Risk-prone Health Behavior r/t deteriorating vision
Ineffective Coping r/t visual loss
Compromised family Coping r/t deteriorating vision of family member
Hopelessness r/t deteriorating vision
Sedentary Lifestyle r/t visual loss
Self-Neglect r/t change in vision
Social Isolation r/t inability to drive because of visual changes
Vision Loss r/t impaired visual function
Risk for Falls: Risk factor: visual difficulties
Risk for Injury: Risk factor: inability to distinguish traffic lights
Risk for Powerlessness: Risk factor: deteriorating vision
Risk for impaired Religiosity: Risk factor: possible lack of transportation
Risk for compromised Resilience: Risk factor: changing vision
Readiness for enhanced Self-Health Management: appropriate choices of daily activities for meeting the goals of a treatment program
Interrupted Family Processes r/t change in health status of family member
Self-Neglect r/t psychological disorder
Risk for ineffective Activity Planning r/t compromised ability to process information
Risk for ineffective Childbearing Process r/t psychiatric distress
Risk for Loneliness: Risk factors: social isolation associated with feelings of sadness, hopelessness
Risk for compromised Resilience: Risk factor: psychological disorder
Diarrhea r/t lactose intolerance, gluten sensitivity, resection of small bowel
Dysfunctional Gastrointestinal Motility r/t disease state
Deficient Knowledge r/t lack of information about diet and nutrition
Imbalanced Nutrition: less than body requirements r/t inability of body to absorb nutrients because of biological factors
Risk for Electrolyte Imbalance: Risk factor: hypovolemia
Risk for imbalanced Fluid Volume: Risk factor: diarrhea
Risk for disproportionate Growth: Risk factor: malnutrition from malabsorption
Contamination r/t geographic area
Risk for Contamination: Risk factors: increased environmental exposure (not wearing protective clothing, not using insecticide or repellant on skin and in room in areas where infected mosquitoes are present); inadequate defense mechanisms (inappropriate use of prophylactic regimen)
Risk for impaired Liver Function: Risk factor: complications of disease
Readiness for enhanced community Coping: uses resources available for problem solving
Readiness for enhanced Immunization Status: expresses desire to enhance immunization status and knowledge of immunization standards
Readiness for enhanced Resilience: immunization status
See Anemia
Decreased Cardiac Output r/t altered afterload, altered contractility
Fatigue r/t disease state, increased blood pressure
Excess Fluid Volume r/t decreased renal function
Risk for acute Confusion: Risk factors: increased blood urea nitrogen or creatine levels
Risk for imbalanced Fluid Volume: Risk factors: hypertension, altered renal function
Risk for ineffective Renal Perfusion: Risk factor: hypertension
Risk for ineffective Cerebral tissue perfusion: Risk factor: hypertension
Readiness for enhanced Self-Health Management: expresses desire to manage the illness, high blood pressure
Hyperthermia r/t anesthesia reaction associated with inherited condition
Risk for ineffective Renal Perfusion: Risk factor: hyperthermia
Readiness for enhanced Self-Health Management: knowledge of risk factors
Insufficient Breast Milk r/t to inadequate nutrition
Adult Failure to Thrive r/t undetected malnutrition
Deficient Knowledge r/t misinformation about normal nutrition, social isolation, lack of food preparation facilities
Imbalanced Nutrition: less than body requirements r/t inability to ingest food, digest food, or absorb nutrients because of biological, psychological, or economic factors; institutionalization (i.e., lack of menu choices)
Ineffective Protection r/t inadequate nutrition
Ineffective Self-Health Management r/t inadequate nutrition
Self-Neglect r/t inadequate nutrition
Risk for disproportionate Growth: Risk factor: malnutrition
Risk for Powerlessness: Risk factor: possible inability to provide adequate nutrition
Readiness for enhanced Resilience: responsibility for self-care
Readiness for enhanced Self-Health Management: follows guidelines for screening
Anxiety r/t change in role function
Ineffective Coping r/t situational crisis
Ineffective Denial r/t fear of inability to control behavior
Interrupted Family Processes r/t family member’s illness
Risk-prone Health Behavior r/t low self-efficacy
Impaired Home Maintenance r/t altered psychological state, inability to concentrate
Disturbed personal Identity r/t manic state
Insomnia r/t constant anxious thoughts
Noncompliance r/t denial of illness
Imbalanced Nutrition: less than body requirements r/t lack of time and motivation to eat, constant movement
Impaired individual Resilience r/t psychological disorder
Ineffective Role Performance r/t impaired social interactions
Ineffective Self-Health Management r/t unpredictability of client, excessive demands on family, chronic illness, social support deficit
Sleep deprivation r/t hyperagitated state
Risk for ineffective Activity Planning r/t inability to process information
Risk for Caregiver Role Strain: Risk factor: unpredictability of condition
Risk for imbalanced Fluid Volume: Risk factor: hypovolemia
Risk for Powerlessness: Risk factor: inability to control changes in mood
Risk for impaired Religiosity: Risk factor: depression
Risk for Spiritual Distress: Risk factor: depression
Risk for Suicide: Risk factor: bipolar disorder
Risk for self- or other-directed Violence: Risk factors: hallucinations, delusions
Readiness for enhanced Hope: expresses desire to enhance problem-solving goals
Impaired Comfort r/t incision; surgery
Deficient Knowledge r/t lack of exposure to information regarding care after surgery and at home
Urinary Retention r/t swelling of urinary meatus
Risk for Infection: Risk factor: presence of urinary catheter
Defensive Coping r/t superior attitude toward others
Ineffective Coping r/t inappropriate use of defense mechanisms
Self-Mutilation r/t use of manipulation to obtain nurturing relationship with others
Self-Neglect r/t maintaining control
Impaired Social Interaction r/t self-concept disturbance
Risk for Loneliness: Risk factor: inability to interact appropriately with others
Risk for situational low Self-Esteem: Risk factor: history of learned helplessness
Risk for Self-Mutilation: Risk factor: inability to cope with increased psychological or physiological tension in healthy manner
Decreased Cardiac Output r/t dilation of the aortic root, dissection or rupture of the aorta
Risk for decreased Cardiac tissue perfusion: Risk factor: heart-related complications from Marfan syndrome
Readiness for enhanced Self-Health Management: describes reduction of risk factors
Impaired Comfort r/t surgical procedure
Deficient Knowledge r/t lack of exposure to information regarding care after surgery and at home
Acute Pain r/t manipulation of organs, surgical incision
Urinary Retention r/t swelling of urinary meatus
Risk for Bleeding: Risk factor: surgical procedure
Risk for Infection: Risk factor: presence of urinary catheter
Disturbed Body Image r/t loss of sexually significant body part
Impaired Comfort r/t altered body image; difficult diagnosis
Death Anxiety r/t threat of mortality associated with breast cancer
Fear r/t change in body image, prognosis
Deficient Knowledge r/t self-care activities
Acute Pain r/t surgical procedure
Sexual Dysfunction r/t change in body image, fear of loss of femininity
Chronic Sorrow r/t disturbed body image, unknown long-term health status
Spiritual Distress r/t change in body image
Risk for Infection: Risk factors: surgical procedure; broken skin
Risk for impaired physical Mobility: Risk factors: nerve or muscle damage, pain
Risk for Post-Trauma Syndrome: Risk factors: loss of body part, surgical wounds
Risk for Powerlessness: Risk factor: fear of unknown outcome of procedure
Risk for compromised Resilience: Risk factor: altered body image
See Cancer; Modified Radical Mastectomy; Surgery, Perioperative; Surgery, Postoperative; Surgery, Preoperative
Anxiety r/t threat to self, concern over safety of milk for infant
Ineffective Breastfeeding r/t breast pain, conflicting advice from health care providers
Deficient Knowledge r/t antibiotic regimen, comfort measures
Acute Pain r/t infectious disease process, swelling of breast tissue
Ineffective Role Performance r/t change in capacity to function in expected role
Risk for disturbed Maternal/Fetal Dyad: Risk factors: interrupted/ineffective breastfeeding
Ineffective Childbearing Process r/t unwanted pregnancy/lack of support system
Ineffective Coping r/t maturational crises
Risk-prone Health Behavior r/t inadequate comprehension, negative attitude toward health care
Interrupted Family Processes r/t developmental crises of adolescence resulting from challenge of parental authority and values, situational crises from change in parental marital status
Deficient Knowledge: potential for enhanced health maintenance r/t information misinterpretation, lack of education regarding age-related factors
Impaired Social Interaction r/t ineffective, unsuccessful, or dysfunctional interaction with peers
Social Isolation r/t perceived alteration in physical appearance, social values not accepted by dominant peer group
Risk for Ineffective Activity Planning r/t unrealistic perception of personal competencies
Risk for Injury/Trauma: Risk factor: thrill-seeking behaviors
Risk for disturbed personal Identity r/t maturational issues
Risk for chronic low Self-Esteem r/t lack of sense of belonging in peer group
Risk for situational low Self-Esteem: Risk factor: developmental changes
Readiness for enhanced Communication: expressing willingness to communicate with parental figures
Readiness for enhanced Relationship: expresses desire to enhance communication with parental figures
See Sexuality, Adolescent; Substance Abuse (if relevant)
Disturbed Body Image r/t altered pigmentation, surgical incision
Ineffective Health Maintenance r/t deficient knowledge regarding self-care and treatment of melanoma
Acute Pain r/t surgical incision
Readiness for enhanced Self-Health Management: describes reduction of risk factors; protection from sunlight’s ultraviolet rays
See Cancer
Fear r/t presence of blood in feces
Risk for Injury: Risk factor: symptoms from disease
Readiness for enhanced Self-Health Management: expresses desire to manage illness
Ineffective Airway Clearance r/t seizure activity
Impaired Comfort r/t altered health status
Excess Fluid Volume r/t increased intracranial pressure, syndrome of inappropriate secretion of antidiuretic hormone
Delayed Growth and Development r/t effects of physical disability
Decreased Intracranial Adaptive Capacity r/t sustained increase in intracranial pressure of 10 to 15 mm Hg
Impaired Mobility r/t neuromuscular or central nervous system insult
Acute Pain r/t biological injury
Risk for Aspiration: Risk factor: seizure activity
Risk for acute Confusion: Risk factor: infection of brain
Risk for Falls: Risk factor: neuromuscular dysfunction
Risk for Injury: Risk factor: seizure activity
Risk for compromised Resilience: Risk factor: illness
Risk for Shock: Risk factor: infection
Risk for ineffective Cerebral tissue perfusion: Risk factors: inflamed cerebral tissues and meninges, increased intracranial pressure; infection
Readiness for enhanced Immunization Status: expresses desire to enhance immunization status and knowledge of immunization standards
Impaired Comfort r/t symptoms associated with menopause
Impaired Memory r/t change in hormonal levels
Sexual Dysfunction r/t menopausal changes
Ineffective Sexuality Pattern r/t altered body structure, lack of physiological lubrication, lack of knowledge of artificial lubrication
Ineffective Thermoregulation r/t changes in hormonal levels
Risk for urge urinary Incontinence: Risk factor: changes in hormonal levels affecting bladder function
Risk for imbalanced Nutrition: more than body requirements: Risk factor: change in metabolic rate caused by fluctuating hormone levels
Risk for Powerlessness: Risk factor: changes associated with menopause
Risk for compromised Resilience: Risk factor: menopause
Risk for situational low Self-Esteem: Risk factors: developmental changes, menopause
Readiness for enhanced Self-Care: expresses satisfaction with body image
Readiness for enhanced Self-Health Management: verbalized desire to manage menopause
Readiness for enhanced Spiritual Well-Being: desire for harmony of mind, body, and spirit
Fear r/t loss of large amounts of blood
Risk for deficient Fluid Volume: Risk factor: excessive loss of menstrual blood
Compromised family Coping r/t lack of available support from client
Defensive Coping r/t psychological impairment, substance abuse
Disabled family Coping r/t chronically unexpressed feelings of guilt, anxiety, hostility, or despair
Ineffective Coping r/t situational crisis, coping with mental illness
Ineffective Denial r/t refusal to acknowledge abuse problem, fear of the social stigma of disease
Risk-prone Health Behavior r/t low self-efficacy
Disturbed personal Identity r/t psychoses
Ineffective Relationship r/t effects of mental illness in partner relationship
Chronic Sorrow r/t presence of mental illness
Stress overload r/t multiple coexisting stressors
Ineffective family Therapeutic Regimen Management r/t chronicity of condition, unpredictability of client, unknown prognosis
Risk for Loneliness: Risk factor: social isolation
Risk for Powerlessness: Risk factor: lifestyle of helplessness
Risk for compromised Resilience: Risk factor: chronic illness
Risk for chronic low Self-Esteem r/t presence of mental illness/repeated negative reinforcement
Impaired verbal Communication r/t developmental delay
Interrupted Family Processes r/t crisis of diagnosis and situational transition
Grieving r/t loss of perfect child, birth of child with congenital defect or subsequent head injury
Delayed Growth and Development r/t cognitive or perceptual impairment, developmental delay
Deficient community Health r/t lack of programs to address developmental deficiencies
Impaired Home Maintenance r/t insufficient support systems
Self-Neglect r/t learning disability
Self-Care deficit: bathing, dressing, feeding, toileting r/t perceptual or cognitive impairment
Self-Mutilation r/t inability to express tension verbally
Social Isolation r/t delay in accomplishing developmental tasks
Spiritual Distress r/t chronic condition of child with special needs
Stress overload r/t intense, repeated stressor (chronic condition)
Impaired Swallowing r/t neuromuscular impairment
Risk for ineffective Activity Planning r/t inability to process information
Risk for delayed Development: Risk factor: cognitive or perceptual impairment
Risk for disproportionate Growth: Risk factor: mental retardation
Risk for impaired Religiosity: Risk factor: social isolation
Risk for Self-Mutilation: Risk factors: separation anxiety, depersonalization
Readiness for enhanced family Coping: adaptation and acceptance of child’s condition and needs
Deficient Fluid Volume r/t fluid volume loss, vomiting, gastric suctioning, failure of regulatory mechanisms
See MRSA (Methicillin-Resistant Staphylococcus aureus)
Anxiety r/t threat of death, possible change in role status
Decreased Cardiac Output r/t ventricular damage, ischemia, dysrhythmias
Constipation r/t decreased peristalsis from decreased physical activity, medication effect, change in diet
Ineffective family Coping r/t spouse or significant other’s fear of partner loss
Death Anxiety r/t seriousness of medical condition
Ineffective Denial r/t fear, deficient knowledge about heart disease
Interrupted Family Processes r/t crisis, role change
Ineffective Health Maintenance r/t deficient knowledge regarding self-care and treatment
Acute Pain r/t myocardial tissue damage from inadequate blood supply
Situational low Self-Esteem r/t crisis of MI
Ineffective Sexuality Pattern r/t fear of chest pain, possibility of heart damage
Risk for Powerlessness: Risk factor: acute illness
Risk for Shock: Risk factors: hypotension, hypoxia
Risk for Spiritual Distress: Risk factors: physical illness: MI
Risk for decreased Cardiac tissue perfusion: Risk factors: coronary artery spasm, hypertension, hypoxia
Readiness for enhanced Knowledge: expresses an interest in learning about condition
See Angioplasty (Coronary); Coronary Artery Bypass Grafting (CABG)
Risk for Bleeding: Risk factor: surgery
Risk for Infection: Risk factor: large breasts on incision line
Readiness for enhanced Self-Health Management: pre- and postoperative care associated with the surgery
See Angioplasty, Coronary; Coronary Artery Bypass Grafting (CABG)
Ineffective Coping r/t inability to deal with changes associated with aging
Powerlessness r/t lack of control over life situation
Spiritual Distress r/t questioning beliefs or value system
Risk for disturbed personal Identity r/t social role change
Risk for chronic low Self-Esteem
Readiness for enhanced Relationship: meets goals for lifestyle change
Readiness for enhanced Spiritual Well-Being: desire to find purpose and meaning to life
Impaired Comfort r/t altered health status
Disturbed Energy Field r/t pain, disruption of normal flow of energy
Ineffective Health Maintenance r/t deficient knowledge regarding prevention and treatment of headaches
Acute Pain: headache r/t vasodilation of cerebral and extracerebral vessels
Risk for compromised Resilience: Risk factors: chronic illness, impaired comfort
Readiness for enhanced Self-Health Management: expressed desire to manage the illness
See MIDCAB (Minimally Invasive Direct Coronary Artery Bypass)
Activity Intolerance r/t imbalance between oxygen supply and demand
Anxiety r/t possible worsening of symptoms, activity intolerance, fatigue
Decreased Cardiac Output r/t incompetent heart valves, abnormal forward or backward blood flow, flow into a dilated chamber, flow through an abnormal passage between chambers
Fatigue r/t reduced cardiac output
Ineffective Health Maintenance r/t deficient knowledge regarding self-care with disorder
Risk for Infection: Risk factors: invasive procedure, risk for endocarditis
Risk for decreased Cardiac tissue perfusion: Risk factor: incompetent heart valve
Anxiety r/t symptoms of condition: palpitations, chest pain
Fatigue r/t abnormal catecholamine regulation, decreased intravascular volume
Fear r/t lack of knowledge about mitral valve prolapse, feelings of having a heart attack
Ineffective Health Maintenance r/t deficient knowledge regarding methods to relieve pain and treat dysrhythmia and shortness of breath, need for prophylactic antibiotics before invasive procedures
Acute Pain r/t mitral valve regurgitation
Risk for Infection: Risk factor: invasive procedures
Risk for Powerlessness: Risk factor: unpredictability of onset of symptoms
Risk for ineffective Cerebral tissue perfusion: Risk factor: postural hypotension
Readiness for enhanced Knowledge: expresses an interest in learning about condition
Impaired physical Mobility (See Mobility, physical, impaired, Section III)
Impaired wheelchair Mobility (See Mobility, wheelchair, impaired, Section III)
Decisional Conflict r/t treatment of choice
Readiness for enhanced Communication: willingness to enhance communication
See Mastectomy
Activity Intolerance r/t generalized weakness
Impaired Comfort r/t sore throat, muscle aches
Fatigue r/t disease state, stress
Ineffective Health Maintenance r/t deficient knowledge concerning transmission and treatment of disease
Hyperthermia r/t infectious process
Acute Pain r/t enlargement of lymph nodes, oropharyngeal edema
Impaired Swallowing r/t enlargement of lymph nodes, oropharyngeal edema
Risk-prone Health Behavior r/t hopelessness, altered locus of control
Caregiver Role Strain r/t symptoms associated with disorder of care receiver
Social Isolation r/t alterations in mental status
Risk for situational low Self-Esteem: Risk factor: unpredictable changes in mood
Readiness for enhanced Communication: expresses feelings
See specific disorder: Depression (Major Depressive Disorder); Dysthymic Disorder; Hypomania; Manic Disorder, Bipolar I
Disturbed Body Image r/t change in appearance from disease and medication
Risk for situational low Self-Esteem: Risk factor: change in body image
Decisional Conflict r/t questioning personal values and belief, which alter decision
Moral Distress r/t conflicting information guiding moral or ethical decision-making
Risk for Powerlessness: Risk factor: lack of knowledge to make a decision
Risk for Spiritual Distress: Risk factor: moral or ethical crisis
Readiness for enhanced Decision-Making: expresses desire to enhance congruency of decisions with personal values and goals
Readiness for enhanced Religiosity: requests assistance in expanding religious options
Readiness for enhanced Resilience: vulnerable state
Readiness for enhanced Spiritual Well-Being: request for interaction with others regarding difficult decisions
Ineffective peripheral Tissue Perfusion r/t interruption of arterial flow, decreased circulating blood volume
Anxiety r/t fear of being in closed spaces
Deficient Knowledge r/t unfamiliarity with information resources; exam information
Readiness for enhanced Knowledge: expresses interest in learning about exam
Readiness for enhanced Self-Health Management: describes reduction of risk factors associated with exam
Impaired Skin Integrity r/t infection
Delayed Surgical Recovery r/t infection
Impaired Tissue Integrity r/t wound, infection
Risk for Loneliness: Risk factor: physical isolation
Impaired Oral Mucous Membrane (See Oral Mucous Membrane, impaired, Section III)
Anxiety r/t uncertain outcome of pregnancy
Insufficient Breast Milk r/t multiple births
Ineffective Childbearing Process r/t unavailable support system
Death Anxiety r/t maternal complications associated with multiple gestation
Fatigue r/t physiological demands of a multifetal pregnancy and/or care of more than one infant
Impaired Home Maintenance r/t fatigue
Stress urinary Incontinence r/t increased pelvic pressure
Insomnia r/t impairment of normal sleep pattern; parental responsibilities
Neonatal Jaundice r/t feeding pattern not well established
Deficient Knowledge r/t caring for more than one infant
Impaired physical Mobility r/t increased uterine size
Imbalanced Nutrition: less than body requirements r/t physiological demands of a multifetal pregnancy
Stress overload r/t multiple coexisting stressors, family demands
Impaired Transfer Ability r/t enlarged uterus
Risk for ineffective Breastfeeding: Risk factors: lack of support, physical demands of feeding more than one infant
Risk for Constipation: Risk factor: enlarged uterus
Risk for delayed Development: fetus: Risk factor: multiple gestation
Risk for disproportionate Growth: fetus: Risk factor: multiple gestation
Risk for Neonatal Jaundice r/t feeding pattern not well-established
Readiness for enhanced Childbearing Process: demonstrates appropriate care for infant and mother
Readiness for enhanced Family Processes: family adapting to change with more than one infant
Anxiety r/t loss of control of behavior and feelings
Disturbed Body Image r/t psychosocial changes
Defensive Coping r/t unresolved past traumatic events, severe anxiety
Ineffective Coping r/t history of abuse
Hopelessness r/t long-term stress
Disturbed personal Identity r/t severe child abuse
Chronic low Self-Esteem r/t rejection, failure
Risk for Self-Mutilation: Risk factor: need to act out to relieve stress
Readiness for enhanced Communication: willingness to discuss problems associated with condition
See Dissociative Identity Disorder (Not Otherwise Specified)
Ineffective Activity Planning r/t unrealistic perception of personal competence
Ineffective Airway Clearance r/t decreased energy or fatigue
Disturbed Energy Field r/t disruption in energy flow resulting from disharmony between mind and body
Impaired physical Mobility r/t neuromuscular impairment
Self-Neglect r/t functional impairment
Powerlessness r/t progressive nature of disease
Self-Care deficit: specify r/t neuromuscular impairment
Sexual Dysfunction r/t biopsychosocial alteration of sexuality
Chronic Sorrow r/t loss of physical ability
Spiritual Distress r/t perceived hopelessness of diagnosis
Urinary Retention r/t inhibition of the reflex arc
Risk for Latex Allergy Response: Risk factor: possible repeated exposures to latex associated with intermittent catheterizations
Risk for Disuse Syndrome: Risk factor: physical immobility
Risk for Injury: Risk factors: altered mobility, sensory dysfunction
Risk for imbalanced Nutrition: less than body requirements: Risk factors: impaired swallowing, depression
Risk for Powerlessness: Risk factor: chronic illness
Risk for impaired Religiosity: Risk factor: illness
Risk for Thermal Injury r/t neuromuscular impairment
Readiness for enhanced Self-Care: expresses desire to enhance knowledge of strategies and responsibility for self-care
Readiness for enhanced Self-Health Management: expresses a desire to manage condition
Readiness for enhanced Spiritual Well-Being: struggling with chronic debilitating condition
Decreased Cardiac Output r/t altered preload/afterload
Risk for decreased Cardiac tissue perfusion: Risk factor: incompetent valve
Activity Intolerance r/t fatigue
Ineffective Activity Planning r/t unrealistic perception of personal competence
Ineffective Airway Clearance r/t muscle weakness and decreased ability to cough
Disturbed Energy Field r/t illness
Fatigue r/t increased energy requirements to perform activities of daily living
Impaired Mobility r/t muscle weakness and development of contractures
Imbalanced Nutrition: less than body requirements r/t impaired swallowing or chewing
Imbalanced Nutrition: more than body requirements r/t inactivity
Self-Care deficit: feeding, bathing, dressing, toileting r/t muscle weakness and fatigue
Self-Neglect r/t functional impairment
Impaired Transfer Ability r/t muscle weakness
Impaired Walking r/t muscle weakness
Risk for Aspiration: Risk factor: impaired swallowing
Risk for ineffective Breathing Pattern: Risk factor: muscle weakness
Risk for Disuse Syndrome: Risk factor: complications of immobility
Risk for Falls: Risk factor: muscle weakness
Risk for impaired Gas Exchange: Risk factors: ineffective airway clearance and ineffective breathing pattern caused by muscle weakness
Risk for Infection: Risk factor: pooling of pulmonary secretions as a result of immobility and muscle weakness
Risk for Injury: Risk factors: muscle weakness and unsteady gait
Risk for Powerlessness: Risk factor: chronic condition
Risk for impaired Religiosity: Risk factor: illness
Risk for compromised Resilience: Risk factor: chronic illness
Risk for impaired Skin Integrity: Risk factors: immobility, braces, or adaptive devices
Risk for situational low Self-Esteem: Risk factor: presence of chronic condition
Risk for decreased Cardiac tissue perfusion: Risk factor: hypoxia associated with cardiomyopathy
Readiness for enhanced Self-Concept: acceptance of strength and abilities
Ineffective Airway Clearance r/t decreased ability to cough and swallow
Interrupted Family Processes r/t crisis of dealing with diagnosis
Fatigue r/t paresthesia, aching muscles
Impaired physical Mobility r/t defective transmission of nerve impulses at the neuromuscular junction
Imbalanced Nutrition: less than body requirements r/t difficulty eating and swallowing
Impaired Swallowing r/t neuromuscular impairment
Risk for Caregiver Role Strain: Risk factor: severity of illness of client
Risk for impaired Religiosity: Risk factor: illness
Risk for compromised Resilience: Risk factor: new diagnosis of chronic, serious illness
Readiness for enhanced Spiritual Well-Being: heightened coping with serious illness
Acute Pain r/t irritation of nerve roots
Urinary Retention r/t pressure on spinal nerve roots
Risk for deficient Fluid Volume: Risk factor: possible dehydration
Risk for ineffective Cerebral tissue perfusion: Risk factors: hypotension, loss of cerebrospinal fluid
Activity Intolerance r/t reduced cardiac reserve and prescribed bed rest
Decreased Cardiac Output r/t altered preload/afterload
Deficient Knowledge r/t treatment of disease
Risk for decreased Cardiac tissue perfusion: Risk factors: hypoxia, hypovolemia, cardiac tamponade
Readiness for enhanced Knowledge: treatment of disease
See CHF (Congestive Heart Failure), if appropriate
Fear r/t hospitalization, surgical procedure
Ineffective Health Maintenance r/t deficient knowledge regarding care after surgery
Acute Pain r/t surgical procedure
Risk for Infection: Risk factor: invasive procedure
See Ear Surgery