Impaired Swallowing r/t neuromuscular impairment
Risk for Aspiration: Risk factors: depressed cough or gag reflex
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
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
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
Impaired Skin Integrity: diaper rash r/t acidic excretions on perineal tissues
Readiness for enhanced Knowledge: expresses an interest in learning
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
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
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)
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
Risk for impaired Skin Integrity: Risk factor: presence of gastric contents on skin
See Tube Feeding
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
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
Deficient Knowledge r/t treatment and self-care for disease
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
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
Impaired physical Mobility r/t musculoskeletal impairment
Chronic Pain r/t inflammation of affected joint
Readiness for enhanced Knowledge: expresses an interest in learning
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
Grieving r/t anticipated or actual significant loss, change in life status, style, or function
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
Bathing Self-Care deficit (See Self-Care deficit, bathing, Section III)
Dressing Self-Care deficit (See Self-Care deficit, dressing, Section III)
Delayed Growth and Development (See Growth and Development, delayed, Section III)
Risk for disproportionate Growth (See Growth, disproportionate, risk for, Section III)
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