Anxiety r/t fear of the unknown, situational crisis
Deficient Knowledge r/t lack of preparation for labor
Acute Pain r/t uterine contractions, stretching of cervix and birth canal
Impaired Tissue Integrity r/t passage of infant through birth canal, episiotomy
Risk for deficient Fluid Volume: Risk factor: excessive loss of blood
Risk for Infection: Risk factors: multiple vaginal examinations, tissue trauma, prolonged rupture of membranes
Risk for Injury: fetal: Risk factor: hypoxia
Risk for Post-Trauma Syndrome: Risk factors: trauma or violence associated with labor pains, medical or surgical interventions, history of sexual abuse
Risk for Powerlessness: Risk factor: labor process
Readiness for enhanced Childbearing Process: responds appropriately, is proactive, bonds with infant and uses support systems
Readiness for enhanced family Coping: significant other providing support during labor
Readiness for enhanced Power: expresses readiness to enhance participation in choices regarding treatment during labor
Readiness for enhanced Self-Health Management: prenatal care and childbirth education birth process
Ineffective Self-Health Management r/t delay in seeking treatment for respiratory and ear infections
Readiness for enhanced Self-Health Management: management of episodes
Risk for Infection: Risk factor: broken skin
Risk for Trauma: Risk factor: children playing with dangerous objects
Readiness for enhanced Self-Health Management: proper care of injury
See Breastfeeding, Ineffective; Breastfeeding, Interrupted; Breastfeeding, Readiness for Enhanced
Decreased Cardiac Output r/t altered heart rate/rhythm, preload, and contractility
Risk for Electrolyte Imbalance: Risk factor: impaired regulatory mechanism
Risk for decreased Cardiac tissue perfusion: Risk factor: hypoxia
Readiness for enhanced Knowledge: interest in identifying lactose intolerance, treatment, and substitutes for milk products
Anxiety r/t change in health status, surgical procedure
Impaired Comfort r/t surgical procedure
Deficient Knowledge r/t appropriate postoperative and postdischarge activities
Impaired physical Mobility r/t neuromuscular impairment
Acute Pain r/t localized inflammation and edema
Urinary Retention r/t competing sensory impulses, effects of opioids or anesthesia
Risk for Bleeding: Risk factor: surgery
Risk for Infection: Risk factor: invasive procedure
Risk for Perioperative Positioning Injury: Risk factor: prone position
Risk for ineffective, cerebral, peripheral tissue and or decreased cardiac Tissue Perfusion: Risk factors: edema, hemorrhage, embolism
See Scoliosis; Surgery, Perioperative; Surgery, Postoperative; Surgery, Preoperative
Urge urinary Incontinence r/t pressure on the bladder from gas
Acute Pain: shoulder r/t gas irritating the diaphragm
Risk for ineffective Gastrointestinal Perfusion: Risk factor: complications from procedure
Ineffective Airway Clearance r/t surgical removal of glottis, decreased humidification of air
Disturbed Body Image r/t change in body structure and function
Death Anxiety r/t unknown results of surgery
Interrupted Family Processes r/t surgery, serious condition of family member, difficulty communicating
Grieving r/t loss of voice, fear of death
Imbalanced Nutrition: less than body requirements r/t absence of oral feeding, difficulty swallowing, increased need for fluids
Impaired Oral Mucous Membrane r/t absence of oral feeding
Chronic Sorrow r/t change in body image
Ineffective Self-Health Management r/t deficient knowledge regarding self-care with laryngectomy
Impaired Swallowing r/t edema, laryngectomy tube
Impaired verbal Communication r/t removal of larynx
Risk for Electrolyte Imbalance: Risk factor: fluid imbalance
Risk for complicated Grieving: Risk factors: loss, major life event
Risk for compromised Human Dignity: Risk factor: loss of control of body function
Risk for Infection: Risk factors: invasive procedure, surgery
Risk for Powerlessness: Risk factors: chronic illness, change in communication
Risk for compromised Resilience: Risk factor: change in health status
Risk for situational low Self-Esteem: Risk factor: disturbed body image
Constipation r/t laser intervention in vulval and perianal areas
Deficient Knowledge r/t preoperative and postoperative care associated with laser procedure
Acute Pain r/t heat from laser
Risk for Bleeding: Risk factor: surgery
Risk for Infection: Risk factor: delayed heating reaction of tissue exposed to laser
Risk for Injury: Risk factor: accidental exposure to laser beam
Decisional Conflict r/t decision to have the surgery
Risk for Infection r/t surgery
Readiness for enhanced Self-Health Management: surgical procedure pre- and postoperative teaching and expectations
Latex Allergy Response (See Latex Allergy Response, Section III)
Risk for Latex Allergy Response (See Latex Allergy Response, risk for, Section III)
Readiness for enhanced Knowledge: prevention and treatment of exposure to latex products
Perceived Constipation r/t health belief, faulty appraisal, impaired thought processes
Contamination r/t flaking, peeling paint in presence of young children
Contamination r/t contaminated water in air-conditioning systems
See Pneumonia
Adult Failure to Thrive r/t apathy
Fatigue r/t decreased metabolic energy production
Insomnia r/t internal or external stressors
Risk for ineffective Cerebral tissue perfusion: Risk factor: lack of oxygen supply to brain
See cause of Lethargy/Listlessness
Ineffective Protection r/t abnormal blood profile
Risk for imbalanced Fluid Volume: Risk factors: nausea, vomiting, bleeding, side effects of treatment
Risk for Infection: Risk factor: ineffective immune system
Risk for compromised Resilience: Risk factor: serious illness
See Cancer; Chemotherapy
Impaired Comfort r/t inflammation, pruritus
Impaired Home Maintenance r/t close unsanitary, overcrowded conditions
Readiness for enhanced Self-Health Management: preventing and treating infestation
Sedentary lifestyle (See Sedentary lifestyle, Section III)
Risk for ineffective peripheral Tissue Perfusion r/t lack of movement
Anxiety r/t unknown outcome of reattachment procedure, use and appearance of limb
Disturbed Body Image r/t unpredictability of function and appearance of reattached body part
Grieving r/t unknown outcome of reattachment procedure
Spiritual Distress r/t anxiety about condition
Stress overload r/t multiple coexisting stressors, physical demands
Risk for Bleeding: Risk factor: severed vessels
Risk for Perioperative Positioning Injury: Risk factor: immobilization
Risk for Peripheral Neurovascular Dysfunction: Risk factors: trauma, orthopedic and neurovascular surgery, compression of nerves and blood vessels
Risk for Powerlessness: Risk factor: unknown outcome of procedure
Risk for impaired Religiosity: Risk factors: suffering, hospitalization
Disturbed Body Image r/t dissatisfaction with unwanted fat deposits in body
Risk for compromised Resilience: Risk factor: body image disturbance
Readiness for enhanced Decision-Making: expressed desire to make decision regarding liposuction
Readiness for enhanced Self-Concept: satisfaction with new body image
See Surgery, Perioperative Care; Surgery, Postoperative Care; Surgery, Preoperative Care
Readiness for enhanced Self-Health Management: expresses desire for information related to procedure and aftercare and prevention of stones
See Kidney Stone
Anxiety r/t procedure and results
Risk for deficient Fluid Volume: Risk factor: hemorrhage from biopsy site
Risk for Powerlessness: Risk factor: inability to control outcome of procedure
Risk for ineffective Gastrointestinal Perfusion: Risk factor: liver dysfunction
Risk for impaired Liver Function: Risk factor: disease process
Risk for compromised Resilience: Risk factor: serious illness
Risk for impaired Liver Function (See Liver Function, impaired, risk for, Section III)
Impaired Comfort r/t surgical pain
Decisional Conflict r/t acceptance of donor liver
Ineffective Protection r/t immunosuppressive therapy
Risk for impaired Liver Function: Risk factors: possible rejection, infection
Readiness for enhanced Family Processes: change in physical needs of family member
Readiness for enhanced Self-Health Management: desire to manage the treatment and prevention of complications posttransplant
Readiness for enhanced Spiritual Well-Being: heightened coping
See Surgery, Perioperative Care; Surgery, Postoperative Care; Surgery, Preoperative Care
Moral Distress r/t end-of-life decisions
Readiness for enhanced Decision-Making: expresses desire to enhance understanding of choices for decision making
Readiness for enhanced Relationship: shares information with others
Readiness for enhanced Religiosity: request to meet with religious leaders or facilitators
Readiness for enhanced Resilience: uses effective communication
Readiness for enhanced Spiritual Well-Being: acceptance of and preparation for end of life
Spiritual Distress r/t loneliness, social alienation
Risk for Loneliness (See Loneliness, risk for, Section III)
Risk for impaired Religiosity: Risk factor: lack of social interaction
Risk for situational low Self-Esteem: Risk factors: failure, rejection
Readiness for enhanced Hope: expresses desire to enhance interconnectedness with others
Readiness for enhanced Relationship: expresses satisfaction with complementary relationship between partners
Diarrhea r/t increased gastric motility
Risk for dysfunctional Gastrointestinal Motility: Risk factor: diarrhea
See cause of Loose Stools; Diarrhea
Impaired Comfort r/t back pain
Ineffective Health Maintenance r/t deficient knowledge regarding self-care with back pain
Impaired physical Mobility r/t back pain
Chronic Pain r/t degenerative processes, musculotendinous strain, injury, inflammation, congenital deformities
Urinary Retention r/t possible spinal cord compression
Risk for Powerlessness: Risk factor: living with chronic pain
Readiness for enhanced Self-Health Management: expressed desire for information to manage pain
Anxiety r/t invasive procedure and unknown results
Deficient Knowledge r/t information about procedure
Acute Pain r/t possible loss of cerebrospinal fluid
Risk for Infection: Risk factor: invasive procedure
Risk for ineffective Cerebral tissue perfusion: Risk factor: treatment-related side effects
Decisional Conflict r/t treatment choices
Readiness for enhanced Knowledge: preoperative and postoperative care
Readiness for enhanced Spiritual Well-Being: hope of benign diagnosis
See Cancer
Disturbed Body Image r/t change in skin, rash, lesions, ulcers, mottled erythema
Fatigue r/t increased metabolic requirements
Ineffective Health Maintenance r/t deficient knowledge regarding medication, diet, activity
Acute Pain r/t inflammatory process
Powerlessness r/t unpredictability of course of disease
Impaired Religiosity r/t ineffective coping with disease
Chronic Sorrow r/t presence of chronic illness
Spiritual Distress r/t chronicity of disease, unknown etiology
Risk for compromised Resilience: Risk factor: chronic disease
Risk for impaired Skin Integrity: Risk factors: chronic inflammation, edema, altered circulation
Risk for decreased Cardiac tissue perfusion: Risk factor: altered circulation
Impaired Comfort r/t inflammation
Fatigue r/t increased energy requirements
Deficient Knowledge r/t lack of information concerning disease, prevention, treatment
Acute Pain r/t inflammation of joints, urticaria, rash
Risk for decreased Cardiac Output: Risk factor: dysrhythmia
Risk for Powerlessness: Risk factor: possible chronic condition