Nursing Care Plans Guidelines for Individualizing Client Care Across the Life Span 10th Edition by Marilynn Doenges, Mary Frances Moorhouse, Alice Murr ISBN 9781719642675 1719642672

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Product details:
ISBN 10: 1719642672
ISBN 13: 9781719642675
Author: Marilynn Doenges, Mary Frances Moorhouse, Alice Murr

Here’s the step-by-step guidance you need to develop individualized plans of care while also honing your critical-thinking and analytical skills. You’ll find about 160 care plans in all, covering acute, community, and home-care settings across the life span. Each plan features…

• Client assessment database for each medical condition
• Complete listings of nursing diagnoses organized by priority
• Diagnostic studies with explanations of the reason for the test and what the results mean
• Actions and interventions with comprehensive rationales
• NANDA, NIC, and NOC’s most recent guidelines and terminology
• Evidence-based citations
• Index of nursing diagnoses and their associated disorders

Nursing Care Plans Guidelines for Individualizing Client Care Across the Life Span 10th Edition Table of contents:

Chapter 1: The Nursing Process: Planning Care Using Critical Thinking

Defining Nursing

Critical Thinking

Where Does Nursing Diagnosis Fit?

How the Nursing Process Works with Nursing Diagnosis

The Plan of Care

Doing It

Step 1: Assessment

Step 2: Diagnosis

Step 3: Planning

Step 4: Implementation

Step 5: Evaluation and Documentation of Plans of Care

Chapter 2: Cardiovascular Disorders

Hypertension: Severe

Cardiac Output, risk for decreased

Activity Intolerance

Pain, acute

Overweight

Coping, ineffective

Health Management, ineffective

Heart Failure: Chronic

Cardiac Output, decreased

Activity Intolerance

Fluid Volume, excess

Gas Exchange, risk for impaired

Pain, risk for chronic

Skin Integrity, risk for impaired

Health Management, ineffective

Acute Coronary Syndrome (ACS)

Pain, acute

Tissue Perfusion, risk for decreased cardiac

Cardiac Output, risk for decreased

Knowledge, deficient

Angina: Chronic/Stable

Pain, risk for acute

Cardiac Output, risk for decreased

Health Management, ineffective

Myocardial Infarction

Pain, acute

risk for decreased cardiac Tissue Perfusion

Cardiac Output, risk for decreased

Activity Intolerance

Anxiety [moderate/severe]

Knowledge, deficient

Dysrhythmias

Cardiac Output, risk for decreased

Poisoning, risk for [Digoxin Toxicity]

Health Management, ineffective

Cardiac Surgery: Coronary Artery Bypass Graft (CABG) and Valve Replacement: Postoperative Care

Cardiac Output, risk for decreased

Pain, acute

Breathing Pattern, risk for ineffective

Skin/Tissue Integrity, impaired

Knowledge, deficient

Aortic Aneurysms: (Abdominal and Thoracic)

Venous Thromboembolism (VTE) Disease Including Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE)

Tissue Perfusion, ineffective peripheral

Pain, acute

Gas Exchange, impaired (in presence of pulmonary embolus)

Knowledge, deficient

Chapter 3: Respiratory Disorders

Chronic Obstructive Pulmonary Disease (COPD) and Asthma

Airway Clearance, ineffective

Gas Exchange, impaired

Nutrition: less than body requirements, imbalanced

Health Management, ineffective

Pneumonia

Airway Clearance, ineffective

Gas Exchange, impaired

Infection, risk for [spread]

Activity Intolerance

Pain, acute

Fluid Volume, risk for deficient

Knowledge, deficient

Lung Cancer: Postoperative Care

Gas Exchange, impaired

Airway Clearance, ineffective

Pain, acute

Anxiety [specify level]

Knowledge, deficient

Pneumothorax/Hemothorax

Breathing Pattern, ineffective

Knowledge, deficient

Acute Lung Injury/Acute Respiratory Distress Syndrome

Respiratory Failure/Ventilatory Assistance

Breathing Pattern, ineffective/Spontaneous Ventilation, impaired

Airway Clearance, ineffective

Communication, impaired verbal

Anxiety [specify level]

Oral Mucous Membrane, impaired

Nutrition: less than body requirements, imbalanced

Infection, risk for

Ventilatory Weaning Response, risk for dysfunctional

Knowledge, deficient

Pulmonary Tuberculosis (TB)

Infection, risk for [spread/reactivation]

Airway Clearance, ineffective

Gas Exchange, risk for impaired

Nutrition: less than body requirements, imbalanced

Health Management, risk for ineffective

Chapter 4: Neurological/Sensory Disorders

Seizure Disorders

Trauma/Suffocation, risk for

Airway Clearance, risk for ineffective

Self-Esteem, [specify situational or chronic low]

Health Management, ineffective

Craniocerebral Trauma—Acute Rehabilitative Phase

risk for decreased intracranial Adaptive Capacity

Breathing Pattern, risk for ineffective

Confusion, risk for acute

[Sensory Perception, disturbed (specify)]

Infection, risk for

Nutrition: less than body requirements, risk for imbalanced

Mobility, impaired physical

Trauma, risk for physical

Family Processes, interrupted

Knowledge, deficient

Cerebrovascular Accident (CVA)/Stroke

Tissue Perfusion, ineffective cerebral

Mobility, impaired physical

Communication, impaired verbal [and/or written] [Sensory Perception, disturbed [specify]

Self-Care deficit [specify]

Coping, ineffective

Swallowing, risk for impaired

Neglect, unilateral

Knowledge, deficient

Brain Infections: Meningitis and Encephalitis

Infection, risk for [spread]

Intracranial Adaptive Capacity, risk for decreased

Comfort, impaired

Knowledge, deficient

Spinal Surgery

Peripheral Neurovascular Dysfunction, risk for

Injury, risk for [spinal]

Breathing Pattern, risk for ineffective

Pain, acute

Mobility, impaired physical

Infection, risk for

Urinary Retention, risk for acute

Knowledge, deficient

Spinal Cord Injury (Acute Care and Rehabilitative Phase)

Breathing Pattern, risk for ineffective

Trauma, risk for [additional spinal]

Mobility, impaired physical

[Sensory Perception, disturbed tactile/proprioception]

Pain, acute

Grieving

Self-Esteem, risk for situational low

Bowel Incontinence/Constipation

Elimination, impaired urinary

Pressure Ulcer/Tissue Integrity, risk for impaired

Knowledge, deficient

Autonomic Dysreflexia, risk for

Multiple Sclerosis (MS)

Fatigue

Self-Care deficit [specify]

Elimination, impaired urinary

Constipation/bowel Incontinence, risk for

Self-Esteem, risk for chronic

Powerlessness

Coping, risk for ineffective

Coping, risk for compromised family

Urinary Elimination, impaired

Caregiver Role Strain, risk for

Health Management, readiness for enhanced

Parkinson’s Disease (PD)

Mobility, impaired physical/Walking, impaired

Swallowing, impaired

Confusion, risk for chronic

Chapter 5: Gastrointestinal Disorders

Upper Gastrointestinal Bleed

Fluid Volume, deficient

Shock, risk for

Anxiety [specify level]

Pain, acute

Knowledge, deficient

Inflammatory Bowel Disease (IBD): Ulcerative Colitis, Crohn’s Disease

Diarrhea

Fluid Volume, risk for deficient

Nutrition: less than body requirements, imbalanced

Anxiety [specify level]

Pain, acute

Coping, ineffective

Health Management, ineffective

Fecal Diversions: Postoperative Care of Ileostomy and Colostomy

Body Image, disturbed

Pain, acute

Skin Integrity, risk for impaired

Skin Integrity, risk for impaired

Fluid Volume, risk for deficient

Nutrition: less than body requirements, risk for imbalanced

Constipation/Diarrhea, risk for

Sleep Pattern, disturbed

Sexual Dysfunction, risk for

Knowledge, deficient

Appendectomy

Infection, risk for/Surgical Site Infection, risk for

Fluid Volume, risk for deficient

Pain, acute

Knowledge, deficient

Peritonitis

Infection, risk for [spread]

Shock, risk for

Pain, acute

Nutrition: less than body requirements, risk for imbalanced

Anxiety [specify level]

Knowledge, deficient

Cholecystitis With Cholelithiasis

Pain, acute

Fluid Volume, risk for deficient

Nutrition: less than body requirements, risk for imbalanced

Knowledge, deficient

Cholecystectomy (See DavisPlus)

Chapter 6: Metabolic and Endocrine Disorders

Eating Disorders: Anorexia Nervosa/Bulimia Nervosa

Eating Dynamics, ineffective child/adolescent

Nutrition: less than body requirements, imbalanced

Fluid Volume, risk for deficient

Body Image, disturbed

Self-Esteem, chronic low

Coping, readiness for enhanced family

Skin Integrity, risk for impaired

Health Management, ineffective

Eating Disorders: Obesity

Obesity: more than body requirements, imbalanced

Lifestyle, sedentary

Body Image, risk for disturbed

Social Isolation, impaired

Health Management, ineffective

Bariatric Surgery

Breathing Pattern, ineffective

Tissue Perfusion, risk for ineffective [specify]

Fluid Volume, risk for deficient

Nutrition: less than body requirements, risk for imbalanced

Skin/Tissue Integrity, impaired

Infection, risk for

Diarrhea

Knowledge, deficient

Diabetes Mellitus and Diabetic Ketoacidosis

Fluid Volume, deficient [specify]

Blood Glucose Level, unstable

Infection, risk for

[Sensory Perception, risk for disturbed (specify)]

Coping, ineffective

Health Management, ineffective

Hyperthyroidism, Thyrotoxicosis and Thyroid Storm

Cardiac Output, risk for decreased

Fatigue

Nutrition: less than body requirements, risk for imbalanced

Anxiety [specify level]

Dry Eye, risk for

Knowledge, deficient

Hepatitis

Liver Function, impaired

Fatigue

Nutrition: less than body requirements, imbalanced

Fluid Volume, risk for deficient/Bleeding

Self-Esteem, risk for situational low

Infection, risk for [secondary/spread]

Knowledge, deficient

Cirrhosis of the Liver

Nutrition: less than body requirements, imbalanced

Fluid Volume, risk for excess

Infection, risk for

Skin Integrity, risk for impaired

Breathing Pattern, risk for ineffective

Bleeding, risk for

Venous Thromboembolism

Confusion, risk for acute

Body Image, disturbed

Health Management, ineffective

Pancreatitis

Pain, acute

Fluid Volume, risk for deficient

Nutrition: less than body requirements, imbalanced

Blood Glucose Level, risk for unstable

Infection, risk for [sepsis]

Gas Exchange, risk for impaired

Health Management, ineffective

Total Nutritional Support: Parenteral/Enteral Feeding

Nutrition: less than body requirements, imbalanced

Infection, risk for

Injury, risk for

Aspiration, risk for

Fluid Volume, risk for imbalanced

Knowledge, deficient

Chapter 7: Diseases of the Blood/Blood-Forming Organs

Anemias—Iron Deficiency, Anemia of Chronic Disease, Pernicious, Aplastic, Hemolytic

Activity Intolerance

Nutrition: less than body requirements, imbalanced

Infection, risk for

Knowledge, deficient

Sickle Cell Crisis

Gas Exchange, impaired

Pain, acute/chronic

Tissue Perfusion, risk for ineffective [specify]

Fluid Volume, risk for deficient

Mobility, impaired physical

Skin Integrity, risk for impaired

Infection, risk for

Health Management, ineffective

Adult Leukemias

Infection, risk for

Fluid Volume, risk for deficient

Pain, acute

Fatigue

Knowledge, deficient

Adult Lymphomas

Gas Exchange, risk for impaired

Nausea

Sexual Dysfunction

Knowledge, deficient

Chapter 8: Renal and Urinary Tract Disorders

Acute Kidney Injury (Acute Renal Failure)

Fluid Volume, excess

Cardiac Output, risk for decreased

Fluid Volume, risk for deficient

Infection, risk for

Knowledge, deficient]

Renal Failure: Chronic Kidney Disease and End-Stage Renal Disease

Electrolyte Imbalance, risk for

Cardiac Output, risk for decreased

Activity Intolerance, risk for

Bleeding, risk for

Confusion, risk for acute

Skin Integrity, risk for impaired

Oral Mucous Membrane, risk for impaired

Health Management, ineffective

Renal Dialysis—General Considerations

Nutrition: less than body requirements, imbalanced

Skin Integrity, risk for impaired

Self-Care deficit (specify)

Constipation, risk for

Confusion, risk for acute

Anxiety [specify level]

Body Image, disturbed

Health Management, risk for ineffective

Peritoneal Dialysis (PD)

Fluid Volume, risk for excess

Fluid Volume, risk for deficient

Trauma, risk for physical

Pain, acute

Infection, risk for

Breathing Pattern, risk for ineffective

Hemodialysis (HD)

Injury, risk for

Fluid Volume, risk for deficient

Fluid Volume, risk for excess

Urinary Diversions: Urostomy (Postoperative Care)

Skin Integrity, risk for impaired

Body Image, disturbed

Pain, acute

Infection, risk for

Sexual Dysfunction, risk for

Knowledge, deficient

Urinary Stones (Calculi)

Pain, acute

Elimination, impaired urinary

Fluid Volume, risk for deficient

Knowledge, deficient

Chapter 9: Women’s Health

Hysterectomy

Urinary Retention, risk for [acute]

Constipation, risk for

Tissue Perfusion, risk for ineffective (specify)

Sexual Dysfunction, risk for

Grieving

Knowledge, deficient

Mastectomy

Anxiety

Tissue Integrity, impaired

Pain, acute

Self-Esteem, situational low

Mobility, impaired physical

Knowledge, deficient

Chapter 10: Men’s Health

Benign Prostatic Hyperplasia (BPH)

Urinary Retention, [acute/chronic]

Pain, acute

Fluid Volume, risk for deficient

Anxiety [specify level]

Knowledge, deficient

Prostatectomy

Elimination, impaired urinary

Bleeding, risk for

Infection, risk for

Pain, acute

Sexual Dysfunction, risk for

Knowledge, deficient

Chapter 11: Orthopedic Disorders

Fractures

Injury, risk for

Pain, acute

Peripheral Neurovascular Dysfunction, risk for

Gas Exchange, risk for impaired

Mobility, impaired physical

Tissue Integrity, risk for impaired/Pressure Ulcer

Infection, risk for

Knowledge, deficient

Amputation

Pain, acute

Tissue Perfusion, risk for ineffective peripheral

Infection, risk for

Mobility, impaired physical

Grieving

Knowledge, deficient

Total Joint Replacement

Pain, acute

Bleeding, risk for

Infection, risk for

Peripheral Neurovascular Dysfunction, risk for

Mobility, impaired physical

Constipation, risk for

Knowledge, deficient

Chapter 12: Integumentary Disorders

Burns: Thermal, Chemical, and Electrical—Acute and Convalescent Phases

Airway Clearance, risk for ineffective

Fluid Volume, risk for deficient

Pain, acute

Infection, risk for

Peripheral Neurovascular Dysfunction, risk for

Nutrition: less than body requirements, imbalanced

Mobility, impaired physical

Skin Integrity, impaired [grafts/donor site]

Post-Trauma Syndrome, risk for

Knowledge, deficient

Wound Care: Complicated or Chronic

Skin/Tissue Integrity, impaired

Pain, acute/chronic

Infection, risk for

Nutrition: less than body requirements, imbalanced

Health Management, risk for ineffective

Chapter 13: Systemic Infections and Immunological Disorders

Sepsis/Septic Shock

Infection, risk for [progression; opportunistic/hospital acquired]

Hyperthermia

Shock, risk for

Fluid Volume, risk for deficient

Confusion, risk for acute

Gas Exchange, risk for impaired

Knowledge, deficient

The HIV-Positive Client

Health Behavior, risk-prone

Fatigue

Nutrition: less than body requirements, imbalanced

Knowledge, deficient

Social Isolation, risk for

Health Management, ineffective

Acquired Immunodeficiency Syndrome (AIDS)

Infection, risk for [progression/onset of opportunistic infection]

Fluid Volume, risk for deficient

Breathing Pattern, ineffective

Bleeding, risk for

Nutrition: less than body requirements, imbalanced

Pain, acute/chronic

Skin Integrity, impaired

Oral Mucous Membrane, impaired

Fatigue

Confusion, risk for acute/chronic

Death Anxiety

Social Isolation

Health Management, ineffective

Rheumatoid Arthritis (RA)

Pain, acute/chronic

Mobility, impaired physical

Role Performance, ineffective

Self-Care deficit (specify)

Home Maintenance, risk for impaired

Health Management, risk for ineffective

Chapter 14: General

Psychosocial Aspects of Care

Coping, ineffective

Decisional Conflict (specify)

Coping, compromised family

Coping, readiness for enhanced family

Anxiety [specify level]

Self-Esteem, risk for situational low

Grieving [specify]

Religiosity, risk for impaired

Health Management, ineffective

Violence, risk for self- or other-directed

Dementias: Alzheimer’s Type/Vascular Dementia/Lewy Body Disease/Frontotemporal Dementia

Injury, risk for

Confusion, chronic

[Sensory Perception, disturbed (specify)]

Anxiety

Grieving

Sleep Deprivation

Self-Care deficit (specify type/level)

Nutrition: less/more than body requirements, risk for imbalanced

Bowel Incontinence/Elimination, impaired urinary

Sexual Dysfunction, risk for

Coping, compromised family

Health Maintenance, ineffective

Role Strain, risk for caregiver

Relocation Stress Syndrome, risk for

Surgical Interventions

Knowledge, readiness for enhanced

Anxiety [specify level]

Perioperative Positioning Injury, risk for

Injury, risk for

Infection, risk for

Hypothermia/Hypethermia, risk for [perioperative]

Breathing Pattern, ineffective

[Sensory Perception, disturbed (specify)]

Fluid Volume, risk for deficient

Pain, acute

Tissue Integrity, impaired

Tissue Perfusion, risk for ineffective

Health Management, readiness for enhanced

Extended/Long-Term Care

Relocation Stress Syndrome, risk for

Grieving

Memory, impaired

Coping, compromised family

Poisoning, risk for [drug toxicity]

Communication, impaired verbal

Sleep Pattern, disturbed

Nutrition: risk for less than body requirements/Overweight

Self-Care deficit [specify]

Skin Integrity, risk for impaired

Elimination, risk for impaired urinary

Constipation/Diarrhea, risk for

Mobility, impaired physical

Pain, chronic

Sexual Dysfunction, risk for

Health Management, readiness for enhanced

Alcohol: Acute Withdrawal

Acute Substance Withdrawal Syndrome

Breathing Pattern, risk for ineffective

Cardiac Output, risk for decreased

Substance Use Disorders (SUDs)

Denial, ineffective

Acute Substance Withdrawal Syndrome, risk for

Coping, ineffective

Powerlessness

Nutrition: less than body requirements, imbalanced

Self-Esteem, chronic low

Family Processes, dysfunctional

Sexual Dysfunction

Knowledge, deficient

Cancer—General Considerations

Fear/Anxiety [specify level]

Grieving

Self-Esteem, risk for situational low

Pain, acute/chronic

Nutrition: less than body requirements, imbalanced

Fluid Volume, risk for deficient

Fatigue

Infection, risk for

Oral Mucous Membrane, risk for impaired

Skin/Tissue Integrity, risk for impaired

Constipation/Diarrhea, risk for

Sexual Dysfunction, risk for

Family Processes, risk for interrupted

Health Management, readiness for enhanced

Palliative/End-of-Life Care—Hospice

Pain, acute/chronic

Fatigue

Grieving/Death Anxiety

Coping, compromised family

Spiritual Distress, risk for

Role Strain, risk for caregiver

Disaster Considerations

Injury, risk for/Trauma, physical

Infection, risk for

Anxiety [severe/panic]

Spiritual Distress risk

Post-Trauma Syndrome, risk for

Coping, ineffective community

Coping, readiness for enhanced community

Pediatric Considerations

Pain, acute/chronic

Anxiety/Fear

Activity Intolerance

Development, risk for delayed [Growth]

Nutrition: less than body requirements, risk for imbalanced

Injury, risk for (specify: Trauma, Suffocation, Poisoning)

Fluid Volume, risk for imbalanced

Family Processes, interrupted

Thermoregulation, risk for ineffective

Health Maintenance, risk for ineffective

Bibliography

Definitions for NANDA-I Nursing Diagnoses Used in This Text

Index of Nursing Diagnoses

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