Free Topics
About
Acute Confusion
Acute Pain
Chronic Sorrow
Decreased Activity Tolerance
Flowchart - Bifocal Clinical Practice Model
Flowchart - Diagnostic Cluster for an Individual Recovering from Abdominal Surgery
Impaired Verbal Communication
Neonatal Abstinence Syndrome
Preface
Risk for Acute Confusion
Risk for Decreased Activity Tolerance
Self-Care Deficit Syndrome
Social Isolation
Section 1 The Focus of Nursing Care
Chapter 1 The Why and How of Nursing Diagnosis
Chapter 2 Communication: Speak Up to Prevent Unfavorable Events
Chapter 3 11 Steps to Care Planning
Chapter 3 11 Steps to Care Planning
Step 1: Assessment
Step 10: Evaluate the Status of Your Assigned Individual (after You Provide Care)
Step 11: Document the Care, Responses, and Progress Per Institution Policies or As Instructed. Refer to the CWS for the Care Plan Tutorial that Provides a Case Study and Step By Step Guidance to Create the Initial Care Plan.
Step 2: Same Day Assessment
Step 3: Create Your Initial Care Plan
Step 4: Additional Problems
Step 5: Identify the Level of Risk
Step 6: Review the Collaborative Problems Listed Under the Medical/Surgical Diagnostic Clusters in Section 3
Step 7: Review the Nursing Diagnoses Listed Under the Medical/Surgical Diagnostic Clusters in Section 3
Step 8: Prepare the Care Plan (Written or Printed)
Step 9: Additional Priority Nursing Diagnoses and Collaborative Problems
Section 2 Manual of Nursing Diagnoses
Part 1 Individual Nursing Diagnoses
Acute Confusion
Acute Pain
Acute Substance Withdrawal Syndrome
Adult Failure to Thrive
Adult Pressure Injury
Anticipatory Grieving
Anxiety
Autonomic Dysreflexia
Bathing Self-Care Deficit
Caregiver Role Strain
Child Pressure Injury
Chronic Confusion
Chronic Functional Constipation
Chronic Low Self-Esteem
Chronic Pain
Chronic Pain Syndrome
Chronic Sorrow
Complicated Grieving
Compromised Engagement
Contamination
Death Anxiety
Decisional Conflict
Decreased Activity Tolerance
Decreased Cardiac Output
Decreased Diversional Activity Engagement
Defensive Coping
Deficient Fluid Volume
Deficient Knowledge
Delayed Child Development
Delayed Growth and Development
Delayed Infant Motor Development
Delayed Surgical Recovery
Diarrhea
Disability-Associated Urinary Incontinence
Disturbed Body Image
Disturbed Personal Identity
Disturbed Self-Concept
Disturbed Sleep Pattern
Disturbed Thought Process
Dressing Self-Care Deficit
Dysfunctional Gastrointestinal Motility
Dysfunctional Ventilatory Weaning Response
Excess Fluid Volume
Fatigue
Fear
Feeding Self-Care Deficit
Frail Elderly Syndrome
Grieving
Hopelessness
Hyperthermia
Hypothermia
Imbalanced Energy Field
Imbalanced Nutrition: Less Than Body Requirements
Impaired Bed Mobility
Impaired Bowel Continence
Impaired Comfort
Impaired Communication
Impaired Dentition
Impaired Emancipated Decision-Making
Impaired Gas Exchange
Impaired Memory
Impaired Mood Regulation
Impaired Oral Mucous Membrane Integrity
Impaired Physical Mobility
Impaired Religiosity
Impaired Resilience
Impaired Sitting
Impaired Skin Integrity
Impaired Social Interaction
Impaired Spontaneous Ventilation
Impaired Standing
Impaired Swallowing
Impaired Tissue Integrity
Impaired Transfer Ability
Impaired Urinary Elimination
Impaired Verbal Communication
Impaired Walking
Impaired Wheelchair Mobility
Ineffective Activity Planning
Ineffective Adolescent Eating Dynamics
Ineffective Airway Clearance
Ineffective Breastfeeding
Ineffective Breathing Pattern
Ineffective Child Eating Dynamics
Ineffective Childbearing Process
Ineffective Coping
Ineffective Denial
Ineffective Dry Eye Self-Management
Ineffective Health Maintenance Behaviors
Ineffective Health Self-Management
Ineffective Impulse Control
Ineffective Impulse Control
Ineffective Infant Feeding Dynamics
Ineffective Infant Suck-Swallow Response
Ineffective Lymphedema Self-Management
Ineffective Peripheral Tissue Perfusion
Ineffective Protection
Ineffective Relationship
Ineffective Role Performance
Ineffective Sexuality Pattern
Ineffective Thermoregulation
Ineffective Tissue Perfusion
Insomnia
Instrumental Self-Care Deficit
Insufficient Breast Milk Production
Interrupted Breastfeeding
Labile Emotional Control
Labor Pain
Maladaptive Grieving
Maturational Enuresis
Mixed Urinary Incontinence
Moral Distress
Nausea
Neonatal Abstinence Syndrome
Neonatal Hyperbilirubinemia
Neonatal Hypothermia
Neonatal Pressure Injury
Nipple-Areolar Complex Injury
Obesity
Overweight
Perceived Constipation
Post-Trauma Syndrome
Powerlessness
Rape-Trauma Syndrome (Sexual Assault Trauma Syndrome)
Relocation Stress Syndrome
Risk for Acute Confusion
Risk for Acute Substance Withdrawal Syndrome
Risk for Adult Falls
Risk for Adult Pressure Injury
Risk For Adverse Reaction To Iodinated Contrast Media
Risk For Allergy Reaction
Risk for Aspiration
Risk for Autonomic Dysreflexia
Risk For Bleeding
Risk for Caregiver Role Strain
Risk for Child Falls
Risk for Child Pressure Injury
Risk for Chronic Functional Constipation
Risk for Chronic Low Self-Esteem
Risk for Complicated Grieving
Risk For Complicated Immigration Transition
Risk for Compromised Engagement
Risk For Compromised Human Dignity
Risk for Contamination
Risk for Corneal Injury
Risk for Corneal Injury (Refer to Risk for Injury for Interventions for Risk for Corneal Injury)
Risk for Decreased Activity Tolerance
Risk for Decreased Cardiac Output
Risk for Decreased Cardiac Tissue Perfusion
Risk for Deficient Fluid Volume
Risk for Delayed Child Development
Risk for Delayed Development
Risk for Delayed Infant Motor Development
Risk for Delayed Surgical Recovery
Risk for Disproportionate Growth
Risk For Disturbed Maternal-Fetal Dyad
Risk for Disturbed Personal Identity
Risk For Disuse Syndrome
Risk for Dry Eye
Risk for Dry Mouth
Risk for Dysfunctional Gastrointestinal Motility
Risk For Electrolyte Imbalance
Risk For Elopement Attempt
Risk For Female Genital Mutilation
Risk for Frail Elderly Syndrome
Risk for Hypothermia
Risk for Imbalanced Fluid Volume
Risk For Impaired Cardiovascular Function
Risk for Impaired Emancipated Decision-Making
Risk For Impaired Liver Function
Risk for Impaired Oral Mucous Membrane Integrity
Risk for Impaired Religiosity
Risk for Impaired Resilience
Risk for Impaired Skin Integrity
Risk for Impaired Tissue Integrity
Risk for Ineffective Activity Planning
Risk for Ineffective Breastfeeding
Risk for Ineffective Cerebral Tissue Perfusion
Risk for Ineffective Childbearing Process
Risk for Ineffective Lymphedema Self-Management
Risk for Ineffective Peripheral Tissue Perfusion
Risk for Ineffective Relationship
Risk For Ineffective Respiratory Function
Risk for Ineffective Thermoregulation
Risk For Infection
Risk For Infection Transmission
Risk For Injury
Risk For Injury
Risk For Injury
Risk For Injury
Risk For Latex Allergy Reaction
Risk For Loneliness
Risk for Maladaptive Grieving
Risk For Metabolic Syndrome
Risk for Moral Distress
Risk for Neonatal Hyperbilirubinemia
Risk for Neonatal Hypothermia
Risk for Neonatal Pressure Injury
Risk for Nipple-Areolar Complex Injury
Risk for Occupational Injury
Risk For Other-Directed Violence
Risk For Overweight
Risk for Perioperative Positioning Injury
Risk for Peripheral Neurovascular Dysfunction
Risk for Physical Trauma
Risk for Poisoning
Risk for Post-Trauma Syndrome
Risk for Powerlessness
Risk for Relocation Stress (Syndrome)
Risk For Self-Directed Violence
Risk For Self-Harm
Risk for Self-Mutilation
Risk For Shock
Risk for Situational Low Self-Esteem
Risk for Spiritual Distress
Risk For Sudden Infant Death
Risk for Suffocation
Risk for Suicidal Behavior
Risk For Surgical Site Infection
Risk for Thermal Injury
Risk For Thrombosis
Risk For Unstable Blood Glucose Level
Risk for Urge Urinary Incontinence
Risk for Urinary Retention
Risk for Urinary Tract Injury
Risk For Vascular Trauma
Risk-Prone Health Behavior
Sedentary Lifestyle
Self-Care Deficit Syndrome
Self-Mutilation
Self-Neglect
Sexual Dysfunction
Situational Low Self-Esteem
Sleep Deprivation
Social Isolation
Spiritual Distress
Stress Overload
Stress Urinary Incontinence
Toileting Self-Care Deficit
Unilateral Neglect
Urge Urinary Incontinence
Urinary Retention
Wandering
Part 2 Family/Home Nursing Diagnoses
Compromised Family Coping
Disabled Family Coping
Disturbed Family Identity Syndrome
Dysfunctional Family Processes
Impaired Parenting
Ineffective Family Health Self-Management
Ineffective Home Maintenance Behaviors
Interrupted Family Processes
Parental Role Conflict
Risk for Disturbed Family Identity Syndrome
Risk for Impaired Attachment
Risk for Impaired Parenting
Risk for Ineffective Home Maintenance Behaviors
Part 3 Community Nursing Diagnoses
Part 4 Health Promotion/Wellness Nursing Diagnoses
Part 4 Health Promotion/Wellness Nursing Diagnoses
Readiness For Enhanced Breastfeeding
Readiness For Enhanced Childbearing Process
Readiness For Enhanced Comfort
Readiness For Enhanced Communication
Readiness For Enhanced Community Coping
Readiness For Enhanced Coping
Readiness For Enhanced Decision-Making
Readiness For Enhanced Emancipated Decision-Making
Readiness For Enhanced Exercise Engagement
Readiness For Enhanced Family Coping
Readiness For Enhanced Family Processes
Readiness For Enhanced Grieving
Readiness For Enhanced Health Literacy
Readiness For Enhanced Health Self-Management
Readiness For Enhanced Home Maintenance Behaviors
Readiness For Enhanced Hope
Readiness For Enhanced Knowledge (Specify)
Readiness For Enhanced Nutrition
Readiness For Enhanced Organized Infant Behavior
Readiness For Enhanced Parenting
Readiness For Enhanced Power
Readiness For Enhanced Relationship
Readiness For Enhanced Religiosity
Readiness For Enhanced Resilience
Readiness For Enhanced Self-Care
Readiness For Enhanced Self-Concept
Readiness For Enhanced Sleep
Readiness For Enhanced Spiritual Well-Being
Section 3 Manual of Collaborative Problems
Risk For Complications Of Cardiac/Vascular Dysfunction
Risk for Complications of Arrhythmias
Risk for Complications of Bleeding
Risk For Complications Of Cardiac/Vascular Dysfunction
Risk for Complications of Decreased Cardiac Output
Risk for Complications of Deep Vein Thrombosis/Pulmonary Embolism
Risk for Complications of Heart Failure
Risk for Complications of Hypovolemia
Risk For Complications Of Gastrointestinal/Hepatic/Biliary Dysfunction
Risk For Complications Of Metabolic/Immune/Hematopoietic Dysfunction
Risk For Complications Of Muscular/Skeletal Dysfunction
Risk For Complications Of Neurologic/Sensory Dysfunction
Risk For Complications Of Renal/Urinary Dysfunction
Risk For Complications Of Respiratory Dysfunction
Risks For Complications Of Medication Therapy Adverse Effects
Section 3 Manual of Collaborative Problems
Section 4 Diagnostic Clusters
Part 1 Medical Conditions
(Burns, Severe Hypothermia) Acute Period - Dermatologic Disorders
(Cataracts, Detached Retina, Glaucoma, Inflammations) - Ophthalmic Disorders
(Degenerative, Demyelinating, Inflammatory, Myasthenia Gravis, Multiple Sclerosis, Muscular Dystrophy, Parkinson's Disease, Guillain-Barré Syndrome, Amyotrophic Lateral Sclerosis) - Nervous System Disorders
(Dermatitis, Psoriasis, Eczema) - Dermatologic Disorders
(Epilepsy) - Seizure Disorders
(Infections, Mastoiditis, Trauma) - Ophthalmic Disorders
Acquired Immunodeficiency Syndrome (Aids) (Adult) - Infectious/Immunodeficient Disorders
Acute Coronary Syndrome (Myocardial Infarction, Uncomplicated) - Cardiac Conditions
Acute Kidney Failure - Renal/Urinary Tract Disorders
Addison's Disease - Metabolic/Endocrine Disorders
Adult Respiratory Distress Syndrome - Respiratory Disorders
Aldosteronism, Primary - Metabolic/Endocrine Disorders
Anemia - Hematologic Conditions
Angina Pectoris - Cardiac Conditions
Aplastic Anemia - Hematologic Conditions
Brain Tumor - Neurologic Disorders
Cancer Cancer: Initial Diagnosis - Neoplastic Disorders
Cancer: End Stage - Neoplastic Disorders
Cancer: General (Applies to Malignancies in Varied Sites and Stages) - Neoplastic Disorders
Cerebrovascular Accident - Neurologic Disorders
Chronic Kidney Disease - Renal/Urinary Tract Disorders
Chronic Obstructive Pulmonary Disease (Emphysema, Bronchitis) - Respiratory Disorders
Cirrhosis (Laënnec's Disease) - Metabolic/Endocrine Disorders
Colorectal Cancer - Neoplastic Disorders
Cushing's Syndrome - Metabolic/Endocrine Disorders
Deep Vein Thrombosis - Peripheral Vascular Conditions
Dementia (Alzheimer's Disease, Huntington's Disease, Vascular Dementia) - Nervous System Disorders
Diabetes Mellitus - Metabolic/Endocrine Disorders
Disseminated Intravascular Coagulation (Dic) - Hematologic Conditions
Endocarditis, Pericarditis (Rheumatic, Infectious) - Cardiac Conditions
Esophageal Disorders (Esophagitis, Hiatal Hernia) - Gastrointestinal Disorders
Fractured Jaw - Musculoskeletal/Connective Tissue Disorders
Fractures - Musculoskeletal/Connective Tissue Disorders
Gastroenterocolitis/Enterocolitis - Gastrointestinal Disorders
Heart Failure - Cardiac Conditions
Hemorrhoids/Anal Fissure (Nonsurgical) - Gastrointestinal Disorders
Hepatitis (Viral) - Metabolic/Endocrine Disorders
Hypertension - Peripheral Vascular Conditions
Hyperthyroidism (Thyrotoxicosis, Graves' Disease) - Metabolic/Endocrine Disorders
Hypothyroidism (Myxedema) - Metabolic/Endocrine Disorders
Inflammatory Bowel Disease (Crohn's Disease, Ulcerative Colitis) - Gastrointestinal Disorders
Inflammatory Joint Disease - Musculoskeletal/Connective Tissue Disorders
Low Back Pain - Musculoskeletal/Connective Tissue Disorders
Lupus Erythematosus (Systemic) - Infectious/Immunodeficient Disorders
Meningitis/Encephalitis - Infectious/Immunodeficient Disorders
Neurogenic Bladder - Renal/Urinary Tract Disorders
Nursing Diagnoses - Metabolic/Endocrine Disorders
Obesity - Metabolic/Endocrine Disorders
Osteoporosis - Musculoskeletal/Connective Tissue Disorders
Otic Disorders - Ophthalmic Disorders
Pancreatitis - Metabolic/Endocrine Disorders
Peptic Ulcer Disease - Gastrointestinal Disorders
Peripheral Arterial Disease (Atherosclerosis, Arteriosclerosis) - Peripheral Vascular Conditions
Pernicious Anemia - Hematologic Conditions
Pleural Effusion - Respiratory Disorders
Pneumonia - Respiratory Disorders
Polycythemia Vera - Hematologic Conditions
Postacute Period - Dermatologic Disorders
Pressure Ulcers - Dermatologic Disorders
Pulmonary Embolism - Respiratory Disorders
Raynaud's Disease - Peripheral Vascular Conditions
Sexually Transmitted Infections/Diseases - Infectious/Immunodeficient Disorders
Skin Infections (Impetigo, Herpes Zoster, Fungal Infections) - Dermatologic Disorders
Spinal Cord Injury - Seizure Disorders
Unconscious Individual - Seizure Disorders
Urinary Tract Infections - Renal/Urinary Tract Disorders
Urolithiasis (Renal Calculi) - Renal/Urinary Tract Disorders
Varicose Veins - Peripheral Vascular Conditions
Venous Stasis Ulcers (Postphlebitis Syndrome) - Peripheral Vascular Conditions
Part 2 Surgical Procedures
Amputation (Lower Extremity)
Aneurysm Resection (Abdominal Aortic)
Anorectal Surgery
Arterial Bypass Graft of Lower Extremity (Aortic, Iliac, Femoral, Popliteal)
Arthroscopy, Arthrotomy, Meniscectomy, Bunionectomy
Breast Surgery (Lumpectomy, Mastectomy)
Carotid Endarterectomy
Cataract Extraction
Cesarean Section
Cholecystectomy
Colostomy
Corneal Transplant (Penetrating Keratoplasty)
Coronary Artery Bypass Grafting (Cabg)
Cranial Surgery
Dilatation and Curettage
Enucleation
Fractured Hip and Femur
General Surgery
Hysterectomy
Ileostomy
Laminectomy
Neck Dissection (Laryngectomy)
Nephrectomy
Ophthalmic Surgery
Otic Surgery (Stapedectomy, Tympanoplasty, Myringotomy, Tympanic Mastoidectomy)
Radical Vulvectomy
Renal Transplant
Thoracic Surgery
Tonsillectomy
Total Joint Replacement (Hip, Knee, or Shoulder Replacement)
Transurethral Resection (Prostate [benign Hypertrophy or Cancer], Bladder Tumor)
Urostomy
Part 3 Obstetric/Gynecologic Conditions
Abortion, Induced
Concomitant Medical Conditions (Cardiac Disease [prenatal, Postpartum], Diabetes [prenatal, Postpartum])
Diabetes (Postpartum)
Diabetes (Prenatal)
Endometriosis
Extrauterine Pregnancy (Ectopic Pregnancy)
Fetal/Newborn Death
Gestational Hypertension
Hyperemesis Gravidarum
Intrapartum Period (General)
Mastitis (Lactational)
Miscarriage, Spontaneous
Pelvic Inflammatory Disease
Postpartum Period
Pregnant Adolescent
Prenatal Period (General)
Uterine Bleeding During Pregnancy (Placenta Previa, Abruptio Placentae, Uterine Rupture, Nonmalignant Lesions, Hydatidiform Mole)
Part 4 Neonatal Conditions
Family of High-Risk Neonate
Hyperbilirubinemia
Neonate of Narcotic-Addicted Mother
Neonate with Congenital Heart Disease
Neonate with Meningomyelocele
Neonate, Normal
Neonate, Postmature, Small for Gestational Age (Sga), Large for Gestational Age (Lga)
Neonate, Premature
Respiratory Distress Syndrome
Sepsis
Part 5 Pediatric/Adolescent Disorders
Acquired Immunodeficiency Syndrome (Child)
Anxiety/School Phobia
Asthma
Attention Deficit Disorder
Celiac Disease
Cerebral Palsy**
Child Abuse (Battered Child Syndrome, Child Neglect)
Cleft Lip and Palate
Communicable Diseases
Congenital Heart Disease
Convulsive Disorders
Craniocerebral Trauma
Cystic Fibrosis
Developmental Problems/Needs Related To Chronic Illness
Down Syndrome
Dysmenorrhea
Failure to Thrive (Nonorganic)
Glomerular Disorders (Glomerulonephritis: Acute, Chronic; Nephrotic Syndrome: Congenital, Secondary, Idiopathic)
Hemophilia
Hydrocephalus
Infectious Mononucleosis (Adolescent)
Legg-Calvé-Perthes Disease
Leukemia
Meningitis (Bacterial)
Meningomyelocele
Mental Disabilities
Muscular Dystrophy
Obesity
Osteomyelitis
Parasitic Disorders
Pediculosis
Poisoning
Respiratory Tract Infection (Lower)
Reye's Syndrome
Rheumatic Fever
Rheumatoid Arthritis
Scoliosis
Sickle Cell Anemia
Tonsillitis
Wilms' Tumor
Part 6 Mental Health Disorders
Affective Disorders (Depression)
Alcoholism
Anorexia Nervosa
Anxiety and Adjustment Disorders (Phobias, Anxiety States, Traumatic Stress Disorders, Adjustment Reactions)
Bipolar Disorder (Mania)
Childhood Behavioral Disorders (Attention Deficit Disorders, Learning Disabilities)
Obsessive-Compulsive Disorder
Paranoid Disorders
Personality Disorders
Schizophrenic Disorders
Somatoform Disorders (Somatization, Hypochondriasis, Conversion Reactions)
Part 7 Diagnostic and Therapeutic Procedures
Angioplasty (Percutaneous, Transluminal, Coronary, Peripheral)
Anticoagulant Therapy
Cardiac Catheterization
Casts
Chemotherapy
Corticosteroid Therapy
Electroconvulsive Therapy (ECT)
Electronic Fetal Monitoring (Internal)
Enteral Nutrition
External Arteriovenous Shunting
Hemodialysis
Hemodynamic Monitoring
Hickman Catheter
Long-Term Venous Catheter
Mechanical Ventilation
Pacemaker Insertion
Peritoneal Dialysis
Radiation Therapy (External)
Total Parenteral Nutrition
Tracheostomy
Section 4 Diagnostic Clusters
Appendix A: Conditions That Necessitate Nursing Care
‡Collaborative Problems
Risk for Complications of Cardiac/Vascular Dysfunction
Risk for Complications of Gastrointestinal/Hepatic/Biliary Dysfunction
Risk for Complications of Medication Therapy Adverse Effects
Risk for Complications of Metabolic/Immune/Hematopoietic Dysfunction
Risk for Complications of Muscular/Skeletal Dysfunction
Risk for Complications of Neurological/Sensory Dysfunction
Risk for Complications of Renal/Urinary Dysfunction
Risk for Complications of Reproductive Dysfunction
Risk for Complications of Respiratory Dysfunction
Nursing Diagnoses Grouped by Functional Health Pattern
1. Health Perception-Health Management
10. Coping-Stress Tolerance
11. Value-Belief
2. Nutritional-Metabolic
3. Elimination
4. Activity-Exercise
5. Sleep-Rest
6. Cognitive-Perceptual
7. Self-Perception
8. Role-Relationship
9. Sexuality-Reproductive
Nursing Diagnoses Grouped by Functional Health Pattern
Appendix B: Nursing Baseline Assessment Form
Appendix C: Strategies to Promote Engagement of Individual/Support Persons for Healthier Outcomes
Level 1 Fundamental Assessment Intervention (All Settings)
Level 1 Fundamental Focused Interventions
Activities
Appendix C: Strategies to Promote Engagement of Individual/Support Persons for Healthier Outcomes
Diet
Elements to Teach for Optional Self-Care or Care at Home
Evaluation
Financial Implications of Prescribed Medication
Medication Reconciliation and Barriers to Adherence
Ncc Merp Index for Categorizing Medication Errors
Strategies to Improve Comprehension
The Complexity of the Healthcare System
Treatments
Types of Literacy
Appendix D: High-Risk Assessment Tools for Preventable Hospital-Acquired Conditions
Front Matter
