لیست تشخیص های پرستاری نانذا در سال 2014

Transcription

1 لیست تشخیص های پرستاری نانذا در سال 2014 Risk for unstable blood glucose level Domain 1 Health Promotion حوسه ارتقای سالمت Deficient diversional activity Sedentary lifestyle Deficient community health Risk-prone health behavior Ineffective health maintenance Readiness for enhanced immunization status Ineffective protection Neonatal jaundice Risk for neonatal jaundice Risk for impaired liver function Risk for electrolyte imbalance Readiness for enhanced fluid balance Deficient fluid volume Excess fluid volume Risk for deficient fluid volume Risk for imbalanced fluid volume Ineffective self-health management Readiness for enhanced self-health management Ineffective family therapeutic regimen management Domain 3 Elimination and Exchange حوسه تبادالت و دفع Functional urinary incontinence Domain 2 Nutrition حوسه تغذیو Insufficient breast milk Ineffective infant feeding pattern Imbalanced nutrition: less than body requirements Imbalanced nutrition: more than body requirements Risk for imbalanced nutrition: more than body requirements Readiness for enhanced nutrition Impaired swallowing Overflow urinary incontinence Reflex urinary incontinence Stress urinary incontinence Urge urinary incontinence Risk for urge urinary incontinence Impaired urinary elimination Readiness for enhanced urinary elimination Urinary retention Constipation Perceived constipation 1

2 Risk for constipation Ineffective breathing pattern Diarrhea Dysfunctional gastrointestinal motility Risk for dysfunctional gastrointestinal motility Decreased cardiac output Bowel incontinence Risk for ineffective gastrointestinal perfusion Impaired gas exchange Risk for ineffective renal perfusion Impaired spontaneous ventilation Domain 4 Activity/ Rest Ineffective peripheral tissue perfusion حوسه فعالیت/دفع Risk for decreased cardiac tissue perfusion Insomnia Risk for ineffective cerebral tissue perfusion Sleep deprivation Risk for ineffective peripheral tissue perfusion Readiness for enhanced sleep Dysfunctional ventilatory weaning response Disturbed sleep pattern Impaired home maintenance Risk for disuse syndrome Readiness for enhanced self-care Impaired bed mobility Bathing self-care deficit Impaired physical mobility Dressing self-care deficit Impaired wheelchair mobility Feeding self-care deficit Impaired transfer ability Toileting self-care deficit Impaired walking Self-neglect Disturbed energy field Fatigue Domain 5 Perception/ Cognition Wandering حوسه ادراک/شناخت Activity intolerance Unilateral neglect Risk for activity intolerance Impaired environmental interpretation syndrome 2

3 Acute confusion Risk for disorganized infant behavior Chronic confusion Autonomic dysreflexia Risk for acute confusion Risk for autonomic dysreflexia Ineffective impulse control Disorganized infant behavior Deficient knowledge Readiness for enhanced organized infant behavior Readiness for enhanced knowledge Decreased intracranial adaptive capacity Impaired memory Readiness for enhanced communication Domain 7 Role Relationships Impaired verbal communication حوسه ارتباطات Ineffective breastfeeding Domain 6 Self-Perception Interrupted breastfeeding حوسه خود ادراکی Readiness for enhanced breastfeeding Hopelessness Caregiver role strain Risk for compromised human dignity Risk for caregiver role strain Risk for loneliness Impaired parenting Disturbed personal identity Readiness for enhanced parenting Risk for disturbed personal identity Risk for impaired parenting Readiness for enhanced self-control Risk for impaired attachment Chronic low self-esteem Dysfunctional family processes Risk for chronic low self-esteem Interrupted family processes Risk for situational low self-esteem Readiness for enhanced family processes Situational low self-esteem Ineffective relationship Disturbed body image Readiness for enhanced relationship Stress overload Risk for ineffective relationship 3

4 Parental role conflict Defensive coping Ineffective role performance Disabled family coping Impaired social interaction Ineffective coping Ineffective community coping Domain 8 Sexuality Readiness for enhanced coping حوسه عملکزد جنسی Readiness for enhanced family coping Sexual dysfunction Death anxiety Ineffective sexuality pattern Ineffective denial Ineffective childbearing process Adult failure to thrive Readiness for enhanced childbearing process Fear Risk for ineffective childbearing process Grieving Risk for disturbed maternal-fetal dyad Complicated grieving Risk for complicated grieving Domain 9 Coping/ Stress Tolerance Readiness for enhanced power حوسه ساسگاری/تحمل استزس Powerlessness Post-trauma syndrome Risk for powerlessness Risk for post-trauma syndrome Impaired individual resilience Rape-trauma syndrome Readiness for enhanced resilience Relocation stress syndrome Risk for compromised resilience Risk for relocation stress syndrome Chronic sorrow Ineffective activity planning Stress overload Risk for ineffective activity planning Risk for disorganized infant behavior Anxiety Autonomic dysreflexia Compromised family coping Risk for autonomic dysreflexia 4

5 Disorganized infant behavior Impaired dentition Readiness for enhanced organized infant behavior Risk for dry eye Decreased intracranial adaptive capacity Risk for falls Risk for injury Domain 10 Life Principles Impaired oral mucous membrane حوسه اصول سندگی Risk for perioperative positioning injury Readiness for enhanced hope Risk for peripheral neurovascular dysfunction Readiness for enhanced spiritual well-being Risk for shock Readiness for enhanced decision-making Impaired skin integrity Decisional conflict Risk for impaired skin integrity Moral distress Risk for sudden infant death syndrome Noncompliance Risk for suffocation Impaired religiosity Delayed surgical recovery Readiness for enhanced religiosity Risk for thermal injury Risk for impaired religiosity Impaired tissue integrity Spiritual distress Risk for trauma Risk for spiritual distress Risk for vascular trauma Risk for other-directed violence Domain 11 Safety/ Protection Risk for self-directed violence حوسه امنیت/حفاظت Self-mutilation Risk for infection Risk for self-mutilation Ineffective airway clearance Risk for suicide Risk for aspiration Contamination Risk for bleeding Risk for contamination 5

6 Risk for poisoning 3. Risk for Allergy Response Risk for adverse reaction to iodinated contrast media 4. Insufficient Breast Milk Risk for allergy response 5. Ineffective Childbearing Process Latex allergy response 6. Risk for Ineffective Child Bearing Process Risk for latex allergy response 7. Risk for Dry Eye Risk for imbalanced body temperature 8. Deficient Community Health Hyperthermia 9. Ineffective Impulse Control Hypothermia 10. Risk for Neonatal Jaundice Ineffective thermoregulation 11. Risk for Disturbed Personal Identity 12. Ineffective Relationship Domain 12 Comfort 13. Risk for Ineffective Relationship حوسه آسایش 14. Risk for Chronic Low Self-Esteem Impaired comfort 15. Risk for Thermal Injury Readiness for enhanced comfort 16. Risk for Ineffective Peripheral Tissue Perfusion Nausea Acute pain Chronic pain Impaired comfort Readiness for enhanced comfort Social isolation لیست 16 تشخیص پرستاری جذیذ که از سال 2012 تا 2014 اضافه شذه است 1. Risk for Ineffective Activity Planning 2. Risk for Adverse Reaction to Iodinated Contrast Media 6