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Nursing Diagnosis : Application to Clinical Practice

ISBN: 9780781743549 | 0781743540
Edition: 10th
Format: Trade Paper
Publisher: Lippincott Williams & Wilkins
Pub. Date: 7/14/2003

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SummaryTable of Contents
A market-leading text/reference for teaching undergraduate nursing students key elements of nursing diagnosis, its role in the nursing process, and its application to clinical practice. The text presents diagnosis, practical application, assessment, intervention and rationale (including summaries), and outcome criteria. Features include the Author's Notes, plus guidelines and keys that focus on assessment data, concepts, differentiating nursing diagnoses, developing care plans, and controversies surrounding diagnosis and critical care pathways.... MORE
SECTION ONE Nursing Diagnosis in the Nursing Process
1(76)
Introduction
3(1)
... MORE
Development of Nursing Diagnosis
4(4)
Nursing Diagnosis: Defined
4(1)
Nursing Diagnosis: Process or Outcome?
5(1)
The North American Nursing Diagnosis Association
5(1)
NANDA Taxonomy
6(1)
Summary
7(1)
Types and Components of Nursing Diagnoses
8(9)
Actual Nursing Diagnoses
8(2)
Risk and High-Risk Nursing Diagnoses
10(1)
Possible Nursing Diagnoses
11(1)
Wellness Nursing Diagnoses
12(1)
Syndrome Nursing Diagnoses
13(1)
Non-NANDA-Approved Diagnoses
14(1)
Diagnostic Statements
14(2)
Summary
16(1)
Nursing Diagnosis: What It Is, What It Is Not
17(9)
Understanding Collaborative Problems
19(1)
Collaborative Problem Diagnostic Statements
19(1)
Differentiating Nursing Diagnoses From Collaborative Problems
20(4)
Summary
24(2)
Nursing Diagnoses: Assessment and Diagnosis
26(12)
Assessment
26(9)
Diagnosis
35(2)
Summary
37(1)
Planning Care With Nursing Diagnosis
38(30)
Are Care Plans Necessary?
38(1)
The Care Planning Process
38(1)
Planning
38(8)
Implementation
46(1)
Evaluation
46(3)
Multidisciplinary Care Planning
49(1)
Care Planning Systems
50(7)
Case Study Applications of Care Planning
57(11)
Nursing Diagnoses: Issues and Controversies
68(9)
Why Can't We Just Use the Words We've Always Used?
68(1)
Other Disciplines Will Not Understand Our Diagnoses
69(1)
Clients Will Not Understand Our Diagnoses
70(1)
Nurse Practitioners, Nurse Anesthetists, and Nurse Midwives Do Not Need Nursing Diagnoses
71(1)
Nursing Diagnoses Are Not Culturally Sensitive
72(1)
Nursing Diagnosis Is Unethical
73(1)
Nursing Diagnoses Can Violate Confidentiality
73(2)
Summary
75(2)
SECTION TWO Manual of Nursing Diagnoses
77(754)
Introduction
78(2)
Activity Intolerance
80(15)
Related to Insufficient Knowledge of Adaptive Techniques Needed Secondary to COPD
86(3)
Related to Insufficient Knowledge of Adaptive Techniques Needed Secondary to Impaired Cardiac Function
89(3)
Related to Bed Rest Deconditioning
92(3)
Decreased Intracranial Adaptive Capacity
95(1)
Impaired Adjustment
96(1)
Anxiety
97(12)
Related to Insufficient Knowledge of Preoperative Routines, Postoperative Exercises/Activities, Postoperative Alterations/Sensations
106(3)
Death Anxiety
109(2)
Risk for Imbalanced Body Temperature
111(4)
Hyperthermia
115(2)
Hypothermia
117(3)
Ineffective Thermoregulation
120(3)
Related to Newborn Transition to Extrauterine Environment
121(2)
Bowel Incontinence
123(3)
Effective Breast-feeding
126(1)
Ineffective Breast-feeding
127(6)
Interrupted Breast-feeding
133(1)
Decreased Cardiac Output
134(2)
Caregiver Role Strain
136(7)
Risk for Caregiver Role Strain
143(3)
Impaired Comfort
146(7)
Acute Pain
153(12)
Chronic Pain
165(4)
Nausea
169(3)
Impaired Communication
172(13)
Related to Effects of Hearing Loss
179(2)
Related to Effects of Aphasia on Expression or Interpretation
181(2)
Related to Foreign Language Barrier
183(2)
Impaired Verbal Communication
185(2)
Confusion
187(1)
Acute Confusion
188(8)
Chronic Confusion
196(6)
Constipation
202(9)
Related to Effects of Immobility on Peristalsis
210(1)
Perceived Constipation
211(2)
Ineffective Coping
213(10)
Defensive Coping
223(3)
Ineffective Denial
226(7)
Related to Impaired Ability to Accept Consequences of Own Behavior as Evidenced by Lack of Acknowledgment of Substance Abuse/Dependency
229(4)
Disabled Family Coping
233(16)
Related to (Specify), as Evidenced by Domestic Abuse
241(3)
Related to (Specify), as Evidenced by Child Abuse/Neglect
244(3)
Related to Multiple Stressors Associated with Elder Care: High Risk for
247(2)
Compromised Family Coping
249(1)
Readiness for Enhanced Family Coping
250(1)
Ineffective Community Coping
250(5)
Readiness for Enhanced Community Coping
255(5)
Related to Availability of Community Programs to Augment (Specify)
258(2)
Decisional Conflict
260(8)
Diarrhea
268(4)
Disuse Syndrome
272(8)
Deficient Diversional Activity
280(6)
Dysreflexia
286(4)
Risk for Dysreflexia
290(1)
Energy Field Disturbance
290(3)
Impaired Environmental Interpretation Syndrome
293(2)
Family Processes, Interrupted
295(9)
Related to Impact (Specify) of Ill Member on Family System
302(2)
Family Processes, Dysfunctional: Alcoholism
304(5)
Fatigue
309(7)
Fear
316(8)
Deficient Fluid Volume
324(8)
Related to Abnormal Fluid Loss
330(2)
Excess Fluid Volume
332(6)
Risk for Imbalanced Fluid Volume
338(1)
Grieving
339(8)
Grieving, Anticipatory
347(4)
Grieving, Dysfunctional
351(3)
Growth and Development, Delayed
354(8)
Development, Risk for Delayed
362(1)
Growth, Risk for Disproportionate
363(1)
Adult Failure to Thrive
363(3)
Ineffective Health Maintenance
366(19)
Related to Insufficient Knowledge of Effects of Tobacco Use and Self-Help Resources Available
377(4)
Related to Increased Food Consumption in Response to Stressors and Insufficient Energy Expenditure for Intake
381(4)
Health-Seeking Behaviors
385(6)
Impaired Home Maintenance
391(5)
Hopelessness
396(9)
Infant Behavior, Disorganized
405(7)
Infant Behavior, Risk for Disorganized
412(1)
Infant Behavior, Readiness for Enhanced Organized
413(3)
Infection, Risk for
416(9)
Infection Transmission, Risk for
425(7)
Related to Lack of Knowledge of Reducing the Risk of Transmitting the AIDS Virus
430(2)
Injury, Risk for
432(18)
Related to Lack of Awareness of Environmental Hazards
441(5)
Related to Lack of Awareness of Environmental Hazards Secondary to Maturational Age
446(2)
Related to Vertigo Secondary to Orthostatic Hypotension
448(2)
Risk for Aspiration
450(4)
Risk for Falls
454(1)
Risk for Poisoning
455(1)
Risk for Suffocation
456(1)
Risk for Trauma
456(1)
Injury, Risk for Perioperative Positioning
456(5)
Deficient Knowledge
461(2)
Latex Allergy Response
463(2)
Latex Allergy Response, Risk for
465(1)
Loneliness, Risk for
466(5)
Therapeutic Regimen Management, Effective: Individual
471(3)
Therapeutic Regimen Management, Ineffective
474(7)
Therapeutic Regimen Management, Ineffective: Family
481(1)
Therapeutic Regimen Management, Ineffective: Community
482(5)
Mobility, Impaired Physical
487(7)
Impaired Bed Mobility
494(1)
Impaired Walking
495(1)
Impaired Wheelchair Mobility
496(1)
Impaired Wheelchair Transfer Ability
497(1)
Noncompliance
498(7)
Nutrition, Imbalanced: Less Than Body Requirements
505(15)
Related to Anorexia Secondary to (Specify)
516(2)
Related to Difficulty or Inability to Procure Food
518(2)
Altered Dentition
520(1)
Impaired Swallowing
520(5)
Ineffective Infant Feeding Pattern
525(5)
Nutrition, Imbalanced: More Than Body Requirements
530(3)
Nutrition, Imbalanced: Potential for More Than Body Requirements
533(1)
Parenting, Impaired
534(5)
Parent-Infant Attachment, Risk for Impaired
539(5)
Parental Role Conflict
544(7)
Related to Effects of Illness and/or Hospitalization of a Child
548(3)
Peripheral Neurovascular Dysfunction, Risk for
551(6)
Post-Trauma Syndrome
557(5)
Post-Trauma Syndrome, Risk for
562(1)
Rape Trauma Syndrome
562(9)
Powerlessness
571(7)
Protection, Ineffective
578(1)
Tissue Integrity, Impaired
579(7)
Skin Integrity, Impaired
586(6)
Related to the Effects of Pressure, Friction, Shear, Maceration
590(2)
Oral Mucous Membrane, Impaired
592(9)
Related to Inadequate Oral Hygiene or Inability to Perform Oral Hygiene: Risk for
597(4)
Relocation Stress [Syndrome]
601(11)
Related to Changes Associated with Health Care Facility Transfers or Admission to Long-Term Care Facility
608(4)
Respiratory Function, Risk for Ineffective
612(11)
Related to Allergic Response
619(4)
Dysfunctional Ventilatory Weaning Response
623(6)
Dysfunctional Ventilatory Weaning Response, Risk for
629(3)
Ineffective Airway Clearance
632(2)
Ineffective Breathing Patterns
634(2)
Impaired Gas Exchange
636(1)
Impaired Spontaneous Ventilation
637(1)
Role Performance, Ineffective
638(1)
Self-Care Deficit Syndrome
639(6)
Feeding Self-Care Deficit
645(2)
Bathing/Hygiene Self-Care Deficit
647(2)
Dressing/Grooming Self-Care Deficit
649(3)
Toileting Self-Care Deficit
652(2)
Instrumental Self-Care Deficit
654(3)
Self-Concept, Disturbed
657(9)
Body Image, Disturbed
666(5)
Personal Identity, Disturbed
671(1)
Self-Esteem, Disturbed
671(2)
Chronic Low Self-Esteem
673(3)
Situational Low Self-Esteem
676(3)
Situational Low Self-Esteem, Risk for
679(1)
Risk for Self-Harm
680(12)
Risk for Self-Abuse
692(1)
Self-Mutilation
693(1)
Risk for Self-Mutilation
694(1)
Risk for Suicide
695(5)
Disturbed Sensory Perception
700(6)
Sexuality Patterns, Ineffective
706(16)
Related to Prenatal and Postpartum Changes
717(4)
Related to Fear of Pregnancy and/or Sexually Transmitted Diseases (STDs): Risk for
721(1)
Sexual Dysfunction
722(1)
Disturbed Sleep Pattern
723(7)
Sleep Deprivation
730(1)
Social Interaction, Impaired
731(8)
Social Isolation
739(1)
Sorrow, Chronic
740(3)
Spiritual Distress
743(16)
Related to Conflict Between Religious or Spiritual Beliefs and Prescribed Health Regimen
755(2)
Related to (Specify), as Evidenced by Inability to Practice Spiritual Rituals
757(2)
Spiritual Distress, Risk for
759(1)
Spiritual Well-Being, Readiness for Enhanced
760(1)
Risk for Sudden Infant Death Syndrome
761(2)
Surgical Recovery, Delayed
763(1)
Thought Processes, Disturbed
764(11)
Memory, Impaired
775(4)
Tissue Perfusion, Ineffective (Specify: Renal, Cerebral, Cardiopulmonary, Gastrointestinal)
779(1)
Tissue Perfusion, Ineffective Peripheral
780(6)
Unilateral Neglect
786(5)
Urinary Elimination, Impaired
791(6)
Maturational Enuresis
797(3)
Functional Incontinence
800(4)
Reflex Incontinence
804(2)
Stress Incontinence
806(3)
Total Incontinence
809(3)
Urge Incontinence
812(3)
Urinary Retention
815(3)
Violence, Risk for
818(9)
Wandering
827(4)
SECTION THREE Manual of Collaborative Problems
831(108)
Introduction
833(1)
Potential Complication: Cardiac/Vascular
834(12)
PC: Decreased Cardiac Output
835(1)
PC: Dysrhythmias
836(2)
PC: Pulmonary Edema
838(1)
PC: Deep Vein Thrombosis
839(1)
PC: Hypovolemia
840(2)
PC: Compartmental Syndrome
842(1)
PC: Pulmonary Embolism
843(3)
Potential Complication: Respiratory
846(7)
PC: Hypoxemia
847(1)
PC: Atelectasis, Pneumonia
848(2)
PC: Tracheobronchial Constriction
850(2)
PC: Pneumothorax
852(1)
Potential Complication: Metabolic/Immune/Hematopoietic
853(24)
PC: Hypo/Hyperglycemia
854(3)
PC: Negative Nitrogen Balance
857(1)
PC: Electrolyte Imbalances
858(7)
PC: Sepsis
865(1)
PC: Acidosis (Metabolic, Respiratory)
866(2)
PC: Alkalosis (Metabolic, Respiratory)
868(2)
PC: Allergic Reaction
870(2)
PC: Thrombocytopenia
872(2)
PC: Opportunistic Infections
874(1)
PC: Sickling Crisis
875(2)
Potential Complication: Renal/Urinary
877(8)
PC: Acute Urinary Retention
878(2)
PC: Renal Insufficiency
880(3)
PC: Renal Calculi
883(2)
Potential Complication: Neurologic/Sensory
885(10)
PC: Increased Intracranial Pressure
886(2)
PC: Seizures
888(2)
PC: Increased Intraocular Pressure
890(1)
PC: Neuroleptic Malignant Syndrome
891(2)
PC: Alcohol Withdrawal
893(2)
Potential Complication: Gastrointestinal/Hepatic/Biliary
895(8)
PC: Paralytic Ileus
896(1)
PC: GI Bleeding
897(1)
PC: Hepatic Dysfunction
898(3)
PC: Hyperbilirubinemia
901(2)
Potential Complication: Muscular/Skeletal
903(4)
PC: Pathologic Fractures
904(1)
PC: Joint Dislocation
905(2)
Potential Complication: Reproductive
907(9)
PC: Prenatal Bleeding
908(1)
PC: Preterm Labor
909(2)
PC: Pregnancy-Associated Hypertension
911(1)
PC: Fetal Distress
912(2)
PC: Postpartum Hemorrhage
914(2)
Potential Complication: Medication Therapy Adverse Effects
916(23)
PC: Anticoagulant Therapy Adverse Effects
917(2)
PC: Antianxiety Therapy Adverse Effects
919(2)
PC: Adrenocorticosteroid Therapy Adverse Effects
921(2)
PC: Antineoplastic Therapy Adverse Effects
923(2)
PC: Anticonvulsant Therapy Adverse Effects
925(2)
PC: Antidepressant Therapy Adverse Effects
927(2)
PC: Antiarrhythmic Therapy Adverse Effects
929(1)
PC: Antipsychotic Therapy Adverse Effects
930(3)
PC: Antihypertensive Therapy Adverse Effects
933(1)
PC: β-Adrenergic Blocker Therapy Adverse Effects
933(2)
PC: Calcium Channel Blocker Therapy Adverse Effects
935(2)
PC: Angiotensin-Converting Enzyme Inhibitor Therapy Adverse Effects
937(2)
Appendix A: List of NIC Interventions and NOC Outcomes939(8)
Appendix B: Nursing Diagnoses Grouped Under Functional Health Patterns947(4)
Appendix C: Health-Promotion/Wellness Diagnoses951(4)
Bibliography955(30)
Index985

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