Nursing Care Plans : Guidelines for Individualizing Client Care Across the Life Span

by Marilynn E. Doenges; Mary F. Moorhouse; Alice C. Murr

• ISBN13: 9780803612945
• ISBN10: 080361294X
• Edition: 7th
• Format: Paperback
• Copyright: 2006-03-15
• Publisher: F a Davis Co

Summary

Nursing Care Plans, 7th Edition - a guideline approach to care planning that also serves as a valuable tool for critical thinking.More than just a book of Med-Surg care plans - this is an all-in-one resource that includes four new care plans, an introduction to Mind Mapping, and a bonus CD-ROM covering all the care plans found in the book (plus 84 only available on the disc) and the top 400 health conditions. You'll learn to make individual care plan choices, utilizing critical thinking and analysis, to build an individualized care plan suited perfectly for your patient. Take the guideline approach and make the correct choices! Four new care plans:Obesity Surgery Fluid and Electrolyte Imbalances Extended Care Pediatric Considerations Davis Care Planning Nursing Diagnosis Resource CenterYour resource for nursing diagnosis, care planning and concept maps, concept map generator, care plan template, interactive and printable assessment tool, and more! Davis Care Planning Nursing Diagnosis Resource CenterYour resource for nursing diagnosis, care planning and concept maps, concept map generator, care plan template, interactive and printable assessment tool, and more!http://davisplus.fadavis.com/daviscareplans/index.cfm

Table of Contents

Introduction	vii
Issues and Trends in Medical/Surgical Nursing	1	(5)
The Ever-Changing Healthcare Environment	1	(1)
Healthcare Costs and the Allocation of Resources	1	(1)
Managed Care: Restructuring Healthcare	1	(2)
Nursing Care Costs	3	(1)
Early Discharge	3	(1)
Aging Population	3	(1)
Technological Advances	4	(1)
Future of Nursing	4	(1)
Conclusion	5	(1)
The Nursing Process: Planning Care With Nursing Diagnoses	6	(7)
Planning Care	9	(1)
Components of the Plan of Care	9	(3)
Client Database	9	(1)
Nursing Priorities	10	(1)
Discharge Goals	10	(1)
Nursing Diagnosis (Problem/Need Identification)	10	(1)
Desired Client Outcomes	11	(1)
Planning (Goals and Actions/Interventions)	11	(1)
Rationale	11	(1)
Conclusion	12	(1)
Critical Thinking: Adaptation of Theory to Practice	13	(22)
Client Situation: Diabetes Mellitus	22	(13)
Admitting Physician's Orders	22	(1)
Client Assessment Database	22	(4)
Evaluation	26	(1)
Documentation	26	(1)
Plan of Care: Mr. R. S.	27	(4)
Mind Map	31	(2)
Sample Clinical Pathway	33	(2)
Cardiovascular	35	(167)
Hypertension: Severe	35	(12)
Cardiac Output, risk for decreased	38	(2)
Activity Intolerance	40	(1)
Pain, acute, headache	41	(1)
Nutrition: more than body requirements, imbalanced	42	(1)
Coping, ineffective	43	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care and discharge needs	44	(3)
Heart Failure: Chronic	47	(15)
Cardiac Output, decreased	50	(4)
Activity Intolerance	54	(1)
Fluid Volume, excess	55	(2)
Gas Exchange, risk for impaired	57	(1)
Skin Integrity, risk for impaired	58	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment regimen, self-care, and discharge needs	59	(2)
Sample Clinical Pathway	61	(1)
Angina (Coronary Artery Disease)	62	(10)
Pain, acute	65	(2)
Cardiac Output, risk for decreased	67	(2)
Anxiety [specify level]	69	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment needs, self-care, and discharge needs	70	(2)
Myocardial Infarction	72	(13)
Pain, acute	75	(1)
Activity Intolerance	76	(1)
Anxiety [specify level]/Fear	77	(2)
Cardiac Output, risk for decreased	79	(2)
Tissue Perfusion, ineffective	81	(2)
Fluid Volume, risk for excess	83	(1)
Knowledge, deficient [Learning Need] regarding cause/treatment of condition, self-care, and discharge needs	83	(2)
Dysrhythmias (Including Digitalis Toxicity)	85	(11)
Cardiac Output, risk for decreased	88	(4)
Poisoning, risk for digitalis toxicity	92	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care, and discharge needs	93	(3)
Cardiac Surgery: Postoperative Care---Coronary Artery Bypass Graft (CABG), Minimally Invasive Direct Coronary Artery Bypass (MIDCAB), Cardiomyoplasty, Valve Replacement	96	(12)
Cardiac Output, risk for decreased	98	(2)
Pain, acute/[Discomfort]	100	(2)
Role Performance, ineffective	102	(1)
Breathing Pattern, risk for ineffective	103	(2)
Skin Integrity, impaired	105	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment plan, postoperative care, self-care, and discharge needs	106	(2)
Thrombophlebitis: Deep Vein Thrombosis (Including Pulmonary Emboli Considerations)	108	(9)
Tissue Perfusion, ineffective	109	(3)
Pain, acute/[Discomfort]	112	(1)
Gas Exchange, impaired (in presence of pulmonary embolus)	113	(2)
Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care, and discharge needs	115	(2)
Respiratory
Chronic Obstructive Pulmonary Disease (COPD) and Asthma	117	(11)
Airway Clearance, ineffective	120	(3)
Gas Exchange, impaired	123	(2)
Nutrition: less than body requirements, imbalanced	125	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care, and discharge needs	126	(2)
Pneumonia	128	(13)
Airway Clearance, ineffective	131	(1)
Gas Exchange, impaired	132	(1)
Infection, risk for [spread]	133	(1)
Activity Intolerance	134	(1)
Pain, acute	135	(1)
Nutrition: risk for less than body requirements, imbalanced	136	(1)
Fluid Volume, risk for deficient	137	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care, and discharge needs	138	(2)
Sample Clinical Pathway	140	(1)
Lung Cancer: Postoperative Care	141	(9)
Gas Exchange, impaired	143	(2)
Airway Clearance, ineffective	145	(1)
Pain, acute	146	(1)
Fear/Anxiety [specify level]	147	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment, prognosis, self-care, and discharge needs	148	(2)
Pneumothorax/Hemothorax	150	(7)
Breathing Pattern, ineffective	152	(3)
Trauma/Suffocation	155	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment regimen, self-care, and discharge needs	156	(1)
Radical Neck Surgery: Laryngectomy (Postoperative Care)	157	(13)
Airway Clearance, ineffective/Aspiration, risk for	159	(1)
Communication, impaired verbal	160	(2)
Skin/Tissue Integrity, impaired	162	(1)
Oral Mucous Membrane, impaired	163	(1)
Pain, acute	164	(1)
Nutrition: less than body requirements, imbalanced	165	(2)
Body Image, disturbed/Role Performance, ineffective	167	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment, self-care, and discharge needs	168	(2)
Ventilatory Assistance (Mechanical)	170	(14)
Breathing Pattern, ineffective/Spontaneous Ventilation, impaired	171	(3)
Airway Clearance, ineffective	174	(2)
Communication, impaired verbal	176	(1)
Fear/Anxiety [specify level]	177	(1)
Oral Mucous Membrane, impaired	178	(1)
Nutrition: less than body requirements, imbalanced	179	(1)
Infection, risk for	180	(1)
Ventilatory Weaning Response, risk for dysfunctional	181	(2)
Knowledge, deficient [Learning Need] regarding condition, prognosis and therapy, self-care, and discharge needs	183	(1)
Pulmonary Tuberculosis (TB)	184	(10)
Infection, risk for [spread/reactivation]	187	(2)
Airway Clearance, ineffective	189	(1)
Gas Exchange, risk for impaired	190	(1)
Nutrition: less than body requirements, imbalanced	191	(1)
Knowledge, deficient [Learning Need] regarding condition, treatment, prevention, self-care, and discharge needs	192	(2)
Respiratory Acid-Base Imbalances	194	(1)
Respiratory Acidosis (Primary Carbonic Acid Excess)	194	(4)
Gas Exchange, impaired	196	(2)
Respiratory Alkalosis (Primary Carbonic Acid Deficit)	198	(4)
Gas Exchange, impaired	200	(2)
Neurological/Sensory Disorders	202	(107)
Glaucoma	202	(6)
Sensory Perception, disturbed visual	204	(2)
Anxiety [specify level]	206	(2)
Seizure Disorders	208	(10)
Trauma/Suffocation, risk for	211	(3)
Airway Clearance/Breathing Pattern, risk for ineffective	214	(1)
Self-Esteem, [specify situational or chronic) low	215	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment regimen, self-care, and discharge needs	216	(2)
Craniocerebral Trauma (Acute Rehabilitative Phase)	218	(18)
Tissue Perfusion, ineffective cerebral	221	(3)
Breathing Pattern, risk for ineffective	224	(1)
Sensory Perception, disturbed (specify)	225	(2)
Thought Processes, disturbed	227	(2)
Mobility, impaired physical	229	(2)
Infection, risk for	231	(1)
Nutrition: risk for less than body requirements, imbalanced	232	(1)
Family Processes, interrupted	233	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, potential complications, treatment, self-care, and discharge needs	234	(2)
Cerebrovascular Accident (CVA)/Stroke	236	(16)
Tissue Perfusion, ineffective cerebral	238	(3)
Mobility, impaired physical	241	(2)
Communication, impaired verbal [and/or written]	243	(1)
Sensory Perception, disturbed (specify)	244	(2)
Self-Care Deficit (specify)	246	(1)
Coping, ineffective	247	(1)
Swallowing, risk for impaired	248	(2)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	250	(2)
Herniated Nucleus Pulposus (Ruptured Intervertebral Disc)	252	(8)
Pain, acute/chronic	254	(2)
Mobility, impaired physical	256	(1)
Anxiety [specify level]/Coping, ineffective	257	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	258	(2)
Disc Surgery	260	(11)
Tissue Perfusion, ineffective (specify)	261	(1)
Trauma, risk for (spinal)	262	(1)
Breathing Pattern/Airway Clearance, risk for ineffective	263	(1)
Pain, acute	264	(1)
Mobility, impaired physical	265	(1)
Constipation	266	(1)
Urinary Retention, risk for	267	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	268	(2)
Sample Clinical Pathway	270	(1)
Spinal Cord Injury (Acute Rehabilitative Phase)	271	(20)
Breathing Pattern, risk for ineffective	273	(2)
Trauma, risk for [additional spinal injury]	275	(1)
Mobility, impaired physical	276	(2)
Sensory Perception, disturbed	278	(1)
Pain, acute	279	(1)
Grieving, anticipatory	280	(2)
Self-Esteem, situational low	282	(1)
Bowel Incontinence/Constipation	283	(2)
Urinary Elimination, impaired	285	(1)
Autonomic Dysreflexia, risk for	286	(2)
Skin Integrity, risk for impaired	288	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, potential complications, treatment, self-care, and discharge needs	289	(2)
Multiple Sclerosis	291	(18)
Fatigue	295	(2)
Self-Care Deficit (specify)	297	(1)
Self-Esteem, specify situational/chronic low	298	(2)
Powerlessness [specify degree]/Hopelessness	300	(1)
Coping, risk for ineffective	301	(1)
Coping, compromised/disabled family	302	(2)
Urinary Elimination, impaired	304	(1)
Caregiver Role Strain, risk for	305	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, complications, treatment, self-care, and discharge needs	306	(3)
Gastrointestinal Disorders	309	(67)
Upper Gastrointestinal/Esophageal Bleeding	309	(11)
Fluid Volume, deficient [isotonic]	312	(3)
Tissue Perfusion, risk for ineffective	315	(1)
Fear/Anxiety [specify level]	316	(1)
Pain, acute/chronic	317	(2)
Knowledge, deficient [Learning Need] regarding disease process, prognosis, treatment, self-care, and discharge needs	319	(1)
Subtotal Gastrectomy/Gastric Resection	320	(4)
Nutrition, imbalanced, risk for less than body requirements	321	(1)
Knowledge, deficient [Learning Need] regarding procedure, prognosis, treatment, self-care, and discharge needs	322	(2)
Inflammatory Bowel Disease: Ulcerative Colitis, Regional Enteritis (Crohn's Disease, lleocolitis)	324	(14)
Diarrhea	328	(2)
Fluid Volume, risk for deficient	330	(1)
Nutrition: less than body requirements, imbalanced	331	(2)
Anxiety [specify level]	333	(1)
Pain, acute	334	(1)
Coping, ineffective	335	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	336	(2)
Fecal Diversions: Postoperative Care of Ileostomy and Colostomy	338	(12)
Skin Integrity, risk for impaired	338	(2)
Body Image, disturbed	340	(1)
Pain, acute	341	(1)
Skin/Tissue Integrity, impaired	342	(1)
Fluid Volume, risk for deficient	343	(1)
Nutrition: risk for less than body requirements, imbalanced	344	(1)
Sleep Pattern, disturbed	345	(1)
Constipation Diarrhea, risk for	346	(1)
Sexual Dysfunction, risk for	347	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	348	(2)
Appendectomy	350	(5)
Infection, risk for	352	(1)
Pain, acute	353	(1)
Knowledge, deficient Learning Need regarding condition, prognosis, treatment, self-care, and discharge needs	354	(1)
Peritonitis	355	(9)
Infection, risk for [septicemia]	357	(2)
Fluid Volume, deficient [mixed]	359	(1)
Pain, acute	360	(1)
Nutrition: risk for less than body requirements, imbalanced	361	(1)
Anxiety [specify level]/Fear	362	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	363	(1)
Cholecystitis with Cholelithiasis	364	(7)
Pain, acute	366	(1)
Fluid Volume, risk for deficient	367	(1)
Nutrition: risk for less than body requirements, imbalanced	368	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care and discharge needs	369	(2)
Cholecystectomy	371	(5)
Breathing Pattern, ineffective	371	(1)
Fluid Volume, risk for deficient	372	(1)
Skin/Tissue Integrity, impaired	373	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	374	(2)
Metabolic and Endocrine Disorders	376	(123)
Eating Disorders: Anorexia Nervosa/Bulimia Nervosa	376	(17)
Nutrition: less than body requirements, imbalanced	379	(3)
Fluid Volume, actual or risk for deficient	382	(1)
Thought Processes, disturbed	383	(1)
Body Image, disturbed/Self-Esteem, chronic low	383	(3)
Parenting, impaired	386	(1)
Skin Integrity, risk for impaired	387	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	388	(2)
Sample Clinical Pathway	390	(3)
Eating Disorders: Obesity	393	(9)
Nutrition: more than body requirements, imbalanced	394	(3)
Lifestyle, sedentary	397	(1)
Body Image, disturbed/Self-Esteem, chronic low	398	(2)
Social Interaction, impaired	400	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	401	(1)
Obesity: Surgical Interventions (Gastric Partitioning/Gastroplasty, Gastric Bypass)	402	(10)
Breathing Pattern, ineffective	404	(1)
Tissue Perfusion, risk for ineffective	405	(1)
Fluid Volume, risk for deficient	406	(1)
Nutrition, risk for less than body requirements, imbalanced	407	(1)
Skin Integrity, risk for impaired	408	(1)
Infection, risk for	409	(1)
Diarrhea	410	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	411	(1)
Diabetes Mellitus/Diabetic Ketoacidosis	412	(14)
Fluid Volume, deficient [specify]	415	(2)
Nutrition: less than body requirements, imbalanced	417	(2)
Infection, risk for [sepsis]	419	(1)
Sensory Perception, risk for disturbed (specify)	420	(1)
Fatigue	421	(1)
Powerlessness	422	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	423	(3)
Hyperthyroidism (Thyrotoxicosis, Graves' Disease)	426	(11)
Cardiac Output, risk for decreased	428	(3)
Fatigue	431	(1)
Nutrition: risk for less than body requirements, imbalanced	432	(1)
Anxiety [specify level]	433	(1)
Thought Processes, risk for disturbed	434	(1)
Tissue Integrity, risk for impaired	435	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	436	(1)
Thyroidectomy	437	(6)
Airway Clearance, risk for ineffective	438	(1)
Communication, impaired verbal	439	(1)
Injury, risk for [tetany]	440	(1)
Pain, acute	440	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	441	(2)
Hepatitis	443	(10)
Fatigue	445	(1)
Nutrition: less than body requirements, imbalanced	446	(1)
Fluid Volume, risk for deficient	447	(2)
Self-Esteem, situational low	449	(1)
Infection, risk for	450	(1)
Skin/Tissue Integrity, risk for impaired	451	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	452	(1)
Cirrhosis of the Liver	453	(14)
Nutrition: less than body requirements, imbalanced	456	(2)
Fluid Volume, excess	458	(2)
Skin Integrity, risk for impaired	460	(1)
Breathing Pattern, risk for ineffective	460	(2)
Injury, risk for [hemorrhage]	462	(1)
Confusion, risk for acute	463	(2)
Self-Esteem [specify] Body Image, disturbed	465	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	465	(2)
Pancreatitis	467	(11)
Pain, acute	470	(1)
Fluid Volume, risk for deficient	471	(2)
Nutrition: less than body requirements, imbalanced	473	(1)
Infection, risk for	474	(2)
Breathing Pattern, risk for ineffective	476	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	477	(1)
Total Nutritional Support: Parenteral/Enteral Feeding	478	(13)
Nutrition: less than body requirements, imbalanced	481	(3)
Infection, risk for	484	(1)
Injury, risk for [multifactor]	485	(2)
Aspiration, risk for	487	(1)
Fluid Volume, risk for imbalance	488	(1)
Fatigue	489	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	490	(1)
Metabolic Acid-Base Imbalances	491	(1)
Metabolic Acidosis (Primary Base Bicarbonate [HCO3] Deficit)	492	(3)
Metabolic Alkalosis (Primary Base Bicarbonate Excess)	495	(4)
Diseases of the Blood/Blood-Forming Organs	499	(42)
Anemias (Iron Deficiency, Pernicious, Aplastic, Hemolytic)	499	(10)
Activity intolerance	502	(2)
Nutrition: less than body requirements, imbalanced	504	(1)
Constipation/Diarrhea	505	(1)
Infection, risk for	506	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	507	(2)
Sickle Cell Crisis	509	(14)
Gas Exchange, impaired	512	(2)
Pain, acute/chronic	514	(1)
Tissue Perfusion, ineffective (specify)	515	(2)
Fluid Volume, risk for deficient	517	(1)
Mobility, impaired physical	518	(1)
Skin Integrity, risk for impaired	519	(1)
Infection, risk for	520	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	520	(3)
Leukemias	523	(9)
Infection, risk for	525	(2)
Fluid Volume, risk for deficient	527	(2)
Pain, acute	529	(1)
Activity Intolerance	530	(1)
Knowledge, deficient [Learning Need] regarding disease, prognosis, treatment, self-care, and discharge needs	531	(1)
Lymphomas	532	(9)
Gas Exchange, risk for impaired	536	(1)
Sexual Dysfunction	537	(1)
Knowledge, deficient [Learning Need] regarding disease process, prognosis, treatment regimen, self-care, and discharge needs	538	(3)
Renal and Urinary Tract	541	(80)
Renal Failure: Acute	541	(12)
Fluid Volume, excess	544	(2)
Cardiac Output, risk for decreased	546	(2)
Nutrition: risk for less than body requirements, imbalanced	548	(1)
Infection, risk for	549	(1)
Fluid Volume, risk for deficient	550	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	551	(2)
Renal Failure: Chronic	553	(11)
Cardiac Output, risk for decreased	556	(1)
Protection, risk for ineffective	557	(1)
Thought Processes, disturbed	558	(1)
Skin Integrity, risk for impaired	559	(1)
Oral Mucous Membrane, risk for impaired	560	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	561	(3)
Renal Dialysis	564	(11)
Nutrition: less than body requirements, imbalanced	565	(2)
Mobility, impaired physical	567	(1)
Self-Care Deficit (specify)	568	(1)
Constipation, risk for	568	(1)
Thought Processes, risk for disturbed	569	(1)
Anxiety [specify level]/Fear	570	(1)
Body Image, disturbed/Self-Esteem, situational low	571	(2)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	573	(2)
Renal Dialysis: Peritoneal	575	(6)
Fluid Volume, risk for excess	576	(1)
Fluid Volume, risk for deficient	577	(1)
Trauma, risk for	578	(1)
Pain, acute	578	(1)
Infection, risk for [peritonitis]	579	(1)
Breathing Pattern, risk for ineffective	580	(1)
Hemodialysis	581	(4)
Injury, risk for [loss of vascular access]	582	(1)
Fluid Volume, risk for deficient	583	(1)
Fluid Volume, risk for excess	584	(1)
Urinary Diversions/Urostomy (Postoperative Care)	585	(11)
Skin Integrity, risk for impaired	586	(2)
Body Image, disturbed	588	(1)
Pain, acute	589	(2)
Infection, risk for	591	(1)
Urinary Elimination, impaired	592	(1)
Sexual Dysfunction, risk for	593	(2)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	595	(1)
Benign Prostatic Hyperplasia (BPH)	596	(8)
Urinary Retention, acute/chronic	598	(2)
Pain, acute	600	(1)
Fluid Volume, risk for deficient	601	(1)
Fear/Anxiety [specify level]	602	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	603	(1)
Prostatectomy	604	(9)
Urinary Elimination, impaired	605	(1)
Fluid Volume, risk for deficient	606	(1)
Infection, risk for	607	(1)
Pain, acute	608	(1)
Sexual Dysfunction, risk for	609	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	610	(3)
Urolithiasis (Renal Calculi)	613	(8)
Pain, acute	615	(1)
Urinary Elimination, impaired	616	(1)
Fluid Volume, risk for deficient	617	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	618	(3)
Women's Reproductive	621	(21)
Hysterectomy	621	(9)
Self-Esteem, situational low	622	(1)
Urinary Elimination, impaired/Urinary Retention [acute]	623	(1)
Constipation/Diarrhea, risk for	624	(1)
Tissue Perfusion, risk for ineffective (specify)	625	(1)
Sexual Dysfunction, risk for	626	(1)
Grieving, dysfunctional	627	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	628	(2)
Mastectomy	630	(12)
Fear/Anxiety [specify level]	632	(1)
Skin/Tissue Integrity, impaired	633	(2)
Pain, acute	635	(1)
Self-Esteem, situational low	636	(1)
Mobility, impaired physical	637	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	638	(2)
Sample Clinical Pathway	640	(2)
Orthopedic	642	(38)
Fractures	642	(15)
Trauma, risk for [additional]	644	(1)
Pain, acute	645	(2)
Peripheral Neurovascular Dysfunction, risk for	647	(2)
Gas Exchange, risk for impaired	649	(1)
Mobility, impaired physical	650	(2)
Skin/Tissue Integrity, actual/risk for impaired	652	(2)
Infection, risk for	654	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	655	(2)
Amputation	657	(10)
Self-Esteem, situational low	659	(1)
Pain, acute	660	(2)
Tissue Perfusion, risk for ineffective peripheral	662	(1)
Infection, risk for	663	(1)
Mobility, impaired physical	664	(2)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	666	(1)
Total Joint Replacement	667	(13)
Infection, risk for	669	(1)
Mobility, impaired physical	670	(1)
Peripheral Neurovascular, Dysfunction risk for	671	(2)
Pain, acute	673	(1)
Constipation, risk for	674	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	675	(2)
Sample Clinical Pathway	677	(3)
Integumentary	680	(21)
Burns: Thermal/Chemical/Electrical (Acute and Convalescent Phases)	680	(21)
Airway Clearance, risk for ineffective	683	(1)
Fluid Volume, risk for deficient	684	(2)
Pain, acute	686	(2)
Infection, risk for	688	(2)
Tissue Perfusion, ineffective/Peripheral Neurovascular dysfunction, risk for	690	(1)
Nutrition: less than body requirements, imbalanced	691	(2)
Mobility, impaired physical	693	(1)
Skin Integrity, impaired [grafts]	694	(2)
Fear/Anxiety	696	(1)
Body Image, disturbed/Role Performance, ineffective	697	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	698	(3)
Systemic Infections and Immunological Disorders	701	(69)
Sepsis/Septicemia	701	(11)
Infection, risk for [progression of sepsis to septic shock, development of opportunistic infections]	704	(2)
Hyperthermia	706	(1)
Tissue Perfusion, risk for ineffective	707	(2)
Fluid Volume, risk for deficient	709	(1)
Gas Exchange, risk for impaired	710	(1)
Knowledge, deficient [Learning Need] regarding illness, prognosis, treatment, self-care, and discharge needs	711	(1)
The HIV-Positive Client	712	(14)
Adjustment, impaired	714	(1)
Fatigue	715	(1)
Nutrition: risk for less than body requirements, imbalanced	716	(3)
Knowledge, deficient [Learning Need] regarding disease, prognosis, treatment self-care, and discharge needs	719	(3)
Social Isolation, risk for	722	(1)
Therapeutic Regimen Management, ineffective [Individual]/Family	723	(3)
AIDS	726	(24)
Infection, risk for [progression to sepsis/onset of new opportunistic infection]	730	(2)
Fluid Volume, risk for deficient	732	(1)
Breathing Pattern, ineffective/Gas Exchange, risk for impaired	733	(2)
Injury, risk for (hemorrhage)	735	(1)
Nutrition: less than body requirements, imbalanced	736	(2)
Pain, acute/chronic	738	(1)
Skin Integrity, actual and/or risk for impaired	739	(1)
Oral Mucous Membrane, impaired	740	(2)
Fatigue	742	(1)
Thought Processes, disturbed	743	(2)
Anxiety [specify level]/Fear	745	(1)
Social Isolation	746	(1)
Powerlessness	747	(1)
Knowledge, deficient [Learning Need] regarding disease, prognosis, current therapies, and self-care needs	748	(2)
Rheumatoid Arthritis	750	(11)
Pain, acute/chronic	752	(3)
Mobility, impaired physical/Walking, impaired	755	(1)
Body Image, disturbed/Role Performance, ineffective	756	(1)
Self-Care Deficit (specify)	757	(1)
Home Maintenance, risk for impaired	758	(1)
Knowledge, deficient [Learning Need] regarding disease, prognosis, treatment, self-care, and discharge needs	759	(2)
Transplantation (Postoperative and Lifelong)	761	(9)
Infection, risk for	763	(1)
Anxiety [specify level]/Fear	764	(1)
Coping, risk for ineffective/compromised/disabled family	765	(2)
Knowledge, deficient [Learning Need] regarding prognosis, therapeutic regimen, self-care, and discharge needs	767	(3)
General	770	(197)
Psychosocial Aspects of Care	770	(18)
Coping, ineffective/decisional Conflict	771	(2)
Coping, risk for compromised family	773	(1)
Coping readiness for enhanced family	774	(1)
Anxiety [specify level]/Fear	775	(3)
Self-Esteem, situational low	778	(2)
Grieving [specify]	780	(2)
Religiosity, risk for impaired	782	(1)
Therapeutic Regimen: Management, risk for ineffective	783	(2)
Violence, risk for self-directed/other-directed	785	(2)
Post-Trauma Syndrome	787	(1)
Surgical Intervention	788	(22)
Knowledge, deficient [Learning Need] regarding condition, prognosis, self-care, and discharge needs	790	(2)
Fear/Anxiety [specify level]	792	(2)
Injury, risk for perioperative positioning	794	(1)
Injury, risk for	795	(2)
Infection, risk for	797	(2)
Body Temperature, risk for imbalanced	799	(1)
Breathing Pattern, ineffective	800	(1)
Sensory Perception, disturbed: (specify)/Thought Processes, disturbed	801	(1)
Fluid Volume, risk for deficient	802	(2)
Pain, acute	804	(2)
Skin/Tissue Integrity, impaired	806	(2)
Tissue Perfusion, risk for ineffective	808	(1)
Knowledge, deficient [Learning Need] regarding condition/situation, prognosis, treatment, self-care, and discharge needs	809	(1)
Extended Care	810	(21)
Relocation Stress Syndrome, risk for	811	(2)
Grieving, anticipatory	813	(1)
Memory/Thought Processes, disturbed	814	(1)
Coping, compromised family	815	(2)
Poisoning, risk for	817	(1)
Communication, impaired verbal	818	(1)
Sleep Pattern, disturbed	819	(1)
Nutrition, less/more than body requirements, imbalanced	820	(2)
Self-Care Deficit	822	(1)
Skin Integrity, risk for impaired	823	(2)
Urinary Elimination, risk for impaired	825	(1)
Constipation/Diarrhea, risk for	826	(1)
Mobility, impaired physical	827	(1)
Diversional Activity, deficient	828	(1)
Sexuality Pattern, risk for ineffective	829	(1)
Health Maintenance, ineffective	830	(1)
Alcohol: Acute Withdrawal	831	(12)
Breathing Pattern, risk for ineffective	834	(1)
Cardiac Output, risk for decreased	835	(2)
Injury, risk for [specify]	837	(1)
Sensory Perception, disturbed (specify)	838	(2)
Anxiety [severe/panic]/Fear	840	(1)
Sample Clinical Pathway	841	(2)
Substance Dependence/Abuse Rehabilitation	843	(14)
Denial, ineffective	844	(2)
Coping, ineffective	846	(2)
Powerlessness	848	(1)
Nutrition: less than body requirements, imbalanced	849	(1)
Self-Esteem, chronic low	850	(2)
Family Processes: alcoholic [substance abuse], dysfunctional	852	(2)
Sexual Dysfunction	854	(1)
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs	855	(2)
Cancer	857	(23)
Fear/Anxiety [specify level]	859	(2)
Grieving, anticipatory	861	(1)
Self-Esteem, situational low	862	(2)
Pain, acute/chronic	864	(2)
Nutrition: less than body requirements, imbalanced	866	(2)
Fluid Volume, risk for deficient	868	(1)
Fatigue	869	(2)
Infection, risk for	871	(1)
Oral Mucous Membrane, risk for impaired	872	(1)
Skin/Tissue Integrity, risk for impaired	873	(2)
Constipation/Diarrhea, risk for	875	(1)
Sexuality Pattern, risk for ineffective	876	(1)
Family Processes, risk for interrupted	877	(1)
Knowledge, deficient [Learning Need] regarding illness, prognosis, treatment, self-care, and discharge needs	878	(2)
End of Life/Hospice Care	880	(10)
Pain, acute/chronic	881	(2)
Activity Intolerance/Fatigue	883	(1)
Grieving, anticipatory/Anxiety, death	884	(2)
Coping, compromised or disabled family Caregiver Role Strain, risk for	886	(2)
Spiritual Distress, risk for	888	(2)
Disaster Considerations	890	(15)
Injury, risk for/actual (trauma, suffocation, poisoning)	892	(1)
Infection, risk for	893	(2)
Anxiety [panic]/Fear	895	(1)
Spiritual Distress	896	(2)
Post-Trauma Syndrome, risk for	898	(1)
Coping, ineffective community	899	(1)
Coping, potential for enhanced community	900	(5)
Pediatric Considerations	905	(14)
Pain, acute	906	(1)
Anxiety/Fear: Coping, ineffective	907	(2)
Activity Intolerance/Fatigue	909	(1)
Growth and Development, risk for delayed	910	(1)
Nutrition, risk for less than body requirements, imbalanced	911	(1)
Injury, risk for	912	(3)
Family Processes Parenting impaired	915	(1)
Body Temperature, risk for imbalanced	916	(1)
Health Maintenance, risk for ineffective	917	(2)
Fluid and Electrolyte Imbalances	919	(26)
Fluid Balance	919	(1)
Hypervolemia (Extracellular Fluid Volume Excess)	919	(3)
Hypovolemia (Extracellular Fluid Volume Deficit)	922	(1)
Fluid Volume, deficient	923	(2)
Sodium	925	(1)
Hyponatremia (Sodium Deficit)	925	(3)
Hypernatremia (Sodium Excess)	928	(3)
Potassium	931	(1)
Hypokalemia (Potassium Deficit)	931	(2)
Hyperkalemia (Potassium Excess)	933	(3)
Calcium	936	(1)
Hypocalcemia (Calcium Deficit)	936	(2)
Hypercalcemia (Calcium Excess)	938	(3)
Magnesium	941	(1)
Hypomagnesemia (Magnesium Deficit)	941	(2)
Hypermagnesemia (Magnesium Excess)	943	(2)
Dementia of Alzheimer's Type/Vascular Dementia	945	(22)
Confusion, risk for	950	(3)
Sensory Perception, disturbed	953	(1)
Fear	954	(1)
Grieving, anticipatory	955	(1)
Sleep Pattern, disturbed	956	(1)
Self-Care deficit	957	(2)
Nutrition, risk for less than body requirements, imbalanced	959	(1)
Constipation/Bowel Incontinence, impaired	960	(1)
Sexual Dysfunction, risk for	961	(1)
Coping, compromised family	961	(2)
Home Maintenance/Health Maintenance, impaired	963	(2)
Caregiver Role Strain, risk for	965	(1)
Relocation Stress Syndrome, risk for	966	(1)
Bibliography	967	(16)
Index of Nursing Diagnoses	983