Anda di halaman 1dari 9

NANDA-Approved Nursing Diagnoses

T h i s l i s t r e p r e s e n t s t h e N A N D A - a pp ro ve d n ur si ng di ag no se s f or c li ni ca l u se a nd t es t i ng .

Domain 1: Health Promotion


Description

T h e a wa r e n e s s o f we l l - b e i n g o r no rm a li t y of f unc t i on an d t h e st ra t e gi es us ed t o m a i n t a i n c o n t r o l o f a n d e n h an ce t h at wel l- b ei ng o r no rm a li t y of f un ct io n

Approved Diagnoses

E f f e c t i v e T h e r a p e u t i c R e g i m en M an ag em en t I n e f f e c t i v e T h e r a p e u t i c R e g im e n Ma na gem en t I n e f f e c t i v e F a m i l y T h e r a p e ut ic Re gim en M an ag em e nt I n e f f e c t i v e C o m m u n i t y T h e ra pe ut ic Re gim en M an ag em e nt H e a l t h - S e e k i n g B e h a v i o r s (s pe cif y) I n e f f e c t i v e H e a l t h M a i n t e n an ce I m p a i r e d H o m e M a i n t e n a n ce R e a d i n e s s f o r E n h a n c e d Ma na gem en t of T h er ap eu t i c R eg im en R e a d i n e s s f o r E n h a n c e d Nu t r it io n

Domain 2: Nutrition
Description

T h e a c t i v i t i e s o f t a k i n g i n , as sim i la t i ng , a nd u si ng nu t r ie nt s f or t h e p ur po se of t i s s u e m a i n t e n a n c e , t i s s u e re pa ir , a nd t he pr od uc t i on of e ne rg y

Approved Diagnoses

I n e f f e c t i v e I n f a n t F e e d i n g P a t t er n I m p a i r e d S wa l l o wi n g I m b a l a n c e d N u t r i t i o n : L e s s T h an B o d y R eq ui rem en t s I m b a l a n c e d N u t r i t i o n : M o r e T h an B o d y R eq ui rem en t s R i s k f o r I m b a l a n c e d N u t r i t i on : Mo re T ha n B od y Re qu ir em e nt s Deficient Fluid Volume R i s k f o r D e f i c i e n t F l u i d V o l um e Excess Fluid Volume

R i s k f o r I m b a l a n c e d F l u i d V ol um e R e a d i n e s s f o r E n h a n c e d F l ui d B a la nc e

Domain 3: Elimination
Description

S e c r e t i o n a n d e x c r e t i o n o f was t e pr od uc t s f rom t he b od y

Approved Diagnoses

Impaired Urinary Elimination Urinary Retention Total Urinary Incontinence F u n c t i o n a l U r i n a r y I n c o n t i ne nc e Stress Urinary Incontinence Urge Urinary Incontinence Reflex Urinary Incontinence R i s k f o r U r g e U r i n a r y I n c o nt in en ce R e a d i n e s s f o r E n h a n c e d Ur in ar y E l im i na t i on B o we l I n c o n t i n e n c e Diarrhea Constipation Risk for Constipation Perceived Constipation Impaired Gas Exchange

Domain 4: Activity/Rest
Description

T h e p r o d u c t i o n , c o n s e r v a t i on , e xp en di t u re , o r ba la nc e of en er g y re so ur ce s

Approved Diagnoses

Disturbed Sleep Pattern Sleep Deprivation R e a d i n e s s f o r E n h a n c e d S l ee p

R i s k f o r D i s u s e S yn d r o m e I m p a i r e d P h ys i c a l M o b i l i t y Impaired Bed Mobility I m p a i r e d W he e l c h a i r M o b i l it y Impaired Transfer Ability I m p a i r e d W al k i n g Deficient Diversional Activity D r e s s i n g / G r o o m i n g S e l f - C a re D ef ic it B a t h i n g / H yg i e n e S e l f - C a r e D ef ic it Feeding Self-Care Deficit Toileting Self-Care Deficit D e l a ye d S u r g i c a l R e c o v e r y S e d e n t a r y L i f e s t yl e Energy Field Disturbance Fatigue Decreased Cardiac Output I m p a i r e d S p o n t a n e o u s V e nt il at io n I n e f f e c t i v e B r e a t h i n g P a t t e rn Activity Intolerance R i s k f o r A c t i v i t y I n t o l e r a n ce D ys f u n c t i o n a l V e n t i l a t o r y W eaning R es po ns e I n e f f e c t i v e T i s s u e P e r f u s i on (s pe cif y t ype : R en al , C er eb ra l, Ca rd io pu lm o na r y, G a s t r o i n t e s t i n a l , P e r i p h e r al )

Domain 5: Perception/Cognition
Description

T h e h u m a n i n f o r m a t i o n - p r o ce ss in g s yst em , in cl ud in g a t t en t i on , or ie nt at io n, s e n s a t i o n , p e r c e p t i o n , c o g n it io n, an d com m u ni ca t i on

Approved Diagnoses

Unilateral Neglect I m p a i r e d E n v i r o n m e n t a l I n t er pr et at io n S ynd ro m e W an d e r i n g

D i s t u r b e d S e n s o r y P e r c e p t i on (s pe cif y: V i su al , A ud it or y, K in es t h et ic , G us t a t o r y, T a c t i l e , O l f a c t o r y) D e f i c i e n t K n o wl e d g e ( s p e cif y) R e a d i n e s s f o r E n h a n c e d K n o wl e dg e Acute Confusion Chronic Confusion Impaired Memory D i s t u r b e d T h o u g h t P r o c e s se s I m p a i r e d V e r b a l C o m m u n i c at io n R e a d i n e s s f o r E n h a n c e d Com m u ni ca t i on

Domain 6: Self-Perception
Description

A wa r e n e s s a b o u t t h e s e l f

Approved Diagnoses

Disturbed Personal Identity P o we r l e s s n e s s R i s k f o r P o we r l e s s n e s s Hopelessness Risk for Loneliness R e a d i n e s s f o r E n h a n c e d S e lf -C on ce pt Chronic Low Self-Esteem Situational Low Self-Esteem R i s k f o r S i t u a t i o n a l L o w S elf - E s t e em Disturbed Body Image

Domain 7: Role Relationships


Description

T h e p o s i t i v e a n d n e g a t i v e c on ne ct io ns or as so ci at io ns b et we en pe rs on s o r g r o u p s o f p e r s o n s a n d t h e m e an s b y wh ic h t h os e co nn ec t i on s a re d em o ns t r at ed

Approved Diagnoses

Caregiver Role Strain R i s k f o r C a r e g i v e r R o l e S t ra in Impaired Parenting Risk for Impaired Parenting R e a d i n e s s f o r E n h a n c e d P a re nt in g I n t e r r u p t e d F a m i l y P r o c e s se s R e a d i n e s s f o r E n h a n c e d F am il y P r oc es se s D ys f u n c t i o n a l F a m i l y P r o c e ss es : A lc oh ol ism R i s k f o r I m p a i r e d P a r e n t / I nf a nt / C hi ld A t t a chm e nt Effective Breastfeeding Ineffective Breastfeeding Interrupted Breastfeeding I n e f f e c t i v e R o l e P e r f o r m a nc e Parental Role Conflict Impaired Social Interaction

Domain 8: Sexuality
Description

S e x u a l i d e n t i t y, s e x u a l f u nc t i on , a nd r ep ro du ct io n

Approved Diagnoses

S e x u a l D ys f u n c t i o n I n e f f e c t i v e S e x u a l i t y P a t t e r ns

Domain 9: Coping/Stress Tolerance


Description

C o n t e n d i n g wi t h l i f e e v e n t s/ lif e pr oc es se s

Approved Diagnoses

R e l o c a t i o n S t r e s s S yn d r o m e R i s k f o r R e l o c a t i o n S t r e s s S yn dr om e R a p e - T r a u m a S yn d r o m e

R a p e - T r a u m a S yn d r o m e : S il en t R ea ct io n R a p e - T r a u m a S yn d r o m e : C om p ou nd Re ac t i on P o s t - T r a u m a S yn d r o m e R i s k f o r P o s t - T r a u m a S yn d r om e Fear Anxiety Death Anxiety Chronic Sorrow Ineffective Denial Anticipatory Grieving D ys f u n c t i o n a l G r i e v i n g Impaired Adjustment Ineffective Coping Disabled Family Coping C o m p r o m i s e d F a m i l y C o p i ng Defensive Coping I n e f f e c t i v e C o m m u n i t y C o p in g R e a d i n e s s f o r E n h a n c e d Co pi ng R e a d i n e s s f o r E n h a n c e d F am il y Co pi ng R e a d i n e s s f o r E n h a n c e d Com m u ni t y C op in g A u t o n o m i c D ys r e f l e x i a R i s k f o r A u t o n o m i c D ys r e f l e xi a D i s o r g a n i ze d I n f a n t B e h a v io r R i s k f o r D i s o r g a n i z e d I n f a n t B e ha vi or R e a d i n e s s f o r E n h a n c e d O r ga ni ze d I nf an t B e ha vi or D e c r e a s e d I n t r a c r a n i a l A d ap t i ve Ca pa ci t y

Domain 10: Life Principles


Description

P r i n c i p l e s u n d e r l yi n g c o n d u ct , t h ou gh t , an d b eh av io r a bo ut a ct s, c us t om s, o r i n s t i t u t i o n s a s b e i n g t r u e or h av in g i nt ri ns ic wo rt h

Approved Diagnoses

R e a d i n e s s f o r E n h a n c e d S p ir it ua l W ell-B e in g

Spiritual Distress Risk for Spiritual Distress D e c i s i o n a l C o n f l i c t ( s p e c i f y) N o n c o m p l i a n c e ( s p e c i f y) Risk for Impaired Religiosity Impaired Religiosity R e a d i n e s s f o r E n h a n c e d Re li gi os it y

Domain 11: Safety/Protection


Description

F r e e d o m f r o m d a n g e r , p h ys ic al in ju r y, or im m u ne - s ys t e m d am a ge , pr es er va t i on f r o m l o s s , a n d p r o t e c t i o n of saf et y an d se cu ri t y

Approved Diagnoses

Risk for Infection I m p a i r e d O r a l M u c o u s M e m b ra ne Risk for Injury R i s k f o r P e r i o p e r a t i v e P o s it io ni ng I n ju r y Risk for Falls Risk for Trauma Impaired Skin Integrity R i s k f o r I m p a i r e d S k i n I n t eg ri t y Impaired Tissue Integrity Impaired Dentition Risk for Suffocation Risk for Aspiration I n e f f e c t i v e A i r wa y C l e a r a n ce R i s k f o r P e r i p h e r a l N e u r o v as cu la r D ysf un ct io n Ineffective Protection R i s k f o r S u d d e n I n f a n t D e at h S yn dr o m e Risk for Self-Mutilation Self-Mutilation R i s k f o r O t h e r - D i r e c t e d V i ol en ce R i s k f o r S e l f - D i r e c t e d V i o l e nc e

Risk for Suicide Risk for Poisoning Latex Allergy Response R i s k f o r L a t e x A l l e r g y R e s po ns e R i s k f o r I m b a l a n c e d B o d y T em p er at ur e Ineffective Thermoregulation H yp o t h e r m i a H yp e r t h e r m i a

Domain 12: Comfort


Description

S e n s e o f m e n t a l , p h ys i c a l , or s oc ia l we ll - be in g or e as e

Approved Diagnoses

Acute Pain Chronic Pain Nausea Social Isolation

Domain 13: Growth/Development


Description

A g e - a p p r o p r i a t e i n c r e a s e i n p h ysi ca l d im e ns io n, o rg an s ys t e m s , a nd / o r a t t a i n m e n t o f d e v e l o p m e n t a l m il es t o ne s

Approved Diagnoses

R i s k f o r D i s p r o p o r t i o n a t e G ro wt h Adult Failure to Thrive D e l a ye d G r o wt h a n d D e v e l op m e nt R i s k f o r D e l a ye d D e v e l o p m en t

U s e d wit h p e r m i s s i o n : N o r t h A m e r i c a n N u r s i n g D i a g n o s i s A s so ci at io n. (2 00 5) . N A N DA n ur si ng di ag no se s: D e f i n i t i o n s a n d c l a s s i f i c a t i o n , 2 0 0 5 20 06 . P hi la de lp hi a: A u t h or .

Anda mungkin juga menyukai