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Handbook of Nursing Diagnosis

ISBN: 9780397554300 | 0397554303
Format: Paperback
Publisher: Lippincott Williams & Wilkins
Pub. Date: 2/1/1997

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SummaryTable of Contents
This indispensable reference gives readers the tools they need to make the right call--every time. The handbook covers definition, defining characteristics, related factors, outcome criteria and more.
Introductionxxiii
Section I NURSING DIAGNOSES1(422)
Activity Intolerance
2(5)
Adaptive Capacity, Decreased: Intracranial
... MORE		7(1)
Adjustment, Impaired
8(1)
Anxiety
9(6)
Body Temperature, Risk for Altered
15(9)
Hypothermia
17(3)
Hyperthermia
20(2)
Thermoregulation, Ineffective
22(2)
Bowel Incontinence
24(3)
Breastfeeding, Effective
27(3)
Breastfeeding, Ineffective
30(3)
Breastfeeding, Interrupted
33(1)
Cardiac Output, Decreased
34(1)
Caregiver Role Strain
35(7)
Risk for Caregiver Role Strain
39(3)
Comfort, Altered
42(11)
Acute Pain
45(6)
Chronic Pain
51(2)
Communication, Impaired
53(7)
Communication, Impaired Verbal
58(2)
Confusion
60(10)
Acute Confusion
61(5)
Chronic Confusion
66(4)
Constipation
70(9)
Colonic Constipation
74(3)
Perceived Constipation
77(2)
Coping, Ineffective Individual
79(9)
Defensive Coping
84(2)
Ineffective Denial
86(2)
Coping, Ineffective Community
88(3)
Coping, Potential for Enhanced Community
91(3)
Family Coping: Potential for Growth
94(1)
Ineffective Family Coping: Compromised
95(1)
Ineffective Family Coping: Disabling
96(5)
Decisional Conflict
101(4)
Diarrhea
105(3)
Disuse Syndrome
108(4)
Diversional Activity Deficit
112(3)
Dysreflexia
115(3)
Energy Field Disturbance
118(3)
Environmental Interpretation Syndrome, Impaired
121(1)
Family Processes, Altered
122(8)
Family Processes, Altered: Alcoholism
125(5)
Fatigue
130(5)
Fear
135(4)
Fluid Volume Deficit
139(3)
Fluid Volume Excess
142(3)
Grieving
145(9)
Grieving, Anticipatory
150(2)
Grieving, Dysfunctional
152(2)
Growth and Development, Altered
154(21)
Health Seeking Behaviors (Specify)
175(3)
Home Maintenance Management, Impaired
178(2)
Hopelessness
180(6)
Infant Behavior, Disorganized
186(7)
Infant Behavior, Risk for Disorganized
193(1)
Infant Behavior, Potential for Enhanced Organized
194(4)
Infection, Risk for
198(7)
Infection Transmission, Risk for
202(3)
Injury, Risk for
205(8)
Aspiration, Risk for
209(3)
Poisoning, Risk for
212(1)
Suffocation, Risk for
212(1)
Trauma, Risk for
213(1)
Injury, Risk for Perioperative Positioning
213(3)
Knowledge Deficit
216(1)
Loneliness, Risk for
217(5)
Management of Therapeutic Regimen, Effective: Individual
222(2)
Management of Therapeutic Regimen, Ineffective
224(9)
Management of Therapeutic Regimen, Ineffective: Family
229(1)
Management of Therapeutic Regimen, Ineffective: Community
230(3)
Mobility, Impaired Physical
233(5)
Neurovascular Dysfunction, Risk for Peripheral
238(4)
Noncompliance
242(3)
Nutrition, Altered: Less Than Body Requirements
245(10)
Impaired Swallowing
250(3)
Ineffective Infant Feeding Pattern
253(2)
Nutrition, Altered: More Than Body Requirements
255(4)
Nutrition, Altered: Potential for More Than Body Requirements
259(1)
Parenting, Altered
260(13)
Parent--Infant Attachment, Risk for Altered
264(4)
Parental Role Conflict
268(5)
Post-Trauma Response
273(6)
Rape-Trauma Syndrome
276(3)
Powerlessness
279(4)
Protection, Altered
283(1)
Tissue Integrity, Impaired
284(10)
Skin Integrity, Impaired
287(3)
Oral Mucous Membrane, Altered
290(4)
Relocation Stress (Syndrome)
294(5)
Respiratory Function, Risk for Altered
299(15)
Dysfunctional Ventilatory Weaning Response
302(5)
Dysfunctional Ventilatory Weaning Response, Risk for
307(2)
Ineffective Airway Clearance
309(1)
Ineffective Breathing Patterns
310(2)
Impaired Gas Exchange
312(1)
Inability to Sustain Spontaneous Ventilation
313(1)
Role Performance, Altered
314(2)
Self-Care Deficit Syndrome
316(15)
Feeding Self-Care Deficit
320(2)
Bathing/Hygiene Self-Care Deficit
322(2)
Dressing/Grooming Self-Care Deficit
324(2)
Toileting Self-Care Deficit
326(3)
Instrumental Self-Care Deficit
329(2)
Self-Concept Disturbance
331(16)
Body Image Disturbance
334(4)
Personal Identity Disturbance
338(1)
Self-Esteem Disturbance
339(3)
Chronic Low Self-Esteem
342(2)
Situational Low Self-Esteem
344(3)
Risk for Self-Harm
347(10)
Risk for Self-Abuse
351(1)
Risk for Self-Mutilation
352(1)
Risk for Suicide
352(5)
Sensory-Perceptual Alterations
357(4)
Sexuality Patterns, Altered
361(7)
Sexual Dysfunction
368(1)
Sleep Pattern Disturbance
368(4)
Social Interaction, Impaired
372(4)
Social Isolation
376(2)
Spiritual Distress
378(3)
Spiritual Well-Being, Potential for Enhanced
381(2)
Thought Processes, Altered
383(8)
Memory, Impaired
388(3)
Tissue Perfusion, Altered: (Specify)
391(5)
Altered Peripheral Tissue Perfusion
392(4)
Unilateral Neglect
396(3)
Urinary Elimination, Altered Patterns of
399(19)
Maturational Enuresis
402(2)
Functional Incontinence
404(2)
Reflex Incontinence
406(2)
Stress Incontinence
408(2)
Total Incontinence
410(3)
Urge Incontinence
413(3)
Urinary Retention
416(2)
Violence, Risk for
418(5)
Section II DIAGNOSTIC CLUSTERS (Medical Conditions With Associated Nursing Diagnoses and Collaborative Problems)423(144)
MEDICAL CONDITIONS
424(52)
Cardiovascular/Hematological/Peripheral Vascular Disorders
424(1)
Cardiac Conditions
424(3)
Angina Pectoris
424(1)
Congestive Heart Failure With Pulmonary Edema
425(1)
Endocarditis, Pericarditis (Rheumatic, Infectious)
426(1)
Myocardial Infarction (Uncomplicated)
426(1)
Hematological Conditions
427(3)
Anemia
427(1)
Aplastic Anemia
428(1)
Pernicious Anemia
428(1)
Disseminated Intravascular Coagulation (DIC)
429(1)
Polycythemia Vera
429(1)
Peripheral Vascular Conditions
430(3)
Deep Vein Thrombosis
430(1)
Hypertension
431(1)
Varicose Veins
431(1)
Peripheral Arterial Disease (Atherosclerosis, Arteriosclerosis)
431(1)
Raynaud's Disease
432(1)
Venous Stasis Ulcers (Postphlebitis Syndrome)
432(1)
Respiratory Disorders
433(3)
Adult Respiratory Distress Syndrome
433(1)
Chronic Obstructive Pulmonary Disease (Emphysema, Bronchitis)
433(1)
Pleural Effusion
434(1)
Pneumonia
435(1)
Pulmonary Embolism
436(1)
Metabolic/Endocrine Disorders
436(8)
Addison's Disease
436(1)
Aldosteronism, Primary
437(1)
Cirrhosis (Laënnec's Disease)
437(1)
Cushing's Syndrome
438(1)
Diabetes Mellitus
439(1)
Hepatitis (Viral)
440(1)
Hyperthyroidism (Thyrotoxicosis, Graves' Disease)
441(1)
Hypothyroidism (Myxedema)
441(1)
Obesity
442(1)
Pancreatitis
443(1)
Gastrointestinal Disorders
444(2)
Esophageal Disorders (Esophagitis, Hiatal Hernia)
444(1)
Gastroenteritis
444(1)
Hemorrhoids/Anal Fissure (Nonsurgical)
444(1)
Inflammatory Bowel Disease (Diverticulosis, Diverticulitis, Regional Enteritis, Ulcerative Colitis)
445(1)
Peptic Ulcer Disease
446(1)
Renal/Urinary Tract Disorders
446(4)
Neurogenic Bladder
446(1)
Renal Failure (Acute)
447(1)
Renal Failure (Chronic, Uremia)
448(1)
Urinary Tract Infections (Cystitis, Pyelonephritis, Glomerulonephritis)
449(1)
Urolithiasis (Renal Calculi)
449(1)
Neurological Disorders
450(9)
Brain Tumor
450(1)
Cerebrovascular Accident
451(2)
Nervous System Disorders (Degenerative, Demyelinating, Inflammatory, Myasthenia Gravis, Multiple Sclerosis, Muscular Dystrophy, Parkinson's Disease, Guillain-Barré Syndrome, Amyotrophic Lateral Sclerosis)
453(1)
Presenile Dementia (Alzheimer's Disease, Huntington's Disease)
454(1)
Seizure Disorders (Epilepsy)
455(1)
Spinal Cord Injury
456(2)
Unconscious Individual
458(1)
Sensory Disorders
459(2)
Ophthalmic Disorders (Cataracts, Detached Retina, Glaucoma, Inflammations)
459(1)
Otic Disorders (Infections, Mastoiditis, Trauma)
460(1)
Integumentary Disorders
461(4)
Dermatological Disorders (Dermatitis, Psoriasis, Eczema)
461(1)
Pressure Ulcers
461(1)
Skin Infections (Impetigo, Herpes Zoster, Fungal Infections)
462(1)
Thermal Injuries (Burns, Severe Hypothermia)
462(3)
Musculoskeletal/Connective Tissue Disorders
465(4)
Fractured Jaw
465(1)
Fractures
465(1)
Low Back Pain
466(1)
Osteoporosis
467(1)
Inflammatory Joint Disease
468(1)
Infectious/Immunodeficient Disorders
469(3)
Lupus Erythematosus (Systemic)
469(1)
Meningitis/Encephalitis
469(1)
Sexually Transmitted Infectious Diseases (Venereal Diseases, Herpes)
470(1)
Acquired Immunodeficiency Syndrome (AIDS) (Adult)
471(1)
Neoplastic Disorders
472(4)
Cancer (Initial Diagnosis)
472(1)
Cancer (General; Applies to Malignancies in Varied Sites and Stages)
473(2)
Cancer (End-Stage)
475(1)
Colorectal Cancer (Additional Nursing Diagnoses)
476(1)
SURGICAL PROCEDURES
476(25)
General Surgery
476(1)
Amputation (Lower Extremity)
477(1)
Aneurysm Resection (Abdominal Aortic)
478(1)
Anorectal Surgery
479(1)
Arterial Bypass Graft of lower Extremity (aortic, Iliac, Femoral, Popliteal)
480(1)
Arthroplasty (Total Hip, Knee, or Ankle Replacement)
481(1)
Arthroscopy, Arthrotomy, Meniscectomy, Bunionectomy
482(1)
Carotid Endarterectomy
482(1)
Cataract Extraction
483(1)
Cesarean Section
484(1)
Cholecystectomy
484(1)
Colostomy
484(1)
Corneal Transplant (Penetrating Keratoplasty)
485(1)
Coronary Artery Bypass Graft (CABG)
486(1)
Cranial Surgery
486(1)
Dilatation and Curettage
487(1)
Enucleation
488(1)
Fractured Hip and Femur
489(1)
Hysterectomy (Vaginal, Abdominal)
489(1)
Ileostomy
490(1)
Laminectomy
491(1)
Mastectomy
492(1)
Ophthalmic Surgery
492(1)
Otic Surgery (Stapedectomy, Tympanoplasty, Myringotomy, Tympanic Mastoidectomy)
493(1)
Radical Neck Dissection (Laryngectomy)
494(1)
Radical Vulvectomy
494(1)
Renal Surgery (General, Percutaneous Nephrostomy/Extracorporeal Renal Surgery, Nephrectomy)
495(1)
Renal Transplant
496(1)
Thoracic Surgery
497(1)
Tonsillectomy
498(1)
Transurethral Resection (Prostate [Benign Hypertrophy or Cancer], Bladder Tumor)
499(1)
Urostomy
499(2)
OBSTETRICAL/GYNECOLOGICAL CONDITIONS
501(9)
Obstetrical Conditions
501(8)
Prenatal Period (General)
501(1)
Abortion, Induced
501(1)
Abortion, Spontaneous
502(1)
Extrauterine Pregnancy (Ectopic Pregnancy)
502(1)
Hyperemesis Gravidarum
503(1)
Pregnancy-Induced Hypertension
503(1)
Pregnant Adolescent
503(1)
Uterine Bleeding During Pregnancy (Placenta Previa, Abruptio Placentae, Uterine Rupture, Nonmalignant Lesions, Hydatidiform Mole)
504(1)
Intrapartum Period (General)
505(1)
Postpartum Period
505(2)
Concomitant Medical Conditions (Cardiac Disease [Prenatal, Postpartum], Diabetes [Prenatal, Postpartum])
507(2)
Gynecological Conditions
509(1)
Endometriosis
509(1)
Pelvic Inflammatory Disease
509(1)
NEONATAL CONDITIONS
510(7)
Neonate, Normal
510(1)
Neonate, Premature
510(1)
Neonate, Postmature (Small for Gestational Age [SGA], Large for Gestational Age [LGA])
511(1)
Neonate With Special Problem (Congenital Infections--Cytomegalovirus, Rubella, Toxoplasmosis, Syphilis, Herpes)
512(1)
Neonate With Meningomyelocele
512(1)
Neonate With Congenital Heart Disease (Preoperative)
513(1)
Neonate of a Diabetic Mother
513(1)
High-risk Neonate
514(1)
Family of High-Risk Neonate
514(1)
Hyperbilirubinemia (Rh Incompatibility, ABO Incompatibility)
515(1)
Neonate of Narcotic-Addicted Mother
515(1)
Respiratory Distress Syndrome
516(1)
Sepsis (Septicemia)
516(1)
PEDIATRIC/ADOLESCENT DISORDERS
517(24)
Developmental Problems/Needs Related to Chronic Illness (eg, Permanent Disability, Multiple Handicaps, Developmental Disability [Mental/Physical], Life-Threatening Illness)
517(1)
Anxiety/School Phobia
518(1)
Acquired Immunodeficiency Syndrome (Child)
518(1)
Asthma
519(1)
Attention Deficit Disorder (Hootman, 1993)
520(1)
Celiac Disease
520(1)
Cerebral Palsy
521(1)
Child Abuse (Battered Child Syndrome, Child Neglect)
522(1)
Cleft Lip and Palate
523(1)
Communicable Diseases
523(1)
Congenital Heart Disease
524(1)
Convulsive Disorders
524(1)
Craniocerebral Trauma
525(1)
Cystic Fibrosis
525(1)
Down Syndrome
526(1)
Dysmenorrhea
527(1)
Failure to Thrive (Nonorganic)
527(1)
Glomerular Disorders (Glomerulonephritis: Acute, Chronic; Nephrotic Syndrome: Congenital, Secondary, Idiopathic)
528(1)
Hemophilia
528(1)
Hydrocephalus
529(1)
Infectious Mononucleosis (Adolescent)
530(1)
Legg-Calvé-Perthes Disease
530(1)
Leukemia
530(1)
Meningitis (Bacterial)
531(1)
Meningomyelocele
532(1)
Mental Disabilities
533(1)
Muscular Dystrophy
533(1)
Obesity
534(1)
Osteomyelitis
535(1)
Parasitic Disorders
535(1)
Pediculosis
536(1)
Poisoning
536(1)
Respiratory Tract Infection (Lower)
537(1)
Rheumatic Fever
537(1)
Rheumatoid Arthritis (Juvenile)
538(1)
Reye's Syndrome
538(1)
Scoliosis
539(1)
Sickle Cell Anemia
539(1)
Tonsillitis
540(1)
Wilms' Tumor
540(1)
MENTAL HEALTH DISORDERS
541(26)
Affective Disorders (Depression)
541(1)
Anorexia Nervosa
542(1)
Anxiety and Adjustment Disorders (Phobias, Anxiety States, Traumatic Stress Disorders, Adjustment Reactions)
543(1)
Bipolar Disorder (Mania)
544(1)
Childhood Behavioral Disorders (Attention Deficit Disorders, Learning Disabilities)
544(1)
Obsessive-Compulsive Disorder
545(1)
Paranoid Disorders
545(1)
Personality Disorders
545(1)
Schizophrenic Disorders
546(1)
Somatoform Disorders (Somatization, Hypochondriasis, Conversion Reactions)
546(1)
Substance Abuse Disorders
547(1)
Diagnostic and Therapeutic Procedures
548(19)
Angioplasty (Percutaneous, Transluminal, Coronary, Peripheral)
548(1)
Anticoagulant Therapy
549(1)
Arteriogram
550(1)
Cardiac Catheterization
550(1)
Casts
551(1)
Cesium Implant
552(1)
Chemotherapy
552(2)
Corticosteroid Therapy
554(1)
Electroconvulsive Therapy (ECT)
555(1)
Electronic Fetal Monitoring (Internal)
555(1)
Enteral Nutrition
555(1)
External Arteriovenous Shunting
556(1)
Hemodialysis
556(2)
Hemodynamic Monitoring
558(1)
Hickman Catheter
558(1)
Long-Term Venous Catheter
559(1)
Intra-aortic Balloon Pumping
559(1)
Mechanical Ventilation
560(1)
Pacemaker Insertion
561(1)
Peritoneal Dialysis
562(1)
Radiation Therapy (External)
563(1)
Total Parenteral Nutrition (Hyperalimentation Therapy)
564(1)
Tracheostomy
565(1)
Traction
566(1)
References/Bibliography567(6)
Appendix ADULT SCREENING ADMISSION ASSESSMENT GUIDE573(6)
How to Create a Priority Set of Diagnoses579(2)
How to Use This Handbook581(2)
Index583

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