Nanda Nursing Diagnosis

Nursing Care Plan for Risk for Altered Respiratory Function Definition A situation where individuals at risk of a threat in the air path through the respiratory tract and the gas exchange (O2-CO2) between the lungs and vascular system. Related Factors Pathophysiology Related to the secretion is thick or excessive secretions Infection Cystic Fibrosis Influenza Related to immobility, static secretions, and ineffective cough Neurological disease (Guillain Barre Syndrome, myasthenia gravis) Central nervous system depression / trauma to the head Cerebrovascular injury ( stroke ) Quadriplegia Action Related to immobility Effect of sedation medication General or spinal anesthesia Related to the suppression of cough reflex Related to decreased oxygen in inspired air. Situational (Personal, environmental) Related to immobility Surgery or trauma Pain , fear, anxiety Fatigue Damage to the perception / cognition Related to very high humidity or low Related to loss of cilia clearance mechanisms, in...

Self-Care Deficit Bathing / Hygiene Definition A situation where individuals have failed the ability to implement or complete shower / personal hygiene activities Related Factors: Pathophysiology Related to lack of coordination Related to spasticity Related to muscle weakness Related to paralysis Related to atrophy Related to muscle contractures Related to coma status Related to visual abnormalities Related to non-functioning or loss of limb Related to regression in the level of previous development Related to excessive ritualistic behavior Action Related to external devices Related to post-operative fatigue and pain Situational (Personal, environmental) Related to cognitive deficits Related to pain Related to lack of motivation Related to fatigue Related to confusion Related to anxiety is not capable of Maturisional Related to a decrease in visual and motor skills, muscle weakness Data Lack of ability to bathe themselves (including washing the whole body, combing hair, brushing teeth,...

Nursing care Plans Disturbed Sleep pattern . NANDA Nursing Diagnosis Definition Disturbed Sleep pattern Time-limited disruption of sleep Disturbed Sleep pattern Characteristics: Prolonged awakenings, sleep maintenance insomnia, self-induced impairment of normal pattern, sleep onset more than 30 minutes, early morning insomnia, awakening earlier or later than desired, verbal complaints of difficulty falling asleep, verbal complaints of not feeling well-rested, increased proportion of Stage 1 sleep, dissatisfaction with sleep, less than age-normed total sleep time, three or more nighttime awakenings, decreased proportion of Stages 3 and 4 sleep, decreased ability to function Related Factors: Daytime activity pattern, Thinking about home, Body temperature, Temperament, Dietary, Childhood onset, Inadequate sleep hygiene, Sustained use of antisleep agents, Circadian asynchrony, Frequently changing sleep-wake schedule, Depression, Loneliness, Frequent travel across time zones, daylight/...

NANDA Nursing diagnosis Definition Confusion in mental picture of one's physical self Defining Characteristics: Nonverbal response to actual or perceived change in structure and/or function; verbalization of feelings that reflect an altered view of one's body in appearance, structure, or function; verbalization of perceptions that reflect an altered view of one's body in appearance, structure, or function; behaviours of avoidance, monitoring, or acknowledgment of one's body Objective Missing body part; actual change in structure or function; avoidance of looking at or touching body part; intentional or unintentional hiding or overexposure of body part; trauma to non-functioning part; change in social involvement; change in ability to estimate spatial relationship of body to environment Subjective Change in lifestyle; fear of rejection or reaction by others; focus on past strength, function, or appearance; negative feelings about body; feelings of helplessness, hopelessn...

Nursing Definition for Nursing Diagnosis Fatigue An overwhelming, sustained sense of exhaustion and decreased capacity for physical and mental work at usual level Characteristics: Inability to restore energy even after sleep; lack of energy or inability to maintain usual level of physical activity; increase in rest requirements; tired; inability to maintain usual routines; verbalization of an unremitting and overwhelming lack of energy; lethargic or listless; perceived need for additional energy to accomplish routine tasks; increase in physical complaints; compromised concentration; disinterest in surroundings, introspection; decreased performance; compromised libido; drowsy; feelings of guilt for not keeping up with responsibilities Related Factors: Boring lifestyle; stress; anxiety; depression Humidity; lights; noise; temperature Negative life events; occupation Sleep deprivation; pregnancy; poor physical condition; disease states (cancer, HIV, multiple sclerosis); increased physi...

Anorexia NervosaEating DisorderAnorexia nervosa is a disorder characterized by an intense fear of obesity or weight gain and the inability or refusal to maintain body weight at 85% minimum expected for height. It is generally considered to be a disorder of young women that begins in adolescence or young adulthood. It is becoming more common in males. Anorexia nervosa is marked by severely

BulimiaEating Disorder; Bulimia Nervosa; Normal Weight BulimiaBulimia is a syndrome characterized by episodes of binge eating. Binge eating is the rapid consumption of massive quantities of food within a limited time. Intense feelings of guilt and shame follow binge eating. These negative feelings trigger purging and dieting as attempts to relieve negative feelings and restore a sense of control.