients and assist them in coming out of such ineffective coping.
Causes behind Ineffective Coping:
Here are some objectives that can result in problems like ineffective coping. So such reasons must be noticed before developing an ineffective coping nursing care plan.
- Behavioral unpredictability
- Deficiency of supporting process
- Crisis related to mature emotions
- Situation dependent disasters
- Threats of higher level
- Disturbance in tension handling process
- Coping methods due to Gender difference
- Inability to preserve flexible energies
- Lack of preparations to handle stress
- Available resources deficiency
- Lack of confidence in capabilities to cope
Characteristics and symptoms of Ineffective Coping:
The ineffective coping care plan can help us to diagnose the signs and symptoms of ineffective coping. In the following, some components have been mentioned from which the patient can be suffered.
- Chemical agent’s misusage
- Self-destructive attitude
- Restlessness during periods of sleep
- Inability to focus and concentrate
- A high rate of sickness
- Failure to communicate with others
- Deficiency of ambition directed behavior
- Unsuitable usage of defensive mechanism
- Inability of problem-solving
- Lack of decision-making powers
- Risk-taking challenging attitude
- Lack of confidence to ask for help
- Failure to meet demands
- Poor verbalization
- Change in behavior (fatigue, frustration, impatience, etc.)
- Absence of social assertiveness
Ineffective Coping Care Plan’s Goals and Outcomes:
The following are the main objectives and predicted the outcome of the ineffective coping care plan. These tasks need to be under observation to handle the patient’s situations and to motivate him for positive results.
- The patient should be able to ask for help from others.
- He should be able to communicate well to meet his needs.
- The patient has to explain and adopt coping strategies.
- Focus and concentration on a specific approach must be developed in the patient.
- The victim should be decisive about his aims and goals.
- The patient should observe positive results from new experiences.
- He must express his feeling and emotions verbally and with confidence.
- The patient should utilize available assistance.
- The patient needs to help himself to dive out from such a frustrating situation.
- A positive and healthy environment must be established in the surroundings.
- Daily based healthy discussion should be arranged with the patient.
- Regular relaxing sessions and sleep time should be fixed to motivate the patient.
Ineffective Coping Care Plan’s Interventions:
One can reduce this defect by following a proper care plan without the help of anybody else. The affected person should achieve this aim by following some interventions mentions below:
- Observe yourself daily. Notice your activities towards daily routines, behaviors, actions, environments, and note the change, if any.
- Observe your response to events, customs, and values.
- Build up your confidence to make a decision.
- Utilize your confidence during communication among your friends and family.
- Spent a specific amount of time with your loved one to initiate positivity in yourself. Arrange get-togethers and have a good time among them.
- Encourage yourself to face the problems and handle them with the proper plan without getting frustrated.
- Organize meetings with professionals and have healthy discussions with them.
- Observe the care plan and check to mark the beneficial result. And improve those points, in which you are still deficient.
Nursing Diagnosis of Ineffective Coping:
Evaluations and diagnosis are needed for every stage of ineffective coping. Proper assessment is necessary to distinguish between problems and solutions. The following are the points that help in the nursing diagnosis of ineffective coping.
- The nurse should identify the reasons behind stressors because it helps in acquiring an appropriate strategy to aid the patient’s coping level.
- Observe the influence of all customs, norms, events, and values on the patient to observe his behavioral and physiological conditions.
- Observe the reasons behind ineffective coping like threats, crises, support deficiency, disturbance, frustration, or any other. This step can help the caretaker to understand the current situation of the patient and assist him in choosing an effective remedial method.
- Notice the inter-personal relations of patients and their level. Check out about any family problem that can cause in the over-whelming of the patient’s coping ability.
- Nurse or caretakers should observe about strengths and weaknesses of patients. In this way, they can help them to uplift their strengths by praising and appreciating. And can avoid the negative or weak point that can damage the coping ability of the patient. As a result, the patient will feel better and much confident in front of you.
- Sometimes, a patient’s background defines that up to which extent the patient can bear the stress. So caretakers should observe the patient’s ability to handle the pressure and to control it.
- Monitor the patient’s self-destructive abilities because a patient that is restless and hopeless can lead towards suicide or hurting itself.
- Identify the plan at an emergency. If the patient is risky and tends to suicide, such patients should not be treated at home and must be admitted to the hospital under critical observation. So all such aspects must be noticed before proceeding towards results.
Nursing Interventions for Ineffective Coping:
Following techniques helps physician or caretaker to adopt a suitable strategy to handle the coping mechanism of patient. So Nursing interventions for ineffective coping are:
- Set a specific time to establish a healthy relationship with a patient regularly. It would help the patient to maintain trust and increase in coping ability.
- Help the patient to set its goals and recognize his abilities and skills to meet the objectives. It would help the patient to have a goal-directed approach and feel self-independent to take decisions.
- Build a friendly relation with the patient, so he can openly share his fears, problems, and emotions with you. It would help the victim to verbalize his thought in front of others and develop confidence in him.
- Try to use understanding language with the patient. It results in building a support system for him that improves active coping.
- Support the patient to take part in scheduled activities and encourage him to make decisions. This activity will help him to adopt self-control.
- Encourage the patient to identify its own skills and abilities, so he can use these strengths in achieving his goals.
- If the patient is physically capable, help him to perform different exercise daily because exercising increase the stress coping ability in humans.
- After asking for permission, condole the patient by touch therapy. Provide him back massage with hands to relax him.
- Using a constructive strategy, assist the patient in searching for problem-solving plans. In this way, he can explore new experiences and think about new ideas and approaches.
- When a person feels fearful or threatens something, make use of distractions. Such distractions help him to look forward to new responses instead of thinking of dreadful history.
- If the victim also has some mental disability, arrange a mental health team to assist him at emergent, to avoid any severe results.