Postingan

Menampilkan postingan dari Juli, 2009

NCP Nursing Diagnosis: Activity Intolerance

Nursing Diagnosis: Activity IntoleranceWeakness; Deconditioned; SedentaryNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Activity Tolerance * Energy Conservation * Knowledge: Treatment RegimenNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Energy Management * Teaching: Prescribed Activity/ExerciseNANDA Definition: Insufficient

NCP Nursing Diagnosis: Ineffective airway clearance

Nursing Diagnosis: Ineffective airway clearanceNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Respiratory Status: Airway PatencyNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Cough Enhancement * Airway Management * Airway SuctioningNANDA Definition: Inability to clear secretions or obstructions from the respiratory tract to

NCP Nursing Diagnosis: Anxiety

Nursing Diagnosis: AnxietyNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Anxiety Control * CopingNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Anxiety Reduction * Presence * Calming Technique * Emotional SupportNANDA Definition: Vague uneasy feeling of discomfort or dread accompanied by an autonomic response (the source

NCP Nursing Diagnosis: Risk for Aspiration

Nursing Diagnosis: Risk for AspirationNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Risk Control * Risk Detection * Respiratory Status: VentilationNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Aspiration PrecautionsNANDA Definition: At risk for entry of gastrointestinal secretions, oropharyngeal secretions, or solids or fluids

NCP Nursing Diagnosis: Disturbed Body Image

Nursing Diagnosis: Disturbed Body ImageNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Body Image * Self-EsteemNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Body Image Enhancement * Grief Work Facilitation * Coping EnhancementNANDA Definition: Confusion in mental picture of one’s physical selfBody image is the attitude a person

NCP Nursing Diagnosis: Ineffective Breathing Pattern

Nursing Diagnosis: Ineffective Breathing PatternNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Respiratory Status: Ventilation * Vital Sign StatusNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Airway Management * Respiratory MonitoringNANDA Definition: Inspiration and/or expiration that does not provide adequate

NCP Nursing Diagnosis: Ineffective Breathing Pattern

Nursing Diagnosis: Ineffective Breathing PatternNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Respiratory Status: Ventilation * Vital Sign StatusNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Airway Management * Respiratory MonitoringNANDA Definition: Inspiration and/or expiration that does not provide adequate

NCP Nursing Diagnosis: Decreased Cardiac Output

Nursing Diagnosis: Decreased Cardiac OutputNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Cardiac Pump Effectiveness * Circulation Status * Knowledge: Disease Process * Knowledge: Treatment ProgramNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Cardiac Care * Hemodynamic Regulation * Teaching: Disease ProcessNANDA

NCP Nursing Diagnosis: Caregiver Role Strain

Nursing Diagnosis: Caregiver Role StrainNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Caregiver Well-Being * Caregiver-Patient RelationshipNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Caregiver SupportNANDA Definition: Difficulty in performing the caregiver roleThe focus of this care plan is on the supportive care rendered by

NCP Nursing Diagnosis: Impaired Verbal Communication

Nursing Diagnosis: Impaired Verbal CommunicationNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Communication: Expressive Ability * Communication: Receptive Ability * Information ProcessingNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Active Listening * Communication Enhancement: Hearing Deficit * Communication Enhancement:

NCP Nursing Diagnosis: Chronic Confusion

Nursing Diagnosis: Chronic ConfusionNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Cognitive Orientation * Decision Making * Distorted Thought Control * Safety Behavior: Home Physical EnvironmentNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Dementia Management * Environmental Management: Safety * Family Involvement

NCP Nursing Diagnosis: Constipation

Nursing Diagnosis: ConstipationImpaction; ObstipationNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Bowel Elimination * Medication Response * Self-Care ToiletingNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Constipation/Impaction Management * Bowel Training * Teaching: Prescribed MedicationNANDA Definition: Decrease in

NCP Nursing Diagnosis: Ineffective Coping

Nursing Diagnosis: Ineffective CopingNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Coping * Decision Making * Information ProcessingNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Coping EnhancementNANDA Definition: Inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to

NCP Nursing Diagnosis: Diarrhea

Nursing Diagnosis: DiarrheaLoose Stools, Clostridium difficile (C. difficile)NOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Bowel Elimination * Fluid Balance * Medication ResponseNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Diarrhea Management * Enteral Tube Feeding * Teaching: Prescribed MedicationsNANDA Definition:

NCP Nursing Diagnosis: Interrupted Family Processes

Nursing Diagnosis: Interrupted Family ProcessesIneffective Individual CopingNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Family Coping * Family Functioning * Family NormalizationNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Family Process Maintenance * Normalization PromotionNANDA Definition: Change in family relationships

NCP Nursing Diagnosis: Fatigue

Nursing Diagnosis: FatigueNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Activity Tolerance * Endurance * Energy ConservationNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Energy Management * Exercise Promotion * Nutrition Management * Sleep EnhancementNANDA Definition: An overwhelming sustained sense of exhaustion and

NCP Nursing Diagnosis: Deficient Fluid Volume Hypovolemia; Dehydration

Nursing Diagnosis: Deficient Fluid VolumeHypovolemia; DehydrationNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Fluid Balance * HydrationNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Fluid Monitoring * Fluid Management * Fluid ResuscitationNANDA Definition: Decreased intravascular, interstitial, and/or intracellular fluid. This

NCP Nursing Diagnosis: Excess Fluid Volume Hypervolemia; Fluid Overload

Nursing Diagnosis: Excess Fluid VolumeHypervolemia; Fluid OverloadNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Fluid BalanceNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Fluid Monitoring * Fluid ManagementNANDA Definition: Increased isotonic fluid retentionFluid volume excess, or hypervolemia, occurs from an increase in total body

NCP Nursing Diagnosis: Impaired Gas Exchange

Nursing Diagnosis: Impaired Gas ExchangeVentilation or Perfusion ImbalanceNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Respiratory Status * Gas ExchangeNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Respiratory Monitoring * Oxygen Therapy * Airway ManagementNANDA Definition: Excess or deficit in oxygenation and/or carbon