Академический Документы
Профессиональный Документы
Культура Документы
qxd
11/15/06
5:15 PM
Page 1
koz74686_INSERT.qxd
11/15/06
5:15 PM
Page 2
VALUE-BELIEF
COPING-STRESS-TOLERANCE
Perceived health status Perceived health management Healthcare behaviors: health promotion and illness prevention activities, medical treatments, follow-up care
Values, goals, or beliefs (including spirituality) that guide choices or decisions Perceived conflicts in values, beliefs, or expectations that are health related
Capacity to resist challenges to self-integrity Methods of handling stress Support systems Perceived ability to control and manage situations
PART II NUTRITIONAL METABOLIC PATTERNS NANDA NURSING DIAGNOSES Risk for Aspiration Risk for Imbalanced Body Temperature Impaired Dentition Feeding Self-Care Deficit Deficient Fluid Volume Fluid Volume Excess Risk for Deficient Fluid Volume Hyperthermia Hypothermia Risk for Infection Impaired Oral Mucous Membranes Nausea Imbalanced Nutrition: Less than Body Requirements Imbalanced Nutrition: More than Body Requirements Impaired Skin Integrity Risk for Impaired Skin Integrity Impaired Swallowing Ineffective Thermoregulation Impaired Tissue Integrity Risk for Trauma Adult Failure to Thrive SEXUALITY-REPRODUCTIVE
NUTRITIONAL-METABOLIC
Daily consumption of food and fluidsy Favorite foods Use of dietary supplements Skin lesions and ability to heal Condition of the integument Weight, height, temperature
Satisfaction with sexuality or sexual relationships Reproductive pattern Female menstrual and perimeno-pausal history
ELIMINATION
ROLE-RELATIONSHIPS
Patterns of bowel and urinary excretion Perceived regularity or irregularity of elimination Use of laxatives or routines Changes in time, modes, quality or quantity of excretions Use of devices for control
Perception of major roles, relationships, and responsibilities in current life situation Satisfaction with or disturbances in roles and relationships
ACTIVITY-EXERCISE
SELF-PERCEPTIONSELF-CONCEPT
Patterns of personally relevant exercise, activity, leisure, and recreation ADLs that require energy expenditure Factors that interfere with the desired pattern (e.g., illness or injury)
Attitudes about self Perceived abilities, worth, self-image, emotions Body posture and movement, eye contact, voice and speech patterns
SLEEP-REST
COGNITIVE-PERCEPTUAL
Perceptions of quality and quantity of sleep and rest Use of sleep aids and routines
Adequacy of vision, hearing, taste, touch, smell Pain perception and management Language, judgment, memory, decisions
koz74686_INSERT.qxd
11/15/06
5:15 PM
Page 3
VALUE-BELIEF
COPING-STRESS-TOLERANCE
Perceived health status Perceived health management Healthcare behaviors: health promotion and illness prevention activities, medical treatments, follow-up care
Values, goals, or beliefs (including spirituality) that guide choices or decisions Perceived conflicts in values, beliefs, or expectations that are health related
Capacity to resist challenges to self-integrity Methods of handling stress Support systems Perceived ability to control and manage situations
PART III ELIMINATION PATTERNS NANDA NURSING DIAGNOSES Bowel Incontinence Constipation Perceived Constipation Risk for Constipation Diarrhea Impaired Urinary Elimination Functional Urinary Incontinence Reflex Urinary Incontinence Stress Urinary Incontinence Total Urinary Incontinence Urge Urinary Incontinence Risk for Urge Urinary Incontinence Urinary Retention Toileting: Self-Care Deficit SEXUALITY-REPRODUCTIVE
NUTRITIONAL-METABOLIC
Daily consumption of food and fluidsy Favorite foods Use of dietary supplements Skin lesions and ability to heal Condition of the integument Weight, height, temperature
Satisfaction with sexuality or sexual relationships Reproductive pattern Female menstrual and perimeno-pausal history
ELIMINATION
ROLE-RELATIONSHIPS
Patterns of bowel and urinary excretion Perceived regularity or irregularity of elimination Use of laxatives or routines Changes in time, modes, quality or quantity of excretions Use of devices for control
Perception of major roles, relationships, and responsibilities in current life situation Satisfaction with or disturbances in roles and relationships
ACTIVITY-EXERCISE
SELF-PERCEPTIONSELF-CONCEPT
Patterns of personally relevant exercise, activity, leisure, and recreation ADLs that require energy expenditure Factors that interfere with the desired pattern (e.g., illness or injury)
Attitudes about self Perceived abilities, worth, self-image, emotions Body posture and movement, eye contact, voice and speech patterns
SLEEP-REST
COGNITIVE-PERCEPTUAL
Perceptions of quality and quantity of sleep and rest Use of sleep aids and routines
Adequacy of vision, hearing, taste, touch, smell Pain perception and management Language, judgment, memory, decisions
koz74686_INSERT.qxd
11/15/06
5:15 PM
Page 4
VALUE-BELIEF
COPING-STRESS-TOLERANCE
Perceived health status Perceived health management Healthcare behaviors: health promotion and illness prevention activities, medical treatments, follow-up care
Values, goals, or beliefs (including spirituality) that guide choices or decisions Perceived conflicts in values, beliefs, or expectations that are health related
Capacity to resist challenges to self-integrity Methods of handling stress Support systems Perceived ability to control and manage situations
PART IV ACTIVITY-EXERCISE PATTERNS NANDA NURSING DIAGNOSES Activity Intolerance Risk for Activity Intolerance Bathing/Hygiene Self-Care Deficit Dressing/Grooming Self-Care Deficit Impaired Bed Mobility Risk for Disuse Syndrome Deficient Diversional Activity Fatigue Risk for Falls Impaired Home Maintenance Impaired Physical Mobility Impaired Wheelchair Mobility Impaired Transfer Ability Impaired Walking Delayed Surgical Recovery Decreased Cardiac Output Ineffective Breathing Pattern Ineffective Airway Clearance Impaired Gas Exchange Risk for Peripheral Neurovascular Dysfunction Impaired Tissue Integrity Ineffective Tissue Perfusion Impaired Spontaneous Ventilation Dysfunctional Ventilatory Weaning Response SEXUALITY-REPRODUCTIVE
NUTRITIONAL-METABOLIC
Daily consumption of food and fluids Favorite foods Use of dietary supplements Skin lesions and ability to heal Condition of the integument Weight, height, temperature
Satisfaction with sexuality or sexual relationships Reproductive pattern Female menstrual and perimeno-pausal history
ELIMINATION
ROLE-RELATIONSHIPS
Patterns of bowel and urinary excretion Perceived regularity or irregularity of elimination Use of laxatives or routines Changes in time, modes, quality or quantity of excretions Use of devices for control
Perception of major roles, relationships, and responsibilities in current life situation Satisfaction with or disturbances in roles and relationships
ACTIVITY-EXERCISE
SELF-PERCEPTIONSELF-CONCEPT
Patterns of personally relevant exercise, activity, leisure, and recreation ADLs that require energy expenditure Factors that interfere with the desired pattern (e.g., illness or injury)
Attitudes about self Perceived abilities, worth, self-image, emotions Body posture and movement, eye contact, voice and speech patterns
SLEEP-REST
COGNITIVE-PERCEPTUAL
Perceptions of quality and quantity of sleep and rest Use of sleep aids and routines
Adequacy of vision, hearing, taste, touch, smell Pain perception and management Language, judgment, memory, decisions
koz74686_INSERT.qxd
11/15/06
5:15 PM
Page 5
VALUE-BELIEF
COPING-STRESS-TOLERANCE
Perceived health status Perceived health management Healthcare behaviors: health promotion and illness prevention activities, medical treatments, follow-up care
Values, goals, or beliefs (including spirituality) that guide choices or decisions Perceived conflicts in values, beliefs, or expectations that are health related
Capacity to resist challenges to self-integrity Methods of handling stress Support systems Perceived ability to control and manage situations
PART V COGNITIVE-PERCEPTUAL PATTERNS NANDA NURSING DIAGNOSES Acute Confusion Decreased Intracranial Adaptive Capacity Autonomic Dysreflexia Risk for Autonomic Dysreflexia Chronic Confusion Impaired Verbal Communication Acute Pain Chronic Pain Impaired Memory Unilateral Neglect Risk for Peripheral Neurovascular Dysfunction Risk for Post-Trauma Syndrome Ineffective Protection Disturbed Sensory Perception Disturbed Thought Processes Decisional Conflict Risk for Trauma Wandering Impaired Environmental Interpretation Syndrome SEXUALITY-REPRODUCTIVE
NUTRITIONAL-METABOLIC
Daily consumption of food and fluids Favorite foods Use of dietary supplements Skin lesions and ability to heal Condition of the integument Weight, height, temperature
Satisfaction with sexuality or sexual relationships Reproductive pattern Female menstrual and perimeno-pausal history
ELIMINATION
ROLE-RELATIONSHIPS
Patterns of bowel and urinary excretion Perceived regularity or irregularity of elimination Use of laxatives or routines Changes in time, modes, quality or quantity of excretions Use of devices for control
Perception of major roles, relationships, and responsibilities in current life situation Satisfaction with or disturbances in roles and relationships
ACTIVITY-EXERCISE
SELF-PERCEPTIONSELF-CONCEPT
Patterns of personally relevant exercise, activity, leisure, and recreation ADLs that require energy expenditure Factors that interfere with the desired pattern (e.g., illness or injury)
Attitudes about self Perceived abilities, worth, self-image, emotions Body posture and movement, eye contact, voice and speech patterns
SLEEP-REST
COGNITIVE-PERCEPTUAL
Perceptions of quality and quantity of sleep and rest Use of sleep aids and routines
Adequacy of vision, hearing, taste, touch, smell Pain perception and management Language, judgment, memory, decisions
koz74686_INSERT.qxd
11/15/06
5:15 PM
Page 6
VALUE-BELIEF
COPING-STRESS-TOLERANCE
Perceived health status Perceived health management Healthcare behaviors: health promotion and illness prevention activities, medical treatments, follow-up care
Values, goals, or beliefs (including spirituality) that guide choices or decisions Perceived conflicts in values, beliefs, or expectations that are health related
Capacity to resist challenges to self-integrity Methods of handling stress Support systems Perceived ability to control and manage situations
PART VI SEXUALITY-REPRODUCTIVE PATTERNS NANDA NURSING DIAGNOSES Rape-Trauma Syndrome Sexual Dysfunction Ineffective Sexuality Patterns SEXUALITY-REPRODUCTIVE
NUTRITIONAL-METABOLIC
Daily consumption of food and fluids Favorite foods Use of dietary supplements Skin lesions and ability to heal Condition of the integument Weight, height, temperature
Satisfaction with sexuality or sexual relationships Reproductive pattern Female menstrual and perimeno-pausal history
ELIMINATION
ROLE-RELATIONSHIPS
Patterns of bowel and urinary excretion Perceived regularity or irregularity of elimination Use of laxatives or routines Changes in time, modes, quality or quantity of excretions Use of devices for control
Perception of major roles, relationships, and responsibilities in current life situation Satisfaction with or disturbances in roles and relationships
ACTIVITY-EXERCISE
SELF-PERCEPTIONSELF-CONCEPT
Patterns of personally relevant exercise, activity, leisure, and recreation ADLs that require energy expenditure Factors that interfere with the desired pattern (e.g., illness or injury)
Attitudes about self Perceived abilities, worth, self-image, emotions Body posture and movement, eye contact, voice and speech patterns
SLEEP-REST
COGNITIVE-PERCEPTUAL
Perceptions of quality and quantity of sleep and rest Use of sleep aids and routines
Adequacy of vision, hearing, taste, touch, smell Pain perception and management Language, judgment, memory, decisions
Reprinted from Nursing Diagnosis: Process and Application, 3rd ed., by M. Gordon, pp. 8096, Copyright 1994, with permission from Elsevier Science.