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Tables of Contents for Nursing Diagnosis
Chapter/Section Title
Page #
Page Count
Section I Nursing Diagnosis in the Nursing Process
1
98
Introduction
2
1
1 Development of Nursing Diagnosis
3
9
Why Nursing Diagnoses?
3
1
Basic Concepts
4
1
Nursing Diagnosis: Process or Outcome?
5
1
The North American Nursing Diagnosis Association
5
2
International Classification of Nursing Practice
7
1
Evolving Nursing Diagnoses
7
1
Concept Development and Formalization
8
1
The Diagnostic Review Process
8
1
NANDA Taxonomy
8
1
Axes
9
1
Summary
10
2
2 Types and Components of Nursing Diagnosis
12
14
Actual Nursing Diagnosis
12
3
Risk and High-Risk Nursing Diagnosis
15
1
Possible Nursing Diagnoses
15
1
Wellness Nursing Diagnoses
16
1
Wellness and Nursing Diagnosis
16
3
Syndrome Nursing Diagnoses
19
1
Types of Diagnostic Statements
19
2
Writing Diagnostic Statements
21
1
Directions for Care
22
1
Non-NANDA-Approved Diagnoses
23
1
Avoiding Errors in Diagnostic Statements
23
1
Summary
24
2
3 The Bifocal Clinical Practice Model
26
10
Understanding Collaborative Problems
27
1
Collaborative Problem Diagnostic Statements
28
1
Differentiating Nursing Diagnoses From Collaborative Problems
29
4
Case Study Examples
33
1
Summary
34
2
4 Nursing Diagnoses: Issues and Controversies
36
9
Why Can't We Just Use the Words That We've Always Used?
36
1
Other Disciplines Will Not Understand Our Diagnoses
37
2
Clients Will Not Understand Our Diagnoses
39
1
Nursing Diagnoses Are Not Needed by Nurse Practitioners, Nurse Anesthetists, and Nurse Midwives
39
1
Nursing Diagnoses Are Not Culturally Sensitive
40
1
Nursing Diagnosis Is Unethical
41
1
Nursing Diagnosis Can Violate Confidentiality
42
1
Summary
43
2
5 Deriving Nursing Diagnoses: Assessment and Diagnosis
45
16
Assessment
45
12
Diagnosing
57
3
Summary
60
1
6 Nursing Diagnosis and Care Planning
61
38
Care Plan Defined
61
1
Are Care Plans Necessary?
61
1
The Care Planning Process
62
14
Care Planning Systems
76
6
Case Study Applications of Care Planning
82
17
Section II Manual of Nursing Diagnoses
99
844
Introduction
100
3
Activity Intolerance
103
20
Related to Insufficient Knowledge of Adaptive Techniques Needed Secondary to Chronic Obstructive Pulmonary Disease
110
4
Related to Insufficient Knowledge of Adaptive Techniques Needed Secondary to Impaired Cardiac Function
114
3
Related to Bed Rest Deconditioning
117
6
Adaptive Capacity, Intracranial: Decreased
123
1
Adjustment, Impaired
124
1
Anxiety
125
16
Related to Insufficient Knowledge of Preoperative Routines, Postoperative Exercises/Activities, Postoperative Alterations/Sensations
136
5
Body Temperature, Risk for Altered
141
5
Hyperthermia
146
2
Hypothermia
148
4
Thermoregulation, Ineffective
152
3
Related to Newborn Transition to Extrauterine Environment
153
2
Bowel Incontinence
155
4
Effective Breast-feeding
159
1
Ineffective Breast-feeding
160
6
Interrupted Breast-feeding
166
2
Cardiac Output, Decreased
168
1
Caregiver Role Strain
169
8
Caregiver Role Strain, Risk for
177
4
Comfort, Altered
181
9
Acute Pain
190
13
Chronic Pain
203
6
Related to (Specify)
228
Communication, Impaired
209
15
Related to Effects of Hearing Loss
218
2
Related to Effects of Aphasia on Expression or Interpretation
220
2
Related to Foreign Language Barrier
222
2
Communication, Impaired Verbal
224
4
Confusion
228
1
Acute Confusion
229
9
Chronic Confusion
238
6
Constipation
244
8
Colonic Constipation
252
3
Related to Effects of Immobility on Peristalsis
254
1
Perceived Constipation
255
3
Coping, Ineffective Individual
258
11
Defensive Coping
269
3
Ineffective Denial
272
9
Related to Impaired Ability to Accept Consequences of His/Her Behavior as Evidenced by Lack of Acknowledgment of Substance Abuse/Dependency
276
5
Coping, Ineffective Family: Disabling
281
16
Related to (Specify), as Evidenced by Domestic Abuse
289
3
Related to (Specify), as Evidenced by Child Abuse/Neglect
292
3
Related to Multiple Stressors Associated with Elder Care: High Risk for
295
2
Compromised Family Coping
297
1
Coping, Family: Potential for Growth
298
2
Coping, Ineffective Community
300
4
Coping, Potential for Enhanced Community
304
7
Related to Availability of Community Programs to Augment (Specify)
308
3
Decisional Conflict
311
9
Diarrhea
320
5
Disuse Syndrome
325
10
Diversional Activity Deficit
335
6
Dysreflexia
341
3
Energy Field Disturbance
344
4
Environmental Interpretation Syndrome, Impaired
348
1
Family Processes, Altered
349
10
Related to Impact (Specify) of III Member on Family System
356
3
Family Processes, Altered: Alcoholism
359
8
Fatigue
367
8
Fear
375
7
Fluid Volume Deficit
382
9
Related to Abnormal Fluid Loss
389
2
Fluid Volume Excess
391
7
Grieving
398
9
Grieving, Anticipatory
407
3
Grieving, Dysfunctional
410
5
Growth and Development, Altered
415
12
Health Maintenance, Altered
427
23
Related to Insufficient Knowledge of Effects of Tobacco Use and Self-Help Resources Available
440
3
Related to Increased Food Consumption in Response to Stressors and Insufficient Energy Expenditure for Intake
443
7
Health-Seeking Behaviors
450
7
Home Maintenance Management, Impaired
457
6
Hopelessness
463
13
Infant Behavior, Disorganized
476
10
Infant Behavior, Risk for Disorganized
486
1
Infant Behavior, Potential for Enhanced Organized
486
4
Infection, Risk for
490
10
Infection Transmission, Risk for
500
9
Related to Lack of Knowledge of Reducing the Risk of Transmitting the AIDS Virus
506
3
Injury, Risk for
509
20
Related to Lack of Awareness of Environmental Hazards
519
5
Related to Lack of Awareness of Environmental Hazards Secondary to Maturational Age of Hospitalized Child
524
3
Related to Vertigo Secondary to Orthostatic Hypotension
527
2
Risk for Aspiration
529
4
Risk for Poisoning
533
1
Risk for Suffocation
534
1
Risk for Trauma
534
1
Injury, Risk for Perioperative Positioning
534
7
Knowledge Deficit
541
1
Loneliness, Risk for
542
6
Management of Therapeutic Regimen, Effective: Individual
548
3
Management of Therapeutic Regimen, Ineffective
551
8
Management of Therapeutic Regimen, Ineffective: Family
559
1
Management of Therapeutic Regimen, Ineffective: Community
560
5
Mobility, Impaired Physical
565
9
Noncompliance
574
7
Nutrition, Altered: Less Than Body Requirements
581
12
Related to Anorexia Secondary to (Specify)
593
3
Related to Difficulty or Inability to Procure Food
596
2
Impaired Swallowing
598
6
Ineffective Infant Feeding Pattern
604
6
Nutrition, Altered: More Than Body Requirements
610
3
Nutrition, Altered: Potential for More Than Body Requirements
613
1
Parenting, Altered
614
6
Parent-Infant Attachment, Risk for Altered
620
5
Parental Role Conflict
625
11
Related to Effects of Illness and/or Hospitalization of a Child
630
6
Peripheral Neurovascular Dysfunction, Risk for
636
6
Post-Trauma Response
642
6
Rape Trauma Syndrome
648
10
Powerlessness
658
8
Protection, Altered
666
1
Tissue Integrity, Impaired
667
9
Skin Integrity, Impaired
676
7
Related to the Effects of Pressure, Friction, Shear, Maceration
681
2
Oral Mucous Membrane, Altered
683
10
Related to Inadequate Oral Hygiene or Inability to Perform Oral Hygiene: Risk for
688
5
Relocation Stress [Syndrome]
693
12
Related to Changes Associated with Health Care Facility Transfers or Admission to Long-Term Care Facility
700
5
Respiratory Function, Risk for Altered
705
11
Related to Environmental Allergens
713
3
Dysfunctional Ventilatory Weaning Response
716
7
Dysfunctional Ventilatory Weaning Response, Risk for
723
4
Ineffective Airway Clearance
727
3
Ineffective Breathing Patterns
730
2
Impaired Gas Exchange
732
1
Inability to Sustain Spontaneous Ventilation
733
1
Role Performance, Altered
734
2
Self-Care Deficit Syndrome
736
6
Feeding Self-Care Deficit
742
3
Bathing/Hygiene Self-Care Deficit
745
2
Dressing/Grooming Self-Care Deficit
747
3
Toileting Self-Care Deficit
750
2
Instrumental Self-Care Deficit
752
4
Self-Concept Disturbance
756
9
Body Image Disturbance
765
6
Personal Identity Disturbance
771
1
Self-Esteem Disturbance
771
2
Chronic Low Self-Esteem
773
3
Situational Low Self-Esteem
776
5
Risk for Self-Harm
781
13
Risk for Self-Abuse
794
1
Risk for Self-Mutilation
795
1
Risk for Suicide
795
8
Sensory-Perceptual Alterations
803
8
Sexuality Patterns, Altered
811
18
Related to Prenatal and Postpartum Changes
823
5
Related to Fear of Pregnancy and/or Sexually Transmitted Diseases (STDs): Risk for
828
1
Sexual Dysfunction
829
2
Sleep Pattern Disturbance
831
9
Social Interactions, Impaired
840
10
Social Isolation
850
2
Spiritual Distress
852
18
Related to Conflict Between Religious or Spiritual Beliefs and Prescribed Health Regimen
866
2
Related to (Specify), as Evidenced by Inability to Practice Spiritual Rituals
868
2
Spiritual Well-Being, Potential for Enhanced
870
3
Thought Processes, Altered
873
12
Memory, Impaired
885
5
Tissue Perfusion, Altered (Specify) (Renal, cerebral, cardiopulmonary, gastrointestinal)
890
1
Tissue Perfusion, Altered Peripheral
891
7
Unilateral Neglect
898
6
Urinary Elimination, Altered Patterns of
904
7
Maturational Enuresis
911
3
Functional Incontinence
914
5
Reflex Incontinence
919
2
Stress Incontinence
921
3
Total Incontinence
924
3
Urge Incontinence
927
3
Urinary Retention
930
4
Violence, Risk for
934
9
Section III Manual of Collaborative Problems
943
130
Introduction
944
2
Potential Complication: Cardiac/Vascular
946
15
PC: Decreased Cardiac Output
948
1
PC: Dysrhythmias
949
1
PC: Pulmonary Edema
950
2
PC: Deep Vein Thrombosis
952
1
PC: Hypovolemia
953
2
PC: Compartmental Syndrome
955
1
PC: Pulmonary Embolism
956
5
Potential Complication: Respiratory
961
10
PC: Hypoxemia
962
2
PC: Atelectasis, Pneumonia
964
2
PC: Tracheobronchial Constriction
966
2
PC: Pneumothorax
968
3
Potential Complication: Metabolic/Immune/Hematopoietic
971
28
PC: Hypo/Hyperglycemia
973
3
PC: Negative Nitrogen Balance
976
1
PC: Electrolyte Imbalances
977
7
PC: Sepsis
984
2
PC: Acidosis (Metabolic, Respiratory)
986
2
PC: Alkalosis (Metabolic, Respiratory)
988
2
PC: Allergic Reaction
990
2
PC: Thrombocytopenia
992
2
PC: Opportunistic Infections
994
1
PC: Sickling Crisis
995
4
Potential Complication: Renal/Urinary
999
11
PC: Acute Urinary Retention
1001
2
PC: Renal Insufficiency
1003
4
PC: Renal Calculi
1007
3
Potential Complication: Neurologic/Sensory
1010
14
PC: Increased Intracranial Pressure
1012
3
PC: Seizures
1015
2
PC: Increased Intraocular Pressure
1017
1
PC: Neuroleptic Malignant Syndrome
1018
2
PC: Alcohol Withdrawal
1020
4
Potential Complication: Gastrointestinal/Hepatic/Biliary
1024
8
PC: Paralytic Ileus
1025
1
PC: GI Bleeding
1026
2
PC: Hepatic Dysfunction
1028
2
PC: Hyperbilirubinemia
1030
2
Potential Complication: Muscular/Skeletal
1032
6
PC: Pathologic Fractures
1034
1
PC: Joint Dislocation
1035
3
Potential Complication: Reproductive
1038
10
PC: Prenatal Bleeding
1039
1
PC: Preterm Labor
1040
2
PC: Pregnancy-Associated Hypertension
1042
2
PC: Fetal Distress
1044
2
PC: Postpartum Hemorrhage
1046
2
Potential Complication: Medication Therapy Adverse Effects
1048
25
PC: Anticoagulant Therapy Adverse Effects
1049
3
PC: Antianxiety Therapy Adverse Effects
1052
1
PC: Adrenocorticosteroid Therapy Adverse Effects
1053
3
PC: Antineoplastic Therapy Adverse Effects
1056
2
PC: Anticonvulsant Therapy Adverse Effects
1058
2
PC: Antidepressant Therapy Adverse Effects
1060
2
PC: Antiarrhythmic Therapy Adverse Effects
1062
2
PC: Antipsychotic Therapy Adverse Effects
1064
2
PC: Antihypertensive Therapy Adverse Effects
1066
1
PC: B-Adrenergic Blocker Therapy Adverse Effects
1067
2
PC: Calcium Channel Blocker Therapy Adverse Effects
1069
2
PC: Angiotensin-Converting Enzyme Therapy Adverse Effects
1071
2
Appendixes
1073
2
I Adult Assessment Guide
1075
6
II Adult Psychiatric Assessment Guide
1081
11
III Pediatric Assessment
1092
5
IV Older Adult Assessment Guide
1097
3
V Maternal Assessment Guide
1100
5
VI Noninvasive Pain Relief Techniques
1105
3
VII Guidelines for Problem-Solving and Crisis Intervention
1108
2
VIII North American Nursing Diagnosis Association Guidelines for Nursing Diagnosis Submission
1110
6
IX Guidelines for Play Therapy
1116
2
X Stress Management Techniques
1118
2
XI Conditions That Necessitate Nursing Care
1120
5
XII Self-Reporting Oncology Nursing Assessment
1125
6
Index
1131