G

Gag Reflex, Depressed or Absent

Impaired Swallowing r/t neuromuscular impairment

Risk for Aspiration: Risk factors: depressed cough or gag reflex

Gallop Rhythm

Decreased Cardiac Output r/t decreased contractility of heart

Gallstones

See Cholelithiasis

Gang Member

Impaired individual Resilience (See Resilience, individual, impaired, Section III)

Gangrene

Fear r/t possible loss of extremity

Ineffective peripheral Tissue Perfusion r/t obstruction of arterial flow

See condition causing gangrene, Diabetes, Peripheral Vascular Disease

Gas Exchange, Impaired

Impaired Gas Exchange r/t ventilation-perfusion imbalance

Gastric Ulcer

See GI Bleed (Gastrointestinal Bleeding); Ulcer, Peptic (Duodenal or Gastric)

Gastritis

Imbalanced Nutrition: less than body requirements r/t vomiting, inadequate intestinal absorption of nutrients, restricted dietary regimen

Acute Pain r/t inflammation of gastric mucosa

Risk for deficient Fluid Volume: Risk factors: excessive loss from gastrointestinal tract from vomiting, decreased intake

Gastroenteritis

Diarrhea r/t infectious process involving intestinal tract

Deficient Fluid Volume r/t excessive loss from gastrointestinal tract from diarrhea, vomiting

Nausea r/t irritation to gastrointestinal system

Imbalanced Nutrition: less than body requirements r/t vomiting, inadequate intestinal absorption of nutrients, restricted dietary intake

Acute Pain r/t increased peristalsis causing cramping

Risk for Electrolyte Imbalance: Risk factor: loss of gastrointestinal fluids high in electrolytes

Readiness for enhanced Knowledge: Expresses an interest in learning

See Gastroenteritis, Child

Gastroenteritis, Child

Impaired Skin Integrity: diaper rash r/t acidic excretions on perineal tissues

Readiness for enhanced Knowledge: expresses an interest in learning

See Gastroenteritis; Hospitalized Child

Gastroesophageal Reflux

Ineffective Airway Clearance r/t reflux of gastric contents into esophagus and tracheal or bronchial tree

Ineffective Health Maintenance r/t deficient knowledge regarding anti-reflux regimen (e.g., positioning, change in diet)

Acute Pain r/t irritation of esophagus from gastric acids

Risk for Aspiration: Risk factor: entry of gastric contents in tracheal or bronchial tree

Gastroesophageal Reflux, Child

Ineffective Airway Clearance r/t reflux of gastric contents into esophagus and tracheal or bronchial tree

Anxiety: parental r/t possible need for surgical intervention

Deficient Fluid Volume r/t persistent vomiting

Imbalanced Nutrition: less than body requirements r/t poor feeding, vomiting

Risk for Aspiration: Risk factor: entry of gastric contents in tracheal or bronchial tree

Risk for impaired Parenting: Risk factors: disruption in bonding as a result of irritable or inconsolable infant; lack of sleep for parents

Readiness for enhanced Knowledge: expresses an interest in learning

See Child with Chronic Condition; Hospitalized Child

Gastrointestinal Bleeding (GI Bleed)

See GI Bleed (Gastrointestinal Bleeding)

Gastrointestinal Hemorrhage

See GI Bleed (Gastrointestinal Bleeding)

Gastrointestinal Surgery

Risk for Injury: Risk factor: inadvertent insertion of nasogastric tube through gastric incision line

Risk for ineffective Gastrointestinal Perfusion (See Gastrointestinal Perfusion, ineffective, risk for, Section III)

See Abdominal Surgery

Gastroschisis/Omphalocele

Ineffective Airway Clearance r/t complications of anesthetic effects

Impaired Gas Exchange r/t effects of anesthesia, subsequent atelectasis

Grieving r/t threatened loss of infant, loss of perfect birth or infant because of serious medical condition

Risk for deficient Fluid Volume: Risk factors: inability to feed because of condition, subsequent electrolyte imbalance

Risk for Infection: Risk factor: disrupted skin integrity with exposure of abdominal contents

Risk for Injury: Risk factors: disrupted skin integrity, ineffective protection

Gastrostomy

Risk for impaired Skin Integrity: Risk factor: presence of gastric contents on skin

See Tube Feeding

Genital Herpes

See Herpes Simplex II

Genital Warts

See STD (Sexually Transmitted Disease)

GERD

See Gastroesophageal Reflux

Gestational Diabetes (Diabetes in Pregnancy)

Anxiety r/t threat to self and/or fetus

Impaired Nutrition: less than body requirements r/t decreased insulin production and glucose uptake in cells

Impaired Nutrition: more than body requirements: fetal r/t excessive glucose uptake

Risk for delayed Development: fetal: Risk factor: endocrine disorder of mother

Risk for disproportionate Growth: fetal: Risk factor: endocrine disorder of mother

Risk for disturbed Maternal/Fetal Dyad: Risk factor: impaired glucose metabolism

Risk for impaired Tissue Integrity: fetal: Risk factors: large infant, congenital defects, birth injury

Risk for impaired Tissue Integrity: maternal: Risk factor: delivery of large infant

Risk for unstable blood Glucose: Risk factor: excessive intake of carbohydrates

Readiness for enhanced Knowledge: Expresses an interest in learning

See Diabetes Mellitus

GI Bleed (Gastrointestinal Bleeding)

Fatigue r/t loss of circulating blood volume, decreased ability to transport oxygen

Fear r/t threat to well-being, potential death

Deficient Fluid Volume r/t gastrointestinal bleeding

Imbalanced Nutrition: less than body requirements r/t nausea, vomiting

Acute Pain r/t irritated mucosa from acid secretion

Risk for ineffective Coping: Risk factors: personal vulnerability in crisis, bleeding, hospitalization

Readiness for enhanced Knowledge: Expresses an interest in learning

Gingivitis

Impaired Oral Mucous Membrane r/t ineffective oral hygiene

Glaucoma

Deficient Knowledge r/t treatment and self-care for disease

Vision Loss r/t untreated increased intraocular pressure

See Vision Impairment

Glomerulonephritis

Excess Fluid Volume r/t renal impairment

Imbalanced Nutrition: less than body requirements r/t anorexia, restrictive diet

Acute Pain r/t edema of kidney

Readiness for enhanced Knowledge: expresses an interest in learning

Gluten Allergy

See Celiac Disease

Gonorrhea

Acute Pain r/t inflammation of reproductive organs

Risk for Infection: Risk factor: spread of organism throughout reproductive organs

Readiness for enhanced Knowledge: expresses an interest in learning

See STD (Sexually Transmitted Disease)

Gout

Impaired physical Mobility r/t musculoskeletal impairment

Chronic Pain r/t inflammation of affected joint

Readiness for enhanced Knowledge: expresses an interest in learning

Grandiosity

Defensive Coping r/t inaccurate perception of self and abilities

Grand Mal Seizure

See Seizure Disorders, Adult; Seizure Disorders, Childhood

Grandparents Raising Grandchildren

Anxiety r/t change in role status

Decisional Conflict r/t support system deficit

Parental Role Conflict r/t change in parental role

Compromised family Coping r/t family role changes

Interrupted Family Processes r/t family roles shift

Ineffective Role Performance r/t role transition, aging

Ineffective family Therapeutic Regimen Management r/t excessive demands on individual or family

Risk for impaired Parenting: Risk factor: role strain

Risk for Powerlessness: Risk factors: role strain, situational crisis, aging

Risk for Spiritual Distress: Risk factor: life change

Readiness for enhanced Parenting: physical and emotional needs of children are met

Graves’ Disease

See Hyperthyroidism

Grieving

Grieving r/t anticipated or actual significant loss, change in life status, style, or function

Grieving, Complicated

Complicated Grieving r/t expected or sudden death of a significant other with whom had a volatile relationship, emotional instability, lack of social support

Risk for complicated Grieving: Risk factors: death of a significant other with whom had volatile relationship, emotional instability, lack of social support

Groom Self (Inability to)

Bathing Self-Care deficit (See Self-Care deficit, bathing, Section III)

Dressing Self-Care deficit (See Self-Care deficit, dressing, Section III)

Growth and Development Lag

Delayed Growth and Development (See Growth and Development, delayed, Section III)

Risk for disproportionate Growth (See Growth, disproportionate, risk for, Section III)

Guillain-Barré Syndrome

Impaired Spontaneous Ventilation r/t weak respiratory muscles

See Neurologic Disorders

Guilt

Grieving r/t potential loss of significant person, animal, prized material possession, change in life role

Impaired individual Resilience (See Resilience, individual, impaired, Section III)

Situational low Self-Esteem r/t unmet expectations of self

Risk for complicated Grieving: Risk factors: actual loss of significant person, animal, prized material possession, change in life role

Risk for Post-Trauma Syndrome: Risk factor: exaggerated sense of responsibility for traumatic event

Readiness for enhanced Spiritual Well-Being: desire to be in harmony with self, others, higher power or God