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++

ACTIVITY/REST—Ability to engage in necessary or desired activities of life (work and leisure) and to obtain adequate sleep or rest

++

Activity Intolerance

++

Activity Intolerance, risk for

++

Activity Planning, ineffective

++

Activity Planning, risk for ineffective

++

Disuse Syndrome, risk for

++

Diversional Activity, deficient

++

Fatigue

++

Insomnia

++

Lifestyle, sedentary

++

Mobility, impaired wheelchair

++

Sleep, readiness for enhanced

++

Sleep Deprivation

++

Sleep Pattern, disturbed

++

Transfer Ability, impaired

++

Walking, impaired

++

CIRCULATION—Ability to transport oxygen and nutrients necessary to meet cellular needs

++

Adaptive Capacity, decreased intracranial

++

Autonomic Dysreflexia

++

Autonomic Dysreflexia, risk for

++

Bleeding, risk for

++

Cardiac Output, decreased

++

Cardiac Output, risk for decreased

++

Cardiovascular Function, risk for impaired

++

Gastrointestinal Perfusion, risk for ineffective

++

Renal Perfusion, risk for ineffective

++

Shock, risk for

++

Tissue Perfusion, ineffective peripheral

++

Tissue Perfusion, risk for decreased cardiac

++

Tissue Perfusion, risk for ineffective cerebral

++

Tissue Perfusion, risk for ineffective peripheral

++

EGO INTEGRITY—Ability to develop and use skills and behaviors to integrate and manage life experiences

++

Anxiety [specify level]

++

Body Image, disturbed

++

Coping, defensive

++

Coping, ineffective

++

Coping, readiness for enhanced

++

Death Anxiety

++

Decisional Conflict

++

Decision-Making, readiness for enhanced

++

Denial, ineffective

++

Emancipated Decision-Making, impaired

++

Emancipated Decision-Making, readiness for enhanced

++

Emancipated Decision-Making, risk for impaired

++

Emotional Control, labile

++

Fear

++

Grieving

++

Grieving, complicated

++

Grieving, risk for complicated

++

Hope, readiness for enhanced

++

Hopelessness

++

Human Dignity, risk for compromised

++

Impulse Control, ineffective

++

Mood Regulation, impaired

++

Moral Distress

++

Personal Identity, disturbed

++

Personal Identity, risk for disturbed

++

Post-Trauma Syndrome [specify stage]

++

Post-Trauma Syndrome, risk for

++

Power, readiness for enhanced

++

Powerlessness

++

Powerlessness, risk for

++

Rape-Trauma Syndrome

++

Relationship, ineffective

++

Relationship, readiness for enhanced

++

Relationship, risk for ineffective

++

Religiosity, impaired

++

Religiosity, readiness for enhanced

++

Religiosity, risk for impaired

++

Relocation Stress Syndrome

++

Relocation Stress Syndrome, risk for

++

Resilience, impaired

++

Resilience, readiness for enhanced

++

Resilience, risk for impaired

++

Self-Concept, readiness for enhanced

++

Self-Esteem, chronic low

++

Self-Esteem, risk for chronic low

++

Self-Esteem, risk for situational low

++

Self-Esteem, situational low

++

Sorrow, Chronic

++

Spiritual Distress

++

Spiritual Distress, risk for

++

Spiritual Well-Being, readiness for enhanced

++

ELIMINATION—Ability to excrete waste products

++

Constipation

++

Constipation, chronic functional

++

Constipation, perceived

++

Constipation, risk for

++

Constipation, risk for chronic functional

++

Diarrhea

++

Elimination, impaired urinary

++

Elimination, readiness for enhanced urinary

++

Gastrointestinal Motility, dysfunctional

++

Gastrointestinal Motility, risk for dysfunctional

++

Incontinence, bowel

++

Incontinence, functional urinary

++

Incontinence, overflow urinary

++

Incontinence, reflex urinary

++

Incontinence, risk for urge urinary

++

Incontinence, stress urinary

++

Incontinence, urge urinary

++

Urinary Retention [acute/chronic]

++

FOOD/FLUID—Ability to maintain intake of and utilize nutrients and liquids to meet physiological needs

++

Blood Glucose Level, risk for unstable

++

Breast Milk, insufficient

++

Breastfeeding, ineffective

++

Breastfeeding, interrupted

++

Breastfeeding, readiness for enhanced

++

Dentition, impaired

++

Electrolyte Imbalance, risk for

++

Feeding Pattern, ineffective infant

++

Fluid Balance, readiness for enhanced

++

[Fluid Volume, deficient (hyper/hypotonic)]

++

Fluid Volume, deficient [isotonic]

++

Fluid Volume, excess

++

Fluid Volume, risk for deficient

++

Fluid Volume, risk for imbalanced

++

Liver Function, risk for impaired

++

Mucous Membrane, impaired oral

++

Mucous Membrane, impaired oral, risk for

++

Nausea

++

Nutrition: less than body requirements, imbalanced

++

Nutrition, readiness for enhanced

++

Obesity

++

Overweight

++

Overweight, risk for

++

Swallowing, impaired

++

HYGIENE—Ability to perform activities of daily living

++

Self-Care, readiness for enhanced

++

Self-Care Deficit, bathing

++

Self-Care Deficit, dressing

++

Self-Care Deficit, feeding

++

Self-Care Deficit, toileting

++

Self-Neglect

++

NEUROSENSORY—Ability to perceive, integrate, and respond to internal and external cues

++

Behavior, disorganized infant

++

Behavior, readiness for enhanced organized infant

++

Behavior, risk for disorganized infant

++

Confusion, acute

++

Confusion, chronic

++

Confusion, risk for acute

++

Dysfunction, risk for peripheral neurovascular

++

Memory, impaired

++

Sensory/Perception, disturbed (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)

++

Stress Overload

++

Unilateral Neglect

++

PAIN/DISCOMFORT—Ability to control internal and external environment to maintain comfort

++

Comfort, impaired

++

Comfort, readiness for enhanced

++

Pain, acute

++

Pain, chronic

++

Pain, labor

++

Pain Syndrome, chronic

++

RESPIRATION—Ability to provide and use oxygen to meet physiological needs

++

Airway Clearance, ineffective

++

Aspiration, risk for

++

Breathing Pattern, ineffective

++

Gas Exchange, impaired

++

Ventilation, impaired spontaneous

++

Ventilatory Weaning Response, dysfunctional

++

SAFETY—Ability to provide safe, growth-promoting environment

++

Allergy Response, risk for

++

Body Temperature, risk for imbalanced

++

Childbearing Process, readiness for enhanced

++

Contamination

++

Contamination, risk for

++

Dry Eye, risk for

++

Falls, risk for

++

Frail Elderly Syndrome

++

Frail Elderly Syndrome, risk for

++

Health Maintenance, ineffective

++

Home Maintenance, impaired

++

Hyperthermia

++

Hypothermia

++

Hypothermia, risk for

++

Hypothermia, risk for perioperative

++

Infection, risk for

++

Injury, risk for

++

Injury, risk for corneal

++

Injury, risk for urinary tract

++

Jaundice, neonatal

++

Jaundice, risk for neonatal

++

Latex Allergy Response

++

Latex Allergy Response, risk for

++

Maternal-Fetal Dyad, risk for disturbed

++

Mobility, impaired bed

++

Mobility, impaired physical

++

Poisoning, risk for

++

Positioning Injury, risk for perioperative

++

Pressure Ulcer, risk for

++

Protection, ineffective

++

Reaction to Iodinated Contrast Media, risk for adverse

++

Self-Mutilation

++

Self-Mutilation, risk for

++

Sitting, impaired

++

Skin Integrity, impaired

++

Skin Integrity, impaired, risk for

++

Standing, impaired

++

Sudden Infant Death Syndrome, risk for

++

Suffocation, risk for

++

Suicide, risk for

++

Surgical Recovery, delayed

++

Surgical Recovery, risk for delayed

++

Thermal Injury, risk for

++

Thermoregulation, ineffective

++

Tissue Integrity, impaired

++

Tissue Integrity, risk for impaired

++

Trauma, risk for

++

Trauma, risk for vascular

++

Violence, risk for other-directed

++

Violence, risk for self-directed

++

Wandering [specify sporadic or continual]

++

SEXUALITY—[Component of Ego Integrity and Social Interaction] Ability to meet requirements/characteristics of male/female roles

++

Childbearing Process, ineffective

++

Childbearing Process, readiness for enhanced

++

Childbearing Process, risk for ineffective

++

Sexual Dysfunction

++

Sexuality Pattern, ineffective

++

SOCIAL INTERACTION—Ability to establish and maintain relationships

++

Attachment, risk for impaired parent/child

++

Communication, impaired, verbal

++

Communication, readiness for enhanced

++

Coping, compromised family

++

Coping, disabled family

++

Coping, ineffective community

++

Coping, readiness for enhanced community

++

Coping, readiness for enhanced family

++

Family Processes, dysfunctional

++

Family Processes, interrupted

++

Family Processes, readiness for enhanced

++

Loneliness, risk for

++

Parenting, impaired

++

Parenting, readiness for enhanced

++

Parenting, risk for impaired

++

Role Conflict, parental

++

Role Performance, ineffective

++

Role Strain, caregiver

++

Role Strain, risk for caregiver

++

Social Interaction, impaired

++

Social Isolation

++

TEACHING/LEARNING—Ability to incorporate and use information to achieve healthy lifestyle/optimal wellness

++

Development, risk for delayed

++

Growth, risk for disproportionate

++

Health, deficient community

++

Health Management, ineffective

++

Health Management, ineffective family

++

Health Management, readiness for enhanced

++

Knowledge, deficient [Learning Need (specify)]

++

Knowledge, readiness for enhanced

++

Noncompliance

++

NOTE: Information that appears in brackets has been added by the authors to clarify and enhance the use of nursing diagnoses.

++

SOURCE: Adapted from Doenges, M.E., Moorhouse, M.F., and Geissler-Murr, A.C.: Nurse's Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales, ed. 14, F.A. Davis, Philadelphia, 2016, with permission.

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