Nurse's Pocket Guide

CAREGIVER ROLE STRAIN
Marginal coping patterns
Addiction; codependency
SOCIOECONOMIC
Competing role commitments
Alienation/isolation from others
Insufficient recreation
CAREGIVER-CARE RECEIVER RELATIONSHIP
Unrealistic expectations of caregiver by care receiver
History of poor relationship
Mental status of elder inhibits conversation
Presence of abuse/violence
FAMILY PROCESSES
History of marginal family coping/family dysfunction
RESOURCES
Inadequate physical environment for providing care (e.g., housing,
temperature, safety)
Inadequate equipment for providing care; inadequate transportation
Insufficient finances
Inexperience with caregiving; insufficient time; physical energy;
emotional strength; lack of support
Lack of caregiver privacy
Deficient knowledge about/difficulty accessing community
resources; inadequate community services (e.g., respite services,
recreational resources)
Formal/informal assistance; formal/informal support
Caregiver is not developmentally ready for caregiver role
NOTE: The presence of this problem may encompass other
numerous problems/high-risk concerns, such as deficient
Diversional Activity, Insomnia, Fatigue, Anxiety, ineffective
Coping, compromised family Coping, and disabled family
Coping, decisional Conflict, ineffective Denial, Grieving,
Hopelessness, Powerlessness, Spiritual Distress, ineffective
Health Maintenance, impaired Home Maintenance, ineffective
Sexuality Pattern, readiness for enhanced family Coping, interrupted
Family Processes, Social Isolation. Careful attention to
data gathering will identify and clarify the client’s specific
needs, which can then be coordinated under this single diagnostic
label.
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
152 Cultural Collaborative Community/Home Care