Nursing Diagnosis Pocket Manual

by Sparks, Sheila M.; Taylor, Cynthia M.; Dyer, Janyce G.

• ISBN13: 9780874348279
• ISBN10: 0874348277
• Format: Paperback
• Copyright: 1996-08-01
• Publisher: Springhouse Pub Co

Summary

The quickest and easiest way for students and practicing nurses to find all the information they need about NANDA-approved nursing diagnoses. The reference offers far greater clinical accuracy and depth than any other pocket reference of its kind. Complete care plans are included for every nursing diagnosis--arranged alphabetically for maximum convenience. Rationales are given for every intervention. Includes every nursing diagnosis currently approved by NANDA, including 19 approved in late 1994.

Table of Contents

Contributors
Preface
Activity intolerance	p. 1
Activity intolerance, risk for	p. 5
Adjustment impairment	p. 8
Airway clearance, ineffective	p. 11
Altered protection	p. 14
Anxiety	p. 17
Aspiration, risk for	p. 22
Body image disturbance	p. 26
Body temperature alteration, risk for	p. 30
Breast-feeding, effective	p. 33
Breast-feeding, ineffective	p. 36
Breast-feeding, interrupted	p. 40
Breathing pattern, ineffective	p. 43
Cardiac output, decreased	p. 47
Caregiver role strain	p. 50
Caregiver role strain, risk for	p. 53
Confusion, acute	p. 57
Confusion, chronic	p. 62
Constipation	p. 67
Constipation, colonic	p. 70
Constipation, perceived	p. 73
Coping, defensive	p. 76
Coping, family: Potential for growth	p. 81
Coping, ineffective community	p. 84
Coping, ineffective family: Compromised	p. 88
Coping, ineffective family: Disabling	p. 91
Coping, ineffective individual	p. 95
Coping, potential for enhanced community	p. 98
Decisional conflict	p. 101
Denial, ineffective	p. 104
Diarrhea	p. 107
Disuse syndrome, risk for	p. 110
Diversional activity deficit	p. 115
Dysreflexia	p. 118
Energy field disturbance	p. 121
Environmental interpretation syndrome, impaired	p. 124
Family process alteration	p. 128
Family process alteration: Alcoholism	p. 132
Fatigue	p. 136
Fear	p. 139
Fluid volume deficit	p. 143
Fluid volume deficit, risk for	p. 146
Fluid volume excess	p. 149
Gas exchange impairment	p. 153
Grieving, anticipatory	p. 156
Grieving, dysfunctional	p. 159
Growth and developmental alteration	p. 161
Health maintenance alteration	p. 167
Health-seeking behaviors	p. 170
Home maintenance management impairment	p. 173
Hopelessness	p. 177
Hyperthermia	p. 180
Hypothermia	p. 183
Incontinence, bowel	p. 186
Incontinence, functional	p. 189
Incontinence, reflex	p. 191
Incontinence, stress (female patient)	p. 195
Incontinence, total	p. 197
Incontinence, urge	p. 201
Infant behavior, disorganized	p. 205
Infant behavior, potential for enhanced organization	p. 208
Infant behavior, risk for disorganization	p. 211
Infant feeding pattern, ineffective	p. 214
Infection, risk for	p. 217
Injury from perioperative positioning, risk for	p. 222
Injury, risk for	p. 229
Intracranial adaptive capacity, decreased	p. 232
Knowledge deficit	p. 238
Loneliness, risk for	p. 240
Management of therapeutic regimen, effective individual	p. 244
Management of therapeutic regimen, ineffective community	p. 246
Management of therapeutic regimen, ineffective family	p. 250
Management of therapeutic regimen, ineffective individual	p. 253
Memory impairment	p. 256
Mobility impairment	p. 260
Neglect, unilateral	p. 263
Noncompliance	p. 266
Nutrition alteration: Less than body requirements	p. 270
Nutrition alteration: More than body requirements	p. 273
Nutrition alteration: Potential for more than body requirements	p. 276
Oral mucous membrane alteration	p. 279
Pain	p. 282
Pain, chronic	p. 286
Parent-infant or parent-child attachment, risk for altered	p. 289
Parental role conflict	p. 293
Parenting alteration	p. 296
Parenting alteration, risk for	p. 301
Peripheral neurovascular dysfunction, risk for	p. 306
Personal identity disturbance	p. 310
Poisoning, risk for	p. 314
Post-trauma response	p. 318
Powerlessness	p. 323
Rape-trauma syndrome	p. 325
Rape-trauma syndrome: Compound reaction	p. 328
Rape-trauma syndrome: Silent reaction	p. 331
Relocation stress syndrome	p. 334
Role performance alteration	p. 337
Self-care deficit: Bathing and hygiene	p. 340
Self-care deficit: Dressing and grooming	p. 343
Self-care deficit: Feeding	p. 346
Self-care deficit: Toileting	p. 349
Self-esteem, chronically low	p. 352
Self-esteem disturbance	p. 354
Self-esteem, situational low	p. 358
Self-mutilation, risk for	p. 361
Sensory or perceptual alteration (auditory)	p. 365
Sensory or perceptual alteration (gustatory)	p. 368
Sensory or perceptual alteration (kinesthetic)	p. 370
Sensory or perceptual alteration (olfactory)	p. 372
Sensory or perceptual alteration (tactile)	p. 375
Sensory or perceptual alteration (visual)	p. 378
Sexual dysfunction	p. 382
Sexuality pattern alteration (female patient)	p. 385
Skin integrity impairment	p. 387
Skin integrity impairment, risk for	p. 391
Sleep pattern disturbance	p. 394
Social interaction impairment	p. 397
Social isolation	p. 401
Spiritual distress	p. 404
Spiritual well-being, potential for enhanced	p. 407
Suffocation, risk for	p. 412
Swallowing impairment	p. 414
Thermoregulation, ineffective	p. 417
Thought process alteration	p. 420
Tissue integrity impairment	p. 425
Tissue perfusion alteration (cardiopulmonary)	p. 428
Tissue perfusion alteration (cerebral)	p. 432
Tissue perfusion alteration (gastrointestinal)	p. 435
Tissue perfusion alteration (peripheral)	p. 439
Tissue perfusion alteration (renal)	p. 443
Trauma, risk for	p. 446
Urinary elimination pattern alteration	p. 448
Urinary retention	p. 453
Ventilation, spontaneous: Inability to sustain	p. 457
Ventilatory weaning response, dysfunctional	p. 461
Verbal communication impairment	p. 466
Violence, risk for: Directed at others	p. 470
Violence, risk for: Self-directed	p. 473
NANDA taxonomy	p. 478
Selected references	p. 482
Index	p. 484
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