Nursing diagnosis – NONCOMPLIANCE

ShareNONCOMPLIANCE DEFINITION Behavior of person and/or caregiver that fails to coincide with a health-promoting or therapeutic plan agreed on by the person (and/or family and/or community) and health-care professional. In the presence of an agreed-on, health-promoting or therapeutic plan, person’s or caregiver’s behavior is fully or partially nonadherent and may lead to clinically ineffective or [...]

Nursing diagnosis – UNILATERAL NEGLECT

ShareUNILATERAL  NEGLECT DEFINITION Impairment in sensory and motor response, mental representation, and spatial attention of the body and the corresponding environ- ment characterized by inattention to one side and overattention to the opposite side. Left side neglect is more severe and persistent than right side neglect DEFINING CHARACTERISTICS • Consistent inattention to stimuli/positioning on affected [...]

Nursing diagnosis – NAUSEA

ShareNAUSEA DEFINITION A subjective unpleasant, wavelike sensation in the back of the throat, epigastrium, or abdomen that may lead to the urge or need to vomit DEFINING CHARACTERISTICS • Gagging sensation • Gastric stasis • Increased salivation, swallowing • Sour taste in the mouth • Uninterested in eating; does not have appetite • Reports “nausea” [...]

Nursing diagnosis – IMPAIRED WHEELCHAIR MOBILITY

ShareIMPAIRED  WHEELCHAIR  MOBILITY DEFINITION Limitation of independent operation of wheelchair within environment DEFINING CHARACTERISTICS • Impaired ability to operate a manual or power wheelchair on curbs, even surfaces, uneven surfaces, and/or an incline or a decline RELATED FACTORS • Cognitive impairment • Environmental constraints • Deconditioning • Impaired vision • Deficient knowledge • Limited endurance [...]

Nursing diagnosis – IMPAIRED PHYSICAL MOBILITY

ShareIMPAIRED  PHYSICAL  MOBILITY DEFINITION Limitation in independent, purposeful physical movement of the body or of one or more extremities DEFINING CHARACTERISTICS • Gait changes, postural instability; difficulty turning • Limited ROM; ability to perform fine and gross motor skills • Movement-induced tremor, uncoordinated or jerky movements • Slowed and/or uncoordinated movements; reaction time. • Substitution [...]

Nursing diagnosis – IMPAIRED BED MOBILITY

ShareIMPAIRED  BED  MOBILITY DEFINITION Limitation of independent movement from one bed position to another DEFINING CHARACTERISTICS Impaired ability to perform the following actions while in bed: • Move from supine to long sitting or long sitting to supine • Move from supine to prone or prone to supine • Move from supine to sitting or [...]

Nursing diagnosis – IMPAIRED MEMORY

ShareIMPAIRED  MEMORY DEFINITION Inability to remember or recall bits of information or behavioral skills DEFINING CHARACTERISTICS • Inability to determine whether a behavior was performed • Inability to learn new skills or information or to perform previously learned skills • Inability to recall factual information and recent or past events • Incidences of forgetting, including [...]

Nursing diagnosis – SEDENTARY LIFESTYLE

ShareSEDENTARY  LIFESTYLE DEFINITION Reports a habit of life that is characterized by a low physical activ- ity level DEFINING CHARACTERISTICS • Chooses a daily routine lacking physical exercise • Demonstrates physical deconditioning • Verbalizes preference for activities low in physical activity RISK FACTORS • Deficient knowledge of health benefits of physical exercise • Lack of [...]

Nursing diagnosis – DEFICIENT KNOWLEDGE

ShareDEFICIENT  KNOWLEDGE  (SPECIFY) DEFINITION Absence or deficiency of cognitive information related to a specific topic DEFINING CHARACTERISTICS • Inability to follow through with directions • Inability to perform well on a test • Inappropriate or exaggerated behaviors (hysteria, hostility, agitation, apathy) • Verbalization of the problem RELATED FACTORS • Cognitive limitation • Lack of recall [...]

Nursing diagnosis – OVERFLOW URINARY INCONTINENCE

ShareOVERFLOW  URINARY  INCONTINENCE DEFINITION Involuntary loss of urine associated with overdistention of the bladder DEFINING CHARACTERISTICS • Bladder distention • High postvoid residual volume • Nocturia • Reported and observed involuntary leakage of small volumes of urine RELATED FACTORS • Bladder outlet obstruction • Severe pelvic prolapse • Detrusor external sphincter • Side effects of [...]

Nursing diagnosis – INEFFECTIVE HEALTH MAINTENANCE

ShareINEFFECTIVE  HEALTH  MAINTENANCE DEFINITION Inability to identify, manage, and/or seek out help to maintain health DEFINING CHARACTERISTICS · Demonstrated lack of adaptive behaviors (internal or external environmental changes) · Demonstrated lack of knowledge regarding basic health practices · History of lack of health-seeking behaviors · Reported or observed impairment of personal support systems · Reported [...]

Nursing diagnosis – RISK FOR DISPROPORTIONATE GROWTH

ShareRISK  FOR  DISPROPORTIONATE  GROWTH DEFINITION At risk for growth above the 97th percentile or below the 3rd per- centile for age, crossing the percentile channels RISK FACTORS · Altered nutritional status · Inability to digest and absorb · Any disease that persists over nutrients time, especially during critical periods of development · Neuroendocrine factors, such [...]

Nursing diagnosis – DELAYED GROWTH AND DEVELOPMENT

ShareDELAYED  GROWTH  AND  DEVELOPMENT DEFINITION Deviations from age-group norms DEFINING CHARACTERISTICS • Altered physical growth • Delay or difficulty in performing motor, social, or expressive skills typical of age group • Flat affect • Listlessness and decreased response • Inability to perform self-care activities or maintain self-control at age-appropriate level RELATED FACTORS • Effect of [...]

Nursing diagnosis – GRIEVING

ShareGRIEVING DEFINITION A normal complex process that includes emotional, physical, spiri- tual, social, and intellectual responses and behaviors by which indi- viduals, families, and communities incorporate an actual, anticipated, or perceived loss into their daily lives DEFINING CHARACTERISTICS • Altered communication patterns • Change in eating, sleep and dream patterns, activity level, or libido • [...]

Nursing diagnosis – IMPAIRED GAS EXCHANGE

ShareIMPAIRED  GAS  EXCHANGE DEFINITION Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane DEFINING CHARACTERISTICS • Abnormal pH and arterial • Headache upon awakening blood gases levels • Hypoxia and hypoxemia • Abnormal respiratory rate, • Increased or decreased carbon rhythm, and depth dioxide levels • Confusion • Irritability/Restlessness • Cyanosis [...]

Nursing diagnosis – EXCESS FLUID VOLUME

ShareEXCESS  FLUID  VOLUME DEFINITION Increased isotonic fluid retention DEFINING CHARACTERISTICS • Altered mental status or respiratory pattern • Anasarca • Azotemia • Changes in blood pressure, pulmonary artery pressure, urine specific gravity, and electrolyte levels • Crackles • Decreased Hb and HCT levels • Dyspnea • Edema • Increased central venous pressure (CVP) • Intake [...]

Nursing diagnosis – DEFICIENT FLUID VOLUME

ShareDEFICIENT  FLUID  VOLUME DEFINITION Decreased intravascular, interstitial, or intracellular fluid; water loss alone without change in sodium DEFINING CHARACTERISTICS • Changes in mental status • Decreased pulse volume and pressure, urine output, and venous filling • Dry skin and mucous membranes • Increased body temperature, HCT, pulse rate, and urine concen- tration • Low blood [...]

Nursing diagnosis – READINESS FOR ENHANCED FLUID BALANCE

ShareREADINESS  FOR  ENHANCED FLUID  BALANCE DEFINITION A pattern of equilibrium between fluid volume and chemical compo- sition of body fluids that is sufficient for meeting physical needs and can be strengthened DEFINING CHARACTERISTICS • Verbalization of willingness to enhance fluid balance • Stable weight • Moist mucous membranes • Food and fluid intake adequate for [...]

Nursing diagnosis – FEAR

ShareFEAR DEFINITION Response to a perceived threat that is consciously recognized as a danger DEFINING CHARACTERISTICS • Behaviors involving aggression, avoidance, impulsivness, increased alertness, and narrowed focus of the source of fear • Cognitive effects such as decreased self-assurance, productivity, and ability to problem solve • Feelings of alarm, apprehension, increased tension, panic, and terror [...]

Nursing diagnosis – FATIGUE

ShareFATIGUE DEFINITION An overwhelming sustained sense of exhaustion and decreased capacity for physical and mental work at usual level DEFINING CHARACTERISTICS • Decreased libido or performance • Disinterest in surroundings • Drowsiness • Failure of sleep to restore energy • Lack of energy • Guilt for not meeting responsibilities • Inability to maintain usual routines [...]