M

Macular Degeneration

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

Magnetic Resonance Imaging (MRI)

See MRI (Magnetic Resonance Imaging)

Major Depressive Disorder

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

See Depression (Major Depressive Disorder)

Malabsorption Syndrome

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

See Abdominal Distention

Maladaptive Behavior

See Crisis; Post-Trauma Syndrome; Suicide Attempt

Malaise

See Fatigue

Malaria

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

Male Infertility

See Erectile Dysfunction (ED); Infertility

Malignancy

See Cancer

Malignant Hypertension (Arteriolar Nephrosclerosis)

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

Malignant Hyperthermia

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

Malnutrition

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

Mammography

Readiness for enhanced Resilience: responsibility for self-care

Readiness for enhanced Self-Health Management: follows guidelines for screening

Manic Disorder, Bipolar I

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

Self-Neglect r/t manic state

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

Manipulation of Organs, Surgical Incision

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

Manipulative Behavior

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

Marasmus

See Failure to Thrive, Nonorganic

Marfan Syndrome

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

See Mitral Valve Prolapse; Scoliosis

Marshall-Marchetti-Krantz Operation

Preoperative

Stress urinary Incontinence r/t weak pelvic muscles and pelvic supports

Postoperative

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

Mastectomy

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

Nausea r/t chemotherapy

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

Mastitis

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

Maternal Infection

Ineffective Protection r/t invasive procedures, traumatized tissue

See Postpartum, Normal Care

Maturational Issues, Adolescent

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)

Maze III Procedure

See Dysrhythmia; Open Heart Surgery

MD (Muscular Dystrophy)

See Muscular Dystrophy (MD)

Measles (Rubeola)

See Communicable Diseases, Childhood

Meconium Aspiration

See Respiratory Conditions of the Neonate

Meconium Delayed

Risk for Neonatal Jaundice r/t inadequate breast milk intake

Melanoma

Disturbed Body Image r/t altered pigmentation, surgical incision

Fear r/t threat to well-being

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

Melena

Fear r/t presence of blood in feces

Risk for imbalanced Fluid Volume: Risk factor: hemorrhage

See GI Bleed (Gastrointestinal Bleeding)

Memory Deficit

Impaired Memory (See Memory, impaired, Section III)

Ménière’s Disease

Risk for Injury: Risk factor: symptoms from disease

Readiness for enhanced Self-Health Management: expresses desire to manage illness

See Dizziness; Nausea; Vertigo

Meningitis/Encephalitis

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

See Hospitalized Child

Meningocele

See Neural Tube Defects

Menopause

Impaired Comfort r/t symptoms associated with menopause

Insomnia r/t hormonal shifts

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

Menorrhagia

Fear r/t loss of large amounts of blood

Risk for deficient Fluid Volume: Risk factor: excessive loss of menstrual blood

Mental Illness

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

Mental Retardation

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

See Child with Chronic Condition; Safety, Childhood

Metabolic Acidosis

See Ketoacidosis, Alcoholic; Ketoacidosis, Diabetic

Metabolic Alkalosis

Deficient Fluid Volume r/t fluid volume loss, vomiting, gastric suctioning, failure of regulatory mechanisms

Metastasis

See Cancer

Methicillin-Resistant Staphylococcus aureus (MRSA)

See MRSA (Methicillin-Resistant Staphylococcus aureus)

MI (Myocardial Infarction)

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

Fear r/t threat to well-being

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)

MIDCAB (Minimally Invasive Direct Coronary Artery Bypass)

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)

Midlife Crisis

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

Migraine Headache

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

Milk Intolerance

See Lactose Intolerance

Minimally Invasive Direct Coronary Bypass (MIDCAB)

See MIDCAB (Minimally Invasive Direct Coronary Artery Bypass)

Miscarriage

See Pregnancy Loss

Mitral Stenosis

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

Mitral Valve Prolapse

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

Mobility, Impaired Bed

Impaired bed Mobility (See Mobility, bed, impaired, Section III)

Mobility, Impaired Physical

Impaired physical Mobility (See Mobility, physical, impaired, Section III)

Risk for Falls: Risk factor: impaired physical mobility

Mobility, Impaired Wheelchair

Impaired wheelchair Mobility (See Mobility, wheelchair, impaired, Section III)

Modified Radical Mastectomy

Decisional Conflict r/t treatment of choice

Readiness for enhanced Communication: willingness to enhance communication

See Mastectomy

Mononucleosis

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 for Injury: Risk factor: possible rupture of spleen

Risk for Loneliness: Risk factor: social isolation

Mood Disorders

Risk-prone Health Behavior r/t hopelessness, altered locus of control

Caregiver Role Strain r/t symptoms associated with disorder of care receiver

Self-Neglect r/t depression

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

Moon Face

Disturbed Body Image r/t change in appearance from disease and medication

Risk for situational low Self-Esteem: Risk factor: change in body image

See Cushing’s Syndrome

Moral/Ethical Dilemmas

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

Morning Sickness

See Hyperemesis Gravidarum; Pregnancy, Normal

Motion Sickness

See Labyrinthitis

Mottling of Peripheral Skin

Ineffective peripheral Tissue Perfusion r/t interruption of arterial flow, decreased circulating blood volume

Risk for Vascular Trauma: Risk factor: nature of solution

Mourning

See Grieving

Mouth Lesions

See Mucous Membrane, Impaired Oral

MRI (Magnetic Resonance Imaging)

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

MRSA (Methicillin-Resistant Staphylococcus aureus)

Hyperthermia r/t infection

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

Risk for compromised Resilience: Risk factor: illness

Risk for Shock: Risk factor: sepsis

Mucocutaneous Lymph Node Syndrome

See Kawasaki Disease

Mucous Membrane, Impaired Oral

Impaired Oral Mucous Membrane (See Oral Mucous Membrane, impaired, Section III)

Multiinfarct Dementia

See Dementia

Multiple Gestation

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

Multiple Personality Disorder (Dissociative Identity Disorder)

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)

Multiple Sclerosis (MS)

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

See Neurologic Disorders

Mumps

See Communicable Diseases, Childhood

Murmurs

Decreased Cardiac Output r/t altered preload/afterload

Risk for decreased Cardiac tissue perfusion: Risk factor: incompetent valve

Muscular Atrophy/Weakness

Risk for Disuse Syndrome: Risk factor: impaired physical mobility

Risk for Falls: Risk factor: impaired physical mobility

Muscular Dystrophy (MD)

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

Constipation r/t immobility

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

See Child with Chronic Condition; Hospitalized Child

MVA (Motor Vehicle Accident)

See Fracture; Head Injury; Injury; Pneumothorax

Myasthenia Gravis

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

See Neurologic Disorders

Mycoplasma Pneumonia

See Pneumonia

Myelocele

See Neural Tube Defects

Myelogram, Contrast

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

Myelomeningocele

See Neural Tube Defects

Myocardial Infarction (MI)

See MI (Myocardial Infarction)

Myocarditis

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

Myringotomy

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

Myxedema

See Hypothyroidism