NANDA Nursing Diagnosis List Attach

NANDA Nursing Diagnosis List Attach

(A). Develop 3 care plan for the patient name Josephine Morrow

Follow the NANDA Nursing Diagnosis List attach

2 physical problem

1 psychological problem

Write 2 expected outcome with a time set for example

within in two weeks patient will……………………

within a month patient will…………………

(B). Develop 3 care plan for the patient name Mona Hernandez

Follow the NANDA Nursing Diagnosis List Attach

2 physical problem

1 psychological problem

Write 2 expected outcome with a time set for example

within in two weeks patient will……………………

within a month patient will…………………

Example of the care plan show be like this

Patient is at risk of ulcer pressure related to patient………..as evidence

by………….

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use the NANDA NURSING DIAGNOSIS and also with the attached picture of the two patients.

Domain 1: Health Promotion

CLASS 1. HEALTH AWARENESS

Deficient diversional activity

Sedentary lifestyle

CLASS 2. HEALTH MANAGEMENT

Frail elderly syndrome

Risk for frail elderly syndrome

Deficient community

Risk-prone health behavior

Ineffective health maintenance

Ineffective health management

Readiness for enhanced health management

Ineffective family health management

Noncompliance

Ineffective protection

Domain 2: Nutrition

CLASS 1. INGESTION

Insufficient breast milk

Ineffective breastfeeding

Interrupted breastfeeding

Readiness for enhanced breastfeeding

Ineffective infant feeding pattern

Imbalanced nutrition: less than body requirements

Readiness for enhanced nutrition NANDA Nursing Diagnosis List Attach

Obesity

Overweight

Risk for overweight

Impaired swallowing

CLASS 2. DIGESTION

None at present time

CLASS 3. ABSORPTION

None at present time

CLASS 4. METABOLISM

Risk for unstable blood glucose level

Neonatal jaundice

Risk for neonatal jaundice

Risk for impaired liver function

CLASS 5. HYDRATION

Risk for electrolyte imbalance

Readiness for enhanced fluid balance

Deficient fluid volume

Risk for deficient fluid volume

Excess fluid volume

Risk for imbalanced fluid volume

Domain 3: Elimination and Exchange

CLASS 1. URINARY FUNCTION

Impaired urinary elimination

Readiness for enhanced urinary elimination

Functional urinary incontinence

Overflow urinary incontinence

Reflex urinary incontinence

Stress urinary incontinence

Urge urinary incontinence NANDA Nursing Diagnosis List Attach

Risk for urge urinary incontinence

Urinary retention

CLASS 2. GASTROINTESTINAL FUNCTION

Constipation

Risk for constipation

Chronic functional constipation

Risk for chronic functional constipation

Perceived constipation

Diarrhea

Dysfunctional gastrointestinal motility

Risk for dysfunctional gastrointestinal motility

Bowel incontinence

CLASS 3. INTEGUMENTARY FUNCTION

None at this time

CLASS 4. RESPIRATORY FUNCTION

Impaired gas exchange

Domain 4: Activity/Rest

CLASS 1. SLEEP/REST

Insomnia

Sleep deprivation

Readiness for enhanced sleep

Disturbed sleep pattern

CLASS 2. ACTIVITY/EXERCISE

Risk for disuse syndrome

Impaired bed mobility

Impaired physical mobility

Impaired wheelchair mobility

Impaired sitting

Impaired standing

Impaired transfer ability

Impaired walking

CLASS 3. ENERGY BALANCE

Fatigue

Wandering

CLASS 4. CARDIOVASCULAR/PULMONARY RESPONSES

Activity intolerance

Risk for activity intolerance

Ineffective breathing pattern

Decreased cardiac output

Risk for decreased cardiac output

Risk for impaired cardiovascular function

Risk for ineffective gastrointestinal perfusion

Risk for ineffective renal perfusion

Impaired spontaneous ventilation

Risk for decreased cardiac tissue perfusion

Risk for ineffective cerebral tissue perfusion

Ineffective peripheral tissue perfusion

Risk for ineffective peripheral tissue perfusion

Dysfunctional ventilatory weaning
response NANDA Nursing Diagnosis List Attach

CLASS 5. SELF-CARE

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

 

 

Domain 5: Perception/Cognition

CLASS 1. ATTENTION

Unilateral neglect

CLASS 2. ORIENTATION

None at this time

CLASS 3. SENSATION/PERCEPTION

None at this time

CLASS 4. COGNITION

Acute confusion

Risk for acute confusion

Chronic confusion

Labile emotional control

Ineffective impulse control

Deficient knowledge

Readiness for enhanced knowledge

Impaired memory

CLASS 5. COMMUNICATION

Readiness for enhanced communication

Impaired verbal communication

Domain 6: Self-Perception

CLASS 1. SELF-CONCEPT

Readiness for enhanced hope

Hopelessness

Risk for compromised human dignity

Disturbed personal identity

Risk for disturbed personal identity

Readiness for enhanced self-concept

CLASS 2. SELF-ESTEEM

Chronic low self-esteem

Risk for chronic low self-esteem

Situational low self-esteem

Risk for situational low self-esteem

CLASS 3. BODY IMAGE

Disturbed body image

Domain 7: Role Relationships

CLASS 1. CAREGIVING ROLES

Caregiver role strain

Risk for caregiver role strain

Impaired parenting

Readiness for enhanced parenting

Risk for impaired parenting

CLASS 2. FAMILY RELATIONSHIPS

Risk for impaired attachment

Dysfunctional family processes

Interrupted family processes

Readiness for enhanced family processes

CLASS 3. ROLE PERFORMANCE

Ineffective relationship

Readiness for enhanced relationship

Risk for ineffective relationship

Parental role conflict

Ineffective role performance

Impaired social interaction NANDA Nursing Diagnosis List Attach

Domain 8: Sexuality

CLASS 1. SEXUAL IDENTITY

None at present time

CLASS 2. SEXUAL FUNCTION

Sexual dysfunction

Ineffective sexuality pattern

CLASS 3. REPRODUCTION

Ineffective childbearing process

Readiness for enhanced childbearing process

Risk for ineffective childbearing process

Risk for disturbed maternal–fetal dyad

Domain 9: Coping/Stress Tolerance

CLASS 1. POST-TRAUMA RESPONSES POST-TRAUMA SYNDROME

Risk for post-trauma syndrome

Rape-trauma syndrome

Relocation stress syndrome

Risk for relocation stress syndrome

CLASS 2. COPING RESPONSES

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

Compromised family coping

Disabled family coping

Readiness for enhanced family coping

Death anxiety

Ineffective denial

Fear

Grieving

Complicated grieving

Risk for complicated grieving

Impaired mood regulation

Readiness for enhanced power

Powerlessness

Risk for powerlessness

Impaired resilience

Readiness for enhanced resilience

Risk for impaired resilience

Chronic sorrow

Stress overload

CLASS 3. NEUROBEHAVIORAL STRESS

Decreased intracranial adaptive capacity

Autonomic dysreflexia

Risk for autonomic dysreflexia

Disorganized infant behavior

Readiness for enhanced organized infant
 behavior

Risk for disorganized infant behavior NANDA Nursing Diagnosis List Attach

Domain 10: Life Principles

CLASS 1. VALUES

None at this time

CLASS 2. BELIEFS

Readiness for enhanced spiritual well-being

CLASS 3. VALUE/BELIEF/ACTION CONGRUENCE

Readiness for enhanced decision-making

Decisional conflict

Impaired emancipated decision-making

Readiness for enhanced emancipated

Decision-making

Risk for impaired emancipated decision-making

Moral distress

Impaired religiosity

Readiness for enhanced religiosity

Risk for impaired religiosity

Spiritual distress

Risk for spiritual distress

Domain 11: Safety/Protection

CLASS 1. INFECTION

Risk for infection

CLASS 2. PHYSICAL INJURY

Ineffective airway clearance

Risk for aspiration

Risk for bleeding

Risk for dry eye

Risk for falls

Risk for injury

Risk for corneal injury

Risk for perioperative positioning injury

Risk for thermal injury

Risk for urinary tract injury

Impaired dentition

Impaired oral mucous membrane

Risk for impaired oral mucous membrane

Risk for peripheral neurovascular dysfunction

Risk for pressure ulcer

Risk for shock

Impaired skin integrity

Risk for impaired skin integrity NANDA Nursing Diagnosis List Attach

Risk for sudden infant death syndrome

Risk for suffocation

Delayed surgical recovery

Risk for delayed surgical recovery

Impaired tissue integrity

Risk for impaired tissue integrity

Risk for trauma

Risk for vascular trauma

CLASS 3. VIOLENCE

Risk for other-directed violence

Risk for self-directed violence

Self-mutilation

Risk for self-mutilation

Risk for suicide

CLASS 4. ENVIRONMENTAL HAZARDS

Contamination

Risk for contamination

Risk for poisoning

CLASS 5. DEFENSIVE PROCESSES

Risk for adverse reaction to iodinated contrast media

Risk for allergy response

Latex allergy response

Risk for latex allergy response

CLASS 6. THERMOREGULATION

Risk for imbalanced body temperature

Hyperthermia

Hypothermia

Risk for hypothermia

Risk for perioperative hypothermia

Ineffective thermoregulation

Domain 12: Comfort

CLASS 1. PHYSICAL COMFORT

Impaired comfort

Readiness for enhanced comfort

Nausea

Acute pain

Chronic pain

Labor pain

Chronic pain syndrome

CLASS 2. ENVIRONMENTAL COMFORT

Impaired comfort

Readiness for enhanced comfort

CLASS 3. SOCIAL COMFORT

Impaired comfort

Readiness for enhanced comfort

Risk for loneliness

Social isolation

Domain 13: Growth/Development

CLASS 1. GROWTH

Risk for disproportionate growth

CLASS 2. DEVELOPMENT

Risk for delayed development NANDA Nursing Diagnosis List Attach