The nursing diagnosis Ineffective Coping is defined by the “inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources (Doenges, Moorhouse, & Murr, 2012). An example of a patient who may be diagnosed with Ineffective Coping is a patient with a medical diagnosis of Post-Partum Depression (PPD). Related factors of Ineffective Coping as it relates to PPD may include: Inadequate confidence in the ability to cope, inadequate level of perception of control, inadequate resources available, or inadequate social support created by characteristics of relationships (Doenges, Moorhouse, & Murr, 2012). In determining defining characteristics, as it relates to PPD, both subjective
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An example of objective information that may be received from a patient diagnosed with PPD may include inability to meet role expectations/basic needs (this includes both the needs of the mother and the newborn infant), and/or destructive behavior towards self/others (Doenges, Moorhouse, & Murr, 2012). Desired outcome, as related to PPD, may include for the patient to be able to identify ineffective coping behaviors and consequences or for the patient to verbalize awareness of own coping abilities (Doenges, Moorhouse, & Murr, 2012). A complete example of a nursing diagnosis as it relates to PPD for the purpose of this paper is: Ineffective Coping as related to inadequate confidence in the ability to cope as evidenced by patient is distraught, withdrawn and asking for assistance when newborn baby is crying and verbalizing “I am unable to take care of this baby …show more content…
The nurse would also assist the patient in dealing with her current situation. Behaviors that a patient with PPD may exhibit include crying, lack of energy, not focusing, memory loss, having no pleasure in activities that patient once enjoyed, no appetite or sleeping, being withdrawn, body aches, and lacking interest in her baby (Neiman, Carter, Van Shell, & Kindred, 2010). Encouraging a patient to discuss and acknowledge that there is a problem affecting the safety of herself and the baby is the best option in order to combat this disorder. In a situation of PPD, its best to provide and promote realistic hope; allow the patient to feel comfortable with freely expressing fears and accept concerns in order to be able to provide effective solutions for treatment. Recommend and refer a combination of treatment options, which works best and exhibits the best results. Examples of treatment options include support groups (which aides in decreasing depression symptoms), interpersonal psychotherapy, pharmacotherapy (selective serotonin reuptake inhibitors (SSRI) are the most common), and even lose dose Estrogen treatment (which, if provided prior to delivery, reduces the chance of PPD within the 1st year after delivery) (Beacham, et al., 2008). A more natural treatment, in more recent studies, the NURSE approach (nutrition and needs, understanding, rest, spirituality,
An example of objective information that may be received from a patient diagnosed with PPD may include inability to meet role expectations/basic needs (this includes both the needs of the mother and the newborn infant), and/or destructive behavior towards self/others (Doenges, Moorhouse, & Murr, 2012). Desired outcome, as related to PPD, may include for the patient to be able to identify ineffective coping behaviors and consequences or for the patient to verbalize awareness of own coping abilities (Doenges, Moorhouse, & Murr, 2012). A complete example of a nursing diagnosis as it relates to PPD for the purpose of this paper is: Ineffective Coping as related to inadequate confidence in the ability to cope as evidenced by patient is distraught, withdrawn and asking for assistance when newborn baby is crying and verbalizing “I am unable to take care of this baby …show more content…
The nurse would also assist the patient in dealing with her current situation. Behaviors that a patient with PPD may exhibit include crying, lack of energy, not focusing, memory loss, having no pleasure in activities that patient once enjoyed, no appetite or sleeping, being withdrawn, body aches, and lacking interest in her baby (Neiman, Carter, Van Shell, & Kindred, 2010). Encouraging a patient to discuss and acknowledge that there is a problem affecting the safety of herself and the baby is the best option in order to combat this disorder. In a situation of PPD, its best to provide and promote realistic hope; allow the patient to feel comfortable with freely expressing fears and accept concerns in order to be able to provide effective solutions for treatment. Recommend and refer a combination of treatment options, which works best and exhibits the best results. Examples of treatment options include support groups (which aides in decreasing depression symptoms), interpersonal psychotherapy, pharmacotherapy (selective serotonin reuptake inhibitors (SSRI) are the most common), and even lose dose Estrogen treatment (which, if provided prior to delivery, reduces the chance of PPD within the 1st year after delivery) (Beacham, et al., 2008). A more natural treatment, in more recent studies, the NURSE approach (nutrition and needs, understanding, rest, spirituality,