Nursing Dx

Taxonomy II: Role Relationships—Class 1 Caregiving Roles (00062)
[Diagnostic Division: Social Interaction]
Submitted 1992
Definition: Caregiver is vulnerable for experiencing difficulty in performing the family caregiver role

Risk Factors
Illness severity of the care receiver; psychological or cognitive problems in care receiver; addiction or co-dependency
Discharge of family member with significant home-care needs; premature birth/congenital defect
Unpredictable illness course or instability in the care receiver’s health
Duration of caregiving required; inexperience with caregiving; complexity/amount of caregiving tasks; caregiver’s competing role commitments
Caregiver health impairment
Caregiver is female/spouse
Caregiver not developmentally ready for caregiver role (e.g., a young adult needing to provide care for middle-aged parent); developmental delay or retardation of the care receiver or caregiver
Presence of situational stressors that normally affect families (e.g., significant loss, disaster or crisis, economic vulnerability, major life events [such as birth, hospitalization, leaving home, returning home, marriage, divorce, change in employment, retirement, death])
Inadequate physical environment for providing care (e.g., housing, transportation, community services, equipment)
Family/caregiver isolation
Lack of respite and recreation for caregiver
Marginal family adaptation or dysfunction prior to the caregiving situation
Marginal caregiver’s coping patterns
History of poor relationship between caregiver and care receiver
Care receiver exhibits deviant, bizarre behavior
Presence of abuse or violence
NOTE: A risk diagnosis is not evidenced by signs and symptoms, as the problem has not occurred and nursing interventions are directed at prevention.

Desired Outcomes/Evaluation
Criteria—Client Will:
• Identify individual risk factors and appropriate interventions.
• Demonstrate/initiate behaviors or lifestyle changes to prevent development of impaired function.
• Use available resources appropriately.
• Report satisfaction with current situation.