NANDA

Ineffective health self-management

Code: 00276
Domain: 1. Health Promotion Class: 2. Health Management

Definition

Unsatisfactory handling of symptoms, treatment regimen, and lifestyle changes associated with living with a chronic condition.

Diagnostic Details

  • Approved: 2020
  • Evidence Level: 3.3
  • Status: Problem-focused

Focus & Judgment

  • Focus: Behavior
  • Judgment: Ineffective

Defining Characteristics

  • Dissatisfaction with quality of life
  • Exacerbation of disease signs
  • Exacerbation of disease symptoms
  • Exhibits disease sequelae
  • Failure to attend appointments with health personnel
  • Failure to include treatment regimen into daily living
  • Failure to take action that reduces risk factors
  • Inattentive to disease signs
  • Inattentive to disease symptoms
  • Ineffective choices in daily living for meeting health goals

Related 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
Last updated: Dec 26, 2025