2009年2月2日星期一

NANDA Nursing Diagnoses

Activity/Rest
Activity IntoleranceActivity Intolerance, risk forDisuse Syndrome, risk forDiversional Activity DeficitFatigueSleep DeprivationSleep Pattern Disturbance
Circulation
Adaptive capacity: intercranial , decreasedAutonomic dysreflexiaAutonomic dysrelexia, risk forCardiac Output, decreasedTissue perfusion, altered (specify): renal, cerebral, cardiopulmonary, gastrointestinal, peripheral
Ego integrity
Adjustment, impairedAnxiety, deathAnxiety (specify level)Body Image DisturbanceCoping, defensiveCoping, individual, ineffectiveDecisional Conflict (specify)Denial, ineffectiveEnergy Field DisturbanceFearGrieving, anticipatoryGrieving, dysfunctionalHopelessnessPersonal Identity DisturbancePost-Trauma SyndromePost-Trauma Syndrome, risk forPowerlessnessRape-Trauma SyndromeRape-Trauma Syndrome: compound reactionRape-Trauma Syndrome: silent reactionRelocation Stress SyndromeRelocation Stress Syndrome, risk forSelf-Esteem, chronic lowSelf-Esteem DisturbanceSelf-Esteem, situational lowSelf-Esteem, situational low, risk forSorrow, chronicSpiritual distressSpiritual distress, risk forSpiritual well-being, enhanced, potential for
Elimination
Bowel incontinenceConstipationConstipation, perceivedConstipation, risk forDiarrheaUrinary incontinence, functionalUrinary incontinence, reflexUrinary incontinence, stressUrinary incontinence, totalUrinary incontinence, urgeUrinary incontinence, urge, risk forUrinary elimination, alteredUrinary retention (acute/chronic)
Food/Fluid
Breastfeeding, effectiveBreastfeeding, ineffectiveBreastfeeding, interruptedDentition, alteredFailure to thrive, adultFluid volume deficit (active loss)Fluid volume deficit (regulatory failure)Fluid volume deficit, risk forFluid volume excessInfant feeding pattern, ineffectiveNutrition: altered, less than body requirementsNutrition: altered, risk for more than body requirementsOral mucous membrane, alteredSwallowing, impaired
Hygiene
Self-care deficit (specify level): feeding, bathing/hygiene, dressing/grooming, toileting
Neurosensory
Confusion, acuteConfusion, chronicInfant behavior, disorganizedInfant behavior, disorganized, risk forInfant behavior, organized, potential for enhancedMemory, impairedPeripheral neurovascular dysfunction, risk forSensory perception alterations (specify): visual, auditory, kinesthetic, gustatory, tactile, olfactoryThought processes, alteredUnilateral neglect
Pain/Comfort
NauseaPain, acutePain, chronic
Respiration
Airway Clearance, ineffectiveAspiration, risk forBreathing Pattern, ineffectiveGas Exchange, impairedVentilation, spontaneous,inability to sustainVentilatory Weaning Response, dysfunctional (DVWR)
Saftey
Body Temperature, altered, risk forEnvironmental interpretation syndrome, impairedFalls, risk forHealth Maintenance, alteredHome Maintenance Management, impairedHyperthermiaHypothermiaInfection, risk forInjury, risk forLatex Allergy ResponseLatex Allergy Response, risk forMobility, impaired bedMobility, impaired physicalMobility, impaired wheelchairPerioperative Positioning Injury, risk forPoisoning, risk forProtection, alteredSelf-MutilationSelf-Mutilation, risk forSkin Integrity, impairedSkin Integrity, impaired, risk forSuffocation, risk forSuicide, risk forSurgical recovery, delayedThermoregulation, ineffectiveTissue integrity, impairedTransfer ability, impaired wheelchairTrauma, risk forViolence, risk for, directed at self/othersWalking, impairedWandering (specify): sporadic, continual
Sexuality
Sexual DysfunctionSexuality Patterns, altered
Social Interaction
Caregiver Role StrainCaregiver Role Strain, risk forCommunication, impaired, verbalCommunity Coping, enhanced, potential forCommunity Coping, ineffectiveFamily Coping, ineffective: compromisedFamily Coping, ineffective: disablingFamily Coping, potential for growthFamily Process, altered: alcoholismFamily Processes, alteredLoneliness, risk forParent-Infant Attachment, insecure, risk forParent-Infant Attachment, altered, risk forParental Role ConflictParenting, alteredParenting, altered, risk forRelocation Stress syndromeRole performance, alteredSocial interaction, impairedSocial Isolation
Teaching/Learning
Development, altered, risk forGrowth and Development, alteredHealth-Seeking Behaviors (specify)Knowledge Deficit (specify)Noncompliance (specify)Therapeutic Regimen: Community, ineffective managementTherapeutic Regimen: Families, ineffective managementTherapeutic Regimen: Individual, effective managementTherapeutic Regimen: Individual, ineffective management

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