ISBN-10:
1608311090
ISBN-13:
2901608311094
Pub. Date:
07/02/2012
Publisher:
Lippincott Williams & Wilkins
Nursing Diagnosis: Application to Clinical Practice / Edition 14

Nursing Diagnosis: Application to Clinical Practice / Edition 14

by Lynda Juall Carpenito

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Overview

Nursing Diagnosis: Application to Clinical Practice / Edition 14

Covering the essentials of diagnosis, applications, assessment, interventions, rationales, and goals, this reference work reflects the current NANDA guidelines. An introductory discussion considers the role of nursing diagnosis. Bullet lists and outlines present the basic information related to specific diseases and collaborative problems. Annotation ©2004 Book News, Inc., Portland, OR

Product Details

ISBN-13: 2901608311094
Publisher: Lippincott Williams & Wilkins
Publication date: 07/02/2012
Edition description: Fourteenth
Pages: 1016
Product dimensions: 6.00(w) x 1.25(h) x 9.00(d)

Table of Contents

Section
Nursing Diagnosis In the Nursing Process    1
Introduction    2
1 NURSING DIAGNOSIS: DEVELOPMENT    3
2 TYPES AND COMPONENTS OF NURSING DIAGNOSIS    13
3 THE BIFOCAL CLINICAL PRACTICE MODEL    28
4 NURSING DIAGNOSES: ISSUES AND CONTROVERSIES    38
5 DERIVING NURSING DIAGNOSIS: ASSESSMENT AND DIAGNOSIS    46
6 NURSING DIAGNOSIS AND CARE PLANNING    63
SECTION   II
MANUAL OF NURSING DIAGNOSES    101
INTRODUCTION    102
ACTIVITY INTOLERANCE    105
ADAPTIVE CAPACITY, INTRACRANIAL: DECREASED    125
ADJUSTMENT, IMPAIRED    126
ANXIETY    127
BODY TEMPERATURE, RISK FOR ALTERED    141
HYPERTHERMIA    146
HYPOTHERMIA    149
THERMOREGULATION, INEFFECTIVE    152
BOWEL ELIMINATION, ALTERED    157
CONSTIPATION    158
COLONIC CONSTIPATION    164
PERCEIVED CONSTIPATION    169
DIARRHEA    172
BOWEL INCONTINENCE    175
EFFECTIVE BREAST-FEEDING    179
INEFFECTIVE BREAST-FEEDING    180
INTERRUPTED BREAST-FEEDING    187
DECREASED CARDIAC OUTPUT    188
CAREGIVER ROLE STRAIN    190
CAREGIVER ROLE STRAIN, RISK FOR    197
COMFORT, ALTERED    202
ACUTE PAIN    217
CHRONIC PAIN    227
COMMUNICATION, IMPAIRED    236
COMMUNICATION, IMPAIRED VERBAL    250
CONFUSION    254
ACUTE CONFUSION    255
CHRONIC CONFUSION    264
COPING, INEFFECTIVE INDIVIDUAL    271
DEFENSIVE COPING    284
INEFFECTIVE DENIAL    286
COPING, INEFFECTIVE INDIVIDUAL    271
COMPROMISED FAMILY COPING    309
COPING, FAMILY: POTENTIAL FOR GROWTH    310
COPING, INEFFECTIVE COMMUNITY    312
COPING, POTENTIAL FOR ENHANCED COMMUNITY    317
DECISIONAL CONFLICT    323
DISUSE SYNDROME    332
DIVERSIONAL ACTIVITY DEFICIT    343
DYSREFLEXIA    351
ENERGY FIELD DISTURBANCE    355
ENVIRONMENTAL INTERPRETATION SYNDROME, IMPAIRED    358
FAMILY PROCESSES, ALTERED    360
FAMILY PROCESSES, ALTERED: ALCOHOLISM    370
FATIGUE    379
FEAR    387
FLUID VOLUME DEFICIT    395
FLUID VOLUME EXCESS    403
GRIEVING    410
GRIEVING, ANTICIPATORY    419
GRIEVING, DYSFUNCTIONAL    423
GROWTH AND DEVELOPMENT, ALTERED    428
HEALTH MAINTENANCE, ALTERED    440
HEALTH-SEEKING BEHAVIORS    463
HOME MAINTENANCE MANAGEMENT, IMPAIRED    471
HOPELESSNESS    479
INFANT BEHAVIOR, DISORGANIZED    492
INFANT BEHAVIOR, RISK FOR DISORGANIZED    502
INFANT BEHAVIOR, POTENTIAL FOR ENHANCED ORGANIZED    502
INFECTION, RISK FOR    506
INFECTION TRANSMISSION, RISK FOR    516
INJURY, RISK FOR    526
RISK FOR ASPIRATION    546
RISK FOR POISONING    550
RISK FOR SUFFOCATION    550
RISK FOR TRAUMA    551
INJURY, RISK FOR PERIOPERATIVE POSITIONING    551
KNOWLEDGE DEFICIT    558
LONELINESS, RISK FOR    560
MANAGEMENT OF THERAPEUTIC REGIMEN, EFFECTIVE: INDIVIDUAL    566
MANAGEMENT OF THERAPEUTIC REGIMEN, INEFFECTIVE    569
MANAGEMENT OF THERAPEUTIC REGIMEN, INEFFECTIVE: FAMILY    583
MANAGEMENT OF THERAPEUTIC REGIMEN, INEFFECTIVE: COMMUNITY    584
MOBILITY, IMPAIRED PHYSICAL    590
NONCOMPLIANCE    601
NUTRITION, ALTERED: LESS THAN BODY REQUIREMENTS    613
IMPAIRED SWALLOWING    630
INEFFECTIVE INFANT FEEDING PATTERN    636
NUTRITION, ALTERED: POTENTIAL FOR MORE THAN BODY REQUIREMENTS    646
NUTRITION, ALTERED: POTENTIAL FOR MORE THAN BODY REQUIREMENTS    646
PARENTING, ALTERED    647
PARENT-INFANT ATTACHMENT, RISK FOR ALTERED    655
PARENTAL ROLE CONFLICT    659
PERIPHERAL NEUROVASCULAR DYSFUNCTION, RISK FOR    669
POST-TRAUMA RESPONSE    675
RAPE TRAUMA SYNDROME    681
POWERLESSNESS    691
PROTECTION, ALTERED    700
TISSUE INTEGRITY, IMPAIRED    701
SKIN INTEGRITY, IMPAIRED    712
ORAL MUCOUS MEMBRANE, ALTERED    718
RELOCATION STRESS (SYNDROME)    728
RESPIRATORY FUNCTION, RISK FOR ALTERED    740
DYSFUNCTION VENTILATORY WEANING RESPONSE    750
DYSFUNCTION VENTILATORY WEANING RESPONSE, RISK FOR    758
INEFFECTIVE AIRWAY CLEARANCE    761
INEFFECTIVE BREATHING PATTERNS    764
IMPAIRED GAS EXCHANGE    765
INABILITY TO SUSTAIN SPONTANEOUS VENTILATION    766
ROLE PERFORMANCE, ALTERED    769
SELF-CARE DEFICIT SYNDROME    771
FEEDING SELF-CARE DEFICIT    778
BATHING/HYGIENE SELF-CARE DEFICIT    780
DRESSING/GROOMING SELF-CARE DEFICIT    783
TOILETING SELF-CARE DEFICIT    786
INSTRUMENTAL SELF-CARE DEFICIT    788
SELF-CONCEPT DISTURBANCE    794
BODY IMAGE DISTURBANCE    802
PERSONAL IDENTITY DISTURBANCE    807
SELF-ESTEEM DISTURBANCE    807
CHRONIC LOW SELF-ESTEEM    809
SITUATIONAL LOW SELF-ESTEEM    812
RISK FOR SELF-HARM    816
RISK FOR SELF-ABUSE    830
RISK FOR SELF-MUTILATION    831
RISK FOR SUICIDE    832
SENSORY-PERCEPTUAL ALTERATIONS    838
SEXUALITY PATTERNS, ALTERED    845
SEXUAL DYSFUNCTION    864
SLEEP PATTERN DISTURBANCE    866
SOCIAL INTERACTIONS, IMPAIRED    874
SOCIAL ISOLATION    884
SPIRITUAL DISTRESS    886
SPIRITUAL WELL-BEING, POTENTIAL FOR ENHANCED    903
THOUGHT PROCESSES, ALTERED    906
MEMORY, IMPAIRED    917
TISSUE PERFUSION, ALTERED (SPECIFY) (RENAL, CEREBRAL,
CARDIOPULMONARY, GASTROINTESTINAL)    922
TISSUE PERFUSION, ALTERED PERIPHERAL    923
UNILATERAL NEGLECT    931
URINARY ELIMINATION, ALTERED PATTERNS OF    937
MATURATIONAL ENURESIS    947
FUNCTIONAL INCONTINENCE    949
REFLEX INCONTINENCE    954
STRESS INCONTINENCE    956
TOTAL INCONTINENCE    958
URGE INCONTINENCE    958
URINARY RETENTION    965
VIOLENCE, HIGH RISK FOR    968
SECTION   III
MANUAL OF COLLABORATIVE PROBLEMS    977
INTRODUCTION    978
POTENTIAL COMPLICATION: CARDIAC/VASCULAR    979
POTENTIAL COMPLICATION: RESPIRATORY
POTENTIAL COMPLICATION: METABOLIC/IMMUNE/HEMATOPOIETIC    1002
POTENTIAL COMPLICATION: RENAL/URINARY    1028
POTENTIAL COMPLICATION: NEUROLOGIC/SENSORY    1037
POTENTIAL COMPLICATION: GASTROINTESTINAL/HEPATIC/BILIARY    1051
POTENTIAL COMPLICATION: MUSCULAR/SKELETAL    1059
POTENTIAL COMPLICATION: REPRODUCTIVE    1064
Potential Complication: Medication Therapy Adverse Effects    1075
Appendixes    1101
Adult Psychiatric Assessment Guide    1109
Pediatric Assessment    1120
IV Older Adult Assessment Guide    1125
VI Noninvasive Pain Relief Techniques    1133
VII Guidelines for Problem-Solving and Crisis Intervention    1136
VIII North American Nursing Diagnosis Association Guidelines
IX Guidelines for Play Therapy    1144
XI Conditions That Necessitate Nursing Care    1148
XII Self-Reporting Oncology Nursing Assessment    1153
Index    1159
___________________________________________________________________________
CONTRIBUTORS
ROSALINDA ALFARO-LEFEVRE, R.N., M.S.N.,
President, NDNP Consultants, Malvern,
Pennsylvania
(Risk for Altered Respiratory Function; Ineffective
Airway Clearance; Ineffective Breathing Patterns;
Diversional Activity Deficit; Impaired verbal
Communication; Fluid volume Deficit; Fluid volume
Excess; Risk for Altered Body Temperature;
Hyperthermia and Hypothermia)
CAROLINE McALPINE ALTERMAN, R.N., M.S.N., C.N.S.,
Program Director, Spinal Cord
Injury, Lakeshore Hospital, Birmingham. Alabama
(Altered Bowel Elimination; Altered Patterns of
Urinary Elimination, Fourth Edition)
ANN H. BARNHOUSE, R.N.. M.S.N.,
Nurse Educator, Canfield, Ohio
(Relocation Stress)
CHRISTINE J. BRUGLER, R.N., M.S.N.,
Health Care Consultant, Hillside Rehabilitation
Hospital, Warren, Ohio
(Relocation Stress)
JUDITH S. CARSCADDEN, R.N.,
Head Nurse, London Psychiatric Hospital, London,
Ontario, Canada
(Self-Concept Disturbance; Body Image Disturbance;
Chronic Low Self-Esteem; Situational Low
Self-Esteem, Fifth Edition; Risk for Self-Mutilation)
NANCY EPPICH, R.N., M.S.N.,
Vice President, Clinical Services, Grace Hospital,
Cleveland, Ohio
(Altered Parenting; Parental Role Conflict)
JOAN T. HARKULICH, R.N., M.S.N.,
Director of Research and Professional Services,
Care Services, Beachwood, Ohio
(Relocation Stress)
ERIC HARRIS, R.N.,
Head Nurse, London Psychiatric Hospital, London, Ontario,
Canada (Defensive Coping, Fifth Edition)
JUDY A. HARTMANN,
Director of Nursing, Kansas Rehabilitation Hospital,
Topeka, Kansas
(Altered Patterns of Urinary Elimination; Unilateral
Neglect, Third Edition)
MARK HEMMINGS, R.N..
Head Nurse Out-Patient Psychiatry, London Psychiatric
Hospital, London. Ontario, Canada
(Social Isolation; Impaired Social Interactions,
Fifth Edition)
SANDRA JANSEN, R.N., A.C.C.E.. A.S.P.O.,
Certified Childbirth Educator,
AASECT Sex Educator. Los Angeles, California
(Ineffective Breast-Feeding and Altered Patterns
of Sexuality related to changes in body function or
image during and after pregnancy)
Jean Jenny, Associate Professor, School of Nursing,
University of Ottawa, Ottawa, Canada
(Dysfunctional Ventilatory Weaning Response)
DEBORAH LEKAN-RUTLEDGE, M.S.N.. R.N.C.,
Nursing Consultant
(Selected Gerontological Principles and Rationale)
JO LOGAN, R.N.. M.Ed..
Director of Nursing Research, Ottawa Civic Hospital,
Ottawa, Canada
(Dysfunctional ventilatory Weaning Response)
MORRIS A. MAGNAN, R.N. B.S.N.,
Staff Nurse, Harper Hospital, Detroit Medical
Center, Detroit, Michigan
(Activity Intolerance)
JO ANN MAKLEBUST, M.S.N., R.N., C.S.,
Clinical Nurse Specialist/Case Manager,
Surgical Patient Services, Harper Hospital,
Detroit Medical Center, Detroit, Michigan
(Impaired Tissue Integrity; Risk for Altered
Health Maintenance related to lack of knowledge
of ostomy care; Impaired Skin Integrity; Altered
Comfort: Pruritus; Altered Oral Mucous
Membrane)
JUDY McELVANNEY, R.N.,
London Psychiatric Hospital, London, Ontario, Canada
(Altered Thought Process related to effects of dementia)
JANET HOFFMAN MENNIES, R.N.C., M.S.N.,
Adult Nurse Practitioner Coordinator,
Family Forum, Inc., Newtown Square, Pennsylvania
(Noncompliance; Altered Health Maintenance;
selected sections of Altered Family Processes;
Ineffective Individual coping; Health-Seeking Behaviors)
MARGARET C. METCALFE, R.N., M.S., Ph.D.
Candidate, Assistant Professor, College of
Nursing, University of Delaware, Newark, Delaware
(Altered Sexuality Patterns)
LINDA C MONDOUX, R.N., M.S.N.,
Botsford Hospital, Farmington Hills, Michigan
(Gerontologic Considerations for Activity
Intolerance; Grieving; Impaired Home Maintenance
Management; Spiritual Distress,' Impaired
Communication; Diversional Activity Deficit;
Powerlessness; Impaired Tissue Integrity;
selected sections of Caregiver Role Strain)
SHARON MORGAN, R.N., M.N.,
Manager, Staff Development, Victoria Hospital, London,
Ontario, Canada
(Grieving, Fifth Edition)
KATHE H. MORRIS, R.N., M.S.N.,
Educational Consultant, West Chester, Pennsylvania
(Rape Trauma Syndrome)
NANCY J. MORWESSEL, R.N., M.S.N., C.P.N.P.,
Pediatric Cardiovascular Clinical Nurse
Specialist, Children's Hospital Medical Center,
Cincinnati, Ohio
(Altered Comfort in Children; Ineffective Infant
Feeding Pattern)
Nursing Diagnosis Discussion Group, Nancy A. Eppich,
Chairwoman, Rainbow Babies and Childrens Hospital,
University Hospitals of Cleveland, Cleveland, Ohio
(Parental Role Conflict, Third Edition)
MARY M. OWEN, R.N., B.S.N., P.H.N.,
Director of Quality Improvement Services,
Friendly Hills HealthCare Network, La Habra, California
(Risk for Infection; Risk for Infection Transmission)
RHONDA PANFILLI, R.N., M.S.N.,
Clinical Nurse Specialist, Coordinator of Case
Management, Grace Hospital, Detroit Medical Center,
Detroit, Michigan
(Altered Health Maintenance related to Increased
Food Consumption)
GAYLE VANDENDOOL PARKER, R.N., B.S.N.,
Nursing Quality Assurance Coordinator,
London Psychiatric Hospital, London, Ontario, Canada
(Altered Thought Processes; Altered Thought
Process related to (Specify) as evidenced by
inability to evaluate reality; Powerlessness,
Fifth Edition; PC: Neuroleptic Malignant Syndrome)
CHERYL ROZELLE, R.N., C.R.R.N.,
Director of Nursing, Lakeshore Rehabilitation
Hospital, Birmingham, Alabama
(Altered Bowel Elimination; Altered Patterns of
Urinary Elimination, Fifth Edition)
MARY SIEGGREEN, M.S.N., R.N., C.S..
Clinical Nurse Specialist/Case Manager,
Vascular Surgery, Harper Hospital, Detroit
Medical Center, Detroit, Michigan
(Altered Peripheral Tissue Perfusion; Risk for
Injury related to Effects Secondary to
Orthostatic Hypotension)
DEBORAH SOHOLT, R.N., M.S.N.,
Director. Women & Children Services, McKennan
Hospital, Sioux Falls, South Dakota
(Decisional Conflict)
KATSUKO TANAKA, R.N., M.S., C.S., A.R.N.P.,
Staff Nurse, Inpatient Addiction
Treatment Center, Seattle Veterans Administration
Medical Center, Seattle,
Washington
(Post-Trauma Response; Fear; Ineffective Denial,
Fifth Edition)
CAROL VAN ANTWERP, R.N., M.S.N.,
Pediatric Nurse Clinician, Children's Health
Center, Battle Creek, Michigan
(Risk for Injury related to Maturational Age,
Pediatric Considerations; Altered Growth and
Development, Fifth Edition)
JULIE WATERHOUSE, R.N., M.S.,
Assistant Professor, College of Nursing, University of
Delaware, Newark, Delaware
(Spiritual Distress; Altered Sexuality Patterns)
JANET R. WEBER, R.N., M.S.N., Ed.D..
Assistant Professor of Nursing, Southeast
Missouri State University, Cape Girardeau, Missouri
(Hopelessness)
ANNE E. WILLARD, R.N., M.S.N.,
Associate Professor, Cumberland County College,
Vineland, New Jersey
(Anxiety; Risk for Violence; Ineffective Family
Coping; Risk for Self-Harm; Impaired Social
Interactions; Self-Esteem Disturbance;
Defensive Coping; Ineffective Denial; Chronic Low
Self-Esteem; Situational Low Self-Esteem: Altered
Thought Processes)
MARGARET CHAMBERLAIN WILMOTH, R.N.. M.S.,
Assistant Professor, College of
Nursing, University of Delaware, Newark, Delaware
(Altered Sexuality Patterns)

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