F> Risk-Prone Health Behavior

Related to:
Inadequate comprehension; low self-efficacy
Multiple stressors
Smoking; excessive alcohol
Inadequate social support; low socioeconomic status
Negative attitude toward healthcare

D:
> Vital signs
> Defining characteristics:
> Minimizes health status change
> Failure to achieve optimal sense of control
> Failure to take action that prevents health problems
> Demonstrates nonacceptance of health status change

A:
> Perform a physical and/or psychosocial assessment
> Listen to the clients perception of inability or reluctance to adapt to situations
that are currently occurring
> Survey past and present significant support systems
> Explore the expressions of emotions signifying impaired adjustment by client/SO
> Listen to clients perception of the factors leading to the present dilemma, noting
onset, duration , presence and absence of physical complaints, and social
withdrawal
> Review previous life situations and role changes with client
> Note substance use/abuse
> Determine lack of/inability to use available resources
> Review available documentation and resources to determine actual life
experiences
> Organize a team conference
> Acknowledge clients efforts to adjust
> Share information with adolescents peers with permission as indicated when
illness/injury affects body image
> Explain disease process, causative factors, and prognosis, as appropriate , and
promote questioning
> Provide an open environment encouraging communication
> Use therapeutic communication skills
> Discuss/evaluate resources that have been useful to the client in adapting to
changes in other life situations
> Develop a plan of action with client to meet immediate needs
> Explore previously used coping skills and application to current situation
> Identify and problem-solve with the client frustration in daily health-related care
> Involve SO(s) in long-range planning for emotional, psychological, physical, and
social needs
> Identify strengths the client perceives in current life situation

> Refer to other resources in the long-range plan of care

> Assist client/SO(s) to see appropriate alternatives and potential changes in locus
of control
> Assist SO(s) to learn methods for managing present needs
> Pace and time learning sessions
R:
>