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HANDBOOK of Nursing DIAGNOSIS, 14Th EDITION

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Nursing Diagnosis Index Activity Intolerance 30 Communication, Impaired Activity Planning, Ineffective 36 Verbal 131 Activity Planning, Risk for Communication, Impaired 127 Ineffective 37 Communication, Readiness for Adverse Reaction to Iodinated Enhanced 700 Contrast Media, Risk for 38 Confusion, Acute 134 Airway Clearance, Ineffective 515 Confusion, Chronic 141 Allergy Response, Risk for 42 Confusion, Risk for Acute 141 Anxiety 48 Constipation 148 Anxiety, Death 56 Constipation, Perceived 153 Aspiration, Risk for 356 Contamination, Community 164 Attachment, Risk for Impaired 449 Contamination, Family 162 Bathing Self-Care Deficit 532 Contamination, Individual 155 Bed Mobility, Impaired 397 Contamination, Risk for Bleeding, Risk for 60 Community 167 Blood Glucose Level, Risk for Contamination, Risk for Unstable 61 Family 163 Body Image, Disturbed 548 Contamination, Risk for Body Temperature, Risk for Individual 161 Imbalanced 62 Continuous Urinary Bowel Incontinence 74 Incontinence 670 Breast Milk, Insufficient 86 Coping, Compromised Breastfeeding, Ineffective 77 Family 188 Breastfeeding, Interrupted 85 Coping, Defensive 176 Breastfeeding, Readiness for Coping, Disabled Family 189 Enhanced 697 Coping, Ineffective Breathing Pattern, Ineffective 518 Community 185 Cardiac Output, Decreased 87 Coping, Ineffective 168 Cardiac Tissue Perfusion, Risk for Coping, Readiness for Decreased 640 Enhanced 701 Caregiver Role Strain 89 Coping, Readiness for Enhanced Caregiver Role Strain, Risk for 95 Community 702 Cerebral Tissue Perfusion, Risk for Decision Making, Readiness for Ineffective 642 Enhanced 706 Childbearing Process, Decisional Conflict 195 Ineffective 98 Denial, Ineffective 182 Childbearing Process, Readiness for Dentition, Impaired 429 Enhanced 698 Development, Risk for Childbearing Process, Risk for Delayed 293 Ineffective 100 Diarrhea 202 Comfort, Impaired 101 Disuse Syndrome, Risk for 207 Comfort, Readiness for Diversional Activity, Deficient 215 Enhanced 699 Dressing Self-Care Deficit 535 i ii Nursing Diagnosis Index Dry Eye, Risk for 478 Hopelessness 317 Dysreflexia, Autonomic 219 Human Dignity, Risk for Dysreflexia, Risk for Compromised 326 Autonomic 223 Hyperthermia 64 Electrolyte Imbalance, Risk for 223 Hypothermia 67 Energy Field, Disturbed 224 Immunization Status, Readiness for Environmental Interpretation Enhanced 711 Syndrome, Impaired 227 Impulse Control, Ineffective 180 Failure to Thrive, Adult 294 Infant Behavior, Disorganized 329 Falls, Risk for 361 Infant Behavior, Readiness for Family Coping, Readiness for Enhanced Organized 712 Enhanced 707 Infant Behavior, Risk for Family Processes, Disorganized 338 Dysfunctional 233 Infant Feeding Pattern, Family Processes, Interrupted 228 Ineffective 435 Family Processes, Readiness for Infection Transmission, Risk for 345 Enhanced 707 Infection, Risk for 338 Fatigue 237 Injury, Risk for 350 Fear 244 Insomnia 609 Feeding Self-Care Deficit 528 Instrumental Self-Care Fluid Balance, Readiness for Deficit 538 Enhanced 709 Intracranial Adaptive Capacity, Fluid Volume, Deficient 249 Decreased 369 Fluid Volume, Excess 254 Jaundice, Neonatal 370 Fluid Volume, Risk for Jaundice, Risk for Neonatal 371 Deficient 253 Knowledge (Specify), Readiness for Fluid Volume, Risk for Enhanced 716 Imbalanced 260 Knowledge, Deficient 372 Functional Urinary Latex Allergy Response 373 Incontinence 660 Latex Allergy Response, Risk Gas Exchange, Impaired 520 for 375 Gastrointestinal Motility, Lifestyle, Sedentary 377 Dysfunctional 261 Liver Function, Risk for Gastrointestinal Motility, Risk for Impaired 380 Dysfunctional 262 Loneliness, Risk for 380 Gastrointestinal Tissue Perfusion, Maternal/Fetal Dyad, Risk for Risk for Ineffective 643 Disturbed 385 Grieving 263 Maturational Enuresis 658 Grieving, Anticipatory 270 Memory, Impaired 386 Grieving, Complicated 275 Mobility, Impaired Physical 389 Grieving, Risk for Moral Distress 403 Complicated 278 Moral Distress, Risk for 408 Growth and Development, Nausea 124 Delayed 279 Neglect, Self 411 Growth, Risk for Neglect, Unilateral 412 Disproportionate 293 Noncompliance 416 Health Behavior, Risk-Prone 298 Nutrition, Imbalanced: Less Than Health Maintenance, Body Requirements 422 Ineffective 301 Nutrition, Imbalanced: More Than Health, Deficient Community 297 Body Requirements 438 Home Maintenance, Impaired 313 Nutrition, Imbalanced: More Than Hope, Readiness for Body Requirements, Risk Enhanced 710 for 442 Nursing Diagnosis Index iii Nutrition, Readiness for Resilience, Risk for Enhanced 717 Compromised 502 Oral Mucous Membrane, Respiratory Function, Risk for Impaired 490 Ineffective 503 Overflow Urinary Role Performance, Ineffective 522 Incontinence 678 Self Esteem, Risk for Chronic Pain, Acute 107 Low 563 Pain, Chronic 119 Self-Care Deficit Syndrome 524 Parental Role Conflict 454 Self-Care, Readiness for Parenting, Impaired 443 Enhanced 722 Parenting, Readiness for Self-Concept, Disturbed 544 Enhanced 718 Self-Concept, Readiness for Perioperative Positioning Injury, Enhanced 723 Risk for 364 Self-Esteem, Chronic Low 560 Peripheral Neurovascular Self-Esteem, Disturbed 556 Dysfunction, Risk for 649 Self-Esteem, Risk for Situational Peripheral Tissue Perfusion, Low 567 Ineffective 644 Self-Esteem, Situational Low 564 Peripheral Tissue Perfusion, Self-Harm, Risk for 568 Risk for Ineffective 648 Self-Health Management, Personal Identity, Disturbed 555 Ineffective 584 Personal Identity, Risk for Self-Health Management, Disturbed 556 Ineffective Community 590 Poisoning, Risk for 362 Self-Health Management, Post-Trauma Syndrome 457 Ineffective Family 589 Post-Trauma Syndrome, Self-Health Management, Readiness Risk for 462 for Enhanced 724 Power, Readiness for Self-Mutilation 574 Enhanced 718 Self-Mutilation, Risk for 575 Powerlessness 471 Sexual Dysfunction 601 Powerlessness, Risk for 476 Sexuality Pattern, Ineffective 594 Protection, Ineffective 477 Shock, Risk for 601 Rape-Trauma Syndrome 463 Skin Integrity, Impaired 485 Reflex Urinary Incontinence 665 Skin Integrity, Risk for Relationship, Ineffective 495 Impaired 487 Relationship, Readiness for Sleep Deprivation 610 Enhanced 719 Sleep Pattern, Disturbed 602 Relationship, Risk for Sleep, Readiness for Ineffective 496 Enhanced 726 Religiosity, Impaired 628 Social Interaction, Impaired 611 Religiosity, Readiness for Social Isolation 617 Enhanced 720 Sorrow, Chronic 619 Religiosity, Risk for Impaired 632 Spiritual Distress 622 Relocation Stress [Syndrome] 497 Spiritual Distress, Risk for 627 Relocation Stress [Syndrome], Spiritual Well-Being, Readiness for Risk for 501 Enhanced 727 Renal Perfusion, Risk for Spontaneous Ventilation, Ineffective 653 Impaired 521 Resilience, Impaired Stress Overload 633 Individual 502 Stress Urinary Incontinence 667 Resilience, Readiness for Sudden Infant Death Syndrome, Enhanced 721 Risk for 636 iv Nursing Diagnosis Index Suffocation, Risk for 363 Urinary Elimination, Readiness for Suicide, Risk for 577 Enhanced 728 Surgical Recovery, Delayed 638 Vascular Trauma, Risk for 680 Swallowing, Impaired 429 Ventilatory Weaning Response, Thermal Injury, Risk for 363 Dysfunctional 507 Thermoregulation, Ineffective 71 Ventilatory Weaning Response, Tissue Integrity, Impaired 481 Risk for Dysfunctional 513 Tissue Perfusion, Ineffective 639 Violence, Risk for Other- Toileting Self-Care Deficit 541 Directed 681 Transfer Ability, Impaired 401 Violence, Risk for Self-Directed 689 Trauma, Risk for 364 Walking, Impaired 398 Urge Urinary Incontinence 674 Wandering 690 Urge Urinary Incontinence, Wheelchair Mobility, Impaired 400 Risk for 677 Urinary Elimination, Impaired 654 Definitions designated as NANDA-I and characteristics and factors identified with a blue asterisk are from Nursing Diagnoses: Definitions and Classification 2012–2014. Copyright © 2012, 2009, 2007, 2003, 2001, 1998, 1996, 1994 by NANDA International. Used by arrangement with Blackwell Publishing Limited, a company of John Wiley & Sons, Inc. In order to make safe and effective judgments using NANDA-I nursing diagnoses, it is essential that nurses refer to the definitions and defining characteristics of the diagnoses listed in this work. Handbook of Nursing Diagnosis 14TH EDITION Lynda Juall Carpenito, RN, MSN, CRNP Family Nurse Practitioner ChesPenn Health Services Chester, Pennsylvania Nursing Consultant Mullica Hill, New Jersey Acquisitions Editor: Patrick Barbera Illustration Coordinator: Brett MacNaughton Supervising Product Manager: Betsy Gentzler Manufacturing Coordinator: Karin Duffield Editorial Assistant: Jacalyn Clay Prepress Vendor: S4Carlisle, Inc. Design Coordinator: Joan Wendt 14th Edition Copyright © 2013 by Lynda Juall Carpenito. Copyright © 2010, 2008 by Lynda Juall Carpenito-Moyet. Copyright © 2006, 2004, 2002, 1997, 1995, 1993 by Lynda Juall Carpenito. Copyright © 1991, 1989, 1987, 1985 by J. B. Lippincott Company. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as pho- tocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quota- tions embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at [email protected],
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