Risk for ineffective health self-management

Definition

Risk Factors

• • Competing demands
• • Competing lifestyle preferences
• • Conflict between cultural beliefs and health practices
• • Conflict between health behaviors and social norms
• • Conflict between spiritual beliefs and treatment regimen
• • Confusion
• • Decreased quality of life
• • Depressive symptoms
• • Difficulty accessing community resources
• • Difficulty managing complex treatment regimen
• • Difficulty navigating complex health care systems
• • Difficulty performing aspects of treatment regimen
• • Difficulty with decision-making
• • Excessive stress
• • Inadequate commitment to a plan of action
• • Inadequate health literacy
• • Inadequate knowledge of treatment regimen
• • Inadequate number of cues to action
• • Inadequate role models
• • Inadequate self-efficacy
• • Inadequate social support
• • Negative feelings toward treatment regimen
• • Nonacceptance of condition
• • Perceived barrier to treatment regimen
• • Perceived social stigma associated with condition
• • Substance misuse
• • Unaware of seriousness of condition
• • Unaware of susceptibility to sequelae
• • Unrealistic expectation of treatment benefit

At Risk Population

• • Children
• • Economically disadvantaged individuals
• • Individuals experiencing adverse reactions to medications
• • Individuals with caregiving responsibilities
• • Individuals with history of ineffective health self-management
• • Individuals with limited decision-making experience
• • Individuals with low educational level
• • Older adults

Associated Conditions

• • Asymptomatic diseases
• • Developmental disabilities
• • High acuity illness
• • Neurocognitive disorders
• • Polypharmacy
• • Significant comorbidity