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Handbook of Nursing Diagnosis

ISBN: 9780781719711 | 0781719712
Format: Paperback
Publisher: Lippincott Williams & Wilkins
Pub. Date: 5/1/1999

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SummaryTable of Contents
This quick-reference text has all the answers! Now in its Eighth Edition, this portable handbook gives the reader easy access to nursing diagnoses and collaborative problems. Designed in outline format and divided into two sections, the book is well-organized and readable. Section I covers all nursing diagnoses and specific population interventions. Section II presents Diagnostic Clusters. Boxed and screened author's notes clarify diagnoses. Interventions are grouped according to population. Diagnostic Clusters cover all clinical areas -- Medical, Surgical, Obstetrical/Gynecological, Neonatal, Pediatric/Adolescent, and Mental Health. A removable laminated card at the back of the book lists all nursing diagnoses under functional health patterns. New in this edition: Critical Pathways and how to use them with nursing diagnosis; new nursing diagnoses; and NIC and NOC Appendices.
Introductionxxv
Section I NURSING DIAGNOSES1(447)
Activity Intolerance
2(5)
Adaptive Capacity, Decreased: Intracranial
... MORE		7(1)
Adjustment, Impaired
8(1)
Anxiety
9(9)
Death Anxiety
16(2)
Body Temperature, Risk for Altered
18(9)
Hypothermia
20(2)
Hyperthermia
22(2)
Thermoregulation, Ineffective
24(3)
Bowel Incontinence
27(3)
Breastfeeding, Effective
30(3)
Breastfeeding, Ineffective
33(3)
Breastfeeding, Interrupted
36(1)
Cardiac Output, Decreased
37(1)
Caregiver Role Strain
38(7)
Risk for Caregiver Role Strain
42(3)
Comfort, Altered
45(13)
Acute Pain
48(6)
Chronic Pain
54(2)
Nausea
56(2)
Communication, Impaired
58(7)
Communication, Impaired Verbal
63(2)
Confusion
65(10)
Acute Confusion
66(5)
Chronic Confusion
71(4)
Constipation
75(7)
Perceived Constipation
80(1)
Constipation, Risk for
81(1)
Coping, Ineffective Individual
82(10)
Defensive Coping
87(2)
Ineffective Denial
89(3)
Coping, Ineffective Community
92(3)
Coping, Potential for Enhanced Community
95(2)
Family Coping: Potential for Growth
97(2)
Ineffective Family Coping: Compromised
99(1)
Ineffective Family Coping: Disabling
100(5)
Decisional Conflict
105(4)
Diarrhea
109(3)
Disuse Syndrome
112(4)
Diversional Activity Deficit
116(3)
Dysreflexia
119(3)
Dysreflexia, Risk for
122(1)
Energy Field Disturbance
122(3)
Environmental Interpretation Syndrome, Impaired
125(2)
Family Processes, Altered
127(8)
Family Processes, Altered: Alcoholism
130(5)
Fatigue
135(5)
Fear
140(4)
Fluid Volume Deficit
144(3)
Fluid Volume Excess
147(4)
Fluid Volume Imbalance, Risk for
151(1)
Grieving
152(9)
Grieving, Anticipatory
156(2)
Grieving, Dysfunctional
158(3)
Growth and Development, Altered
161(12)
Development, Risk for Altered
170(1)
Growth, Risk for Altered
171(1)
Failure to Thrive, Adult
171(2)
Health Maintenance, Altered
173(11)
Health Seeking Behaviors (Specify)
184(3)
Home Maintenance Management, Impaired
187(2)
Hopelessness
189(7)
Infant Behavior, Disorganized
196(6)
Infant Behavior, Risk for Disorganized
202(1)
Infant Behavior, Potential for Enhanced Organized
203(4)
Infection, Risk for
207(7)
Infection Transmission, Risk for
212(2)
Injury, Risk for
214(9)
Aspiration, Risk for
219(3)
Poisoning, Risk for
222(1)
Suffocation, Risk for
222(1)
Trauma, Risk for
222(1)
Injury, Risk for Perioperative Positioning
223(3)
Knowledge Deficit
226(1)
Latex Allergy
227(3)
Latex Allergy, Risk for
229(1)
Loneliness, Risk for
230(4)
Management of Therapeutic Regimen, Effective: Individual
234(2)
Management of Therapeutic Regimen, Ineffective
236(9)
Management of Therapeutic Regimen, Ineffective: Families
241(1)
Management of Therapeutic Regimen, Ineffective: Community
242(3)
Mobility, Impaired Physical
245(10)
Bed Mobility, Impaired
250(1)
Walking, Impaired
251(1)
Wheelchair Mobility, Impaired
252(1)
Wheelchair Transfer Ability, Impaired
253(2)
Neurovascular Dysfunction, Risk for Peripheral
255(3)
Noncompliance
258(3)
Nutrition, Altered: Less Than Body Requirements
261(12)
Altered Dentition
266(1)
Impaired Swallowing
267(3)
Ineffective Infant Feeding Pattern
270(3)
Nutrition, Altered: More Than Body Requirements
273(3)
Nutrition, Altered: Potential for More Than Body Requirements
276(1)
Parenting, Altered
277(13)
Parent-Infant Attachment, Risk for Altered
281(5)
Parental Role Conflict
286(4)
Post-Trauma Response
290(8)
Post-Trauma Response, Risk for
294(1)
Rape-Trauma Syndrome
295(3)
Powerlessness
298(3)
Protection, Altered
301(2)
Tissue Integrity, Impaired
303(10)
Skin Integrity, Impaired
306(1)
Skin Integrity, Impaired, Risk for
307(2)
Oral Mucous Membrane, Altered
309(4)
Relocation Stress (Syndrome)
313(5)
Respiratory Function, Risk for Altered
318(15)
Dysfunctional Ventilatory Weaning Response
321(5)
Dysfunctional Ventilatory Weaning Response, Risk for
326(2)
Ineffective Airway Clearance
328(1)
Ineffective Breathing Patterns
329(2)
Impaired Gas Exchange
331(1)
Inability to Sustain Spontaneous Ventilation
332(1)
Role Performance, Altered
333(2)
Self-Care Deficit Syndrome
335(15)
Feeding Self-Care Deficit
339(2)
Bathing/Hygiene Self-Care Deficit
341(2)
Dressing/Grooming Self-Care Deficit
343(2)
Toileting Self-Care Deficit
345(3)
Instrumental Self-Care Deficit
348(2)
Self-Concept Disturbance
350(16)
Body Image Disturbance
353(4)
Personal Identity Disturbance
357(1)
Self-Esteem Disturbance
358(3)
Chronic Low Self-Esteem
361(2)
Situational Low Self-Esteem
363(3)
Risk for Self-Harm
366(10)
Risk for Self-Abuse
370(1)
Risk for Self-Mutilation
371(1)
Risk for Suicide
371(5)
Sensory-Perceptual Alterations
376(4)
Sexuality Patterns, Altered
380(8)
Sexual Dysfunction
387(1)
Sleep Pattern Disturbance
388(4)
Sleep Deprivation
391(1)
Social Interaction, Impaired
392(4)
Social Isolation
396(2)
Sorrow, Chronic
398(2)
Spiritual Distress
400(4)
Spiritual Distress, Risk for
403(1)
Spiritual Well-Being, Potential for Enhanced
404(1)
Surgical Recovery, Delayed
405(1)
Thought Processes, Altered
406(8)
Memory, Impaired
411(3)
Tissue Perfusion, Altered: (Specify)
414(5)
Altered Peripheral Tissue Perfusion
415(4)
Unilateral Neglect
419(3)
Urinary Elimination, Altered Patterns of
422(20)
Maturational Enuresis
425(2)
Functional Incontinence
427(2)
Reflex Incontinence
429(2)
Stress Incontinence
431(2)
Total Incontinence
433(3)
Urge Incontinence
436(3)
Urge Incontinence, Risk for
439(1)
Urinary Retention
439(3)
Violence, Risk for
442(5)
Section II DIAGNOSTIC CLUSTERS
(Medical Conditions With Associated Nursing Diagnoses and Collaborative Problems)
447(1)
MEDICAL CONDITIONS448(52)
Cardiovascular/Hematological/Peripheral Vascular Disorders
448(1)
Cardiac Conditions
448(3)
Angina Pectoris
448(1)
Congestive Heart Failure With Pulmonary Edema
449(1)
Endocarditis, Pericarditis (Rheumatic, Infectious)
450(1)
Myocardial Infarction (Uncomplicated)
450(1)
Hematological Conditions
451(3)
Anemia
451(1)
Aplastic Anemia
452(1)
Pernicious Anemia
452(1)
Disseminated Intravascular Coagulation (DIC)
453(1)
Polycythemia Vera
453(1)
Peripheral Vascular Conditions
454(3)
Deep Vein Thrombosis
454(1)
Hypertension
455(1)
Varicose Veins
455(1)
Peripheral Arterial Disease (Atherosclerosis, Arteriosclerosis)
455(1)
Raynaud's Disease
456(1)
Venous Stasis Ulcers (Postphlebitis Syndrome)
456(1)
Respiratory Disorders
457(3)
Adult Respiratory Distress Syndrome
457(1)
Chronic Obstructive Pulmonary Disease (Emphysema, Bronchitis)
457(1)
Pleural Effusion
458(1)
Pneumonia
459(1)
Pulmonary Embolism
460(1)
Metabolic/Endocrine Disorders
460(8)
Addison's Disease
460(1)
Aldosteronism, Primary
461(1)
Cirrhosis (Laennec's Disease)
461(1)
Cushing's Syndrome
462(1)
Diabetes Mellitus
463(1)
Hepatitis (Viral)
464(1)
Hyperthyroidism (Thyrotoxicosis, Graves' Disease)
465(1)
Hypothyroidism (Myxedema)
466(1)
Obesity
467(1)
Pancreatitis
467(1)
Gastrointestinal Disorders
468(2)
Esophageal Disorders (Esophagitis, Hiatal Hernia)
468(1)
Gastroenteritis
468(1)
Hemorrhoids/Anal Fissure (Nonsurgical)
468(1)
Inflammatory Bowel Disease (Diverticulosis, Diverticulitis, Regional Enteritis, Ulcerative Colitis)
469(1)
Peptic Ulcer Disease
470(1)
Renal/Urinary Tract Disorders
470(4)
Neurogenic Bladder
470(1)
Renal Failure (Acute)
471(1)
Renal Failure (Chronic, Uremia)
472(1)
Urinary Tract Infections (Cystitis, Pyelonephritis, Glomerulonephritis)
473(1)
Urolithiasis (Renal Calculi)
473(1)
Neurological Disorders
474(9)
Brain Tumor
474(1)
Cerebrovascular Accident
475(2)
Nervous System Disorders (Degenerative, Demyelinating, Inflammatory, Myasthenia Gravis, Multiple Sclerosis, Muscular Dystrophy, Parkinson's Disease, Guillain-Barre Syndrome, Amyotrophic Lateral Sclerosis)
477(1)
Presenile Dementia (Alzheimer's Disease, Huntington's Disease)
478(1)
Seizure Disorders (Epilepsy)
479(1)
Spinal Cord Injury
480(2)
Unconscious Individual
482(1)
Sensory Disorders
483(2)
Ophthalmic Disorders (Cataracts, Detached Retina, Glaucoma, Inflammations)
483(1)
Otic Disorders (Infections, Mastoiditis, Trauma)
484(1)
Integumentary Disorders
485(4)
Dermatological Disorders (Dermatitis, Psoriasis, Eczema)
485(1)
Pressure Ulcers
485(1)
Skin Infections (Impetigo, Herpes Zoster, Fungal Infections)
486(1)
Thermal Injuries (Burns, Severe Hypothermia)
486(3)
Musculoskeletal/Connective Tissue Disorders
489(4)
Fractured Jaw
489(1)
Fractures
489(1)
Low Back Pain
490(1)
Osteoporosis
491(1)
Inflammatory Joint Disease
492(1)
Infectious/Immunodeficient Disorders
493(3)
Lupus Erythematosus (Systemic)
493(1)
Meningitis/Encephalitis
493(1)
Sexually Transmitted Infectious Diseases (Venereal Diseases, Herpes)
494(1)
Acquired Immunodeficiency Syndrome (AIDS) (Adult)
495(1)
Neoplastic Disorders
496(4)
Cancer (Initial Diagnosis)
496(1)
Cancer (General; Applies to Malignancies in Varied Sites and Stages)
497(2)
Cancer (End-Stage)
499(1)
Colorectal Cancer (Additional Nursing Diagnoses)
500(1)
SURGICAL PROCEDURES500(25)
General Surgery
500(1)
Amputation (Lower Extremity)
501(1)
Aneurysm Resection (Abdominal Aortic)
502(1)
Anorectal Surgery
503(1)
Arterial Bypass Graft of Lower Extremity (aortic, Iliac, Femoral, Popliteal)
504(1)
Arthroplasty (Total Hip, Knee, or Ankle Replacement)
505(1)
Arthroscopy, Arthrotomy, Meniscectomy, Bunionectomy
506(1)
Carotid Endarterectomy
506(1)
Cataract Extraction
507(1)
Cesarean Section
508(1)
Cholecystectomy
508(1)
Colostomy
508(1)
Corneal Transplant (Penetrating Keratoplasty)
509(1)
Coronary Artery Bypass Graft (CABG)
510(1)
Cranial Surgery
510(1)
Dilatation and Curettage
511(1)
Enucleation
512(1)
Fractured Hip and Femur
513(1)
Hysterectomy (Vaginal, Abdominal)
513(1)
Ileostomy
514(1)
Laminectomy
515(1)
Mastectomy
516(1)
Ophthalmic Surgery
516(1)
Otic Surgery (Stapedectomy, Tympanoplasty, Myringotomy, Tympanic Mastoidectomy)
517(1)
Radical Neck Dissection (Laryngectomy)
518(1)
Radical Vulvectomy
518(1)
Renal Surgery (General, Percutaneous Nephrostomy/Extracorporeal Renal Surgery, Nephrectomy)
519(1)
Renal Transplant
520(1)
Thoracic Surgery
521(1)
Tonsillectomy
522(1)
Transurethral Resection (Prostate [Benign Hypertrophy or Cancer], Bladder Tumor)
523(1)
Urostomy
523(2)
OBSTETRICAL/GYNECOLOGICAL CONDITIONS525(9)
Obstetrical Conditions
525(8)
Prenatal Period (General)
525(1)
Abortion, Induced
525(1)
Abortion, Spontaneous
526(1)
Extrauterine Pregnancy (Ectopic Pregnancy)
526(1)
Hyperemesis Gravidarum
527(1)
Pregnancy-Induced Hypertension
527(1)
Pregnant Adolescent
527(1)
Uterine Bleeding During Pregnancy (Placenta Previa, Abruptio Placentae, Uterine Rupture, Nonmalignant Lesions, Hydatidiform Mole)
528(1)
Intrapartum Period (General)
529(1)
Postpartum Period
529(2)
Concomitant Medical Conditions (Cardiac Disease [Prenatal, Postpartum], Diabetes [Prenatal, Postpartum])
531(2)
Gynecological Conditions
533(1)
Endometriosis
533(1)
Pelvic Inflammatory Disease
533(1)
NEONATAL CONDITIONS534(7)
Neonate, Normal
534(1)
Neonate, Premature
534(1)
Neonate, Postmature (Small for Gestational Age [SGA], Large for Gestational Age [LGA])
535(1)
Neonate With Special Problem (Congential Infections---Cytomegalovirus, Rubella, Toxoplasmosis, Syphilis, Herpes)
536(1)
Neonate With Meningomyelocele
536(1)
Neonate With Congenital Heart Disease (Preoperative)
537(1)
Neonate of a Diabetic Mother
537(1)
High-Risk Neonate
538(1)
Family of High-Risk Neonate
538(1)
Hyperbilirubinemia (Rh Incompatibility, ABO Incompatibility)
539(1)
Neonate of Narcotic-Addicted Mother
539(1)
Respiratory Distress Syndrome
540(1)
Sepsis (Septicemia)
540(1)
PEDIATRIC/ADOLESCENT DISORDERS541(24)
Developmental Problems/Needs Related to Chronic Illness (eg, Permanent Disability, Multiple Handicaps, Developmental Disability [Mental/Physical], Life-Threatening Illness)
541(1)
Anxiety/School Phobia
542(1)
Acquired Immunodeficiency Syndrome (Child)
542(1)
Asthma
543(1)
Attention Deficit Disorder (Hootman, 1993)
544(1)
Celiac Disease
544(1)
Cerebral Palsy
545(1)
Child Abuse (Battered Child Syndrome, Child Neglect)
546(1)
Cleft Lip and Palate
547(1)
Communicable Diseases
547(1)
Congenital Heart Disease
548(1)
Convulsive Disorders
548(1)
Craniocerebral Trauma
549(1)
Cystic Fibrosis
549(1)
Down Syndrome
550(1)
Dysmenorrhea
551(1)
Failure to Thrive (Nonorganic)
551(1)
Glomerular Disorders (Glomerulonephritis: Acute, Chronic; Nephrotic Syndrome: Congenital, Secondary, Idiopathic)
552(1)
Hemophilia
552(1)
Hydrocephalus
553(1)
Infectious Mononucleosis (Adolescent)
554(1)
Legg-Calve-Perthes Disease
554(1)
Leukemia
554(1)
Meningitis (Bacterial)
555(1)
Meningomyelocele
556(1)
Mental Disabilities
557(1)
Muscular Dystrophy
557(1)
Obesity
558(1)
Osteomyelitis
559(1)
Parasitic Disorders
559(1)
Pediculosis
560(1)
Poisoning
560(1)
Respiratory Tract Infection (Lower)
561(1)
Rheumatic Fever
561(1)
Rheumatoid Arthritis (Juvenile)
562(1)
Reye's Syndrome
562(1)
Scoliosis
563(1)
Sickle Cell Anemia
563(1)
Tonsillitis
564(1)
Wilms' Tumor
564(1)
MENTAL HEALTH DISORDERS565(7)
Affective Disorders (Depression)
565(1)
Anorexia Nervosa
566(1)
Anxiety and Adjustment Disorders (Phobias, Anxiety States, Traumatic Stress Disorders, Adjustment Reactions)
567(1)
Bipolar Disorder (Mania)
568(1)
Childhood Behavioral Disorders (Attention Deficit Disorders, Learning Disabilities)
568(1)
Obsessive-Compulsive Disorder
569(1)
Paranoid Disorders
569(1)
Personality Disorders
569(1)
Schizophrenic Disorders
570(1)
Somatoform Disorders (Somatization, Hypochondriasis, Conversion Reactions)
570(1)
Substance Abuse Disorders
571(1)
DIAGNOSTIC AND THERAPEUTIC PROCEDURES572(19)
Angioplasty (Percutaneous, Transluminal, Coronary, Peripheral)
572(1)
Anticoagulant Therapy
573(1)
Arteriogram
574(1)
Cardiac Catheterization
574(1)
Casts
575(1)
Cesium Implant
576(1)
Chemotherapy
576(2)
Corticosteroid Therapy
578(1)
Electroconvulsive Therapy (ECT)
579(1)
Electronic Fetal Monitoring (Internal)
579(1)
Enteral Nutrition
579(1)
External Arteriovenous Shunting
580(1)
Hemodialysis
580(2)
Hemodynamic Monitoring
582(1)
Hickman Catheter
582(1)
Long-Term Venous Catheter
583(1)
Intra-aortic Balloon Pumping
583(1)
Mechanical Ventilation
584(1)
Pacemaker Insertion
585(1)
Peritoneal Dialysis
586(1)
Radiation Therapy (External)
587(1)
Total Parenteral Nutrition (Hyperalimentation Therapy)
588(1)
Tracheostomy
589(2)
Traction
590(1)
References/Bibliography591(6)
Appendix Adult Screening Admission Assessment Guide597(6)
How to Create a Priority Set of Diagnoses603(1)
Index604

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