Ackley Nursing Diagnosis appendix B- Gordons Nursing Diagnosis – Flashcards
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Health-Perception—Health-Management Pattern
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Ineffective Airway Clearance *Risk for Allergy Response Risk for Aspiration Autonomic Dysreflexia Risk for Autonomic Dysreflexia Risk for Bleeding Contamination Risk for Contamination *Risk for adverse reaction to iodinated Contrast media Disturbed Energy Field *Risk for dry Eye Risk for Falls *Deficient community Health Risk-prone Health Behavior Ineffective Health Maintenance Readiness for enhanced Immunization Status Risk for Infection Risk for Injury Latex Allergy Response Risk for Latex Allergy Response Noncompliance Risk for Perioperative Positioning Injury Risk for Poisoning Ineffective Protection Ineffective Self-Health Management Readiness for enhanced Self-Health Management Self-Neglect Risk for Shock Impaired Skin Integrity Risk for impaired Skin Integrity Risk for Suffocation *Risk for Thermal Injury Impaired Tissue Integrity Risk for Trauma Risk for Vascular Trauma Impaired spontaneous Ventilation Dysfunctional Ventilatory Weaning Response
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Nutritional Metabolic Pattern
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Latex Allergy Response Risk for Aspiration *Insufficient Breast Milk Ineffective Breastfeeding Interrupted Breastfeeding Readiness for enhanced Breastfeeding Impaired Dentition Risk for Electrolyte Imbalance Adult Failure to Thrive Ineffective infant Feeding Pattern Readiness for enhanced Fluid Balance Deficient Fluid Volume Excess Fluid Volume Risk for deficient Fluid Volume Risk for imbalanced Fluid Volume Dysfunctional Gastrointestinal Motility Risk for dysfunctional Gastrointestinal Motility Risk for ineffective Gastrointestinal Perfusion Risk for unstable blood Glucose level Hyperthermia Hypothermia Neonatal Jaundice *Risk for neonatal Jaundice Risk for impaired Liver Function Nausea Imbalanced Nutrition: less than body requirements Imbalanced Nutrition: more than body requirements Readiness for enhanced Nutrition Risk for imbalanced Nutrition: more than body requirements Impaired Oral Mucous Membrane Risk for Sudden Infant Death Syndrome Impaired Swallowing Risk for imbalanced body Temperature Ineffective Thermoregulation
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Elimination Pattern
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Bowel Incontinence Constipation Perceived Constipation Risk for Constipation Diarrhea Functional urinary Incontinence Overflow urinary Incontinence Reflex urinary Incontinence Risk for urge urinary Incontinence Stress urinary Incontinence Urge urinary Incontinence Risk for ineffective Renal Perfusion Impaired Urinary Elimination Readiness for enhanced Urinary Elimination Urinary Retention
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Activity-Exercise Pattern
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Activity Intolerance Risk for Activity Intolerance Ineffective Breathing Pattern Risk for decreased Cardiac tissue perfusion Decreased Cardiac Output Risk for delayed Development Risk for Disuse Syndrome Deficient Diversional Activity Fatigue Impaired Gas Exchange Risk for disproportionate Growth Delayed Growth and Development Impaired Home Maintenance Disorganized Infant behavior Readiness for enhanced organized Infant behavior Risk for disorganized Infant behavior Impaired bed Mobility Impaired physical Mobility Impaired wheelchair Mobility Risk for Peripheral Neurovascular Dysfunction Sedentary lifestyle Readiness for enhanced Self-Care Bathing Self-Care deficit Dressing Self-Care deficit Feeding Self-Care deficit Toileting Self-Care deficit Delayed Surgical Recovery Ineffective peripheral Tissue Perfusion *Risk for ineffective peripheral Tissue Perfusion Impaired Transfer Ability Impaired Walking Wandering
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Sleep-Rest Pattern
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Insomnia Sleep deprivation Readiness for enhanced Sleep Disturbed Sleep Pattern
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Cognitive-Perceptual Pattern
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Ineffective Activity Planning *Risk for ineffective Activity Planning Risk for ineffective Cerebral tissue perfusion Impaired Comfort Readiness for enhanced Comfort Decisional Conflict Acute Confusion Chronic Confusion Risk for acute Confusion Readiness for enhanced Decision-Making Impaired Environmental Interpretation Syndrome *Ineffective Impulse Control Decreased Intracranial Adaptive Capacity Deficient Knowledge Readiness for enhanced Knowledge Impaired Memory Acute Pain Chronic Pain Unilateral Neglect
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Self-Perception—Self-Concept Pattern
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Anxiety Death Anxiety Disturbed Body Image Fear Readiness for enhanced Hope Hopelessness Risk for compromised Human Dignity Disturbed personal Identity *Risk for disturbed personal Identity Risk for Loneliness Readiness for enhanced Power Powerlessness Risk for Powerlessness Readiness for enhanced Self-Concept Chronic low Self-Esteem *Risk for chronic low Self-Esteem Situational low Self-Esteem Risk for situational low Self-Esteem Risk for self-directed Violence
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Role-Relationship Pattern
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Risk for impaired Attachment Caregiver Role Strain Risk for Caregiver Role Strain Readiness for enhanced Communication Impaired verbal Communication Dysfunctional Family Processes Interrupted Family Processes Readiness for enhanced Family Processes Grieving Complicated Grieving Risk for complicated Grieving Risk for disturbed Maternal-Fetal Dyad Impaired Parenting Readiness for enhanced Parenting Risk for impaired Parenting *Ineffective Relationship Readiness for enhanced Relationship *Risk for Ineffective Relationship Parental Role Conflict Ineffective Role Performance Impaired Social Interaction Social Isolation Chronic Sorrow Ineffective family Therapeutic Regimen Management
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Sexuality-Reproductive Pattern
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Ineffective Childbearing Process Readiness for enhanced Childbearing Process *Risk for ineffective Childbearing Process Risk for disturbed Maternal-Fetal Dyad Sexual Dysfunction Ineffective Sexuality Pattern
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Coping—Stress-Tolerance Pattern
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Risk-prone Health Behavior Compromised family Coping Defensive Coping Disabled family Coping Ineffective Coping Ineffective community Coping Readiness for enhanced Coping Readiness for enhanced community Coping Readiness for enhanced family Coping Ineffective Denial Adult Failure to Thrive Post-Trauma Syndrome Risk for Post-Trauma Syndrome Rape-Trauma Syndrome Relocation Stress Syndrome Risk for Relocation Stress Syndrome Impaired individual Resilience Readiness for enhanced Resilience Risk for compromised Resilience Self-Mutilation Risk for Self-Mutilation Stress overload Risk for Suicide Risk for other-directed Violence
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Value-Belief Pattern
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Moral Distress Impaired Religiosity Readiness for enhanced Religiosity Risk for impaired Religiosity Spiritual Distress Risk for Spiritual Distress Readiness for enhanced Spiritual Well-Being