NursesPocketGuideDiagnosesInterventions

Topics: Nursing, Nursing care plan, NANDA Pages: 133 (37053 words) Published: December 30, 2014
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GORDON’S FUNCTIONAL HEALTH PATTERNS*
HEALTH PERCEPTION-HEALTH
MANAGEMENT PATTERN
Health-seeking behaviors (specify)
291–293
Ineffective health maintenance 287–291
Ineffective therapeutic regimen management 550–553
Effective therapeutic regimen management
543–545
Ineffective family therapeutic regimen
management 547–550
Ineffective community therapeutic
regimen management 545–547
Readiness for enhanced therapeutic
regimen management 553–555
Noncompliance (specify) 365–369
Risk for infection 322–325
Risk for injury (trauma) 325–328 [this
refers to 2 NDs]
Risk for falls 226–230
Risk for perioperative positioning injury
328–331
Risk for poisoning 410–413
Risk for suffocation 528–531
Ineffective protection 428–429
Disturbed energy field 217–220
Sudden infant death syndrome 194–198

NUTRITIONAL-METABOLIC
PATTERN

Risk for impaired skin integrity 492–495
Impaired tissue integrity (specify type)
561–565
Latex allergy response 77–80
Risk for latex allergy response 80–82
Ineffective thermoregulation 555–557
Hyperthermia 299–303
Hypothermia 303–307
Risk for imbalanced body temperature
108–109

ELIMINATION PATTERN
Constipation 162–167
Risk for constipation 167–170
Diarrhea 206–210
Bowel incontinence 110–113
Impaired urinary elimination 579–583
Readiness for enhanced urinary elimination, 583–585
Functional urinary incontinence 586–588
Reflex urinary incontinence 589–591
Stress urinary incontinence 594–596
Urge urinary incontinence 599–602
Risk for urge urinary incontinence
591–593
Total urinary incontinence 597–599
Urinary retention 603–606

ACTIVITY-EXERCISE PATTERN

Activity intolerance 65–68
Risk for activity intolerance 68–70
Imbalanced nutrition: more than body
Fatigue 241–245
requirements 374–378
Deficient diversonal activity 214–217
Risk for imbalanced nutrition: more than
Impaired physical mobility 352–356
body requirements 378–381
Impaired bed mobility 350–352
Imbalanced nutrition: less than body
Impaired transfer ability 572–574
requirements 369–374
Impaired wheelchair mobility 356–358
Readiness for enhanced nutrition 381–384 Impaired walking 622–623 Adult failure to thrive 223–226
Wandering 624–627
Ineffective breastfeeding 123–126
Risk for disuse syndrome 210–214
Interrupted breastfeeding 120–123
Self-care deficit (specify: bathing/hygiene,
Effective breastfeeding 113–115
dressing/grooming, feeding, toileting)
Ineffective infant feeding pattern 319–322
451–456
Impaired swallowing 538–542
Delayed surgical recovery 535–538
Nausea 358–362
Delayed growth and development
Risk for aspiration 91–94
283–287
Impaired oral mucous membrane
Risk for delayed development 203–206
384–388
Risk for disproportionate growth,
Impaired dentition 200–203
279–282
Deficient fluid volume 252–258
Impaired home maintenance 293–296
Risk for deficient fluid volume 261–263
Dysfunctional ventilatory weaning
Excess fluid volume, 258–261
response 611–615
Risk for imbalanced fluid volume
Impaired spontaneous ventilation
263–266
606–611
Readiness for enhanced fluid balance
Ineffective airway clearance 74–77
248–251
Impaired gas exchange 266–270
Impaired skin integrity 487–492
Decreased cardiac output 126–131
*Modified from Manual of Nursing Diagnosis, 10th ed., M. Gordon, Copyright 2002, with permission from Elsevier.

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2/7/06

Ineffective tissue perfusion (specify)
565–572
Autonomic dysreflexia 97–100
Risk for autonomic dysreflexia 100–103
Disorganized infant behavior 310–316
Risk for disorganized infant behavior
318–319
Readiness for enhanced organized infant
behavior 316–318
Risk for peripheral neurovascular dysfunction 407–410
Decreased intracranial adaptive capacity
331–334
Sedentary lifestyle 342–346

SLEEP-REST PATTERN
Disturbed sleep pattern 502–507
Sleep deprivation 498–502
Readiness for enhanced sleep 495–497

COGNITIVE-PERCEPTUAL...

Bibliography: Davis Company: Nursing Care Plans Across the Life Span, ed. 7
(Doenges, Moorhouse, Geissler-Murr, 2006); Psychiatric Care
Plans: Guidelines for Individualizing Care, ed. 3 (Doenges,
Townsend, Moorhouse, 1998); and Maternal/Newborn Plans of
Care: Guidelines for Individualizing Care, ed. 3 (Doenges,
Moorhouse, 1999) with updated versions included on the CDROM provided with Nursing Care Plans.
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