list of nursing diagnosis nanda

Nursing diagnosis is a systematic approach to classifying patients’ health problems and needs. It is used to help nurses provide care that meets the specific needs of each patient. Nursing diagnoses are used as a part of the nursing process, which includes assessment, planning, implementation and evaluation.

list of nursing diagnosis nanda

1 Nursing Diagnosis: Acetylcholine Deficiency related to surgical procedure (removal of parathyroid gland) as evidenced by weakness and tremors

Acetylcholine deficiency related to surgical procedure (removal of parathyroid gland) as evidenced by weakness and tremors

Acetylcholine is a neurotransmitter that controls muscle tone and movement. It is released from nerve endings in response to stimulation from acetylcholine receptors on the target cell. In patients with this condition, the parathyroid gland has been surgically removed, causing acytelcholin deficiency. Weakness and tremors may be present because acetylcholinesterase inhibitors are not effective for treating this condition unless surgery has been performed within two weeks of its onset.[1]

2 Nursing Diagnosis: Ineffective Breathing Pattern related to dyspnea and cough as manifested by changes in breathing patterns (increase in rate and depth, pursing of lips, use of accessory muscles, nasal flaring)

Ineffective Breathing Pattern related to dyspnea and cough as manifested by changes in breathing patterns (increase in rate and depth, pursing of lips, use of accessory muscles, nasal flaring)

The nurse suspects Ineffective Breathing Pattern related to dyspnea and cough if the patient has a change in breathing pattern during episodes of dyspnea or coughing that disrupts their normal respiratory pattern. The nurse can look for symptoms such as increased rate/depth of respiration, pursed lips with mouth open while trying to breathe deeply, use of accessory muscles during attempts at deep inspiration (e.g., neck flexion), nasal flaring due to hyperventilation caused by anxiety associated with the pain stimulus (e.g., coughing).

Risks include increased work load on heart due to increased oxygen demand; decreased oxygenation level due to alveolar hypoventilation (not enough air entering lungs); accumulation of carbon dioxide within bloodstream leading up toward brain because respiration is unable to keep up with metabolic demands; development of heart failure from high blood pressure caused by stressors such as fear associated with pain stimuli causing an increase in sympathetic nervous system activity; inability for patient’s body temperature regulation system because normal pathways through pulmonary alveoli are blocked off due

3 Nursing Diagnosis: Impaired Comfort related to hormonal imbalance as evidenced by anxiety, nausea, sweating

Nursing Diagnosis: Impaired Comfort related to hormonal imbalance as evidenced by anxiety, nausea, sweating

Evidence-Based Practice: What is the best way to help a patient?

Signs/Symptoms: * Anxiety

• Nausea
• Sweating (profuse)

Risk Factors: What factors can increase the chance that a person will experience this problem?

Interventions That Can Be Used To Treat The Problem Or Reduce Its Severity: What interventions are recommended for this condition and its severity? How do you use these interventions in your practice? Which ones do you use mostly often? Why do you choose them over other options or combinations of options?

4 Nursing Diagnosis: Imbalanced Nutrition: Less Than Body Requirements related to change in dietary habits as evidenced by decreased appetite and weight loss

SHAPE UP YOUR HEALTH WITH NUTRITION

Nutrition is an important part of a healthy lifestyle. It can help you maintain your weight, reduce the risk of chronic diseases and increase energy levels. Eating well not only helps you feel better in general but also improves recovery after an illness or surgery.

A patient’s nutritional status may change during hospitalization due to factors such as:

• Changes in eating habits due to stress, pain or medication side effects

• Anxiety about being hospitalized

5 Nursing Diagnosis: Anxiety related to uncertainty of the situation as evidenced by rapid breathing, tense muscles, and restlessness

Anxiety is a common emotional response to uncertainty, and anxiety related to uncertainty of the situation is a nursing diagnosis. Anxiety-related symptoms include rapid breathing (hyperventilation), tense muscles, and restlessness. Anxiety can be treated with medication and/or psychotherapy.

6 Nursing Diagnosis: Constipation related to reduced mobility as manifested by inability to move bowels without laxative or manual evacuation with abdominal distention; fecal impaction; and abdominal discomfort

The nursing diagnosis is a clinical judgment, based on data obtained from the patient and family or other caregiver, concerning identifiable human responses to actual or potential health problems/life processes. The nursing diagnosis identifies the patient’s response to actual or potential health problems/life processes as manifested by, but not limited to:

• symptoms
• lab values, etc.

The nursing process (assessment, analysis, decision-making and planning) supports the development of a nursing diagnosis which then serves as the basis for the plan of care. Nursing diagnoses are usually placed in all capital letters with no punctuation when written out on paper; however they may also be rendered in lower case letters with appropriate punctuation when written out electronically such as in medical records software applications including CPOE (computerized physician order entry).

7 Nursing Diagnosis: Acute Pain related to tissue trauma/damage and inflammation as evidenced by guarding behavior in lower quadrants, reports of pain from 0-10 scale

Acute Pain related to tissue trauma/damage and inflammation as evidenced by guarding behavior in lower quadrants, reports of pain from 0-10 scale

Treatment: The primary treatment for this diagnosis is administration of analgesics. However, other treatments may be utilized if the patient fails to respond adequately to analgesic therapy. These include activity modification, education about pain control techniques such as deep breathing exercises and relaxation techniques, and use of nonpharmacologic interventions such as heat or ice packs applied directly over affected areas; home exercise programs; application of topical preparations containing capsaicin (Capsin); transcutaneous electrical nerve stimulation (microcurrent); acupuncture; massage therapy; biofeedback therapy; guided imagery or music therapies; stress management classes; behavioral interventions (such as cognitive-behavioral therapy); hypnosis; progressive relaxation exercises.

8 Nursing Diagnosis: Acute Pain related to tissue injury and inflammation secondary to surgical incision as evidenced by reports of pain from 1-10 scale

Pain is a complex phenomenon that involves the acute and chronic experience of nociception, which is the perception of pain resulting from injury or illness. In nursing practice, pain can be described as a subjective experience that can be influenced by many psychosocial factors as well as biological responses to tissue injury.

Nursing diagnoses related to pain include:

• Acute Pain related to tissue injury and inflammation secondary to surgical incision (NANDA-I)

9 these are diagnoses that a nurse may find relevant when caring for patients

The NANDA-I Nursing Diagnosis list is a comprehensive, large collection of diagnostic terms that nurses can use when caring for patients. This list includes over 600 diagnoses organized into various categories, including:

• Disease/Illness Processes
• Older Adult Health Concerns
• Maternity/Newborn/Infant Health Concerns
• Child Health Concerns

The descriptions associated with each diagnosis aim to provide comprehensive information regarding the cause and progression of disease processes and outcomes.

Closing

These are only a few examples of the nursing diagnoses that you might encounter. It is important to note that these diagnoses do not always apply to every patient and can vary from one person to another. The most important thing is that as nurses, we are able to identify these problems and treat them accordingly so as not only provide comfort for our patients but also improve their overall health status.