O

Obesity

Disturbed Body Image r/t eating disorder, excess weight

Risk-prone Health Behavior: r/t negative attitude toward health care

Imbalanced Nutrition: more than body requirements r/t caloric intake exceeding energy expenditure

Chronic low Self-Esteem r/t ineffective coping, overeating

Risk for ineffective peripheral Tissue Perfusion r/t sedentary life style or concurrent illnesses: hypertension/diabetes mellitus

Readiness for enhanced Nutrition: expresses willingness to enhance nutrition

OBS (Organic Brain Syndrome)

See Organic Mental Disorders

Obsessive-Compulsive Disorder (OCD)

See OCD (Obsessive-Compulsive Disorder)

Obstruction, Bowel

See Bowel Obstruction

Obstructive Sleep Apnea

Insomnia r/t blocked airway

Imbalanced Nutrition: more than body requirements r/t excessive intake related to metabolic need

See PND (Paroxysmal Nocturnal Dyspnea)

OCD (Obsessive-Compulsive Disorder)

Ineffective Activity planning r/t unrealistic perception of events

Anxiety r/t threat to self-concept, unmet needs

Decisional Conflict r/t inability to make a decision for fear of reprisal

Disabled family Coping r/t family process being disrupted by client’s ritualistic activities

Ineffective Coping r/t expression of feelings in an unacceptable way, ritualistic behavior

Risk-prone Health Behavior r/t inadequate comprehension associated with repetitive thoughts

Powerlessness r/t unrelenting repetitive thoughts to perform irrational activities

Impaired individual Resilience r/t psychological disorder

Risk for situational low Self-Esteem: Risk factor: inability to control repetitive thoughts and actions

ODD (Oppositional Defiant Disorder)

Anxiety r/t feelings of anger and hostility toward authority figures

Ineffective Coping r/t lack of self-control or perceived lack of self-control

Disabled Family coping r/t feelings of anger, hostility; defiant behavior toward authority figures

Risk-prone Health Behavior r/t multiple stressors associated with condition

Ineffective Impulse Control r/t anger/compunction to engage in disruptive behaviors

Chronic or situational low Self-Esteem r/t poor self-control and disruptive behaviors

Impaired Social Interaction r/t being touchy or easily annoyed, blaming others for own mistakes, constant trouble in school

Social Isolation r/t unaccepted social behavior

Ineffective family Therapeutic Regimen Management r/t difficulty in limit setting and managing oppositional behaviors

Risk for Ineffective Activity Planning r/t unrealistic perception of events/hedonism

Risk for impaired Parenting: Risk factors: children’s difficult behaviors and inability to set limits

Risk for Powerlessness: Risk factor: inability to deal with difficulty behaviors

Risk for Spiritual Distress: Risk factors: anxiety and stress in dealing with difficulty behaviors

Risk for other-directed Violence: Risk factors: history of violence, threats of violence against others; history of antisocial behavior; history of indirect violence

Older Adult

See Aging

Oliguria

Deficient Fluid Volume r/t active fluid loss, failure of regulatory mechanism

See Cardiac Output, Decreased; Renal Failure; Shock, Hypovolemic

Omphalocele

See Gastroschisis/Omphalocele

Oophorectomy

Risk for ineffective Sexuality Pattern: Risk factor: altered body function

See Surgery, Perioperative; Surgery, Postoperative; Surgery, Preoperative

OPCAB (Off-Pump Coronary Artery Bypass)

See Angioplasty, Coronary; Coronary Artery Bypass Grafting (CABG)

Open Heart Surgery

Risk for decreased Cardiac tissue perfusion: Risk factor: cardiac surgery

See Coronary Artery Bypass Grafting (CABG); Dysrhythmia

Open Reduction of Fracture with Internal Fixation (Femur)

Anxiety r/t outcome of corrective procedure

Impaired physical Mobility r/t postoperative position, abduction of leg, avoidance of acute flexion

Powerlessness r/t loss of control, unanticipated change in lifestyle

Risk for Perioperative Positioning Injury: Risk factor: immobilization

Risk for Peripheral Neurovascular Dysfunction: Risk factors: mechanical compression, orthopedic surgery, immobilization

See Surgery, Postoperative Care

Opiate Use

Risk for Constipation: Risk factor: effects of opiates on peristalsis

See Drug Abuse; Drug Withdrawal

Opportunistic Infection

Delayed Surgical Recovery r/t abnormal blood profiles, impaired healing

Risk for Infection: Risk factor: abnormal blood profiles

See AIDS (Acquired Immunodeficiency Syndrome); HIV (Human Immunodeficiency Virus)

Oppositional Defiant Disorder (ODD)

See ODD (Oppositional Defiant Disorder)

Oral Mucous Membrane, Impaired

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

Oral Thrush

See Candidiasis, Oral

Orchitis

Readiness for enhanced Self-Health Management: follows recommendations for mumps vaccination

See Epididymitis

Organic Mental Disorders

Adult Failure to Thrive r/t undetected organic mental disorder

Impaired Social Interaction r/t disturbed thought processes

Risk for Injury: Risk factors: disorientation to time, place, person

Risk for disturbed personal Identity r/t delusions/fluctuating perceptions of stimuli

See Dementia

Orthopedic Traction

Ineffective Role Performance r/t limited physical mobility

Impaired Social Interaction r/t limited physical mobility

Impaired Transfer Ability r/t limited physical mobility

Risk for impaired Religiosity: Risk factor: immobility

See Traction and Casts

Orthopnea

Ineffective Breathing Pattern r/t inability to breathe with head of bed flat

Decreased Cardiac Output r/t inability of heart to meet demands of body

Orthostatic Hypotension

See Dizziness

Osteoarthritis

Activity Intolerance r/t pain after exercise or use of joint

Acute Pain r/t movement

Impaired Transfer Ability r/t pain

See Arthritis

Osteomyelitis

Deficient Diversional Activity r/t prolonged immobilization, hospitalization

Fear: parental r/t concern regarding possible growth plate damage caused by infection, concern that infection may become chronic

Ineffective Health Maintenance r/t continued immobility at home, possible extensive casts, continued antibiotics

Hyperthermia r/t infectious process

Impaired physical Mobility r/t imposed immobility as a result of infected area

Acute Pain r/t inflammation in affected extremity

Risk for Constipation: Risk factor: immobility

Risk for Infection: Risk factor: inadequate primary and secondary defenses

Risk for impaired Skin Integrity: Risk factor: irritation from splint or cast

See Hospitalized Child

Osteoporosis

Deficient Knowledge r/t diet, exercise, need to abstain from alcohol and nicotine

Impaired physical Mobility r/t pain, skeletal changes

Imbalanced Nutrition: less than body requirements r/t inadequate intake of calcium and vitamin D

Acute Pain r/t fracture, muscle spasms

Risk for Injury: fracture: Risk factors: lack of activity, risk of falling resulting from environmental hazards, neuromuscular disorders, diminished senses, cardiovascular responses, responses to drugs

Risk for Powerlessness: Risk factor: debilitating disease

Readiness for enhanced Self-Health Management: expresses desire to manage the treatment of illness and prevent complications

Ostomy

See Child with Chronic Condition; Colostomy; Ileal Conduit; Ileostomy

Otitis Media

Acute Pain r/t inflammation, infectious process

Risk for delayed Development: speech and language: Risk factor: frequent otitis media

Risk for Infection: Risk factors: eustachian tube obstruction, traumatic eardrum perforation, infectious disease process

Readiness for enhanced Knowledge: information on treatment and prevention of disease

Ovarian Carcinoma

Death Anxiety r/t unknown outcome, possible poor prognosis

Fear r/t unknown outcome, possible poor prognosis

Ineffective Health Maintenance r/t deficient knowledge regarding self-care, treatment of condition

Readiness for enhanced Family Processes: family functioning meets needs of client

Readiness for enhanced Resilience: participates in support groups

See Chemotherapy; Hysterectomy; Radiation Therapy