Nursing diagnosis – READINESS FOR ENHANCED FAMILY PROCESSES

ShareREADINESS  FOR  ENHANCED FAMILY  PROCESSES DEFINITION A pattern of family functioning that is sufficient to support the well- being of family members and can be strengthened DEFINING CHARACTERISTICS • Activities support the growth of family members • Activities support the safety of family members • Balance exists between autonomy and cohesiveness • Boundaries of family [...]

Nursing diagnosis – INTERRUPTED FAMILY PROCESSES

ShareINTERRUPTED  FAMILY  PROCESSES DEFINITION Change in family relationship or functioning DEFINING CHARACTERISTICS Changes in: • Assigned tasks • Availability for affective responses and/or emotional support • Communication patterns • Effectiveness in completing assigned tasks • Expressions of conflict within family and/or community resources • Expressions of isolation from community resources • Intimacy • Participation in [...]

Nursing diagnosis – DYSFUNCTIONAL FAMILY PROCESSES ALCOHOLISM

ShareDYSFUNCTIONAL  FAMILY  PROCESSES: ALCOHOLISM DEFINITION Psychosocial, spiritual, and physiological functions of the family unit are chronically disorganized, which leads to conflict, denial of prob- lems, resistance to change, ineffective problem solving, and a series of self-perpetuating crises DEFINING CHARACTERISTICS • Alcohol abuse; agitation; blaming; broken promises • Deficient knowledge about alcoholism • Denial of problems; [...]

Nursing diagnosis – RISK FOR FALLS

ShareRISK  FOR  FALLS DEFINITION Increasing susceptibility to falling that may cause physical harm RISK FACTORS Adult • Patient verbalizes faintness • Age   65 years when extending neck • Lives alone • Difficulties with hearing or • Environmental hazards (e.g., vision cluttered environment; poor lighting) • Incontinence Child • Presence of lower limb pros- • Age   [...]

Nursing diagnosis – ADULT FAILURE TO THRIVE

ShareADULT  FAILURE  TO  THRIVE DEFINITION Progressive functional deterioration of a physical and cognitive nature. The individual’s ability to live with multisystem diseases, cope with ensuing problems, and manage his/her care are remarkably diminished DEFINING CHARACTERISTICS • Cognitive decline, as evidenced by problems with responding appropriately to environmental stimuli and decreased perception • Consumption of limited [...]

Nursing diagnosis – IMPAIRED ENVIRONMENTAL INTERPRETATION SYNDROME

ShareIMPAIRED  ENVIRONMENTAL INTERPRETATION  SYNDROME DEFINITION Consistent lack of orientation to person, place, time, or circumstances over more than 3 to 6 months necessitating a protective environment DEFINING CHARACTERISTICS • Chronic confusion • Consistent state of disorientation to environment • Inability to reason, concentrate, or follow simple instructions • Loss of occupation or social function resulting [...]

Nursing diagnosis – DISTURBED ENERGY FIELD

ShareDISTURBED  ENERGY  FIELD Disruption of the flow of energy surrounding a person’s being that results in disharmony of body, mind, and/or spirit DEFINING CHARACTERISTICS Perceptions of changes in patterns of energy flow, such as changes in • Hearing (tones, words). • Perception of movement (wave spike, tingling, dense, flowing). • Temperature. • Sight (image, color). [...]

Nursing diagnosis – RISK FOR ELECTROLYTE IMBALANCE

ShareRISK  FOR  ELECTROLYTE  IMBALANCE DEFINITION At risk for change in serum electrolyte levels that may compromise health RISK FACTORS • Fluid imbalance (e.g., dehydra- • Renal dysfunction tion, water intoxication) • Endocrine dysfunction • Treatment-related side effects • Impaired regulatory mechanisms (e.g., medications, drains) (e.g., diabetes insipidus, syn- • Diarrhea drome of inappropriate • Vomiting [...]

Nursing diagnosis – RISK FOR DISTURBED MATERNAL–FETAL Dyad

ShareRISK  FOR  DISTURBED  MATERNAL–FETAL DYAD DEFINITION At risk for disruption of the symbiotic maternal–fetal dyad as a result of comorbid or pregnancy-related conditions DEFINING CHARACTERISTICS • Complications of pregnancy (e.g., premature rupture of membranes, placenta previa or abruption, late prenatal care, multi- ple gestation) • Compromised O2 transport (e.g., anemia, cardiac disease, asthma, hypertension, seizures, [...]

Nursing diagnosis – RISK FOR DISUSE SYNDROME

ShareRISK  FOR  DISUSE  SYNDROME DEFINITION At risk for deterioration of body systems as the result of prescribed or unavoidable musculoskeletal inactivity RISK FACTORS •   Altered LOC •   Prescribed immobilization •   Mechanical immobilization •   Severe pain •   Paralysis ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.) • Activity/exercise • Neurocognition • Cardiac function • Respiratory function • [...]

Nursing diagnosis – MORAL DISTRESS

ShareMORAL  DISTRESS DEFINITION Response to the inability to carry out one’s chosen moral/ethical decision/action DEFINING CHARACTERISTICS Expresses anguish (e.g., powerlessness, guilt, frustration, anxiety, self-doubt, fear) over difficulty acting on moral choice RELATED FACTORS • Conflict among decision makers • Loss of autonomy • Conflicting information guiding • Physical distance of decision ethical and/or moral decision [...]

Nursing diagnosis – RISK FOR COMPROMISED HUMAN DIGNITY

ShareRISK  FOR  COMPROMISED  HUMAN  DIGNITY DEFINITION At risk for perceived loss of respect and honor DEFINING CHARACTERISTICS • Cultural incongruity • Disclosure of confidential information • Exposure of the body • Inadequate participation in decision making • Loss of control of bodily functions • Perceived dehumanizing treatment • Perceived humiliation • Perceived invasion of privacy [...]

Nursing diagnosis – DIARRHEA

ShareDIARRHEA DEFINITION Passage of loose, unformed stools DEFINING CHARACTERISTICS • Abdominal pain and cramping • At least three loose, liquid stools per day • Hyperactive bowel sounds • Urgency RELATED FACTORS • Psychological: anxiety, high stress levels • Physiological: malabsorption, infectious processes, irritation, para- sites, inflammation • Situational: adverse effects of medications, alcohol abuse, toxins, [...]

Nursing diagnosis – RISK FOR DELAYED DEVELOPMENT

ShareRISK  FOR  DELAYED  DEVELOPMENT DEFINITION At risk for delay of 25% or more in one or more of the areas of social or self-regulatory behavior, or in cognitive, language, gross or fine motor skills RISK FACTORS • Adopted child • Hearing impairment • Behavior disorders • Inadequate nutrition • Brain damage • Genetic disorders • [...]

Nursing diagnosis – IMPAIRED DENTITION

ShareIMPAIRED  DENTITION DEFINITION Disruption in tooth development and eruption patterns or structural integrity of individual teeth DEFINING CHARACTERISTICS • Caries; extractions; evidence of periodontal disease • Evulsion • Inability or unwillingness of parents or caregiver to provide child with dental care; lack of access to dental care • Lack of knowledge of appropriate dental hygiene [...]

Nursing diagnosis – INEFFECTIVE DENIAL

ShareINEFFECTIVE  DENIAL DEFINITION Conscious or unconscious attempt to disavow the knowledge or meaning of an event to reduce anxiety/fear, but leading to the detri- ment of health DEFINING CHARACTERISTICS • Delay in seeking or refusal of medical attention to detriment of health • Displacement of fear about condition’s impact • Displacement of sources of symptoms [...]

Nursing diagnosis – READINESS FOR ENHANCED DECISION MAKING

ShareREADINESS  FOR  ENHANCED DECISION  MAKING DEFINITION A pattern of choosing courses of action that is sufficient for meeting short- and long-term health-related goals and can be strengthened DEFINING CHARACTERISTICS • Expresses desire to enhance decision making • Expresses desire to enhance congruency of decisions with personal values and goals • Expresses desire to enhance congruency [...]

Nursing diagnosis – RISK FOR SUDDEN INFANT DEATH SYNDROME

ShareRISK  FOR  SUDDEN  INFANT DEATH  SYNDROME DEFINITION Presence of risk factors for an infant under 1 year of age RISK FACTORS Modifiable • Consistent disorientation to • Delayed prenatal care environment • Infant overheating Partially Modifiable • Infant over wrapping • Low birth weight • Infants placed to sleep in a • Prematurity prone position [...]

Nursing diagnosis – READINESS FOR ENHANCED COMMUNITY COPING

ShareREADINESS  FOR  ENHANCED COMMUNITY  COPING DEFINITION Pattern of community activities for adaptation and problem solving that is satisfactory for meeting the demands or needs of the commu- nity but can be improved for management of current and future problems/stressors DEFINING CHARACTERISTICS • Active planning to handle predicted stressors • Active problem solving when faced with [...]

Nursing diagnosis – READINESS FOR ENHANCED COPING

ShareREADINESS  FOR  ENHANCED  COPING DEFINITION A pattern of cognitive and behavioral efforts to manage demands that is sufficient for well-being and can be strengthened DEFINING CHARACTERISTICS • Defines stressors as manageable • Seeks knowledge of new strategies • Seeks social support • Uses a broad range of problem-oriented and emotion-oriented strategies • Uses spiritual resources [...]