Hopelessness

ADS
A subjective state in which an individual sees limited or unavailable alternatives or personal choices and is unable to mobilize energy on own behalf

Defining Characteristics:
  • Passivity; 
  • decreased verbalization; 
  • decreased affect; 
  • verbal cues (e.g., saying "I can't," sighing); 
  • closing eyes; 
  • decreased appetite; 
  • decreased response to stimuli; 
  • increased/decreased sleep; 
  • lack of initiative; 
  • lack of involvement in care; 
  • passively allowing care; 
  • shrugging in response to speaker; 
  • turning away from speaker

Related Factors:
  • Abandonment; 
  • prolonged activity restriction creating isolation; 
  • lost beliefs in transcendent values/God;
  • long-term stress; 
  • failing or deteriorating physiological condition

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Decision Making
  • Hope
  • Mood Equilibrium
  • Nutritional States: Food and Fluid Intake
  • Quality of Life
  • Sleep
Client Outcomes
  • Verbalizes feelings, participates in care
  • Makes positive statements (e.g., "I can" or "I will try")
  • Makes eye contact, focuses on speaker
  • Maintains appropriate appetite for age and physical health
  • Sleeps appropriate amount of time for age and physical health
NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Hope Instillation

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