Minggu, 10 Agustus 2008

DIAGNOSA KEPERAWATAN NANDA 2007

Activity/RestActivity intolerance (specify level)
Activity intolerance, for
Disuse syndrome, risk for
Divers ional activity deficit
Fatigue
Sleep pattern disturbance
CirculationAdaptive capacity: intracranial, decreased
Cardiac output, decreased
Dysreflexia
Tissue perfusion, altered (specify): cerebral, cardiopulmonary, renal, gastrointestinal, peripheral
Ego IntegrityAdjustment, impaired
Anxiety (mild, moderate, severe, panic)
Body image disturbance
Coping, defensive
Coping, individual, ineffective
Decisional conflict
Denial, ineffective
Energy field disturbance
Fear
Grieving, anticipatory
Grieving, dysfunctional
Hopelessness
Personal identity disturbance
Post-trauma response (specify stage)
Powerlessness
Rape-trauma syndrome (specify)
Rape-trauma syndrome: compound reaction
Rape-trauma syndrome: silent reaction
Relocation stress syndrome
Self-esteem, chronic low
Self-esteem disturbance
Self-esteem, situational low
Spiritual distress (distress of the human spirit)
Spiritual well being, enhanced, potential for
EliminationBowel incontinence
Constipation
Constipation, colonic
Constipation, perceived
Diarrhea
Incontinence, functional
Incontinence, reflex
Incontinence, stress
Incontinence, total
Incontinence, urge
Urinary elimination, altered
Urinary retention, (acute/chronic)
Food/FluidBreastfeeding, effective
Breastfeeding, ineffective
Breastfeeding, interrupted
Fluid volume deficit (active loss)
Fluid volume deficit (regulatory failure)
Fluid volume deficit, risk for
Fluid volume excess
Infant feeding pattern, ineffective
Nutrition: altered, less than body requirements
Nutrition: altered, more than body requirements
Nutrition: altered, risk for more than body requirements
Oral mucous membrane, altered
Swallowing, impaired
HygieneSelf-care deficit (specify level): feeding, bathing/hygiene, dressing/ grooming, toileting
NeurosensoryConfusion, acute
Confusion, chronic
Infant behavior, disorganized
Infant behavior, disorganized, risk for
Infant behavior, organized, potential for enhanced
Memory, impaired
Peripheral neurovascular dysfunction, risk for
Sensory perception alterations (specify): visual, auditory, kinesthetic, gustatory, tactile, olfactory
Thought processes, altered
Unilateral neglect
Pain/DiscomfortPain
Pain, acute
Pain, chronic
Respiration
Airway clearance, ineffective
Aspiration, risk for
Breathing pattern, ineffective
Gas exchange, impaired
Spontaneous ventilation, inability to sustain
Ventilator weaning response, dysfunctional (DVWR)
Safety
Body temperature, altered, risk for
Environmental interpretation syndrome, impaired
Health maintenance, altered
Home maintenance management, impaired
Hyperthermia
Hypothermia
Infection, risk for
Injury, risk for
Perioperative positioning injury, risk for
Physical mobility, impaired
Poisoning, risk for
Protection, altered
Self-mutilation, risk for
Skin integrity, impaired
Skin integrity, impaired, risk for
Suffocation, risk for
Thermoregulation, ineffective
Tissue integrity, impaired
Trauma, risk for
Violence, (actual)/risk for:
directed at self/others
Sexuality(component of ego integrity and social interaction)
Sexual dysfunction
Sexuality patterns, altered
Social Interaction
Caregiver role strain
Caregiver role strain, risk for
Communication, impaired verbal
Communitycoping, enhanced, potential for
Community coping, ineffective
Family coping, ineffective
Family coping, potential for growth
Family processes, altered: alcoholism (substance abuse)
Family processes, altered
Loneliness, risk for
Parental role conflict
Parent/infant/child attachment, altered, risk for
Parenting, altered
Parenting, altered, risk for
Role performance, altered
Social interaction, impaired
Social isolation
Teaching/Learning
Growth and development, altered
Health-seeking behaviors (specify)
Knowledge deficit (learning need) (specify)
Noncompliance (compliance, altered) (specify)
Therapeutic regimen: community, ineffective management
Therapeutic regimen: families, ineffective management
Therapeutic regimen: individual, effective management
Therapeutic regimen: individual, ineffective management