Nursing Diagnosis – Code 00043 Ineffective protection (1990)

Domain 1. Health Promotion Class 2. Health Management

Ineffective protection

Definition Decrease in the ability to guard self from internal or external threats such as illness or injury.

Defining Characteristics

■ Alteration in clotting ■ Alteration in perspiration ■ Anorexia ■ Chilling ■ Coughing ■ Deficient immunity ■ Disorientation ■ Dyspnea ■ Fatigue
■ Immobility ■ Insomnia ■ Itching ■ Maladaptive stress response ■ Neurosensory impairment ■ Pressure ulcer ■ Restlessness ■ Weakness

Related Factors

■ Abnormal blood profile ■ Cancer ■ Extremes of age ■ Immune disorder (e.g., HIV-associated neuropathy, varicella-zoster virus)
■ Inadequate nutrition ■ Pharmaceutical agent ■ Substance abuse ■ Treatment regimen

Nursing Diagnosis – Code 00079 Noncompliance (1973, 1996, 1998 )

Domain 1. Health Promotion Class 2. Health Management

Noncompliance

Definition Behavior of person and/or caregiver that fails to coincide with a healthpromoting or therapeutic plan agreed on by the person (and/or family and/or community) and healthcare professional. In the presence of an agreed-upon, health-promoting, or therapeutic plan, the person’s or caregiver’s behavior is fully or partly nonadherent and may lead to clinically ineffective or partially effective outcomes.

Defining Characteristics

■ Development-related complication ■ Exacerbation of symptoms
■ Failure to meet outcomes ■ Missing of appointments ■ Nonadherence behavior

Related Factors

Health System ■ Difficulty in client–provider relationship ■ Inadequate access to care ■ Inconvenience of care ■ Ineffective communication skills of the provider ■ Insufficient follow-up with provider ■ Insufficient health insurance coverage
■ Insufficient provider reimbursement ■ Insufficient teaching skill of the provider ■ Low satisfaction with care ■ Perceived low credibility of provider ■ Provider discontinuity

Healthcare plan

■ Complex treatment regimen ■ Financial barriers ■ High-cost regimen
■ Intensity of regimen ■ Lengthy duration of regimen

Individual

■ Cultural incongruence ■ Expectations incongruent with developmental phase ■ Health beliefs incongruent with plan ■ Insufficient knowledge about the regimen
■ Insufficient motivation ■ Insufficient skills to perform regimen ■ Insufficient social support ■ Spiritual values incongruent with plan ■ Values incongruent with plan

Network

■ Insufficient involvement of members in plan ■ Low social value attributed to plan
■ Perception that beliefs of significant other differ from plan

Nursing Diagnosis – Code 00080 Ineffective family health management (1992)

Domain 1. Health Promotion Class 2. Health Management

Ineffective family health management

Definition A pattern of regulating and integrating into family processes a program for the treatment of illness and its sequelae that is unsatisfactory for meeting specific health goals.

Defining Characteristics

■ Acceleration of illness symptoms of a family member ■ Decrease in attention to illness ■ Difficulty with prescribed regimen
■ Failure to take action to reduce risk factor ■ Inappropriate family activities for meeting health goal

Related Factors

■ Complex treatment regimen ■ Complexity of healthcare system
■ Decisional conflict ■ Economically disadvantaged ■ Family conflict

Nursing Diagnosis – Code 00162 Readiness for enhanced health management (2002, 2010, 2013; LOE 2.1)

Domain 1. Health Promotion Class 2. Health Management

Readiness for enhanced health management

Definition A pattern of regulating and integrating into daily living a therapeutic regimen for the treatment of illness and its sequelae, which can be strengthened.

Defining Characteristics

■ Expresses desire to enhance choices of daily living for meeting goals ■ Expresses desire to enhance management of illness ■ Expresses desire to enhance management of prescribed regimens
■ Expresses desire to enhance management of risk factors ■ Expresses desire to enhance management of symptoms ■ Expresses desire to enhance immunization/vaccination status

Nursing Diagnosis – Code 00078 Ineffective health management (1994, 2008; LOE 2.1)

Domain 1. Health Promotion Class 2. Health Management

Ineffective health management

Definition Pattern of regulating and integrating into daily living a therapeutic regimen for the treatment of illness and its sequelae that is unsatisfactory for meeting specific health goals.

Defining Characteristics

■ Difficulty with prescribed regimen ■ Failure to include treatment regimen in daily living
■ Failure to take action to reduce risk factor ■ Ineffective choices in daily living for meeting health goal

Related Factors

■ Complex treatment regimen ■ Complexity of healthcare system ■ Decisional conflict ■ Economically disadvantaged ■ Excessive demands ■ Family conflict ■ Family pattern of healthcare ■ Inadequate number of cues to action
■ Insufficient knowledge of therapeutic regimen ■ Insufficient social support ■ Perceived barrier ■ Perceived benefit ■ Perceived seriousness of condition ■ Perceived susceptibility ■ Powerlessness

Nursing Diagnosis – Code 00188 Risk-prone health behavior (1986, 1998, 2006, 2008; LOE 2.1)

Domain 1. Health Promotion Class 2. Health Management

Risk-prone health behavior

Definition Impaired ability to modify lifestyle/behaviors in a manner that improves health status.

Defining Characteristics

■ Failure to achieve optimal sense of control ■ Failure to take action that prevents health problem
■ Minimizes health status change ■ Nonacceptance of health status change

Related Factors

■ Economically disadvantaged ■ Inadequate comprehension ■ Insufficient social support ■ Low self-efficacy
■ Negative attitude toward healthcare ■ Smoking ■ Stressors ■ Substance abuse

Nursing Diagnosis – Code 00215 Deficient community health (2010; LOE 2.1)

Domain 1. Health Promotion Class 2. Health Management

Deficient community health

Definition Presence of one or more health problems or factors that deter wellness or increase the risk of health problems experienced by an aggregate.

Defining Characteristics

■ Health problem experienced by aggregates or populations ■ Program unavailable to eliminate health problem(s) of an aggregate or population ■ Program unavailable to enhance wellness of an aggregate or population ■ Program unavailable to prevent health problem(s) of an aggregate or population
■ Program unavailable to reduce health problem(s) of an aggregate or population ■ Risk of hospitalization experienced by aggregates or population ■ Risk of physiological states experienced by aggregates or populations ■ Risk of psychological states experienced by aggregates or population

Related Factors

■ Inadequate consumer satisfaction with program ■ Inadequate program budget ■ Inadequate program evaluation plan ■ Inadequate program outcome data ■ Inadequate social support for program
■ Insufficient access to healthcare provider ■ Insufficient community experts ■ Insufficient resources (e.g., financial, social, knowledge) ■ Program incompletely addresses health problem

 

Nursing Diagnosis – Code 00231 Risk for frail elderly syndrome (2013; LOE 2.1)

Domain 1. Health Promotion Class 2. Health Management

Risk for frail elderly syndrome

Definition Vulnerable to a dynamic state of unstable equilibrium that affects the older individual experiencing deterioration in one or more domain of health (physical, functional, psychological, or social) and leads to increased susceptibility to adverse health effects, in particular disability

Risk Factors

■ Activity intolerance ■ Age > 70 years ■ Alteration in cognitive functioning ■ Altered clotting process (e.g., Factor VII, D-dimers) ■ Anorexia ■ Anxiety ■ Average daily physical activity is less than recommended for gender and age ■ Chronic illness ■ Constricted life space ■ Decrease in energy ■ Decrease in muscle strength ■ Decrease in serum 25-hydroxyvitamin D concentration ■ Depression ■ Economically disadvantaged ■ Endocrine regulatory dysfunction (e.g., glucose intolerance, increase in IGF-1, androgen, DHEA, and cortisol)
■ Ethnicity other than Caucasian ■ Exhaustion ■ Fear of falling ■ Female gender ■ History of falls ■ Immobility ■ Impaired balance ■ Impaired mobility ■ Insufficient social support ■ Living alone ■ Low educational level ■ Malnutrition ■ Muscle weakness ■ Obesity ■ Prolonged hospitalization ■ Sadness ■ Sarcopenia ■ Sarcopenic obesity ■ Sedentary lifestyle ■ Sensory deficit (e.g., visual, hearing) ■ Social isolation ■ Social vulnerability (e.g., disempowerment, decreased life control)■ Suppressed inflammatory response (e.g., IL-6, CRP) ■ Unintentional loss of 25% of body weight over one year
■ Unintentional weight loss >10 pounds (>4.5 kg) in one year ■ Walking 15 feet requires >6 seconds (4 meter >5 seconds)

Nursing Diagnosis – Code 00257 Frail elderly syndrome (2013; LOE 2.1)

Domain 1. Health Promotion Class 2. Health Management

Frail elderly syndrome

Definition Dynamic state of unstable equilibrium that affects the older individual experiencing deterioration in one or more domain of health (physical, functional, psychological, or social) and leads to increased susceptibility to adverse health effects, in particular disability.

Defining Characteristics

■ Activity intolerance (00092) ■ Bathing self-care deficit (00108) ■ Decreased cardiac output (00029) ■ Dressing self-care deficit (00109) ■ Fatigue (00093) ■ Feeding self-care deficit (00102)
■ Hopelessness (00124) ■ Imbalanced nutrition: less than body requirements (00002) ■ Impaired memory (00131) ■ Impaired physical mobility (00085) ■ Impaired walking (00088) ■ Social isolation (00053) ■ Toileting self-care deficit (00110)

Related Factors

■ Alteration in cognitive functioning ■ Chronic illness ■ History of falls ■ Living alone ■ Malnutrition
■ Prolonged hospitalization ■ Psychiatric disorder ■ Sarcopenia ■ Sarcopenic obesity ■ Sedentary lifestyle

Nursing Diagnosis – Code 00168 Sedentary lifestyle (2004; LOE 2.1)

Domain 1. Health Promotion Class 1. Health Awareness

Sedentary lifestyle

Definition Reports a habit of life that is characterized by a low physical activity level.

Defining Characteristics

■ Average daily physical activity is less than recommended for gender and age
■ Physical deconditioning ■ Preference for activity low in physical activity

Related Factors

■ Insufficient interest in physical activity ■ Insufficient knowledge of health benefits associated with physical exercise
■ Insufficient motivation for physical activity ■ Insufficient resources for physical activity ■ Insufficient training for physical exercise

 

Nursing Diagnosis – Code 00097 Deficient diversional activity (1980)

Domain 1. Health Promotion Class 1. Health Awareness

Deficient diversional activity

Definition Decreased stimulation from (or interest or engagement in) recreational or leisure activities.

Defining Characteristics

■ Boredom ■ Current setting does not allow engagement in activity

Related Factors

■ Insufficient diversional activity ■ Extremes of age
■ Prolonged hospitalization ■ Prolonged institutionalization