Nursing diagnosis – RISK FOR LONELINESS

ShareRISK  FOR  LONELINESS DEFINITION At risk for experiencing discomfort associated with a desire or need for more contact with others RISK FACTORS • Affectional deprivation • Physical isolation • Cathectic deprivation • Social isolation ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.) • Coping • Roles/relationships • Emotional • Values/beliefs EXPECTED OUTCOMES The patient will • [...]

Nursing diagnosis – RISK FOR IMPAIRED LIVER FUNCTION

ShareRISK  FOR  IMPAIRED  LIVER  FUNCTION DEFINITION At risk for liver dysfunction RISK FACTORS • Hepatotoxic medications (e.g., • Viral infection (e.g., hepatitis acetaminophen, statins) A, B, or C, Epstein-Barr) • HIV coinfection • Chronic biliary obstruction • Substance abuse (e.g., alcohol, and infection cocaine) • Nutritional deficiencies ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.) • [...]

Nursing diagnosis – RISK FOR PERIOPERATIVE POSITIONING INJURY

ShareRISK  FOR  PERIOPERATIVE-POSITIONING INJURY DEFINITION At risk for inadvertent anatomical and physical changes as a result of posture on equipment used during an invasive/surgical procedure RISK FACTORS • Disorientation • Muscle weakness • Edema • Obesity • Emaciation • Sensory–perceptual • Immobilization disturbances from anesthesia ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.) • Activity/exercise • [...]

Nursing diagnosis – RISK FOR INJURY

ShareDEFINITION At risk for injury as a result of environmental conditions interacting with the individual’s adaptive and defensive resources RISK FACTORS External Internal • Biological: Community immu- • Abnormal blood profile: nization level; microorganisms Altered clotting factors; • Chemical: Cosmetics; drugs, decreased hemoglobin; leuko- pharmaceutical agents; dyes; alcohol, nicotine, preservatives; poisons cytosis/leucopenia; sickle cell; thalassemia; [...]

Nursing diagnosis – RISK FOR INFECTION

ShareRISK  FOR  INFECTION DEFINITION At risk for being invaded by pathogenic organisms RISK FACTORS • Altered immune function • Pharmaceutical agents • Amniotic membrane rupture • Inadequate primary (such as • Chronic disease skin) or secondary (such as • Environmental exposure to inflammatory response) pathogens defenses • Invasive procedures • Malnutrition • Lack of knowledge [...]

Nursing diagnosis – RISK FOR DISORGANIZED INFANT BEHAVIOR

ShareRISK FOR DISORGANIZED INFANT BEHAVIOR DEFINITION Risk for alteration in integration and modulation of the physiologi- cal and behavioral systems of functioning (such as autonomic, motor, state-organizational, self-regulatory, and attentional–interac- tional systems) RISK FACTORS • Environmental overstimulation • Oral or motor problems • Invasive or painful procedures • Pain • Lack of containment or • [...]

Nursing diagnosis – RISK FOR URGE URINARY INCONTINENCE

ShareRISK  FOR  URGE  URINARY  INCONTINENCE DEFINITION At risk for involuntary loss of urine associated with a sudden, strong sensation or urinary urgency RISK FACTORS • Effects of medication, caffeine, • Detrusor muscle instability or alcohol with impaired contractility • Detrusor hyperreflexia from • Ineffective toileting habits cystitis, urethritis, tumors, renal calculi, central nervous system disorders [...]

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 – RISK FOR COMPLICATED GRIEVING

ShareRISK  FOR  COMPLICATED  GRIEVING DEFINITION At risk for a disorder that occurs after the death of a significant other, in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment RISK FACTORS • Death of a significant other • Emotional instability • Lack of social support ASSESSMENT FOCUS   [...]

Nursing diagnosis – RISK FOR UNSTABLE BLOOD GLUCOSE

ShareRISK  FOR  UNSTABLE  BLOOD  GLUCOSE DEFINITION At risk for variation of blood glucose/sugar levels from the normal range RISK FACTORS • Deficient knowledge of • Lack of adherence to diabetes diabetes management management • Developmental level • Physical activity level • Dietary intake • Physical/mental health status • Inadequate blood glucose • Pregnancy monitoring • [...]

Nursing diagnosis – RISK FOR DYSFUNCTIONAL GASTROINTESTINAL MOTILITY

ShareRISK  FOR  DYSFUNCTIONAL GASTROINTESTINAL  MOTILITY DEFINITION Risk for increased, decreased, ineffective, or lack of peristaltic activity within the gastrointestinal system RISK FACTORS • Abdominal surgery • Gastroesophageal reflux • Diabetes disease (GERD) • Prematurity • Unsanitary food preparation • Decreased gastrointestinal • Anxiety circulation • Lifestyle • Pharmaceutical agents (e.g., • Immobility narcotics, antibiotics, proton [...]

Nursing diagnosis – RISK FOR IMBALANCED FLUID VOLUME

ShareRISK  FOR  IMBALANCED  FLUID  VOLUME DEFINITION At risk for a decrease, increase, or rapid shift from one to the other of intravascular, interstitial, and/or intracellular fluid. This refers to body fluid loss, gain, or both RISK FACTORS • Receiving apheresis • Intestinal obstruction • Abdominal surgery • Sepsis • Traumatic injury • Pancreatitis • Burns [...]

Nursing diagnosis – RISK FOR DEFICIENT FLUID VOLUME

ShareRISK  FOR  DEFICIENT  FLUID  VOLUME DEFINITION At risk for experiencing vascular, cellular, or intracellular dehydration RISK FACTORS • Conditions  that  influence  fluid • Knowledge deficit related to needs (e.g., hypermetabolic state) fluid volume • Excessive loss of fluid from • Loss of fluid through abnor- normal routes (e.g., diarrhea) mal routes (e.g., drainage • Extremes [...]

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 – 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 – 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 – 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 • [...]