Hopelessness

Definition

A subjective state in which an individual sees limited or no alternatives or personal choices available and is unable to mobilize energy on own behalf.

 

Factors

Prolonged activity restriction, creating isolation; Failing or deteriorating physiologic condition; Long term stress; Abandonment; Lost belief in transcendent values/God.

Characteristics

• Verbal cues (despondent content, "I can't," sighing.)
• Passivity, decreased verbalization
• Decreased affect
• Lack of initiative
• Decreased response to stimuli
• Turning away from speaker
• Closing eyes
• Shrugging in response to speaker
• Decreased appetite
• Increased/decreased sleep
• Lack of involvement in care/passively allowing care
• Withdrawal from environs

Treatment

Understanding and conversations with daily reassurance. On a continued basis, the patient will overcome Hopelessness.

Offered by Debra.