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Nursing diagnosis : application to clinical practice / [edited by] Lynda Juall Carpenito-Moyet.

Holman Biotech Commons RT48.6 .C386 2004
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Holman Biotech Commons RT48.6 .C386 2004
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Format:
Book
Contributor:
Carpenito, Lynda Juall.
Sabin W. Colton, Jr., Memorial Fund.
Language:
English
Subjects (All):
Nursing diagnosis.
Nursing Diagnosis.
Patient Care Planning.
Medical Subjects:
Nursing Diagnosis.
Patient Care Planning.
Physical Description:
xviii, 1019 pages : illustrations ; 28 cm
Edition:
Tenth edition.
Place of Publication:
Philadelphia : Lippincott, [2004]
Summary:
This practical and respected resource presents the essentials of accurate diagnosis, applications, assessment, interventions and rationales, and goals-all -- in accordance with the latest NANDA guidelines. This informative resource will show you how to relate assessment data to nursing diagnoses, tailor diagnoses to special cases, differentiate nursing diagnosis from medical diagnosis, initiate appropriate nursing interventions, and develop effective care plans!
Contents:
Section 1 Nursing Diagnosis in the Nursing Process 1
1 Development of Nursing Diagnosis 4
Nursing Diagnosis: Process or Outcome? 5
The North American Nursing Diagnosis Association 5
NANDA Taxonomy 6
2 Types and Components of Nursing Diagnoses 8
Risk and High-Risk Nursing Diagnoses 10
Possible Nursing Diagnoses 11
Wellness Nursing Diagnoses 12
Syndrome Nursing Diagnoses 13
Non-NANDA-Approved Diagnoses 14
Diagnostic Statements 14
3 Nursing Diagnosis: What It Is, What It Is Not 17
Understanding Collaborative Problems 19
Collaborative Problem Diagnostic Statements 19
Differentiating Nursing Diagnoses From Collaborative Problems 20
4 Nursing Diagnoses: Assessment and Diagnosis 26
5 Planning Care With Nursing Diagnosis 38
Are Care Plans Necessary? 38
The Care Planning Process 38
Implementation 46
Evaluation 46
Multidisciplinary Care Planning 49
Care Planning Systems 50
Case Study Applications of Care Planning 57
6 Nursing Diagnoses: Issues and Controversies 68
Why Can't We Just Use the Words We've Always Used? 68
Other Disciplines Will Not Understand Our Diagnoses 69
Clients Will Not Understand Our Diagnoses 70
Nurse Practitioners, Nurse Anesthetists, and Nurse Midwives Do Not Need Nursing Diagnoses 71
Nursing Diagnoses Are Not Culturally Sensitive 72
Nursing Diagnosis Is Unethical 73
Nursing Diagnoses Can Violate Confidentiality 73
Section 2 Manual of Nursing Diagnoses 77
Activity Intolerance 80
Related to Insufficient Knowledge of Adaptive Techniques Needed Secondary to COPD 86
Related to Insufficient Knowledge of Adaptive Techniques Needed Secondary to Impaired Cardiac Function 89
Related to Bed Rest Deconditioning 92
Decreased Intracranial Adaptive Capacity 95
Impaired Adjustment 96
Anxiety 97
Related to Insufficient Knowledge of Preoperative Routines, Postoperative Exercises/Activities, Postoperative Alternations/Sensations 106
Death Anxiety 109
Risk for Imbalanced Body Temperature 111
Hyperthermia 115
Hypothermia 117
Ineffective Thermoregulation 120
Related to Newborn Transition to Extrauterine Environment 121
Bowel Incontinence 123
Effective Breast-feeding 126
Ineffective Breast-feeding 127
Interrupted Breast-feeding 133
Decreased Cardiac Output 134
Caregiver Role Strain 136
Risk for Caregiver Role Strain 143
Impaired Comfort 146
Acute Pain 153
Chronic Pain 165
Nausea 169
Impaired Communication 172
Related to Effects of Hearing Loss 179
Related to Effects of Aphasia on Expression or Interpretation 181
Related to Foreign Language Barrier 183
Impaired Verbal Communication 185
Confusion 187
Acute Confusion 188
Chronic Confusion 196
Constipation 202
Related to Effects of Immobility on Peristalsis 210
Perceived Constipation 211
Ineffective Coping 213
Defensive Coping 223
Ineffective Denial 226
Related to Impaired Ability to Accept Consequences of Own Behavior as Evidenced by Lack of Acknowledgment of Substance Abuse/Dependency 229
Disabled Family Coping 233
Related to (Specify), as Evidenced by Domestic Abuse 241
Related to (Specify), as Evidenced by Child Abuse/Neglect 244
Related to Multiple Stressors Associated with Elder Care: High Risk for 247
Compromised Family Coping 249
Readiness for Enhanced Family Coping 250
Ineffective Community Coping 250
Readiness for Enhanced Community Coping 255
Related to Availability of Community Programs to Augment (Specify) 258
Decisional Conflict 260
Diarrhea 268
Disuse Syndrome 272
Deficient Diversional Activity 280
Dysreflexia 286
Risk for Dysreflexia 290
Energy Field Disturbance 290
Impaired Environmental Interpretation Syndrome 293
Family Processes, Interrupted 295
Related to Impact (Specify) of Ill Member on Family System 302
Family Processes, Dysfunctional: Alcoholism 304
Fatigue 309
Fear 316
Deficient Fluid Volume 324
Related to Abnormal Fluid Loss 330
Excess Fluid Volume 332
Risk for Imbalanced Fluid Volume 338
Grieving 339
Grieving, Anticipatory 347
Grieving, Dysfunctional 351
Growth and Development, Delayed 354
Development, Risk for Delayed 362
Growth, Risk for Disproportionate 363
Adult Failure to Thrive 363
Ineffective Health Maintenance 366
Related to Insufficient Knowledge of Effects of Tobacco Use and Self-Help Resources Available 377
Related to Increased Food Consumption in Response to Stressors and Insufficient Energy Expenditure for Intake 381
Health-Seeking Behaviors 385
Impaired Home Maintenance 391
Hopelessness 396
Infant Behavior, Disorganized 405
Infant Behavior, Risk for Disorganized 412
Infant Behavior, Readiness for Enhanced Organized 413
Infection, Risk for 416
Infection Transmission, Risk for 425
Related to Lack of Knowledge of Reducing the Risk of Transmitting the AIDS Virus 430
Injury, Risk for 432
Related to Lack of Awareness of Environmental Hazards 441
Related to Lack of Awareness of Environmental Hazards Secondary to Maturational Age 446
Related to Vertigo Secondary to Orthostatic Hypotension 448
Risk for Aspiration 450
Risk for Falls 454
Risk for Poisoning 455
Risk for Suffocation 456
Risk for Trauma 456
Injury, Risk for Perioperative Positioning 456
Deficient Knowledge 461
Latex Allergy Response 463
Latex Allergy Response, Risk for 465
Loneliness, Risk for 466
Therapeutic Regimen Management, Effective: Individual 471
Therapeutic Regimen Management, Ineffective 474
Therapeutic Regimen Management, Ineffective: Family 481
Therapeutic Regimen Management, Ineffective: Community 482
Mobility, Impaired Physical 487
Impaired Bed Mobility 494
Impaired Walking 495
Impaired Wheelchair Mobility 496
Impaired Wheelchair Transfer Ability 497
Noncompliance 498
Nutrition, Imbalanced: Less Than Body Requirements 505
Related to Anorexia Secondary to (Specify) 516
Related to Difficulty or Inability to Procure Food 518
Altered Dentition 520
Impaired Swallowing 520
Ineffective Infant Feeding Pattern 525
Nutrition, Imbalanced: More Than Body Requirements 530
Nutrition, Imbalanced: Potential for More Than Body Requirements 533
Parenting, Impaired 534
Parent-Infant Attachment, Risk for Impaired 539
Parental Role Conflict 544
Related to Effects of Illness and/or Hospitalization of a Child 548
Peripheral Neurovascular Dysfunction, Risk for 551
Post-Trauma Syndrome 557
Post-Trauma Syndrome, Risk for 562
Rape Trauma Syndrome 562
Powerlessness 571
Protection, Ineffective 578
Tissue Integrity, Impaired 579
Skin Integrity, Impaired 586
Related to the Effects of Pressure, Friction, Shear, Maceration 590
Oral Mucous Membrane, Impaired 592
Related to Inadequate Oral Hygiene or Inability to Perform Oral Hygiene: Risk for 597
Relocation Stress [Syndrome] 601
Related to Changes Associated with Health Care Facility Transfers or Admission to Long-Term Care Facility 608
Respiratory Function, Risk for Ineffective 612
Related to Allergic Response 619
Dysfunctional Ventilatory Weaning Response 623
Dysfunctional Ventilatory Weaning Response, Risk for 629
Ineffective Airway Clearance 632
Ineffective Breathing Patterns 634
Impaired Gas Exchange 636
Impaired Spontaneous Ventilation 637
Role Performance, Ineffective 638
Self-Care Deficit Syndrome 639
Feeding Self-Care Deficit 645
Bathing/Hygiene Self-Care Deficit 647
Dressing/Grooming Self-Care Deficit 649
Toileting Self-Care Deficit 652
Instrumental Self-Care Deficit 654
Self-Concept, Disturbed 657
Body Image, Disturbed 666
Personal Identity, Disturbed 671
Self-Esteem, Disturbed 671
Chronic Low Self-Esteem 673
Situational Low Self-Esteem 676
Situational Low Self-Esteem, Risk for 679
Risk for Self-Harm 680
Risk for Self-Abuse 692
Self-Mutilation 693
Risk for Self-Mutilation 694
Risk for Suicide 695
Disturbed Sensory Perception 700
Sexuality Patterns, Ineffective 706
Related to Prenatal and Postpartum Changes 717
Related to Fear of Pregnancy and/or Sexually Transmitted Diseases (STDs): Risk for 721
Sexual Dysfunction 722
Disturbed Sleep Pattern 723
Sleep Deprivation 730
Social Interaction, Impaired 731
Social Isolation 739
Sorrow, Chronic 740
Spiritual Distress 743
Related to Conflict Between Religious or Spiritual Beliefs and Prescribed Health Regimen 755
Related to (Specify), as Evidenced by Inability to Practice Spiritual Rituals 757
Spiritual Distress, Risk for 759
Spiritual Well-Being, Readiness for Enhanced 760
Risk for Sudden Infant Death Syndrome 761
Surgical Recovery, Delayed 763
Thought Processes, Disturbed 764
Memory, Impaired 775
Tissue Perfusion, Ineffective (Specify: Renal, Cerebral, Cardiopulmonary, Gastrointestinal) 779
Tissue Perfusion, Ineffective Peripheral 780
Unilateral Neglect 786
Urinary Elimination, Impaired 791
Maturational Enuresis 797
Functional Incontinence 800
Reflex Incontinence 804
Stress Incontinence 806
Total Incontinence 809
Urge Incontinence 812
Urinary Retention 815
Violence, Risk for 818
Wandering 827
Section 3 Manual of Collaborative Problems 831
Potential Complication: Cardiac/Vascular 834
PC: Decreased Cardiac Output 835
PC: Dysrhythmias 836
PC: Pulmonary Edema 838
PC: Deep Vein Thrombosis 839
PC: Hypovolemia 840
PC: Compartmental Syndrome 842
PC: Pulmonary Embolism 843
Potential Complication: Respiratory 846
PC: Hypoxemia 847
PC: Atelectasis, Pneumonia 848
PC: Tracheobronchial Constriction 850
PC: Pneumothorax 852
Potential Complication: Metabolic/Immune/Hematopoietic 853
PC: Hypo/Hyperglycemia 854
PC: Negative Nitrogen Balance 857
PC: Electrolyte Imbalances 858
PC: Sepsis 865
PC: Acidosis (Metabolic, Respiratory) 866
PC: Alkalosis (Metabolic, Respiratory) 868
PC: Allergic Reaction 870
PC: Thrombocytopenia 872
PC: Opportunistic Infections 874
PC: Sickling Crisis 875
Potential Complication: Renal/Urinary 877
PC: Acute Urinary Retention 878
PC: Renal Insufficiency 880
PC: Renal Calculi 883
Potential Complication: Neurologic/Sensory 885
PC: Increased Intracranial Pressure 886
PC: Seizures 888
PC: Increased Intraocular Pressure 890
PC: Neuroleptic Malignant Syndrome 891
PC: Alcohol Withdrawal 893
Potential Complication: Gastrointestinal/Hepatic/Biliary 895
PC: Paralytic Ileus 896
PC: GI Bleeding 897
PC: Hepatic Dysfunction 898
PC: Hyperbilirubinemia 901
Potential Complication: Muscular/Skeletal 903
PC: Pathologic Fractures 904
PC: Joint Dislocation 905
Potential Complication: Reproductive 907
PC: Prenatal Bleeding 908
PC: Preterm Labor 909
PC: Pregnancy-Associated Hypertension 911
PC: Fetal Distress 912
PC: Postpartum Hemorrhage 914
Potential Complication: Medication Therapy Adverse Effects 916
PC: Anticoagulant Therapy Adverse Effects 917
PC: Antianxiety Therapy Adverse Effects 919
PC: Adrenocorticosteroid Therapy Adverse Effects 921
PC: Antineoplastic Therapy Adverse Effects 923
PC: Anticonvulsant Therapy Adverse Effects 925
PC: Antidepressant Therapy Adverse Effects 927
PC: Antiarrhythmic Therapy Adverse Effects 929
PC: Antipsychotic Therapy Adverse Effects 930
PC: Antihypertensive Therapy Adverse Effects 933
PC: [beta]-Adrenergic Blocker Therapy Adverse Effects 933
PC: Calcium Channel Blocker Therapy Adverse Effects 935
PC: Angiotensin-Converting Enzyme Inhibitor Therapy Adverse Effects 937
Appendix B Nursing Diagnoses Grouped Under Functional Health Patterns 947
Appendix C Health-Promotion/Wellness Diagnoses 951.
Notes:
Includes bibliographical references (pages 955-983) and index.
Local Notes:
Acquired for the Penn Libraries with assistance from the Sabin W. Colton, Jr., Memorial Fund.
ISBN:
0781743540
OCLC:
51978033

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