Handbook of Nursing Diagnosis

by Carpenito, Lynda Juall

• ISBN13: 9780781719711
• ISBN10: 0781719712
• Edition: 8th
• Format: Paperback
• Copyright: 1999-05-01
• Publisher: Lippincott Williams & Wilkins

Summary

This quick-reference text has all the answers! Now in its Eighth Edition, this portable handbook gives the reader easy access to nursing diagnoses and collaborative problems. Designed in outline format and divided into two sections, the book is well-organized and readable. Section I covers all nursing diagnoses and specific population interventions. Section II presents Diagnostic Clusters. Boxed and screened author's notes clarify diagnoses. Interventions are grouped according to population. Diagnostic Clusters cover all clinical areas -- Medical, Surgical, Obstetrical/Gynecological, Neonatal, Pediatric/Adolescent, and Mental Health. A removable laminated card at the back of the book lists all nursing diagnoses under functional health patterns. New in this edition: Critical Pathways and how to use them with nursing diagnosis; new nursing diagnoses; and NIC and NOC Appendices.

Table of Contents

Introduction	xxv
Section I NURSING DIAGNOSES	1	(447)
Activity Intolerance	2	(5)
Adaptive Capacity, Decreased: Intracranial	7	(1)
Adjustment, Impaired	8	(1)
Anxiety	9	(9)
Death Anxiety	16	(2)
Body Temperature, Risk for Altered	18	(9)
Hypothermia	20	(2)
Hyperthermia	22	(2)
Thermoregulation, Ineffective	24	(3)
Bowel Incontinence	27	(3)
Breastfeeding, Effective	30	(3)
Breastfeeding, Ineffective	33	(3)
Breastfeeding, Interrupted	36	(1)
Cardiac Output, Decreased	37	(1)
Caregiver Role Strain	38	(7)
Risk for Caregiver Role Strain	42	(3)
Comfort, Altered	45	(13)
Acute Pain	48	(6)
Chronic Pain	54	(2)
Nausea	56	(2)
Communication, Impaired	58	(7)
Communication, Impaired Verbal	63	(2)
Confusion	65	(10)
Acute Confusion	66	(5)
Chronic Confusion	71	(4)
Constipation	75	(7)
Perceived Constipation	80	(1)
Constipation, Risk for	81	(1)
Coping, Ineffective Individual	82	(10)
Defensive Coping	87	(2)
Ineffective Denial	89	(3)
Coping, Ineffective Community	92	(3)
Coping, Potential for Enhanced Community	95	(2)
Family Coping: Potential for Growth	97	(2)
Ineffective Family Coping: Compromised	99	(1)
Ineffective Family Coping: Disabling	100	(5)
Decisional Conflict	105	(4)
Diarrhea	109	(3)
Disuse Syndrome	112	(4)
Diversional Activity Deficit	116	(3)
Dysreflexia	119	(3)
Dysreflexia, Risk for	122	(1)
Energy Field Disturbance	122	(3)
Environmental Interpretation Syndrome, Impaired	125	(2)
Family Processes, Altered	127	(8)
Family Processes, Altered: Alcoholism	130	(5)
Fatigue	135	(5)
Fear	140	(4)
Fluid Volume Deficit	144	(3)
Fluid Volume Excess	147	(4)
Fluid Volume Imbalance, Risk for	151	(1)
Grieving	152	(9)
Grieving, Anticipatory	156	(2)
Grieving, Dysfunctional	158	(3)
Growth and Development, Altered	161	(12)
Development, Risk for Altered	170	(1)
Growth, Risk for Altered	171	(1)
Failure to Thrive, Adult	171	(2)
Health Maintenance, Altered	173	(11)
Health Seeking Behaviors (Specify)	184	(3)
Home Maintenance Management, Impaired	187	(2)
Hopelessness	189	(7)
Infant Behavior, Disorganized	196	(6)
Infant Behavior, Risk for Disorganized	202	(1)
Infant Behavior, Potential for Enhanced Organized	203	(4)
Infection, Risk for	207	(7)
Infection Transmission, Risk for	212	(2)
Injury, Risk for	214	(9)
Aspiration, Risk for	219	(3)
Poisoning, Risk for	222	(1)
Suffocation, Risk for	222	(1)
Trauma, Risk for	222	(1)
Injury, Risk for Perioperative Positioning	223	(3)
Knowledge Deficit	226	(1)
Latex Allergy	227	(3)
Latex Allergy, Risk for	229	(1)
Loneliness, Risk for	230	(4)
Management of Therapeutic Regimen, Effective: Individual	234	(2)
Management of Therapeutic Regimen, Ineffective	236	(9)
Management of Therapeutic Regimen, Ineffective: Families	241	(1)
Management of Therapeutic Regimen, Ineffective: Community	242	(3)
Mobility, Impaired Physical	245	(10)
Bed Mobility, Impaired	250	(1)
Walking, Impaired	251	(1)
Wheelchair Mobility, Impaired	252	(1)
Wheelchair Transfer Ability, Impaired	253	(2)
Neurovascular Dysfunction, Risk for Peripheral	255	(3)
Noncompliance	258	(3)
Nutrition, Altered: Less Than Body Requirements	261	(12)
Altered Dentition	266	(1)
Impaired Swallowing	267	(3)
Ineffective Infant Feeding Pattern	270	(3)
Nutrition, Altered: More Than Body Requirements	273	(3)
Nutrition, Altered: Potential for More Than Body Requirements	276	(1)
Parenting, Altered	277	(13)
Parent-Infant Attachment, Risk for Altered	281	(5)
Parental Role Conflict	286	(4)
Post-Trauma Response	290	(8)
Post-Trauma Response, Risk for	294	(1)
Rape-Trauma Syndrome	295	(3)
Powerlessness	298	(3)
Protection, Altered	301	(2)
Tissue Integrity, Impaired	303	(10)
Skin Integrity, Impaired	306	(1)
Skin Integrity, Impaired, Risk for	307	(2)
Oral Mucous Membrane, Altered	309	(4)
Relocation Stress (Syndrome)	313	(5)
Respiratory Function, Risk for Altered	318	(15)
Dysfunctional Ventilatory Weaning Response	321	(5)
Dysfunctional Ventilatory Weaning Response, Risk for	326	(2)
Ineffective Airway Clearance	328	(1)
Ineffective Breathing Patterns	329	(2)
Impaired Gas Exchange	331	(1)
Inability to Sustain Spontaneous Ventilation	332	(1)
Role Performance, Altered	333	(2)
Self-Care Deficit Syndrome	335	(15)
Feeding Self-Care Deficit	339	(2)
Bathing/Hygiene Self-Care Deficit	341	(2)
Dressing/Grooming Self-Care Deficit	343	(2)
Toileting Self-Care Deficit	345	(3)
Instrumental Self-Care Deficit	348	(2)
Self-Concept Disturbance	350	(16)
Body Image Disturbance	353	(4)
Personal Identity Disturbance	357	(1)
Self-Esteem Disturbance	358	(3)
Chronic Low Self-Esteem	361	(2)
Situational Low Self-Esteem	363	(3)
Risk for Self-Harm	366	(10)
Risk for Self-Abuse	370	(1)
Risk for Self-Mutilation	371	(1)
Risk for Suicide	371	(5)
Sensory-Perceptual Alterations	376	(4)
Sexuality Patterns, Altered	380	(8)
Sexual Dysfunction	387	(1)
Sleep Pattern Disturbance	388	(4)
Sleep Deprivation	391	(1)
Social Interaction, Impaired	392	(4)
Social Isolation	396	(2)
Sorrow, Chronic	398	(2)
Spiritual Distress	400	(4)
Spiritual Distress, Risk for	403	(1)
Spiritual Well-Being, Potential for Enhanced	404	(1)
Surgical Recovery, Delayed	405	(1)
Thought Processes, Altered	406	(8)
Memory, Impaired	411	(3)
Tissue Perfusion, Altered: (Specify)	414	(5)
Altered Peripheral Tissue Perfusion	415	(4)
Unilateral Neglect	419	(3)
Urinary Elimination, Altered Patterns of	422	(20)
Maturational Enuresis	425	(2)
Functional Incontinence	427	(2)
Reflex Incontinence	429	(2)
Stress Incontinence	431	(2)
Total Incontinence	433	(3)
Urge Incontinence	436	(3)
Urge Incontinence, Risk for	439	(1)
Urinary Retention	439	(3)
Violence, Risk for	442	(5)
Section II DIAGNOSTIC CLUSTERS
(Medical Conditions With Associated Nursing Diagnoses and Collaborative Problems)	447	(1)
MEDICAL CONDITIONS	448	(52)
Cardiovascular/Hematological/Peripheral Vascular Disorders	448	(1)
Cardiac Conditions	448	(3)
Angina Pectoris	448	(1)
Congestive Heart Failure With Pulmonary Edema	449	(1)
Endocarditis, Pericarditis (Rheumatic, Infectious)	450	(1)
Myocardial Infarction (Uncomplicated)	450	(1)
Hematological Conditions	451	(3)
Anemia	451	(1)
Aplastic Anemia	452	(1)
Pernicious Anemia	452	(1)
Disseminated Intravascular Coagulation (DIC)	453	(1)
Polycythemia Vera	453	(1)
Peripheral Vascular Conditions	454	(3)
Deep Vein Thrombosis	454	(1)
Hypertension	455	(1)
Varicose Veins	455	(1)
Peripheral Arterial Disease (Atherosclerosis, Arteriosclerosis)	455	(1)
Raynaud's Disease	456	(1)
Venous Stasis Ulcers (Postphlebitis Syndrome)	456	(1)
Respiratory Disorders	457	(3)
Adult Respiratory Distress Syndrome	457	(1)
Chronic Obstructive Pulmonary Disease (Emphysema, Bronchitis)	457	(1)
Pleural Effusion	458	(1)
Pneumonia	459	(1)
Pulmonary Embolism	460	(1)
Metabolic/Endocrine Disorders	460	(8)
Addison's Disease	460	(1)
Aldosteronism, Primary	461	(1)
Cirrhosis (Laennec's Disease)	461	(1)
Cushing's Syndrome	462	(1)
Diabetes Mellitus	463	(1)
Hepatitis (Viral)	464	(1)
Hyperthyroidism (Thyrotoxicosis, Graves' Disease)	465	(1)
Hypothyroidism (Myxedema)	466	(1)
Obesity	467	(1)
Pancreatitis	467	(1)
Gastrointestinal Disorders	468	(2)
Esophageal Disorders (Esophagitis, Hiatal Hernia)	468	(1)
Gastroenteritis	468	(1)
Hemorrhoids/Anal Fissure (Nonsurgical)	468	(1)
Inflammatory Bowel Disease (Diverticulosis, Diverticulitis, Regional Enteritis, Ulcerative Colitis)	469	(1)
Peptic Ulcer Disease	470	(1)
Renal/Urinary Tract Disorders	470	(4)
Neurogenic Bladder	470	(1)
Renal Failure (Acute)	471	(1)
Renal Failure (Chronic, Uremia)	472	(1)
Urinary Tract Infections (Cystitis, Pyelonephritis, Glomerulonephritis)	473	(1)
Urolithiasis (Renal Calculi)	473	(1)
Neurological Disorders	474	(9)
Brain Tumor	474	(1)
Cerebrovascular Accident	475	(2)
Nervous System Disorders (Degenerative, Demyelinating, Inflammatory, Myasthenia Gravis, Multiple Sclerosis, Muscular Dystrophy, Parkinson's Disease, Guillain-Barre Syndrome, Amyotrophic Lateral Sclerosis)	477	(1)
Presenile Dementia (Alzheimer's Disease, Huntington's Disease)	478	(1)
Seizure Disorders (Epilepsy)	479	(1)
Spinal Cord Injury	480	(2)
Unconscious Individual	482	(1)
Sensory Disorders	483	(2)
Ophthalmic Disorders (Cataracts, Detached Retina, Glaucoma, Inflammations)	483	(1)
Otic Disorders (Infections, Mastoiditis, Trauma)	484	(1)
Integumentary Disorders	485	(4)
Dermatological Disorders (Dermatitis, Psoriasis, Eczema)	485	(1)
Pressure Ulcers	485	(1)
Skin Infections (Impetigo, Herpes Zoster, Fungal Infections)	486	(1)
Thermal Injuries (Burns, Severe Hypothermia)	486	(3)
Musculoskeletal/Connective Tissue Disorders	489	(4)
Fractured Jaw	489	(1)
Fractures	489	(1)
Low Back Pain	490	(1)
Osteoporosis	491	(1)
Inflammatory Joint Disease	492	(1)
Infectious/Immunodeficient Disorders	493	(3)
Lupus Erythematosus (Systemic)	493	(1)
Meningitis/Encephalitis	493	(1)
Sexually Transmitted Infectious Diseases (Venereal Diseases, Herpes)	494	(1)
Acquired Immunodeficiency Syndrome (AIDS) (Adult)	495	(1)
Neoplastic Disorders	496	(4)
Cancer (Initial Diagnosis)	496	(1)
Cancer (General; Applies to Malignancies in Varied Sites and Stages)	497	(2)
Cancer (End-Stage)	499	(1)
Colorectal Cancer (Additional Nursing Diagnoses)	500	(1)
SURGICAL PROCEDURES	500	(25)
General Surgery	500	(1)
Amputation (Lower Extremity)	501	(1)
Aneurysm Resection (Abdominal Aortic)	502	(1)
Anorectal Surgery	503	(1)
Arterial Bypass Graft of Lower Extremity (aortic, Iliac, Femoral, Popliteal)	504	(1)
Arthroplasty (Total Hip, Knee, or Ankle Replacement)	505	(1)
Arthroscopy, Arthrotomy, Meniscectomy, Bunionectomy	506	(1)
Carotid Endarterectomy	506	(1)
Cataract Extraction	507	(1)
Cesarean Section	508	(1)
Cholecystectomy	508	(1)
Colostomy	508	(1)
Corneal Transplant (Penetrating Keratoplasty)	509	(1)
Coronary Artery Bypass Graft (CABG)	510	(1)
Cranial Surgery	510	(1)
Dilatation and Curettage	511	(1)
Enucleation	512	(1)
Fractured Hip and Femur	513	(1)
Hysterectomy (Vaginal, Abdominal)	513	(1)
Ileostomy	514	(1)
Laminectomy	515	(1)
Mastectomy	516	(1)
Ophthalmic Surgery	516	(1)
Otic Surgery (Stapedectomy, Tympanoplasty, Myringotomy, Tympanic Mastoidectomy)	517	(1)
Radical Neck Dissection (Laryngectomy)	518	(1)
Radical Vulvectomy	518	(1)
Renal Surgery (General, Percutaneous Nephrostomy/Extracorporeal Renal Surgery, Nephrectomy)	519	(1)
Renal Transplant	520	(1)
Thoracic Surgery	521	(1)
Tonsillectomy	522	(1)
Transurethral Resection (Prostate [Benign Hypertrophy or Cancer], Bladder Tumor)	523	(1)
Urostomy	523	(2)
OBSTETRICAL/GYNECOLOGICAL CONDITIONS	525	(9)
Obstetrical Conditions	525	(8)
Prenatal Period (General)	525	(1)
Abortion, Induced	525	(1)
Abortion, Spontaneous	526	(1)
Extrauterine Pregnancy (Ectopic Pregnancy)	526	(1)
Hyperemesis Gravidarum	527	(1)
Pregnancy-Induced Hypertension	527	(1)
Pregnant Adolescent	527	(1)
Uterine Bleeding During Pregnancy (Placenta Previa, Abruptio Placentae, Uterine Rupture, Nonmalignant Lesions, Hydatidiform Mole)	528	(1)
Intrapartum Period (General)	529	(1)
Postpartum Period	529	(2)
Concomitant Medical Conditions (Cardiac Disease [Prenatal, Postpartum], Diabetes [Prenatal, Postpartum])	531	(2)
Gynecological Conditions	533	(1)
Endometriosis	533	(1)
Pelvic Inflammatory Disease	533	(1)
NEONATAL CONDITIONS	534	(7)
Neonate, Normal	534	(1)
Neonate, Premature	534	(1)
Neonate, Postmature (Small for Gestational Age [SGA], Large for Gestational Age [LGA])	535	(1)
Neonate With Special Problem (Congential Infections---Cytomegalovirus, Rubella, Toxoplasmosis, Syphilis, Herpes)	536	(1)
Neonate With Meningomyelocele	536	(1)
Neonate With Congenital Heart Disease (Preoperative)	537	(1)
Neonate of a Diabetic Mother	537	(1)
High-Risk Neonate	538	(1)
Family of High-Risk Neonate	538	(1)
Hyperbilirubinemia (Rh Incompatibility, ABO Incompatibility)	539	(1)
Neonate of Narcotic-Addicted Mother	539	(1)
Respiratory Distress Syndrome	540	(1)
Sepsis (Septicemia)	540	(1)
PEDIATRIC/ADOLESCENT DISORDERS	541	(24)
Developmental Problems/Needs Related to Chronic Illness (eg, Permanent Disability, Multiple Handicaps, Developmental Disability [Mental/Physical], Life-Threatening Illness)	541	(1)
Anxiety/School Phobia	542	(1)
Acquired Immunodeficiency Syndrome (Child)	542	(1)
Asthma	543	(1)
Attention Deficit Disorder (Hootman, 1993)	544	(1)
Celiac Disease	544	(1)
Cerebral Palsy	545	(1)
Child Abuse (Battered Child Syndrome, Child Neglect)	546	(1)
Cleft Lip and Palate	547	(1)
Communicable Diseases	547	(1)
Congenital Heart Disease	548	(1)
Convulsive Disorders	548	(1)
Craniocerebral Trauma	549	(1)
Cystic Fibrosis	549	(1)
Down Syndrome	550	(1)
Dysmenorrhea	551	(1)
Failure to Thrive (Nonorganic)	551	(1)
Glomerular Disorders (Glomerulonephritis: Acute, Chronic; Nephrotic Syndrome: Congenital, Secondary, Idiopathic)	552	(1)
Hemophilia	552	(1)
Hydrocephalus	553	(1)
Infectious Mononucleosis (Adolescent)	554	(1)
Legg-Calve-Perthes Disease	554	(1)
Leukemia	554	(1)
Meningitis (Bacterial)	555	(1)
Meningomyelocele	556	(1)
Mental Disabilities	557	(1)
Muscular Dystrophy	557	(1)
Obesity	558	(1)
Osteomyelitis	559	(1)
Parasitic Disorders	559	(1)
Pediculosis	560	(1)
Poisoning	560	(1)
Respiratory Tract Infection (Lower)	561	(1)
Rheumatic Fever	561	(1)
Rheumatoid Arthritis (Juvenile)	562	(1)
Reye's Syndrome	562	(1)
Scoliosis	563	(1)
Sickle Cell Anemia	563	(1)
Tonsillitis	564	(1)
Wilms' Tumor	564	(1)
MENTAL HEALTH DISORDERS	565	(7)
Affective Disorders (Depression)	565	(1)
Anorexia Nervosa	566	(1)
Anxiety and Adjustment Disorders (Phobias, Anxiety States, Traumatic Stress Disorders, Adjustment Reactions)	567	(1)
Bipolar Disorder (Mania)	568	(1)
Childhood Behavioral Disorders (Attention Deficit Disorders, Learning Disabilities)	568	(1)
Obsessive-Compulsive Disorder	569	(1)
Paranoid Disorders	569	(1)
Personality Disorders	569	(1)
Schizophrenic Disorders	570	(1)
Somatoform Disorders (Somatization, Hypochondriasis, Conversion Reactions)	570	(1)
Substance Abuse Disorders	571	(1)
DIAGNOSTIC AND THERAPEUTIC PROCEDURES	572	(19)
Angioplasty (Percutaneous, Transluminal, Coronary, Peripheral)	572	(1)
Anticoagulant Therapy	573	(1)
Arteriogram	574	(1)
Cardiac Catheterization	574	(1)
Casts	575	(1)
Cesium Implant	576	(1)
Chemotherapy	576	(2)
Corticosteroid Therapy	578	(1)
Electroconvulsive Therapy (ECT)	579	(1)
Electronic Fetal Monitoring (Internal)	579	(1)
Enteral Nutrition	579	(1)
External Arteriovenous Shunting	580	(1)
Hemodialysis	580	(2)
Hemodynamic Monitoring	582	(1)
Hickman Catheter	582	(1)
Long-Term Venous Catheter	583	(1)
Intra-aortic Balloon Pumping	583	(1)
Mechanical Ventilation	584	(1)
Pacemaker Insertion	585	(1)
Peritoneal Dialysis	586	(1)
Radiation Therapy (External)	587	(1)
Total Parenteral Nutrition (Hyperalimentation Therapy)	588	(1)
Tracheostomy	589	(2)
Traction	590	(1)
References/Bibliography	591	(6)
Appendix Adult Screening Admission Assessment Guide	597	(6)
How to Create a Priority Set of Diagnoses	603	(1)
Index	604