Ng. diagnosis

[عطر البحر]

• • Health perception--Health management

  • Risk:
  • Risk for infection
  • Risk for injury
  • Risk for latex allergy response
  • Risk for poisoning
  • Risk for suffocation
  • Risk for trauma
  • Risk for altered growth
  • Risk for altered development

  • Actual:

  o Disturbed energy field

  
  

  (specify)

  
  

  o Ineffective community therapeutic regimen management
  o Ineffective family therapeutic regimen management

  • • Ineffective individual therapeutic regimen management
    • Ineffective health maintenance
    • Altered growth and development
    • Noncompliance (specify)

  • Nutritional--****************bolic

  • Risk
  • Risk for Imbalanced Nutrition: Less than body requirements
  • Risk for imbalanced nutrition: More than body requirements
  • Risk for imbalanced fluid volume
  • Risk for deficient fluid volume
  • Risk for aspiration
  • Risk for delayed surgical recovery
  • Risk for impaired skin integrity
  • Risk for imbalanced body temperature

  
  

  • Actual
  • Altered oral mucous membrane
  • Altered dentition
  • Impaired swallowing
  • Imbalanced nutrition: less than body requirements
  • Imbalanced nutrition: more than body requirements
  • Ineffective breast-feeding
  • Interrupted breast-feeding
  • Ineffective infant feeding pattern
  • Deficient fluid volume
  • Excess fluid volume
  • Ineffective thermoregulation
  • Hyperthermia
  • Hypothermia
  • Impaired skin integrity
  • [COLOR=window****************]Impaired tissue integrity[/color]
  • Ineffective protection
  • Adult failure to thrive

  
  

  
  
  
  

  • Elimination

  • Risk
  • Risk for constipation
  • Risk for impaired urinary elimination
  • Risk for urge urinary incontinence

  
  

  • Actual
  • Altered bowel elimination
  • Bowel incontinence
  • Colonic constipation*
  • Constipation
  • Perceived constipation
  • Diarrhea
  • Impaired urinary elimination
  • Urinary retention
  • Functional urinary incontinence
  • Reflex urinary incontinence
  • Urge urinary incontinence
  • Stress urinary incontinence
  • Total urinary incontinence

  
  

  • Sleep-rest

  • Risk
  • Risk for disturbed sleep pattern
  • Risk for sleep deprivation

  • Actual
  • Sleep pattern disturbance
  • Sleep deprivation

  • Self-perception--Self-concept

  • Risk
  • Risk for hopelessness
  • Risk for powerlessness
  • Risk for self-mutilation
  • Risk for body image disturbance
  • Risk for situational low self-esteem
  • Risk for suicidal thoughts/tendencies

  • Actual
  • Situational low self-esteem
  • Disturbed self-esteem
  • Chronic low-self-esteem
  • Disturbed body image
  • Disturbed personal identity
  • Hopelessness
  • Powerlessness
  • Self-mutilation
  • Suicidal thoughts
  • Suicidal attempt

  
  
  

  • Role--Relationship

  • Risk
  • Risk for caregiver role strain
  • Risk for impaired parent-infant/child attachment
  • Risk for impaired parenting
  • Risk for loneliness
  • Risk for other-directed violence
  • Risk for relocation stress syndrome
  • Risk for dysfunctional grieving

  • Actual
  • Caregiver role strain
  • Impaired parenting
  • Parental role conflict
  • Dysfunctional family processes
  • Dysfunctional family processes: Alcoholism
  • Interrupted family processes
  • Compromised family coping
  • Impaired social interaction
  • Social isolation
  • Relocation stress syndrome
  • Ineffective role performance
  • Impaired verbal communication
  • Anticipatory grieving
  • Dysfunctional grieving

  • Cognitive--Perceptual

  • Risk
  • Risk for disturbed thought processes
  • Risk for pain (acute, chronic)

  • Actual
  • Knowledge, deficit (Specify)
  • Anxiety
  • Death anxiety
  • Fear
  • Acute confusion
  • Acute pain
  • Nausea
  • Chronic confusion
  • Chronic pain
  • Chronic sorrow
  • Decisional conflict (specify)
  • Decreased intracranial adaptive capacity
  • Autonomic Dysreflexia
  • Disturbed sensory perception (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)
  • Impaired environmental interpretation syndrome
  • Disturbed thought processes
  • Impaired memory
    • Unilateral neglect
    • Wandering

  • Activity--Exercise

  • Risk
  • Risk for activity intolerance
  • Risk for altered respiratory function
  • Risk for autonomic dysreflexia
  • Risk for disorganized infant behavior
  • Risk for disuse syndrome
  • Risk for preoperative-positioning injury
  • Risk for peripheral neurovascular dysfunction
  • Risk for falls

  
  

  • Actual
  • Activity intolerance
  • Decreased cardiac output
  • Ineffective tissue perfusion (specify type: renal, cerebral, cardiopulmonary, gastrointestinal, peripheral)
  • Impaired spontaneous ventilation
  • Dysfunctional ventilators weaning response
  • Ineffective breathing pattern
  • Ineffective airway clearance
  • Impaired gas exchange
  • Delayed surgical recovery
  • Fatigue
  • Impaired physical mobility
  • Impaired bed mobility
  • Impaired transfer ability
  • Impaired wheelchair mobility
  • Impaired walking
  • Bathing/hygiene self-care deficit
  • Feeding self-care deficit
  • Dressing/grooming self-care deficit
  • Toileting self-care deficit
  • Total self-care deficit
  • Deficient diversional activity
  • Impaired home maintenance
  • Disorganized infant behavior

  
  

  
  

  • Sexuality--Reproductive

  • Risk
  • Risk for ineffective sexuality pattern

  • Actual
  • Altered sexuality patterns
  • Sexual dysfunction

  
  
  

  • Coping--Stress tolerance

  • Risk
  • Risk for ineffective coping (individual, family, or community)
  • Risk for post-trauma syndrome
  • Risk for self-directed violence
  • Risk for suicide

  • Actual
  • Ineffective individual coping
  • Ineffective family coping
  • Ineffective community coping*
  • Defensive coping
  • Impaired adjustment
  • Ineffective denial
  • Post trauma response
  • Rape-trauma syndrome
  • Rape-trauma syndrome: Compound reaction
  • Rape-trauma syndrome: Silent reaction

  
  
  

  • Value--Belief

  • Risk
  • Risk for spiritual distress*

  • Actual
  • Spiritual distress

  
  
  
  

  
  

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