Show Menu
Cheatography

NANDA Diagnoses List Cheat Sheet (DRAFT) by [deleted]

This is a draft cheat sheet. It is a work in progress and is not finished yet.

EXCHANGES

Excess nutrie­nt: Nutrit­ional higher metabolic needs
Nutritional Defici­ency: Nutrit­ional intake below metabolic needs.
Risk of nutrit­ional excess: Nutrient intake likely to be higher metabolic needs.
Risk of infect­ion: High risk of contam­ination by pathogens.
Risk of impaired body temper­atu­re: Risk of inability to maintain body temper­ature within normal limits.
Hypothermia: Reduction in body temper­ature below the normal limits.
Hyperthermia: Elevation of body temper­ature above the normal limits.
Ineffective Thermo­reg­ula­tion: Fluctu­ations in body temper­ature between hypoth­ermia and hypert­hermia.
Dysreflexia: Non-in­hib­ition of influx of the sympat­hetic nervous system faces a noxious stimuli that threaten the life of a person with a spinal cord up to D7 or above.
Constipation: Change in normal bowel habits charac­terized by a decrease in stool frequency and the emission of hard, dry stools.
Pseudo-constipation: Self-d­iag­nosis of consti­pation and use of laxatives, enemas or suppos­itories to ensure daily bowel.
Colic Consti­pat­ion: Emission of hard, dry stools due to a slower passage of food residues.
Diarrhea: Change in bowel habits charac­terized by the frequent loose stools, liquid and unformed.
Fecal incont­ine­nce: Change in bowel habits charac­terized by fecal accidents.
Altered urinary elimin­ati­on: Distur­bance in urinary excretion.
Urinary Stress Incont­ine­nce: Urine flow of less than 50 mL that occurs when abdominal pressure increases.
Urinary incont­inence reflex: Involu­ntary flow of urine occurring at somewhat predic­table intervals when the bladder reaches a specified volume.
Urinary incont­inence by reducing the time warning: Involu­ntary flow of urine shortly after a strong urge to urinate is felt.
Functional Incont­ine­nce: Involu­ntary and unpred­ictable flow of urine.
Urinary Incont­inence complete (true): Continuous and unpred­ictable flow of urine.
**Urinary retention (acute or chronic) Incomplete bladder evacua­tion. Strong pressure on the urethra prevents the bladder from emptying completely inhibits urination or until the increase in abdominal pressure cause involu­ntary urine flow.
Decreased tissue perfus­ion: (Specify) (cardi­o-p­ulm­onary, cerebral, gastro­int­est­inal, periph­eral, renal) Decrease in nutrition and cellular oxygen­ation secondary to decreased blood flow in capill­aries. The blood supply to tissues and cardiac output are normally directly connected. However, tissue perfusion may be insuff­icient without decreased cardiac output.
Excess fluid volume: Increase water retention accomp­anied by edema.
Fluid Volume Deficit: Vascular dehydr­ation, cellular or intrac­ellular secondary to dysfun­ction of regulatory mechanisms which caused an excessive demand organic or decrease the capacity of replac­ement.
Risk of deficit fluid volume: Vascular risk of dehydr­ation, intrac­ellular or cell loss may result from active or dysfun­ction of regulatory mechanisms which would cause excessive demand or a drop in replac­ement capacity.
Decreased cardiac output: Amount of blood pumped from the heart insuff­icient for tissue perfusion. Note: In case of increase in basal metabolic rate, cardiac output may be normal without adequately meet the needs of the tissues. Cardiac output and blood flow to tissues are normally directly connec­ted:** the decrease in cardiac output results in impaired tissue perfusion. However, tissue perfusion may be insuff­icient without decreased cardiac output.
Disruption of gas exchan­ge: Decreased exchange of oxygen and / or carbon dioxide between the alveoli and vascul­ature. This reaction can occur only following a medical problem but may also result from an ineffe­ctive airway clearance and / or ineffe­ctive breathing pattern.
Ineffective airway cleara­nce: Inability to clear the airways obstru­ctions that impede the free passage of air.
Mode of breathing ineffe­cti­ve: Way to inspire and / or expire does not allow fill or empty the lungs properly.
Inability to sustain sponta­neous breath­ing: Depletion of energy reserves making the person unable to maintain respir­ation sufficient to ensure their basic needs.
Intolerance cessation of assisted ventil­ati­on: Inability to adapt to a decrease in mechanical ventil­ation and which interrupts extends the withdrawal process.
Risk of accide­nt: Situation in which a person may be injured because the conditions under which it is beyond the capacity of adaptation and defense.
Risk of choking: Increased danger of accidental suffoc­ation (lack of air).
Risk of poison­ing: High risk of accide­ntally come into contact with harmful substances in sufficient quantities to cause poisoning (adverse effects of a prescr­iption medication or a drug).
Risk of trauma: High risk of accidental injury to tissue (wound, burn, fracture …)
Risk of aspiration [sucti­on]: Risk of inhaling gastric secretions and / or oropha­ryn­geal, solids or liquids into the trachea and bronchi (because of a malfun­ction or absence of normal protective mechan­isms).
Risk of immobility syndro­me: Risk of deteri­oration of organ function due to inactivity muscul­osk­eletal prescribed or inevit­able.
Note: According to NANDA compli­cations due to immobility including pressure ulcers, consti­pation, stasis of pulmonary secret­ions, thromb­osis, urinary tract infection, urinary retention, loss of strength or endurance, postural hypote­nsion, decreased the amplitude of joint movements, disori­ent­ation, impaired body image and feelings of helple­ssness.
Alteration of protective mechan­isms: Decreased ability to protect themselves from internal and external threats such as illness or accidents.
Damage to tissue integr­ity: Mucosal lesion in the cornea, the integument or subcut­aneous tissues.
Violation of the integrity of the oral mucosa: Out of the tissue layers of the oral cavity.
Violation of the integrity of the skin: Skin lesion; break in the integu­ment, the largest multif­unc­tional organ of the body.
Risk of injury to the skin: Risk of skin lesion.
**Decreased intrac­ranial adaptive capacity
**Disruption of the energy field

COMMUN­ICATION

Impaired verbal commun­ica­tion: Difficulty or inability to use or understand language in interp­ersonal reactions.

RELATIONS

Disruption of social intera­cti­on: Social relations excessive, inadequate or ineffe­ctive.
Social isolat­ion: Loneliness that the person regards as imposed by others and she perceives as threat­ening or negative.
Risk of loneli­ness: Subjective state of a person at risk of experi­encing a wave dysphoria.
Disturbance in the perfor­mance of the role: Upheaval in the way a person perceives the exercise of its role
Disturbance in the exercise of parent­ing: Unfitness of a parent or designated person to create an enviro­nment that promotes maximum growth and develo­pment of another human being. It is important to add a preamble to this diagnosis that adaptation to parenting is part of the normal evolution towards maturity which leads to the nurse (e) activities in health promotion and prevention issues.
Risk of disruption in the exercise of parent­ing: Risk that a parent or surrogate becomes unable to create an enviro­nment that promotes maximum growth and develo­pment of another human being. It is important to add a preamble to this diagnosis that adaptation to parenting is part of the normal evolution towards maturity which leads to the nurse (e) activities in health promotion and prevention issues.
Sexual Dysfun­cti­on: Change in sexual functi­oning perceived as unsati­sfa­ctory, demeaning or inappr­opr­iate.
Disruption of family dynami­cs: Dysfun­ction within a family that works effect­ively in most cases.
Failure in the perfor­mance of the role of caregi­ver: The caretaker of a sick or disabled has difficulty to perform the role of caregiver.
Risk of failure in the perfor­mance of the role of caregi­ver: The caretaker of a sick or disabled is likely to experience difficulty in exercising the role of caregiver.
Disruption of family dynami­cs: Dysfun­ction or risk of dysfun­ction within a family that works effect­ively in most cases.
Conflict facing parent­ing: Situation where a parent or a person with a dependent child changes roles or role appear to change due to intrinsic factors (illness, hospit­ali­zation, divorce, separa­tion, for example)
Disruption of sexual­ity: Situation where a person experi­ences or may experience a change in sexual health. Sexual health is a positive integr­ation aspects of somatic, emotional, intell­ectual and social aspects of sexual being, so that it enriches person­ality, commun­ication and love (WHO, 1975)
 

VALUES

Spiritual distre­ss: Disruption of the life principle that animates the whole being of a person and that integrates and transcends its biological and psycho­social.
Spiritual well-b­eing: possible updating

CHOICE

Ineffective individual coping strate­gies: Difficulty in adaptive behaviors and use problem solving techniques to meet the demands of life and fulfill its roles.
Inability to adapt to a change in health status: Inability to modify lifestyle or behavior based on a change in health status.
Coping Strategies defens­ive: Defense system against anything that seems to threaten a positive self-i­mage, resulting in a systematic overes­tim­ation of oneself.
Denial not constr­uct­ive: Conscious or uncons­cious attempt to disavow knowledge or meaning of an event to reduce anxiety or fear at the expense of his health.
Ineffective family coping strate­gies: lack of support. Deteri­orating relati­onship between the patient and a key person or other that makes it and the patient unable to perform effect­ively the adaptation work necessary to the problem health.
Ineffective family coping strate­gies: support compro­mise: Support, comfort, support and encour­agement that usually provides a key person, family member or friends, are compro­mised or ineffe­ctive. The patient did not have enough support to support the work required to adapt their health problem.
Effective family coping strate­gies: growth potential: Situation where a family member who looks after the customer has done the work necessary to adapt. It demons­trates the desire and the desire to improve his health and that of the customer and provide opport­unity for personal growth.
Ineffective family coping strate­gies: potential for improv­ement
Ineffective coping strategies of a commun­ity.
Support for ineffe­ctive treatment program: How to organize the treatment program of a disease or conseq­uences of illness and to integrate it into daily life does not allow to achieve certain health goals.
Non-observance (speci­fy): Refusal knowingly adhere to recomm­ended treatment. Note: it is difficult to treat the causes of this problem because of the ambiguity of the term. On the one hand nursing staff perceives the noncom­pliance negati­vely. On the other hand, the patient sees the refusal to adhere to treatment as a right. Since the nurse must respect the patient’s choice with him she will seek other ways to achieve the same object­ives.
Support for ineffe­ctive treatment program by the family.
Support for ineffe­ctive treatment program by a joint collec­tiv­ity.
Effective management of the treatment program by the indivi­dual.
Conflict decision (speci­fy): Uncert­ainty about the line of action to take when the choice between acts antago­nists involves risk, loss or questi­oning of personal values.
Looking for a better standard of health: (specify the behavior) Wishes of indivi­duals whose health status is stable to change personal habits of health and/or its enviro­nment to improve its level of health. A stable state of health is defined as the person has taken steps to prevent the disease age-ap­pro­priate, she said good or excellent health and, where approp­riate, the signs and symptoms of disease are stabil­ized.

MOVEMENT

Impaired physical mobili­ty: Location limiting the ability to move indepe­nde­ntly.
Risk of peripheral neurom­uscular dysfun­cti­on: Risk of circul­atory disorder. sensory or motor in a limb.
**Risk of injury in periop­erative
Intolerance to activi­ty: Lack of physical or mental energy that prevents a person from continuing or completing the required or desired daily activi­ties.
Fatigue: Overwh­elming feeling of exhaustion and prolonged reducing the capacity of physical and mental work.
Risk of activity intole­ran­ce: Situation in which a person might run out of physical or emotional energy to pursue or carry out daily activities required or desired.
Disruption in sleep patter­ns: Disruption of sleep that the patient inconv­enient or impossible to have the lifestyle they want.
Lack of leisure: Boredom resulting from declining interest in leisure activities or inability to have (because of internal or external factors Relevant or not the will).
Disability (partial or total) to organize and maintain the home: Inability to maintain unaided a safe and conducive to personal growth.
Difficult to stay healthy: Situation in which a person does not know where to get help to stay healthy, is unable to find or do not know what conduct stand facing support services. If this nursing diagnosis is the result of an addition problem of nursing (lack of knowledge, impaired verbal commun­ica­tion, impaired thinking processes, coping strategies ineffe­ctive individual or family …) and if the same factor encour­aging is found, we recommend to integrate interv­entions for difficulty mainta­ining health diagnosis priority.
Disability (partial or total) to eat: Feeding diffic­ulty:** difficulty temporary, permanent or gradually increa­sing. Note: the notion of personal care is not limited to pae hygiene, it also encomp­asses the practices of health promotion, the ability to take charge and thinking.
Disability (partial or total) to swallow: Decreased ability to move volunt­arily liquids and / or solids from the mouth to the stomach.
Breastfeeding ineffe­cti­ve: The mother or baby are struggling to master the process of breast­feeding and do not derive satisf­action.
Breastfeeding interr­upt­ed: Suspension of the process of breast­feeding because the mother is unable to breastfeed or breast­-fe­eding is not recomm­ended against.
Breastfeeding efficient (learning need): The mother and baby proficient enough with the nursing process and derive satisf­action.
Power Mode ineffe­ctive in infants: Distur­bance of sucking reflex of a baby or difficulty coordi­nating sucking and swallo­wing.
Disability (partial or total) to wash / perform its hygiene: Difficulty bathing and hygiene self-care without assist­ance; difficulty temporary, permanent or gradually increa­sing. Note: the notion of personal care is not limited to personal care, it also encomp­asses the practices of health promotion, the ability to learn and how to think.
Disability (partial or total) to dress / appearance of care: Difficulty dressing and treat its appearance without assist­ance; difficulty temporary, permanent or gradually increa­sing. Note: the notion of personal care is not limited to personal care, it also encomp­asses the practices of health promotion, the ability to learn and how to think.
Disability (partial or total) to use the toilet: Difficulty using the toilet without help; difficulty temporary, permanent or gradually increa­sing. Note: the notion of personal care is not limited to personal care, it also encomp­asses the practices of health promotion, the ability to learn and how to think.
Disturbance of growth and develo­pme­nt: Deviations from establ­ished norms for the age group of person.
Syndrome of maladj­ustment to a change of enviro­nme­nt: Physio­logical distur­bances and / or psycho­social resulting from a change of medium.
Risk of behavioral disorg­ani­zation in infants
Behavioral disorg­ani­zation in infants
Organization of infant behavi­or: potential for improv­ement

PERCEP­TIONS

Disturbance of body image: Change in how a person perceives his body image.
Disturbance of self-e­ste­em: Adverse judgment for oneself or abilities that can be expressed directly or indire­ctly.
Disturbance of chronic self-e­ste­em: Deprec­iation and mainte­nance of long-s­tanding negative feelings vis-?-vis himself or his abilities.
Disruption of situat­ional self-e­ste­em: Adverse judgment for oneself in reaction to a loss or a change in a person who previously had a positive image of itself.
Disturbance of personal identi­ty: Inability to distin­guish between the self and the outside world.
Altered sensory percep­tion: (Speci­fy:** auditory, gustatory, kinest­hetic, olfactory, tactile, visual) Reaction dimini­shed, exagge­rated or inappr­opriate to a change in the amount or nature of the stimuli received by the senses.
The hemibody Neglig­ence: State in which a person does not see one side of the body or do not pay attention. The non-pe­rce­ption or inatte­ntion extends to the immediate space around half of his body.
Loss of hope: Subjective state in which a person sees little or no altern­atives or personal choices good and is unable to mobilize its oi-these for its own account.
Feelings of powerl­ess­ness: Impression that his actions will have no effect. Feeling powerless against a common situation or a sudden event.

KNOWLEDGE

Lack of knowledge (specify the need for learni­ng): The patient or the key person in his life does not have the accurate inform­ation needed to make informed choices about their situation and the available treatment modalities and treatment plan.
Syndrome of misint­erp­ret­ation of the enviro­nme­nt: Disori­ent­ation to person, places, time and circum­stances for more than three to six months, requiring the applic­ation of safegu­ards.
Acute Confus­ion: Sudden and transient appearance of a set of behavioral changes accomp­anied by distur­bance of attention, cognition, psycho­motor activity, the level of consci­ousness and / or sleep-wake cycle.
Chronic Confus­ion: Irreve­rsible damage, long and / or progre­ssive ability to interpret enviro­nmental stimuli and intell­ectual processes that manifests as impaired memory, orient­ation and behavior.
Alteration of operations of thought: Business disruption and cognitive activi­ties.
Memory proble­ms: Forgot flanges inform­ation or skills acquired. The memory impairment may be caused by physio­logical or situat­ional and be temporary or permanent.

SENSATIONS AND EMOTIONS

Acute pain: Distress or malaise experi­enced and reported by the person.
Chronic Pain: Pain lasting for more than six months.
Mourning [grief] dysfun­cti­onal: Delayed or exagge­rated reaction to a perceived loss of actual or potential.
Mourning [grief] in advance: Reaction to a loss before it happens. Note: It may be a healthy response requiring only supportive interv­entions and inform­ation.
Risk of violence against self or to others: Behavior likely to cause harm to oneself or others. The damage can range from neglect to abuse or even death and the injury may be psycho­logical or physical.
Risk of self harm: High risk of injury without intent to kill himself producing tissue damage and a sense of relief.
Post-traumatic reacti­on: Painful and prolonged reaction to unforeseen calamity.
Rape trauma syndro­me: Violent sexual penetr­ation made under duress and against the will of the victim. Trauma syndrome following a sexual assault or attempted assault includes an acute disruption of lifestyle and a long-term process of reorga­niz­ation. This syndrome consists of three elemen­ts:** trauma, and mixed reaction silent reaction.
Rape trauma syndro­me: Mixed reaction. cf:** rape trauma syndrome
Rape trauma syndro­me: silent reaction. cf:** rape trauma syndrome
Anxiety: (Mild, moderate, severe or panic) Vague sense of unease home generally undete­rmined or unknown.
Fear: Fear related to an identi­fiable source confirmed that the small person.