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NANDA diagnostic List For Basic Human Needs

Below A full Nursing diagnostic List For Basic Human Needs:


1. BREATH:
Decreased Cardiac output
Impaired Gas exchange
Ineffective airways cleaning
ineffective Respiratory pattern
Difficulty maintaining spontaneous ventilation,
Respiratory dysfunctional response to Weaning
High risk of Asphyxia
High risk of Aspiration
2. FOOD / HYDRATION
Nutrition, altered: excess
Nutrition, altered: by default
Nutrition, potential alterations: excess
Liquids, excess volume
Liquids, Volume Deficit
Liquids, high risk of volume deficit
Self-care, deficit: feeding
Swallowing, impaired
Ineffective Breastfeeding
interrupted breastfeeding
Effective Breastfeeding
Infant Feeding ineffective pattern
3. DISPOSAL:
Constipation
subjective Constipation
Chronic Constipation
Diarrhea
Fecal Incontinence
Urinary, impaired elimination
Urinary incontinence: stress
Urinary Incontinence: reflects
Urinary Incontinence: emergency
Urinary Incontinence: Functional
Urinary Incontinence: total

Urinary, retention
Self-care, deficit: use the potty / toilet
4. MOBILIZATION:
Disuse, high risk of syndrome
Physical mobility, disorder
Peripheral Neurovascular, high risk of dysfunction
Activity intolerance
Fatigue
Activity, high risk of intolerance
5. REST / SLEEP:
Sleep pattern disturbance
6. WEAR PROPER CLOTHING AND CHOOSE:
Self-care, deficit: dressing / grooming
7. TEMPERATURE:
Body temperature: high risk of impaired
Hypothermia
Hyperthermia
Ineffective Thermoregulation
8. HEALTH / SKIN
Tissue perfusion, altered (specify) renal
Cerebral, cardiopulmonary, gastrointestinal, peripheral.
Tissue, impaired integrity
Oral mucous membrane, altered
Skin, impaired
Cutaneous, high risk of deterioration of the integrity
Self-care, deficit: bathing / hygiene
9. SECURITY:
Infection, high risk of
Dysreflexia
Injury, high risk
Poisoning, high risk of
Trauma, high risk of
Protection, impaired
Family, alteration processes
Role of caregiver, overexertion in
The role of caregiver, high risk to overuse in the

Defensive coping
Denial ineffective
Ineffective family coping: disabling
Ineffective family coping: engaged
Therapeutic regimen, ineffective management of (individual)
Growth and development, altered
Transfer, stress syndrome
Pain
Chronic Pain
Bereavement dysfunctional
Early Mourning
Violence, high risk: self-injury, injury to other
Self-mutilation, high risk of
Post-traumatic response
Rape, traumatic syndrome of
Violation, trauma syndrome: compound reaction
Violation, trauma syndrome: silent reaction
Anxiety
Fear
10. COMMUNICATION:
Verbal, disorder
Social, impaired interaction
Social isolation
Sexual dysfunction
Sexuality, altered patterns of
COPING: ineffective
Sen-so-perceptual alterations (specify) visual
auditory, kin esthetic, gustatory, tactile, olfactory.
11- Religion / Beliefs:
Spiritual suffering
Treatment, tracking no (specify)
Decisions, conflict in the making (specify)
Hopelessness
Impotence
12 WORK / BE
Role, impaired performance
Parenteral, alteration
Parenteral, high risk of disruption

Parenteral, role conflict


Adaptation disorder
Health, generating conducts (specify)
Home, difficulties in maintaining
Health, alteration in the maintenance of
Body Image, disorder
Self-esteem disorder
Self-esteem, lack of: chronic
Self-esteem, lack of: situational
Personal, disorder
13. RECREATIONAL ACTIVITIES:
Recreation, deficit
14. LEARN:
Coping familiar development potential
Knowledge, deficit (specify)
Thought, alteration processes

Nursing Diagnoses by Functional Health Patterns

1. Pattern Perception and Control of Health:


Altered health maintenance
Altered protection
Ineffective management of therapeutic regimen
Infection
High risk of injury
High risk of poisoning
High risk of suffocation

2. Pattern Nutrition and Metabolic:


High risk for altered nutrition: intake exceeds the bodys needs.
Altered nutrition: intake exceeds the bodys needs
Altered nutrition: eating less than the body needs.
Effective breastfeeding
Ineffective breastfeeding.
Interrupted breastfeeding.
Ineffective infant feeding pattern.
High risk of aspiration
Swallowing disorder.
Altered oral mucosa.
High risk for fluid volume deficits.
Fluid volume deficits.
Excess fluid volume.
High risk for impaired skin integrity.
Impaired skin integrity.
Impaired tissue integrity.
High risk for altered body temperature.
Ineffective thermoregulation.
Hyperthermia.
Hypothermia.

3. Elimination pattern:
Constipation
Constipation perceived
Colonic constipation.
Diarrhea.
Bowel incontinence.
Altered urinary excretion
Functional incontinence
Stress incontinence
Urge incontinence
Total incontinence
Reflex incontinence
Urinary retention

4. Pattern of Activity and Exercise:


Activity intolerance.
Inability to sustain spontaneous breathing.
High risk of activity intolerance.
High risk for peripheral neurovascular dysfunction.
Impaired physical mobility.
High risk of syndrome of disuse.
Fatigue.
Forgot Unilateral
Self-care deficit: bathing / hygiene.
Self-care deficit: dressing / under
Self-care deficit: feeding.
Self-care deficit: evacuation.
Deficit recreation
Household altered.
Ineffective cleaning air.
Inefficient breathing pattern.
Altered gas exchange.
Decreased cardiac output.
Altered tissue perfusion (renal, cerebral, cardiac, gastrointestinal, peripheral)
High risk of trauma

5. Standard of Rest and Sleep:


Altered sleep patterns.
6. Cognitive and Perceptual Pattern:
Pain.
Chronic Pain
Alterations sensory / perceptual (visual, auditory, kin esthetic, gustatory, tactile, olfactory).
Unilateral oblivion.
Knowledge deficits.
Altered thought processes.
Difficult decision

7. Self-perception and self-concept pattern:


Fear
Anxiety
Despair
Sense of powerlessness.
Body Image Disorder
High risk of automutiliaciin.
Personal identity disorder.
Disorder of self-esteem.
Chronic low self-esteem
Situational low self-esteem

8. Pattern Function and Relationship:


Anticipatory grief
Dysfunctional grieving
Altered performance of the function.
Tension in the role of caregiver
High risk of stress on the role of caregiver.
Social isolation.
Impaired verbal communication.
High risk of violence.

9. Pattern of Sexuality and Reproduction:


Sexual dysfunction.
Altered patterns of sexuality.
Rape trauma syndrome.
10. Pattern of Coping and Stress Tolerance:
Ineffective individual coping.
Ineffective family coping.
Defensive coping.
11. Pattern of Values and Beliefs

Nursing Diagnoses: Definitions, risk factors and characteristics


Ineffective family coping:
Support, comfort, assistance or encouragement insufficient, ineffective or compromised, usually by a person
sustaining fundamental (family caregiver), the patient may need it to control or dominate adaptive tasks
related to your health challenge.
Related factors:
Information or inadequate understanding by the family caregiver.
Concern transient family caregiver who is trying to control occasional conflicts.
Transient familial disorganization and role changes.
Little support for the family.
Exhausting prolonged disease-bearing capacity of the family members.
Features:
The patient expressed complaints of family caregivers.
The caregiver describes with concern patients disease.
The family caregiver support attempts to develop behaviors with less satisfactory results.
The family caregiver is retracted or limited or temporarily communicates with the patient.

Ineffective individual coping:


Adaptive behavior disorder and inability to solve problems.
Related factors:
Situational crises of maturation.
Vulnerability of the person.
Multiple life changes.
Lack of vacation.
Relaxation inadequate.
Exercise scarce.
Poor nutrition.
Overload of work.
Limits few realistic.
Method of inadequate competition.
Features:
Inability to meet basic human needs and solve problems.
Destructive behavior toward himself.
Changes in social participation.
Inappropriate use of defense mechanisms.
Handling verbal.
Lack of appetite, sleep, etc
Excessive use of snuff, alcohol or drugs.
Chronic fatigue, insomnia, etc
Hypertension, diabetes, ulcers, headaches, irritable bowel, muscle aches, etc
Anxiety.
Low self-esteem and chronic depression.
Social isolation:
Alterations sensory / perceptual (visual, auditory, kinesthetic, gustatory, tactile, olfactory)
State in which an individual experiences a change in the amount or type of stimuli received, accompanied
decrease towards exaggeration or disorder of the response to such stimuli.
Related factors:
Environment therapeutically restricted (insulation, bed rest, traction, etc .
Environment socially restricted (age, chronic illness, agony, institutionalization, etc .)
Reception, transmission and / or altered sensory integration (trauma, neurological disease, impaired sense
organs, inability to communicate, learn, lack of sleep, pain, etc .)

Altered endogenous chemical (electrolyte imbalance, increased BUN, hypoxia, etc ) or exogenous
(stimulants or depressants system. CNS).
Psychological stress.
Features:
Disoriented in time, space or people.
Change the capabilities to solve a problem.
Change in the pattern.
Anxiety.
Irritability, hallucinations, fear, depression, anger, poor concentration, auditory and visual distortions, and
motor in-coordination.
Anxiety:
Vague and unsettling feeling whose source is often nonspecific or unknown to the individual.
Related factors:
Threat of death, the concept itself, for the state of health to socioeconomic status, role change, the
environment, changing patterns of interaction.
Situational or maturation crisis.
Transmission and interpersonal contagion.
Unmet Needs.
Features:
Self or negative feelings about himself.
Earrings of development.
Verbalization of negative feelings about himself.
Expressions of shame or guilt.
Difficulty making decisions.
Aspiration risk:
State in which an individual experiences risk of entry of gastric secretions, oropharyngeal secretions, food or
liquid in the airways exogenous, due to the absence of dysfunction of the protective mechanisms.
Risk factors:
Reduced level of consciousness.
Decreased reflexes of cough and nausea.
Presence of tracheostomy, tracheostomy balloon inflated excessively, etc
Gastrointestinal probes.
Food administered by nasogastric tube.

Increase in intragastric pressure, increased gastric residual content, etc


Decreased gastrointestinal motility.
Delayed gastric emptying.
Impaired swallowing.
Surgery or trauma to the face, mouth or neck.
Self-esteem disorder:
Negative feelings about oneself or ones capabilities can be expressed directly or indirectly.
Features:
Verbalization of a negative evaluation of himself.
Expressions of shame or guilt.
Evaluation of himself as incapable of dealing with the events.
Rationalization of negative feedback.
Duda to try new things.
Denial of obvious problems for others.
Streamlining the failures.
Hypersensitivity to criticism.
Verbal communication, impaired:
State in which an individual experiences a decrease or absence of the ability to use or understand language.
Related factors:
Reduction of cerebral circulation.
Physical barrier as brain tumor, tracheostomy, intubation.
Anatomical defect, cleft palate
Psychosis or lack of stimulation.
Cultural difference.
Related to the development or age.
Features:
Inability to speak, negative speech, stuttering, stuttering, etc
Dyspnea.
Disorientation.
Inability to find the words to say them or identify objects, etc .
Flight of ideas.
Verbalization incessant.
Difficulty in phonation.
Inability to speak in sentences structured.

Knowledge deficit (specify):


State in which lack specific information.
Related factors:
Lack of exposure.
Lack of memory.
Misinterpretation of information.
Cognitive Limitations.
Lack of interest in learning.
Request by the patient not be informed.
Features:
Verbalization of the problem.
Follow the instruction inaccurate.
Inadequate performance of the test.
Exhibition of misconception.
Request for information.
Self-care deficit of: Food
State in which a person has an inability to perform or complete upset feeding activities.
Features:
Inability to take food from plate to mouth.
Self-care deficit: bathing:
State in which a person has an inability to perform or complete upset bathing and hygiene activities.
Features:
Inability to wash the body or its parts.
Inability to obtain or access the water source.
Inability to regulate temperature or water flow.
Self-care deficit: evacuation:
State in which a deranged person has a disability to perform or complete basic activities of elimination.
Related factors:
Disorder of transferability.
Disorder of the state of mobility.

Activity Intolerance.
Pain, discomfort.
Perceptual or cognitive disorder, muscle, musculoskeletal, etc .
Depression, severe anxiety.
Features:
Inability to toilet or potty.
Inability to get on and off the toilet or wedge.
Inability to manipulate the items needed to go to the bathroom.
Inability to genito-anal hygiene properly.
Inability to flush the toilet or empty the potty.
Self-care deficit: dressing / arrangement:
State in which a person has an inability to perform or complete disordered dress and grooming activities
alone.
Features:
Ability to be altered or removed the necessary items.
Ability to obtain or replace altered garments.
Ability to fasten their dresses altered.
Inability to maintain satisfactory aspect.
Pain:
State in which the individual experiences and communicates the presence of severe discomfort or an
uncomfortable feeling.
Related factors:
Biological Agents.
Chemical.
Physical agents.
Agents psychological.
Features:
Verbal communication of pain descriptors.
Behavior of defense protection.
Facial mask of pain.
Alteration of muscle tone.
Answers autonomous, such as increased blood pressure, changes in pulse, respiratory rate increased or
decreased.

Diarrhea:
State in which an individual experiences a change in normal bowel habits characterized by frequent loose
stools emissions, liquid and without consistency.
Related factors:
Stress and anxiety.
Dietary intake.
Drugs.
Inflammation, irritation or intestinal malabsorption.
Toxins.
Pollutants.
Radiation.
Features:
Abdominal pain.
Cramps.
Increased frequency of bowel movements.
Increased frequency of bowel sounds.
Loose stools liquid.
Urgency.
Changes in color.
Urinary excretion, impaired:
State in which an individual experiences a disturbance in urination.
Related factors:
Postsensorial motor disorder.
Neuromuscular disorder.
Mechanical trauma.
Features:
Dysuria.
Frequency.
Difficulty starting urination.
Incontinence.
Nocturia.
Retention.
Urgency.

Constipation:
State in which an individual experiences a change in normal bowel habits, characterized by decreased
frequency of defecation and / or removal of hard, dry stools.
Related factors:
Not drinking enough water and food.
Physical activity decreased.
Personal habits.
Medication.
Gastrointestinal obstructive lesions.
Chronic use of laxatives.
Pain with bowel movements.
Lack of privacy.
Pregnancy.
Abdominal musculature weak.
Emotional disorders.
Features:
Frequency less than the usual pattern.
Hard stool.
Mass palpable.
Straining to defecate.
Decreased bowel sounds.
Feeling of fullness or abdominal or rectal pressure.
Number of faeces less than usual.
Nausea.
Decreased Cardiac Output:
State in which the amount of blood pumped by the heart declined enough to not adequately cover the needs of
body tissues.
Related factors:
Changes in preload, afterload or inotropic heart.
Disturbance of rate, rhythm or conduction.
Features:
Changes in hemodynamic structures.
Arrhythmias.
Fatigue.

Cyanosis, oliguria, anuria, decreased peripheral pulses and skin moist.


Rales.
Dyspnea.
Hyperthermia:
State in which the body temperature of an individual is elevated above the normal range.
Related factors:
Exposure to hot environment.
Vigorous activity.
Medication / anesthesia.
Inappropriate dress.
Illness or injury.
Increased metabolic rate.
Dehydration.
Decreased ability to sweat.
Features:
Increased body temperature above the normal range.
Red skin.
Warm to the touch.
Respiratory rate increased.
Tachycardia.
Seizures.
Hypothermia:
State in which an individuals body temperature is reduced below its normal range but below 34.6 C.
Related factors:
Exposure to cold environment.
Illness or injury.
Inability or reduced ability to shake.
Malnutrition.
Apparel inadequate.
Consumption of alcohol.
Medication vasodilator.
Decreased metabolic rate.
Inactivity.
Old age.

Features:
Chills.
Skin cold.
Pale.
Slow capillary refill.
Tachycardia.
Cyanosis of the nail beds.
Hypertension.
Piloerection.
Body image disorder:
Altering the way a person perceives the image of his own body.
Related factors:
Biophysical.
Cognitive-perceptual.
Psychosocial.
Cultural.
Features:
There must be one of the following two features for which there is a diagnosis.
A. Verbal response to a real or perceived change in the structure and / or function.
2. Non-verbal response to a real or perceived change in the structure and / or function.
Loss of a body part.
Do not look the body, not touching it, hide it.
Trauma of a non-functioning.
Changes in social participation.
Negative feelings about the body.
Feelings of helplessness or despair.
Concern for the change or loss.
Emphasis on the remaining forces, strengthening of procurement.
Refusal to verify the actual change.
Populations at risk:
Loss of a body part.
Dependence of a machine.
Meaning of the body part or function respect to age, sex, level of development, or needs.
Physical change by chemical agents.

Trauma or mutilation.
Pregnancy and / or maturational changes.
Urge incontinence:
State in which an individual experiences an involuntary loss of urine that occurs after a strong feeling of
needing to urinate.
Related factors:
Decreased bladder capacity (pelvic inflammatory disease, surgery, catheterization, etc .)
Irritation of the bladder stretch receptors that cause spasm (infection).
Alcohol.
Caffeine.
Increase fluid intake.
Increased urinary concentration.
Excessive bladder distension.
Features:
-Urinary urgency.
High frequency.
Nocturia.
Urination in small amounts.
Inability to reach the bathroom.
Bowel incontinence:
State in which an individual experiences a change in normal bowel habits, characterized by involuntary
discharge of feces.
Related factors:
Effect neuromuscular.
Effect on skeletal muscle.
Depression or severe anxiety.
Disorder of perception or knowledge.
Features:
Involuntary discharge of feces.
Infection, high risk:
State in which an individual has an increased risk of invasion by pathogenic microorganisms.

Related factors:
Inadequate primary defenses (skin lesions, tissue trauma, decreased ciliary action, stasis of body fluids).
Inadequate secondary defenses (decreased hemoglobin, leukopenia, immunosuppression).
Acquired immunity inappropriate.
Destruction of tissue and increased environmental exposure.
Chronic illness.
Invasive procedures.
Pharmacological agents and trauma.
Rupture of amniotic membranes.
Insufficient knowledge to prevent exposure to pathogens.
Impaired Skin Integrity:
State in which the skin of an individual is altered unfavorably.
Related factors:
Hyperthermia and hypothermia.
Chemicals.
Shear forces, pressure continues, clamping radiation., Etc.
Physical immobility.
State of nutrition.
Circulation altered.
Sensitivity altered.
Psychogenic.
Edema.
Features:
Interrupt the continuity of the skin.
Destruction of skin layers.
Invasion of body structures.
Altered gas exchange:
State in which an individual experiences an imbalance between oxygen uptake and carbon dioxide removal.
Related factors:
Supply of oxygen altered.
Changes in alveolar-capillary membrane.
Blood flow altered.
Impaired transport capacity of oxygen in the blood.

Features:
Confusion.
Drowsiness.
Restlessness.
Irritability.
Inability to clear secretions.
Hypercapnia.
Hypoxia.
Activity intolerance:
State in which an individual has no physiological or psychological energy enough to resist or complete
required or desired daily activities.
Related factors:
Generalized weakness.
Sedentary lifestyle.
Imbalance between supply and demand for oxygen.
Bed rest or immobility.
Features:
Verbal report of fatigue or weakness.
Response abnormal heart rate or blood pressure to the activity.
Discomfort or exertional dyspnea.
Changes reflect Electrographic arrhythmias or ischemia.
Injury, high risk:
State in which the individual is at risk for injury as a result of environmental conditions that interact with the
adaptive and defensive resources of the individual.
Risk factors:
Dysfunction sensory integration or effector.
Tissue hypoxia.
Malnutrition.
Autoimmune.
Abnormal blood profile.
Lesion on the skin.
Mobility impaired.
Related development.
Factors such as personal

Altered health maintenance:


Inability to identify, control, and / or seek help to maintain health.
Related factors:
Lack of or alteration in the capacidadesd and communication.
Lack of ability to make deliberate judgments.
Perceptual or cognitive disorder.
Loss of motor skills.
Lack of material resources.
No obttenci?n of development tasks.
Features:
Lack of knowledge about basic health practices.
Inability reported or observed to accept responsibility for proper sanitation practices.
Interest expressed to improve the health behaviors.
Lack of resources reported or observed.
Disorder reported or observed personal support system.
Fear:
Feeling of fear related to an identifiable source, the person gives as valid.
Related factors:
Origins natural or innate (sudden noise, loss of hardware, height, pain, etc )
Answer learned.
A lack of knowledge or familiarity.
Language Barrier.
Sensory disorder.
Or phobias phobic stimuli.
Environmental stimuli.
Features:
Increased tension, apprehension, fear, fright, terror, panic, fear, etc
Increased alertness.
Focus on strong.
Eyes open.
Hostile behavior.
Sympathetic stimulation.

Altered oral mucosa:


State in which an individual experiences changes in the tissue layers of the oral cavity.
Related factors:
Pathological conditions.
Dehydration.
Chemical or mechanical trauma.
Diet absolute.
Oral Hygiene ineffective.
Oral breathing.
Malnutrition.
Infection.
Salivation decreased or absent.
Medication.
Features:
Coated tongue.
Stomatitis.
Injury or mouth sores.
Salivation decreased.
Hyperemia.
Oral plate.
Scaling.
Vesicles.
Gingivitis.
Caries.
Halitosis.
Altered nutrition: less than body requirements
State in which a individuoexperimenta nutrient intake insufficient to meet metabolic needs.
Related factors:
Inability to digest or eat, or to absorb nutientes due to biological, psychological or economic.
Features:
Weight loss by drinking enough.
Intake below the Recommended Daily Allowances.
Communication or evidence of lack of food.
Abdominal pain, with or without pathological conditions.

Oral cavity sore or inflamed.


Weakness of the muscles needed for swallowing.
Altered nutrition: more than body requirements:
State in which an individual experiences a higher nutrient intake to metabolic needs.
Related factors:
Excessive intake relative to metabolic needs.
Features:
Weight 10 20% above the ideal for height and build.
Level of sedentary activity.
Patterns of dysfunctional food.
Eating while doing other activities.
Concentra aimento the amount of a meal.
Thought processes altered from:
State in which an individual experiences a disruption in cognitive operations and activities.
Related factors:
Physiological changes.
Psychological conflicts.
Loss of memory.
Impaired judgment.
Lack of sleep.
Features:
Cognitive Dissonance.
Ease of distraction.
Deficit or memory problems.
Obsessions.
Decrease of the capacity of attention.
Inability to follow orders.
Egocentricity.
Hypervigilance / hypovigilance.
Diminished ability to perceive ideas and make decisions.
Hallucinations.
Ideas of reference.
Inappropriate affect.

Altered sleep patterns.


Conspiracy.
Altered tissue perfusion:
State in which an individual experiences decrease of the nutrition and oxygenation at the cellular level, due to
a deficit of capillary blood supply.
Related factors:
Interruption of blood flow.
Interruption of blood flow.
Problems of trade.
Fluid overload.
Hypovolemia.
Features:
Cold extremities.
Pale.
Arterial pulsations diminished.
-Quality Skin: bright.
Breathing ineffective:
State in which the inspiration and / or expiration of the individual does not allow adequate ventilzci?n.
Related factors:
Neuromuscular disorder.
Pain.
Musculoskeletal disorder or perceived.
Anxiety.
Fatigue.
Inflammatory process.
Decreased lung expansion.
Features:
Dyspnea, respiratory distress, tachypnea, cyanosis, nasal flaring, cough, changes in depth of breathing, etc

Increased anteroposterior diameter.


Use of accessory muscles.
Chest expansion altered.

Urinary Retention:
State in which an individual presents an incomplete emptying of the bladder.
Related factors:
High urethral pressure caused by weak detrusor.
Inhibition of the reflex arc.
Strong sphincter.
Lock.
Features:
Bladder distention.
Frequent urination and small.
Sensation of bladder fullness.
Drip.
Residual urine.
Dysuria.
Overflow.
Sleep pattern disturbance:
Disruption of sleep time causes discomfort or interferes with desired lifestyle.
Related factors:
Sensory disturbances.
Psychological stress.
External factors.
Social changes.
Features:
Complaints of difficulty sleeping.
Desvelo earlier or later than desired.
Sleep disruption.
Changes in behavior and performance.
Irritability.
Disorientation.
Tremors.
Frequent yawning.
Changes in posture.
Ineffective thermoregulation:

State in which an individuals body temperature fluctuates between hypothermia and hyperthermia.
Related factors:
Trauma or disease.
Prematurity.
Old age.
Ambient temperature fluctuating.
Features:
Fluctuations in body temperature below or above the normal range.
Trauma, high risk:
Heightened risk of accidental tissue injury (wounds, burns, fractures, etc )
Risk factors:
Weakness.
Poor eyesight.
Lack of coordination.
Lack of safety precautions.
Lack of knowledge.
Beds high.
Use of stairs.
Poor lighting of stoves.
Driving in a dangerous manner.
Etc.
By air, cleaning ineffective:
State in which an individual is unable to remove the obstructions ecreciones respiratory tract to maintain
airway patency.
Related factors:
Reduction of energy.
Fatigue.
Infection.
Obstruction.
Discharge.
Trauma.
Disorder perceptual / cognitive.

Features:
Abnormal breathing sounds.
Tachypnea.
Cough effective, with or without expectoration.
Cyanosis.
Dyspnea.
Fever.
Fluid volume, deficit:
State in which an individual experiences vascular dehydration, cellular or intracellular, associated with a
failure of compensatory mechanisms.
Related factors:
Failure of compensatory mechanisms.
Features:
Possible weight gain.
Hypotension.
Lelnado venos decreased.
Decreased volume and pulse.
Body temperature auemntada.
Skin and mucous membranes dry.
Hemoconcentration.
Weakness.
Edema.
Sed.
Liquid volume, excess:
State in which an individual experiences vascular dehydration, cellular or intracellular, associated with a
failure of compensatory mechanisms.
Related factors:
Failure of regulatory mechanisms.
Excessive fluid intake.
Excessive sodium intake.
Features:
Edema.
Diarrhea.

Anasarca.
Weight gain.
Intake greater than the stool.
Third heart sound.
Congestion.
Changing breathing pattern.
Changes in pulmonary artery pressure.
Oliguria.
Restlessness, anxiety.

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