A problem with Nursing dg....

[fitore]

Im witting a ncp- stroke and I have some prob,,, if anyone can help me I will be very very grateful, cos I need an answer quickly......

I want to know if I have properly aligned those nursing dg,

Impaired brain tissue perfusion related to intracerebral hemorrhage. (Marilynn E. Doenges, 2000)

Impaired physical mobility related to hemiparese / hemiplegia (Donna D. Ignativicius, 1995)

Impaired sensory perception related to sensory impairment, vision impairment (Donna D. Ignativicius, 1995)

Impaired verbal communication related to the decrease in brain blood circulation (Donna D. Ignativicius, 1995)

Impaired elimination (constipation) related to immobilization, inadequate fluid intake (Donna D. Ignativicius, 1995)

Impaired elimination urine (urine incontinence) related to lesions in the upper motor neuron (Juall Lynda Carpenito, 1998

. Disturbed Thought Process.

. Ineffective Coping. Management of stroke requires a strong need for healthy lifestyle or change, this may be difficult for the patient.

selfcare deficit higjena dressing. grooming and feeding due to neuromudcular impairment

Deficient Knowledge

. Disturbed Sleep Pattern

Risk for impaired swallowing

The risk of nutritional deficiencies related to muscle weakness of chewing and swallowing (Barbara Engram, 1998)

.Risk for Aspiration. This is due to depressed or absent cough reflex due to infarction of a brain area.

Risk for Hyperthermia. This may be due to bleeding or edema of the hypothalamus which can lead to ischemia and thus changes in the thermoregulatory center of the brain.

The risk of disruption of skin integrity related long bed rest (Barbara Engram, 1998)

. Risk of Injury

[Esme12, ASN, BSN, RN]

Rationale is under implementation.

Nursing Care Plan

(Correlation Chart)

[TABLE=class: cms_table]

[TR]

[TD]ASSESSMENT

[/TD]

[TD]ANALYSIS

[/TD]

[TD]PLANNING[/TD]

[TD]IMPLEMENTATION

[/TD]

[TD]EVALUATION[/TD]

[/TR]

[TR]

[TD][/TD]

[TD]NURSING DIAGNOSIS[/TD]

[TD]GOALS[/TD]

[TD][/TD]

[TD][/TD]

[/TR]

[TR]

[TD]Subjective:

What the patient says, the family, the doctor, a nurse/

Usually in quotations

**Note if your patient is nonverbal, you can still have subjective data from other sources.

Objective: (Note your Topics to the side)

Start with a brief overview of the patient.

Example: 78 yo white male admitted 6/12/09 with COPD exacerbation

PMH: include a comprehensive past medical history of your pt

Orders: orders that are specific to your ND or that may contribute to supporting your ND statement

• Interdisciplinary assistance such as PT, OT, RT
  
• Diet
  
• Activity
  
• Oxygen
  

Radiology: report any radiological findings that may support or contribute to your ND statement

Labs: what laboratory findings are pertinent to supporting your ND statement

Medications: only medications that can support your ND statement

Assessment findings: can include an array of things, but only if relevant to support

• Intake and Output: include if can support your ND
  
• Vital Signs: usually a great inclusion to support most ND
  
• Wound appearance
  
• Mobility performance
  
• System Assessment: that is pertinent to your ND
  

Example; Impaired Gas Exchange-do Resp assessment

[/TD]

[TD]P= Problem

E=Etiology

**May use Secondary to a diagnosis after the etiology if it permits

S=Signs and Symptoms

****Note that if it is a Risk for diagnosis you will only have a PE format without signs and symptoms[/TD]

[TD]PATIENT WILL…..

This is what the nurse hopes to achieve by implementing the nursing interventions

COMPONENTS

Subject: PT will

Verb: action patient is to perform

Condition: explains how the behavior is to be performed

Criteria: Time frame

BE SPECIFIC

Patient will increase mobility by the end of 3-11 shift as evidenced by independently ambulating to chair.[/TD]

[TD]NURSE WILL…..

This is what the nurse will do to assist the patient in accomplishing the goal.

COMPONENTS

Subject: Nurse will

Action verb: precision—educate, demonstrate administer

Content: the what and where of the order

Time Element: when, how long, or how often the action is to occur

Rationale: Under each statement you must support this nursing intervention with a source as to why it is important

Nurse will perform range of motion every 2 hours.

Rationale: Exercise increases joint flexibility, stability, and range of motion.

Sources: you must have at least 2 sources per care plan. We encourage use of articles and lectures as well. Format in APA.

[/TD]

[TD]Goal Met…

Goal partially met…

Goal not met…

This is merely reporting that the goal was accomplished or not.

Goal partially met.

Patient ambulated with assistance of 2 to the chair at 9:30 pm.

***Note that if your goal is met or not met, you need to state what you would expect to find or what you found.[/TD]

[/TR]

[/TABLE]

Nursing Care Plan (continued)

(Correlation Chart)

[TABLE=class: cms_table]

[TR]

[TD]ASSESSMENT[/TD]

[TD]ANALYSIS[/TD]

[TD]PLANNING[/TD]

[TD]IMPLEMENTATION[/TD]

[TD]EVALUATION[/TD]

[/TR]

[TR]

[TD][/TD]

[TD]NURSING DIAGNOSIS[/TD]

[TD]GOALS[/TD]

[TD][/TD]

[/TR]

[/TABLE]

[fitore]

I saw this but, now im conused again, the reason is Nursing Interventions. Because here you say :

Rationale: Under each statement you must support this nursing intervention with a source as to why it is important

Nurse will perform range of motion every 2 hours.

Rationale: Exercise increases joint flexibility, stability, and range of motion.

While:

planning (write measurable goals/outcomes and nursing interventions)

goals/outcomes are the predicted results of the nursing interventions you will be ordering and performing. they have the following overall effect on the problem:

improve the problem or remedy/cure it

stabilize it

support its deterioration

and a goal statement

interventions are of four types

assess/monitor/evaluate/observe (to evaluate the patient's condition)

note: be clear that this is assessment as an intervention and not assessment done as part of the initial data collection during

Can you explain this with two ex. so I could understand bettter

Cos, in planning intervention,

In implemention intervention ........ ????

[Esme12, ASN, BSN, RN]

I think you understand.....this is just the format that is followed here in the US. Earlier in the thread I gave you links with care plan examples.........go there look at them see if that helps.....if not let me know. It's tough without a reference book you can use. Impaired Verbal Communication, Recent stroke, alteration of central nervous and decrease in circulation to brain

[Esme12, ASN, BSN, RN]

"Daytonite"........... Rationale is nothing more than an explanation, justification or principle behind why you have put the particular nursing interventions on your care plans. Depending on the situation the patient is in, your interventions are always going to follow the symptoms or problems the patient is having. In order to do this you need to make a list of the patient's problems that you are wanting to address. Then, you need to do a little research about them using your textbooks and any other sources you might have, including the internet. Don't forget to include what the doctors might want to be ordering as well as tests. By doing this, you will be able to better establish the priority of what needs to be attended to first.

Remember the ultimate goal is always going to bring the patient back to some sort of acceptable level of functioning...... so, the nursing interventions you choose are always going to ultimately be aimed towards that goal. You will find the rationale for your interventions buried within that kind of logic......all you have to do is find that rationale in writing in order to verify that your intervention.

Here is another thread you might find helpful......https://allnurses.com/nursing-student-assistance/care-plan-rationale-134987.html

There is listed 2 online resources Family Practice Notebook and Lab Tests Online: Welcome! that may help you.

Do you use NANDA-I format? NANDA-I....https://www.google.com/search?q=nanda-i+list&ie=utf-8&oe=utf-8&aq=t&rls=org.mozilla:en-US:official&client=firefox-a

[fitore]

I saw most of all links that you have posted , and thwy were very good and very very useful.

But , I want to know the distinction between Nursing interventions (planning phase) and

Nursing interventions with the rationale (immplemention)

How to write sentences that makes this distincion.

ex, if in implemention is: Nurse will perform range of motion every 2 hours.

Rationale: Exercise increases joint flexibility, stability, and range of motion.

how should I write the sentence in nursing interventions (planing phase)and how in implemention. I have problem to express, the sentences.

the other part I get it.

thanks, very very much for all your help.

[Esme12, ASN, BSN, RN]

PLanning/goals: PATIENT WILL…..This is what the nurse hopes to achieve by implementing the nursing interventions.

COMPONENTS

Subject: PT will

Verb: action patient is to perform

Condition: explains how the behavior is to be performed

Criteria: Time frame

Example........Patient will increase mobility by the end of 3-11 shift as evidenced by independently ambulating to chair.

Implementation: NURSE WILL….This is what the nurse will do to assist the patient in accomplishing the goal.

COMPONENTS

Subject: Nurse will

Action verb: precision—educate, demonstrate administer

Content: the what and where of the order

Time Element: when, how long, or how often the action is to occur

Rationale: Under each statement you must support this nursing intervention with a source as to why it is important

Implementation: Nurse will perform range of motion every 2 hours.

Rationale: Exercise increases joint flexibility, stability, and range of motion.

We then ask for a source.....where did you get the information from.

Then Evaluation: This is merely reporting that the goal was accomplished or not.

Goal Met…

Goal partially met…

Goal not met…

This is merely reporting that the goal was accomplished or not.

Goal partially met: Patient ambulated with assistance of 2 to the chair at 9:30 pm.

***Note that if your goal is met or not met, you need to state what you would expect to find or what you found.

[fitore]

thanks. You really explained very well.

I understood now how should be sentences in planning and how in implemention.

But can you tell me how are sentences in in nursing intervention. take an ex.

the other part of ncp is clear for me.

Maybe I botherd you asking and asking again and again but , I didn't know that the NCP , should be writen in this manner.

While, I taught that in implemention sentences should be in past tense , because it express an intervention that nurse has done. the action is completed..

[Esme12, ASN, BSN, RN]

Remember this is the US. The schools here may teach care plans differently. I would hate for you to get a poor score for following our protocol when your teachers want something else.

Nursing interventions.......from another asst admin VickyRN

Nursing interventions are the "meat and gravy" of the nursing process and flow from the "etiology" part of the nursing diagnostic statement. Nursing interventions are either independent (such as teaching/learning or safety) or collaborative/ dependent (require a physician's order, such as administration of medications). The nurse must use his or her critical thinking skills to plan, coordinate, and implement nursing interventions, and then evaluate the effect of these interventions in achieving the desired patient goal. Nursing interventions always begin with "Student nurse will..." or "Nurse will..." and are very specific, as well as being realistic to the client situation (not just "cookie-cutter" interventions copied from a nursing careplan book).

Nursing interventions must be backed up with a scientific rationale - otherwise, this action is just your opinion and has no merit. Remember, everything in nursing must be evidenced-based

We use pre-scripted books here that include nursing interventions approved by NANDA/NANDA-I

For example.....

The student nurse will perform passive ROM exercises at least twice a day unless contraindicated; repeat each maneuver three times. Inactivity rapidly contributes to muscle shortening and changes in periarticular and cartilaginous joint structure. The formation of contractures starts after 8 hours of immobility (Fletcher, 2005).

The student nurse will consult with physician for a safety evaluation before beginning an exercise program; if program is approved, begin with the following exercises:

• Active ROM exercises using both upper and lower extremities (e.g., flexing and extending at ankles, knees, hips)
  
• Chin-ups and pull-ups using a trapeze in bed (may be contraindicated in clients with cardiac conditions)
  
• Strengthening exercises such as gluteal or quadriceps sitting exercises
  

These exercises help reverse weakening and atrophy of muscles (Fauci et al, 2008).

[fitore]

hi Esme12. I asked my teacher, she sad that i should do the NCP, by NANDA, so Im going to take your advise and make the implemention in future tense. Nurse will.....

But for this, I need a source by a book, if she will say me, that you did wrong (future tense instead past tense). So I will need a source (name of book, author, page,year when were published.....). to argue her. if you can do it I'll appreciate that.

And take a look of some sentences that I have written (just for ex.)

implemention:

the nurse will ask the patient to write a name or short sentences.

Rational: Assess the ability to write and correct deficiencies in reading, which is also part of the sensory aphasia and motor aphasia.

the nurse will anticipate and meet the needs of patients.

Rational: Beneficial reduce frustration.

• the nurse will consult with the physician and the treatment (Tucker, 1998).
  
• the nurse will Collaborate in pembarian oxygen and drugs as indicated (Doenges, 2000)
  

[fitore]

and a take a look of this:

2. Nursing Diagnosis: Ineffective Cerebral Tissue Perfusion related to interruption of blood flow, occlusive disorders, hemorrhage, cerebral vasospasm, cerebral edema.

Nursing Interventions:

• Monitor or record the neurological status as often as possible and compare it to standard or normal state.
  
• Monitor vital signs.
  
• Record the data changes such as the blindness of vision, or visual field disturbances in perception.
  
• Assess the higher functions, such as speech function.
  
• Put your head slightly elevated position and the anatomical position (neutral).
  
• Maintain a state of bed rest, creating a peaceful environment, limit the activities of visitors or patients as indicated.
  
• Help prevent the occurrence of straining during defecation and breathing force (continuous cough).
  
• Collaboration in pembarian oxygen and drugs as indicated (Doenges, 2000)
  

Does all this sentences have the same scoure (doenges 2000). or just the last one. ?????

[Esme12, ASN, BSN, RN]

Nursing Resources - Care Plans

It probably means all have the same source. You are getting the hang of it.

I actually have a care plan book that I use....Ackley: Nursing Diagnosis Handbook, 9th Edition .....if there is any way you could purchase one it would be worth your investment.....they are about $40.00US. For example: some Nursing interventions for ineffective cerebral tissue Perfusion

.

• Avoid periods of physiologic stress which can lead to hypoxemia. Minimize environmental stressors. Monitor oxygen saturation and provide oxygen therapy as ordered. Take steps to prevent hypovolemia and hypotensive episodes. EBN: Physiologic stress that is often associated with critical illness can cause the body to initiate protective mechanisms to shunt blood to the vital organs to perfuse the brain and heart, and decrease perfusion to the gastrointestinal and other nonvital organs (Martin, 2007; Gregory, 2008; Singh et al, 2008).
  
• Perform a neurological assessment every hour to every 4 hours as appropriate. EB: Clinical symptoms of cerebral vasospasm include fluctuations in level of consciousness, motor weakness, and aphasia (Sakowitz & Unterberg, 2006).
  
• Complete Glasgow Coma Scale assessment as ordered and indicated. The Glasgow Coma Scale is a neurological assessment tool used to assess the extent and progression of neurological injury. A declining score over time can be an indicator of the need for acute management or neurosurgical intervention (Iacono & Lyons, 2005).
  
• Monitor for changes in mental status or behavior. EBN: Decreased mental status is suggestive of decreased cerebral perfusion (Goodrich & Bridges, 2006).
  
• Monitor vital signs at least three times daily or hourly if needed. Notify provider of any deviations from baseline. Clients with unstable vital signs should be monitored continuously using invasive or non-invasive methods. EBN: Systemic hypertension is common following neurologic injury/insult. Continuous monitoring may allow clinicians to observe trends and respond as appropriate (Blissitt, 2006).
  
• Monitor pupil size and reactivity. EBN: Changes in pupil size and reactivity can indicate cranial nerve involvement in the brain injured person, increased intracranial pressure, and herniation (Meeker et al, 2005).
  
• Monitor laboratory data as ordered. EBN: Trending serial laboratory measures including lactate, base deficit, and venous oxygen saturation is used for assessing systemic tissue perfusion (Cottingham & Bridges, 2006).
  
• Provide safety measures to prevent falls. EBN: Clients suffering neurological insults are at increased risk for falls. History of stroke, altered mental status, dementia, and disorientation are risk factors for falls (Chelly et al, 2008).
  
• Administer medications as ordered. Discuss with provider ordering a AT1-R blocker such as candesartan if client is hypertensive. EB: Candesartan is shown to protect against stroke in hypertensive clients and has been shown to have a beneficial effect on cerebrovascular and cardiovascular events during a 12-month follow-up (Liu et al, 2008). Common pharmaceutical agents used in managing increased intracranial pressure include mannitol, barbiturates, sedation, analgesic, and hypertonic saline (Blissitt, 2006).
  

[Esme12, ASN, BSN, RN]

[TABLE=class: cms_table_msonormaltable]

[TR]

[TD]nursing diagnoses 2012 – 2014[/TD]

[/TR]

[/TABLE]

[TABLE=class: cms_table_msonormaltable]

[TR]

[TD]domain 1 – health promotion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]deficient diversional activity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]sedentary lifestyle[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]deficient community health[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk-prone health behavior[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective health maintenance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced immunization status[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective protection[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective self-health management[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced self-health management[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective family therapeutic regimen management[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 2 – nutrition[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]insufficient breast milk[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective infant feeding pattern[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]imbalanced nutrition: less than body requirements[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]imbalanced nutrition: more than body requirements[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for imbalanced nutrition: more than body requirements[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced nutrition[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired swallowing[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for unstable blood glucose level[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]neonatal jaundice[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for neonatal jaundice[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for impaired liver function[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for electrolyte imbalance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced fluid balance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]deficient fluid volume[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]excess fluid volume[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for deficient fluid volume[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for imbalanced fluid volume[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 3 – elimination and exchange[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]functional urinary incontinence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]overflow urinary incontinence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]reflex urinary incontinence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]stress urinary incontinence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]urge urinary incontinence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for urge urinary incontinence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired urinary elimination[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced urinary elimination[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]urinary retention[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]constipation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]perceived constipation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for constipation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]diarrhea[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]dysfunctional gastrointestinal motility[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for dysfunctional gastrointestinal motility[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]bowel incontinence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired gas exchange[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 4 – activity/ rest[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]insomnia[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]sleep deprivation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced sleep[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]disturbed sleep pattern[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for disuse syndrome[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired bed mobility[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired physical mobility[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired wheelchair mobility[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired transfer ability[/TD]

[/TR]

[TR]

[TD=width: 609]impaired walking[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]disturbed energy field[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]fatigue [/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]wandering[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]activity intolerance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for activity intolerance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective breathing pattern[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]decreased cardiac output[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for ineffective gastrointestinal perfusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for ineffective renal perfusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired spontaneous ventilation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective peripheral tissue perfusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for decreased cardiac tissue perfusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for ineffective cerebral tissue perfusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for ineffective peripheral tissue perfusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]dysfunctional ventilatory weaning response[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired home maintenance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced self-care[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]bathing self-care deficit[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]dressing self-care deficit[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]feeding self-care deficit[/TD]

[/TR]

[TR]

[TD=width: 609]toileting self-care deficit[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]self-neglect[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 5 – perception/ cognition[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]unilateral neglect[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired environmental interpretation syndrome[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]acute confusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]chronic confusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for acute confusion[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective impulse control[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]deficient knowledge[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced knowledge[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired memory[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced communication[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired verbal communication[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 6 – self-perception[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]hopelessness[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for compromised human dignity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for loneliness[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]disturbed personal identity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for disturbed personal identity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced self-control[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]chronic low self-esteem[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for chronic low self-esteem[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for situational low self-esteem[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]situational low self-esteem[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]disturbed body image[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]stress overload[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for disorganized infant behavior[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]autonomic dysreflexia[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for autonomic dysreflexia[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]disorganized infant behavior[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced organized infant behavior[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]decreased intracranial adaptive capacity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 7 – role relationships[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective breastfeeding[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]interrupted breastfeeding[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced breastfeeding[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]caregiver role strain[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for caregiver role strain[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired parenting[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced parenting[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for impaired parenting[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for impaired attachment[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]dysfunctional family processes[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]interrupted family processes[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced family processes[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective relationship[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced relationship[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for ineffective relationship[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]parental role conflict[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective role performance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired social interaction[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 8 – sexuality[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]sexual dysfunction[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective sexuality pattern[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective childbearing process[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced childbearing process[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for ineffective childbearing process[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for disturbed maternal-fetal dyad[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 9 – coping/ stress tolerance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]post-trauma syndrome[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for post-trauma syndrome[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]rape-trauma syndrome[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]relocation stress syndrome[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for relocation stress syndrome[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective activity planning[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for ineffective activity planning[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]anxiety[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]compromised family coping[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]defensive coping[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]disabled family coping[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective coping[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective community coping[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced coping[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced family coping[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]death anxiety[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective denial[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]adult failure to thrive[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]fear[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]grieving[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]complicated grieving[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for complicated grieving[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced power[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]powerlessness[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for powerlessness[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired individual resilience[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced resilience[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for compromised resilience[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]chronic sorrow[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]stress overload[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for disorganized infant behavior[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]autonomic dysreflexia[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for autonomic dysreflexia[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]disorganized infant behavior[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced organized infant behavior[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]decreased intracranial adaptive capacity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 10 – life principles[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced hope[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced spiritual well-being[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced decision-making[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]decisional conflict[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]moral distress[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]noncompliance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired religiosity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced religiosity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for impaired religiosity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]spiritual distress[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for spiritual distress[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 11 – safety/ protection[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for infection[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective airway clearance[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for aspiration[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for bleeding[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired dentition[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for dry eye[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for falls[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for injury[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired oral mucous membrane[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for perioperative positioning injury[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for peripheral neurovascular dysfunction[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for shock[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired skin integrity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for impaired skin integrity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for sudden infant death syndrome[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for suffocation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]delayed surgical recovery[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for thermal injury[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired tissue integrity[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for trauma[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for vascular trauma[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for other-directed violence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for self-directed violence[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]self-mutilation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for self-mutilation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for suicide[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]contamination[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for contamination[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for poisoning[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for adverse reaction to iodinated contrast media[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for allergy response[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]latex allergy response[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for latex allergy response[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]risk for imbalanced body temperature[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]hyperthermia[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]hypothermia

[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]ineffective thermoregulation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609]domain 12 – comfort[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired comfort[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced comfort[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]nausea[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]acute pain[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]chronic pain[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]impaired comfort[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]readiness for enhanced comfort[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent]social isolation[/TD]

[/TR]

[TR]

[TD=width: 609, bgcolor: transparent][/TD]

[/TR]

[/TABLE]

nanda nursing diagnosis home page Attached Files

• Nursing Diagnoses 2012 - 2014.pdf‎ (35.7 KB, 4003 views)