Cardiovascular/Pulmonary function

 

Ineffective breathing pattern

 

Ineffective airway clearance

 

Impaired gas exchange

 

Decreased cardiac output

 

Risk for decreased cardiac output

 

Impaired spontaneous ventilation

 

Risk for unstable blood pressure

 

Risk for decreased cardiac tissue perfusion

 

Risk for ineffective cerebral tissue perfusion

 

Ineffective peripheral tissue perfusion

 

Risk for ineffective peripheral tissue perfusion

 

Dysfunctional ventilator weaning response

 

Activity intolerance don’t use

 

Risk for activity intolerance don’t use

 

Nutrition/Metabolism

 

Impaired swallowing

 

Imbalance Nutrition: less than body requirements

 

Obesity

 

Overweight

 

Risk for overweight

 

Impaired dentition

 

Insufficient breast milk production

 

Ineffective Breast feeding

 

Interrupted breast feeding

 

Readiness for enhanced breast feeding

 

Ineffective adolescent eating dynamics

 

Ineffective child eating dynamics

 

Ineffective infant eating dynamics

 

Ineffective infant feeding pattern

 

Risk for unstable blood glucose

 

Risk for impaired liver function

 

Risk for metabolic imbalance syndrome

 

Neonatal hyperbilirubinemia

 

Risk for neonatal hyperbilirubinemia

 

Hydration

 

Risk for electrolyte imbalance

 

Risk for imbalanced fluid volume

 

Deficient fluid volume

 

Risk for deficient fluid volume

 

Excess fluid volume

 

Elimination and Exchange

 

Impaired urinary elimination

 

Functional urinary incontinence

 

Overflow urinary incontinence

 

Reflex urinary incontinence

 

Stress urinary incontinence

 

Urge urinary incontinence

 

Risk for urge urinary incontinence

 

Urinary retention

 

Constipation

 

Risk for constipation

 

Perceived constipation

 

Chronic functional constipation

 

Risk for chronic functional constipation

 

Diarrhea

 

Dysfunctional gastrointestinal motility

 

Risk for dysfunctional gastrointestinal motility

 

Bowel incontinence

 

Activity/rest

 

Insomnia

 

Sleep deprivation

 

Readiness for enhanced sleep

 

Disturbed sleep pattern

 

Risk for disuse syndrome

 

Impaired bed mobility

 

Impaired physical mobility

 

Impaired wheelchair mobility

 

Impaired sitting

 

Impaired standing

 

Impaired transfer ability

 

Impaired walking

 

Fatigue

 

Wandering

 

Reproduction/Sexuality

 

Ineffective child bearing process

 

Risk for ineffective child bearing

 

Readiness for enhanced childbearing process

 

Sexual dysfunction

 

Ineffective sexuality pattern

 

Neurobehavioral

 

Acute substance withdrawal syndrome

 

Risk for acute substance withdrawal syndrome

 

Autonomic dysreflexia

 

Risk for autonomic dysreflexia

 

Decreased intracranial adaptive capacity

 

Neonatal abstinence syndrome

 

Miscellaneous

 

Impaired skin integrity

 

Impaired tissue integrity

 

Delayed surgical recovery

 

Self-mutilation

 

Risk for suicide

 

Contamination

 

Hyperthermia

 

Hypothermia

 

Impaired comfort

 

Readiness for enhanced comfort

 

Nausea

 

Acute pain

 

Chronic pain

 

Chronic pain syndrome

 

Labor pain

 

SAFETY AND SECURITY NEEDS

 

Risk for aspiration

 

Risk for infection

 

Risk for bleeding

 

Risk for infection

 

Risk for dry eye

 

Risk for perioperative hypothermia

 

Ineffective thermoregulation

 

Risk for ineffective thermoregulation

 

Risk for hypothermia

 

Risk for dry mouth

 

Risk for falls

 

Risk for corneal injury

 

Risk for injury

 

Risk for urinary tract injury

 

Risk for impaired skin integrity

 

Risk for impaired tissue integrity

 

Risk for venous thromboembolism

 

Risk for peri-operative positioning injury

 

Risk for thermal injury

 

Impaired oral mucus membrane integrity

 

Risk for impaired oral mucus membrane integrity

 

Risk for peripheral neuro-vascular dysfunction

 

Risk for physical trauma

 

Risk for vascular trauma

 

Risk for pressure ulcer

 

Risk for shock

 

Risk for sudden infant death

 

Risk for suffocation

 

Risk for female genital mutilation

 

Risk for other-directed violence

 

Risk for self-directed violence

 

Risk for self-mutilation

 

Risk for contamination

 

Risk for occupational injury

 

Risk for poisoning

 

Risk for adverse reaction to iodinated contrast media

 

Risk for allergy reaction

 

Risk for latex allergy reaction

 

Risk for delayed development

 

Impaired home maintenance

 

Bathing self-care deficit

 

Dressing self-care deficit

 

Feeding self-care deficit

 

Toileting self-care deficit

 

Readiness for enhanced self-care

 

Self-neglect

 

Unilateral neglect

 

Acute confusion

 

Risk for acute confusion

 

Chronic confusion

 

Labile emotional control

 

Ineffective impulse control

 

Deficient knowledge

 

Readiness for enhanced knowledge

 

Impaired memory

 

Impaired verbal communication

 

Readiness for enhanced communication

 

BELONGINGNESS AND LOVE NEEDS

 

Caregiving role strain

 

Risk for caregiving role strain

 

Impaired parenting

 

Readiness for impaired parenting

 

Risk for impaired attachment

 

Dysfunctional family processes

 

Interrupted family processes

 

Readiness for enhanced family processes

 

Ineffective relationship

 

Risk for ineffective relationship

 

Readiness for enhanced relationship

 

Parental role conflict

 

Risk for disturbed maternal-fetal dyad

 

Ineffective role performance

 

Impaired social interaction

 

Disabled family coping

 

Readiness for enhanced family coping

 

Disorganized infant behavior

 

Risk for disorganized infant behavior

 

Readiness for enhanced organized infant behavior

 

Risk for loneliness

 

Social Isolation

 

ESTEEM NEEDS

 

Hopelessness

 

Readiness for enhanced hope

 

Risk for compromised human dignity

 

Disturbed personal identity

 

Risk for disturbed personal identity

 

Readiness for enhanced self-concept

 

Chronic low self-esteem

 

Risk for chronic low self-esteem

 

Situational low self-esteem

 

Disturbed body image

 

Risk for complicated immigration transition

 

Post-trauma syndrome

 

Risk for post-trauma syndrome

 

Rape-trauma syndrome

 

Relocation stress syndrome

 

Risk for relocation stress syndrome

 

Ineffective activity planning

 

Risk for ineffective activity planning

 

Anxiety

 

Defensive coping

 

Ineffective coping

 

Readiness for enhanced coping

 

Ineffective community coping

 

Readiness for enhanced community coping

 

Death anxiety

 

Ineffective denial

 

Fear

 

Grieving

 

Complicated grieving

 

Risk for complicated grieving

 

Impaired mood regulation

 

Powerlessness

 

Risk for powerlessness

 

Readiness for enhanced power

 

Impaired resilience

 

Risk for impaired resilience

 

Readiness for enhanced resilience

 

Chronic sorrow

 

Stress overload

 

Decisional conflict

 

Impaired emancipated decision making

 

Risk for impaired emancipated decision making

 

Moral distress

 

Spiritual distress

 

Risk for spiritual distress

 

Impaired religiosity

 

Risk for impaired religiosity

 

SELF-ACTUALIZATION

 

Readiness for enhanced spiritual well-being

 

Readiness for enhanced decision making

 

Readiness for enhanced emancipated decision-making

 

Readiness for enhanced religiosity

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