 Name : Haroon bacha

 Roll no : S1707
 Semester : 6th
 Subject : MHN
 Faculty : Mr. Abid Hussain
 College : Vertex college of Nursing
 Topic : Hopelessness
 Date : 13/11/2019
 OBJECTIVES
 What is hopelessness ?
 Related factor of hopelessness.
 Define characteristics / Sign & Symptoms .
 Goals and Outcomes of haplessness.
 Assessment of hopelessness.
 Interventions of hopelessness.
 Nursing diagnose of hopelessness.
 Subjective state in which an individual sees limited or no
alternatives or personal choices available and is unable to mobilize
energy on own behalf.
 Conti…

 There are instances when a person feels like his or her life is worthless and will never get
better. This is a common example of hopelessness and can often occur when individuals
seem to be feeling discouraged, depressed, or anxious about a sudden event.
 In case of a patient suffering from spinal cord injury, he or she may feel hopeless in
response to having permanent paralysis.
 Hopelessness can result when someone is going through difficult times or unpleasant
experiences.
 He or she might think that challenges are unconquerable or that there are no solutions
to the problems and may not be able to mobilize the energy needed to act in his or her
own behalf.
 Related Factors
Here are some factors that may be related to Hopelessness:

 Chronic illness
 Impaired functional abilities
 Long-term stress
 Loss of significant support systems
 Perceived hopelessness, helplessness
 Perceiving the future as bleak and wasted
 Conti..

 Prolonged discomfort
 Prolonged isolation
 Prolonged restricted activity
 Prolonged treatment with no positive outcome
 Severe stressful events (financial reversals, relationship turmoil, loss of job)
 Defining Characteristics

 Decreased affect
 Decreased judgment
 Impaired decision making
 Inability to establish goals
 Lack of involvement in care
 Lack of motivation
 Conti..

 Decreased verbalization
 Sleep, appetite disorders
 Socially repressed
 Suicidal thoughts
 Turning away from speaker
 Weak problem-solving
The following are the common goals and expected outcomes for Hopelessness
• Patient expresses the will to live.
• Patient verbalizes feelings and participates in care.
• Patient displays positive future orientation.
• Patient maintains suitable appetite for age and physical health.
• Patient mobilizes energy in own behalf.
• Patient makes decisions related to his or her care.
• Patient sets goals consistent with meaning in life, and belief in self and others.
• Patient sleeps appropriate amount of time for age and physical health
 Nursing Assessment
Assessment is needed in order to recognize possible difficulties and events that may have lead
to Hopelessness.
Assessment Rationales

Assess physical appearances such as the Patients who are experiencing

grooming, posture, and hygiene.
As certain the role that illness presents in
the patient’s hopelessness
hopelessness may not have the urge to
participate in self-care activities
Patient’s current situation may affect his or
her physical functioning. Cancer often
makes patients’ perception to extremes

Assess the patient’s understanding of Patients may consider the peril is greater
the situation, belief in self, and his or than their resources to manage it
her own abilities.
 Conti…
Assess the patient for and point out Interventions that build the
reasons for living. awareness of reasons for living may
lower feelings of hopelessness and
reduce suicidal thoughts.

Assess patient’s willingness to eat, Alterations from these regular patterns are
sleeping patterns, and daily activities. apparent during hopelessness. Patients may
have decreased appetite and poor activity
level. Patients may sleep more or
experience insomnia.

Take time to listen to verbalization of Suicidal ideation and behaviors are

hopelessness, suicidal thoughts, and usually present in patients
lack of self-worth experiencing hopelessness.
 Conti…
Evaluate the patient’s ability to Patients who are hopeless often think
establish goals, make decisions, and he or she is unable to meet established
solve problems. goals and incompetent to make
any decisions and solve problems.

Identify previous coping strategies and Successful coping is determined by

their effectiveness. past experiences.

.
 Nursing Interventions
Interventions Rationales
Provide openings for the patient The nurse promotes a supportive
to verbalize feelings of environment by taking time to
hopelessness. listen to the patient in a non
judge mental way.

Manage to have consistency in This approach establishes trust,

staff appointed to care for the reduces the patient’s feeling of
patient. isolation, and may promote
coping and restore hope.

Render physical care that the This approach overcomes

patient is unable to achieve and weakness, guilt, and other
respect patient’s abilities. negative perceptions.
 Conti…
Encourage family and significant Encouraging the family to present patient
others to display care, hope, and love support, to understand patient’s feelings, and
to be physically present and involved in care
for patient. are approaches that allow the family to change
patient’s hope state.

Provide time for patient to initiate Patients who have feelings of

interactions. hopelessness require special moment
to initiate relationships and
sometimes are not able to.

Acknowledge acceptance of expression Active listening may help patients

of feelings. express themselves.
 Conti…
Promote the use of spiritual resources
as desired.
Stay and spend time with the patient.
Use empathy; try to understand what
the patient is saying, and
communicate this understanding to
the patient.
Present opportunities for the patient
to manage care setting.
Religious practices may provide
strength and inspiration.
These approaches can inspire
hope. Experiencing warmth, empathy,
genuineness, and unconditional
positive regard can greatly reduce
feelings of hopelessness.
When a hopeless patient is given
opportunities to make choices, his or
her perception of hopelessness may be
reduced.
 Nursing Diagnoses

 Activity Intolerance related to hopelessness.

 Acute Confusion related to hopelessness.
 Acute Pain related to hopelessness.
 Anxiety related to hopelessness.
 Constipation related to hopelessness.