Nursing Diagnosis Application to Clinical Practice

by Carpenito, Lynda Juall

• ISBN13: 9780781743549
• ISBN10: 0781743540
• Edition: 10th
• Format: Paperback
• Copyright: 2003-07-14
• Publisher: LWW

Summary

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. Includes a special section on "Collaborative Problems" and "Diagnostic Clusters".

Table of Contents

SECTION ONE Nursing Diagnosis in the Nursing Process	1	(76)
Introduction	3	(1)
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 Outcomes	939	(8)
Appendix B: Nursing Diagnoses Grouped Under Functional Health Patterns	947	(4)
Appendix C: Health-Promotion/Wellness Diagnoses	951	(4)
Bibliography	955	(30)
Index	985