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Nursing Diagnoses: Definitions and Classifications

Nursing Diagnoses: Definitions and Classifications


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About the Book

A nursing diagnosis is defined as a clinical judgement about individual, family or community responses to actual or potential health problems or life processes which provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable. Accurate and valid nursing diagnoses guide the selection of interventions that are likely to produce the desired treatment effects and determine nurse-sensitive outcomes. Nursing diagnoses are seen as key to the future of evidence-based, professionally-led nursing care - and to more effectively meeting the need of patients and ensuring patient safety. In an era of increasing electronic patient health records standardized nursing terminologies such as NANDA, NIC and NOC provide a means of collecting nursing data that are systematically analyzed within and across healthcare organizations and provide essential data for cost/benefit analysis and clinical audit. 'Nursing Diagnoses: Definitions and Classification' is the definitive guide to nursing diagnoses worldwide. Each nursing diagnoses undergoes a rigorous assessment process by NANDA-I with stringent criteria to indicate the strength of the underlying level of evidence. Each diagnosis comprises a label or name for the diagnosis and a definition. Actual diagnoses include defining characteristics and related factors. Risk diagnoses include risk factors. Many diagnoses are further qualified by terms such as effective, ineffective, impaired, imbalanced, readiness for, disturbed, decreased etc. The 2009-2011 edition is arranged by concept according to Taxonomy II domains (i.e. Health promotion, Nutrition, Elimination and Exchange, Activity/Rest, Perception/Cognition, Self-Perception, Role Relationships, Sexuality, Coping/ Stress Tolerance, Life Principles, Safety/Protection, Comfort, Growth/Development). The book contains new chapters on 'Critical judgement and assessment' and 'How to identify appropriate diagnoses' and core references for all nursing diagnoses. A companion website hosts NANDA-I position statements, new PowerPoint slides, and FAQs for students.* 2009-2011 edition arranged by concepts* New chapters on 'Critical judgement and assessment' and 'How to identify appropriate diagnoses'* Core references for new diagnoses and level of evidence for each diagnosis* Companion website available

Table of Contents:
NANDA International Guidelines for Copyright Permission. Preface. Introduction. Part 1 An Introduction to Nursing Diagnoses: Accuracy, Application Across Setting, and Submission of Nursing Diagnoses to NANDA-I 2009-2011. Assessment, Clinical Judgment, and Nursing Diagnoses: How to Determine Accurate Diagnoses (Margaret Lunney). Nurses are Diagnosticians. Intellectual, Interpersonal and Technical Competencies. Personal Strengths: Tolerance for Ambiguity and Refl ective Practice. Assessment and Nursing Diagnosis. Assessment Framework. Validating Diagnoses. Case Study Example. References. Appendix: Functional Health Pattern Assessment Framework. Directions. Nursing Diagnosis in Education (Martha Craft-Rosenberg and Kelly Smith). Assessment and Identifying Defining Characteristics. History and Identifying Related Factors. Selecting the Nursing Diagnosis Label. Risk Diagnoses. Health-Promotion Diagnoses. Wellness Diagnoses. Prioritizing Diagnoses. Linking Nursing Diagnoses to Outcomes and Interventions. References. The Value of Nursing Diagnoses in Electronic Health Records (Jane Brokel and Crystal Health). References. Nursing Diagnosis and Research (Margaret Lunney). Concept Analyses. Construct and Criterion-Related Validity. Consensus Validation. Studies of Accuracy of Nurses' Diagnoses. Summary. References. Nursing Diagnosis in Administration (Dickon Weir-Hughes). Why Implement Nursing Diagnosis in a Clinical Environment? Evidence-based Practice: Integrating Theory and Practice. Nursing in the Era of Electronic Patient Records. Leading the Implementation of Nursing Diagnosis in Clinical Practice. Conclusion. References. The Process for Development of an Approved NANDA-I Nursing Diagnosis (Leann M. Scroggins). Axis 1: The Diagnostic Concept. Axis 2: Subject of the Diagnosis. Axis 3: Judgment. Axis 4: Location. Axis 5: Age. Axis 6: Time. Axis 7: Status of the Diagnosis. Defi ning Characteristics versus Risk Factors. References. Part 2 NANDA-I Nursing Diagnoses 2009-2011 Domain 1. Health Promotion. Ineffective Health Maintenance (00099). Ineffective Self Health Management (00078). Impaired Home Maintenance (00098). Readiness for Enhanced Immunization Status (00186). Self Neglect (00193). Readiness for Enhanced Nutrition (00163). Ineffective Family Therapeutic Regimen Management (00080). Readiness for Enhanced Self Health Management (00162). Domain 2. Nutrition. Ineffective Infant Feeding Pattern (00107). Imbalanced Nutrition: Less Than Body Requirements (00002). Imbalanced Nutrition: More Than Body Requirements (00001). Risk for Imbalanced Nutrition: More Than Body Requirements (00003). Impaired Swallowing (00103). Risk for Unstable Blood Glucose Level (00179). Neonatal Jaundice (00194). Risk for Impaired Liver Function (00178). Risk for Electrolyte Imbalance (00195). Readiness for Enhanced Fluid Balance (00160). Defi cient Fluid Volume (00027). Excess Fluid Volume (00026). Risk for Defi cient Fluid Volume (00028). Risk for Imbalanced Fluid Volume (00025). Domain 3. Elimination and Exchange. Functional Urinary Incontinence (00020). Overfl ow Urinary Incontinence (00176). Refl ex Urinary Incontinence (00018). Stress Urinary Incontinence (00017). Urge Urinary Incontinence (00019). Risk for Urge Urinary Incontinence (00022). Impaired Urinary Elimination (00016). Readiness for Enhanced Urinary Elimination (00166). Urinary Retention (00023). Bowel Incontinence (00014). Constipation (00011). Perceived Constipation (00012). Risk for Constipation (00015). Diarrhea (00013). Dysfunctional Gastrointestinal Motility (00196). Risk for Dysfunctional Gastrointestinal Motility (00197). Impaired Gas Exchange (00030). Domain 4. Activity/Rest. Insomnia (00095). Disturbed Sleep Pattern (00198). Sleep Deprivation (00096). Readiness for Enhanced Sleep (00165). Risk for Disuse Syndrome (00040). Defi cient Diversional Activity (00097). Sedentary Lifestyle (00168). Impaired Bed Mobility (00091). Impaired Physical Mobility (00085). Impaired Wheelchair Mobility (00089). Delayed Surgical Recovery (00100). Impaired Transfer Ability (00090). Impaired Walking (00088). Disturbed Energy Field (00050). Fatigue (00093). Activity Intolerance (00092). Risk for Activity Intolerance (00094). Risk for Bleeding (00206). Ineffective Breathing Pattern (00032). Decreased Cardiac Output (00029). Ineffective Peripheral Tissue Perfusion (00204). Risk for Decreased Cardiac Tissue Perfusion (00200). Risk for Ineffective Cerebral Tissue Perfusion (00201). Risk for Ineffective Gastrointestinal Perfusion (00202). Risk for Ineffective Renal Perfusion (00203). Risk for Shock (00205). Impaired Spontaneous Ventilation (00033). Dysfunctional Ventilatory Weaning Response (00034). Readiness for Enhanced Self-Care (00182). Bathing Self-Care Defi cit (00108). Dressing Self-Care Defi cit (00109). Feeding Self-Care Defi cit (00102). Toileting Self-Care Defi cit (00110). Domain 5. Perception/Cognition. Unilateral Neglect (00123). Impaired Environmental Interpretation Syndrome (00127). Wandering (00154). Disturbed Sensory Perception (Specify: Visual, Auditory, Kinesthetic, Gustatory, Tactile, Olfactory) (00122). Acute Confusion (00128). Chronic Confusion (00129). Risk for Acute Confusion (00173). Defi cient Knowledge (00126). Readiness for Enhanced Knowledge (00161). Impaired Memory (00131). Readiness for Enhanced Decision-Making (00184). Ineffective Activity Planning (00199). Impaired Verbal Communication (00051). Readiness for Enhanced Communication (00157). Domain 6. Self-Perception. Risk for Compromised Human Dignity (00174). Hopelessness (00124). Disturbed Personal Identity (00121). Risk for Loneliness (00054). Readiness for Enhanced Power (00187). Powerlessness (00125). Risk for Powerlessness (00152). Readiness for Enhanced Self-Concept (00167). Situational Low Self-Esteem (00120). Chronic Low Self-Esteem (00119). Risk for Situational Low Self-Esteem (00153). Disturbed Body Image (00118). Domain 7. Role Relationships. Caregiver Role Strain (00061). Risk for Caregiver Role Strain (00062). Impaired Parenting (00056). Readiness for Enhanced Parenting (00164). Risk for Impaired Parenting (00057). Risk for Impaired Attachment (00058). Dysfunctional Family Processes (00063). Interrupted Family Processes (00060). Readiness for Enhanced Family Processes (00159). Effective Breastfeeding (00106). Ineffective Breastfeeding (00104). Interrupted Breastfeeding (00105). Parental Role Confl ict (00064). Readiness for Enhanced Relationship (00207). Ineffective Role Performance (00055). Impaired Social Interaction (00052). Domain 8. Sexuality. Sexual Dysfunction (00059). Ineffective Sexuality Pattern (00065). Readiness for Enhanced Childbearing Process (00208). Risk for Disturbed Maternal/Fetal Dyad (00209). Domain 9. Coping/Stress Tolerance. Post-Trauma Syndrome (00141). Risk for Post-Trauma Syndrome (00145). Rape-Trauma Syndrome (00142). Relocation Stress Syndrome (00114). Risk for Relocation Stress Syndrome (00149). Anxiety (00146). Death Anxiety (00147). Risk-Prone Health Behavior (00188). Compromised Family Coping (00074). Defensive Coping (00071). Disabled Family Coping (00073). Ineffective Coping (00069). Ineffective Community Coping (00077). Readiness for Enhanced Coping (00158). Readiness for Enhanced Community Coping (00076). Readiness for Enhanced Family Coping (00075). Ineffective Denial (00072). Fear (00148). Grieving (00136). Complicated Grieving (00135). Risk for Complicated Grieving (00172). Impaired Individual Resilience (00210). Readiness for Enhanced Resilience (00212). Risk for Compromised Resilience (00211). Chronic Sorrow (00137). Stress Overload (00177). Autonomic Dysrefl exia (00009). Risk for Autonomic Dysrefl exia (00010). Disorganized Infant Behavior (00116). Risk for Disorganized Infant Behavior (00115). Readiness for Enhanced Organized Infant Behavior (00117). Decreased Intracranial Adaptive Capacity (00049). Domain 10. Life Principles. Readiness for Enhanced Hope (00185). Readiness for Enhanced Spiritual Well-Being (00068). Decisional Confl ict (00083). Moral Distress (00175). Noncompliance (00079). Impaired Religiosity (00169). Readiness for Enhanced Religiosity (00171). Risk for Impaired Religiosity (00170). Spiritual Distress (00066). Risk for Spiritual Distress (00067). Domain 11. Safety/Protection. Risk for Infection (00004). Ineffective Airway Clearance (00031). Risk for Aspiration (00039). Risk for Sudden Infant Death Syndrome (00156). Impaired Dentition (00048). Risk for Falls (00155). Risk for Injury (00035). Risk for Perioperative-Positioning Injury (00087). Impaired Oral Mucous Membrane (00045). Risk for Peripheral Neurovascular Dysfunction (00086). Ineffective Protection (00043). Impaired Skin Integrity (00046). Risk for Impaired Skin Integrity (00047). Risk for Suffocation (00036). Impaired Tissue Integrity (00044). Risk for Trauma (00038). Risk for Vascular Trauma (00213). Self-Mutilation (00151). Risk for Self-Mutilation (00139). Risk for Suicide (00150). Risk for Other-Directed Violence (00138). Risk for Self-Directed Violence (00140). Contamination (00181). Risk for Contamination (00180). Risk for Poisoning (00037). Latex Allergy Response (00041). Risk for Latex Allergy Response (00042). Risk for Imbalanced Body Temperature (00005). Hyperthermia (00007). Hypothermia (00006). Ineffective Thermoregulation (00008). Domain 12. Comfort. Readiness for Enhanced Comfort (00183). Impaired Comfort (00214). Nausea (00134). Acute Pain (00132). Chronic Pain (00133). Social Isolation (00053). Domain 13. Growth/Development. Adult Failure to Thrive (00101). Delayed Growth and Development (00111). Risk for Disproportionate Growth (00113). Risk for Delayed Development (00112). Part 3 Taxonomy II 2009-2011. History of the Development of Taxonomy II. Structure of Taxonomy II. The Multiaxial System. Defi nitions of the Axes. Construction of a Nursing Diagnostic Statement. The NNN Taxonomy of Nursing Practice. Further Development of the NANDA-I Taxonomy. References. Part 4 Nursing Diagnoses Retired from the NANDA-I Taxonomy 2009-2011. Total Urinary Incontinence. Rape-Trauma Syndrome: Compound Reaction. Rape-Trauma Syndrome: Silent Reaction. Effective Therapeutic Regimen Management. Ineffective Community Therapeutic Regimen Management. Disturbed Thought Processes. Part 5 NANDA International 2009-2011. Full Review Process. Expedited Review Process. Submission Process for New Diagnoses. Submission Process for Revising a Current Nursing Diagnosis. Procedure to Appeal a DDC Decision on Diagnosis Review. NANDA-I Diagnosis Submission: Level of Evidence Criteria. Glossary of Terms. Nursing Diagnoses. Components of a Nursing Diagnosis. Defi nitions for Classifi cation of Nursing Diagnoses. References. NANDA International 2006-2008. NANDA International Board of Directors. NANDA International Diagnosis Development Committee. NANDA International Taxonomy Committee. An Invitation to Join NANDA International. NANDA International's Commitment. Involvement Opportunities. NANDA International: A Member-driven Organization. Our Vision. Our Mission. Our Purpose. Our History. Nanda International Taxonomy. Index.

About the Author :
NANDA International, formed in 1982, is committed to increasing the visibility of nursing's contribution to patient care by continuing to develop, refine and classify phenomena of concern to nurses. NANDA International has approximately 206 diagnoses approved for clinical testing and refinement, and a dynamic process of diagnosis review and taxonomy development. For more information about NANDA-I, go to www.nanda.org.


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Product Details
  • ISBN-13: 9781405187183
  • Publisher: John Wiley and Sons Ltd
  • Publisher Imprint: Wiley-Blackwell (an imprint of John Wiley & Sons Ltd)
  • Height: 228 mm
  • Returnable: N
  • Sub Title: Definitions and Classifications
  • Width: 155 mm
  • ISBN-10: 1405187182
  • Publisher Date: 10 Oct 2008
  • Binding: Paperback
  • Language: English
  • Spine Width: 25 mm
  • Weight: 720 gr


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