Health Promotion Nursing Diagnosis

The inability to identify, manage, or seek out help to maintain health Defining Characteristics: History of lack of health-seeking behavior;  reported or observed lack of equipment, financial, and/or other resources;  reported or observed impairment of personal support systems;  expressed interest in improving health behaviors;  demonstrated lack of knowledge regarding basic health practices;  demonstrated lack of adaptive behaviors to internal and external environmental changes;  reported or observed inability to take responsibility for meeting basic health practices in any or all functional pattern areas Related Factors: Disabled family coping, perceptual-cognitive impairment (complete or partial lack of gross or fine motor skills);  lack of or significant alteration in communication skills (written, verbal, or gestural);  unachieved developmental tasks;  lack of material resources;  dysfunctional grieving;  disabling spiritual di...

Ineffective Tissue perfusion (specify type): cerebral, renal, cardiopulmonary, GI, peripheral Decrease in oxygen resulting in failure to nourish tissues at the capillary level Defining Characteristics: Renal Altered blood pressure outside of acceptable parameters;  hematuria;  oliguria or anuria;  elevation in BUN/creatinine ratio Gastrointestinal Hypoactive or absent bowel sounds;  nausea;  abdominal distention;  abdominal pain or tenderness Peripheral Edema;  positive Hoeman's sign;  altered skin characteristics (hair, nails, moisture);  weak or absent pulses;  skin discolorations;  skin temperature changes;  altered sensations;  diminished arterial pulsations;  skin color pale on elevation, color does not return on lowering the leg;  slow healing of lesions; cold extremities;  dependent, blue, or purple skin color Cerebral Speech abnormalities;  changes in pupillary reactions;  extremity weaknes...

Intake of nutrients that exceeds metabolic needs Defining Characteristics: Triceps skin fold >25 mm in women; triceps skin fold >15 mm in men;  body weight (20% over ideal for height and frame; eating in response to external cues (e.g., time of day, social situation);  eating in response to internal cues other than hunger (e.g., anxiety);  reported or observed dysfunctional eating pattern pairing food with other activities;  sedentary activity level;  weight 10% over ideal for height and frame;  concentrating food intake at the end of the day Related Factors: Excessive intake in relation to metabolic need;  deficient knowledge related to desirability of nutritional supplements NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels Weight Control Nutritional Status: Nutrient Intake Nutritional Status: Food and Fluid Intake Management Client Outcomes States pertinent factors contributing to weight gain Identifies behaviors that remain ...

Intake of nutrients insufficient to meet metabolic needs Defining Characteristics: Body weight greater than or equal to20% under ideal weight;  pale conjunctival and mucus membranes;  weakness of muscles required for swallowing or mastication;  sore, inflamed buccal cavity;  satiety immediately after ingesting food;  reported or evidence of lack of food;  reported inadequate food intake less than RDA (Recommended Dietary Allowance);  reported altered taste sensation;  perceived inability to ingest food;  misconceptions;  loss of weight with adequate food intake;  aversion to eating;  abdominal cramping;  poor muscle tone;  abdominal pain with or without pathology;  lack of interest in food;  capillary fragility;  diarrhea and/or steatorrhea;  excessive loss of hair;  hyperactive bowel sounds;  lack of information;  misinformation Related Factors:  Inability to ingest or digest f...

At risk for entry of gastrointestinal secretions, oropharyngeal secretions, solids, or fluids into the tracheobronchial passages Related Factors: RISK FACTORS: Increased intragastric pressure;  tube feedings;  situations hindering elevation of upper body; reduced level of consciousness;  presence of tracheostomy or endotracheal tube;  medication administration;  wired jaws;  increased gastric residual;  incomplete lower esophageal sphincter;  impaired swallowing;  gastrointestinal tubes;  facial, oral, or neck surgery or trauma;  depressed cough and gag reflexes;  decreased gastrointestinal motility;  delayed gastric emptying NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels Respiratory Status: Ventilation Aspiration Control Swallowing Status Client Outcomes Swallows and digests oral, nasogastric, or gastric feeding without aspiration Maintains patent airway and clear lung sounds NIC Interventions (Nursin...

Increased susceptibility to falling that may cause physical harm Related Factors: See Risk Factors Risk Factors: Adults History of falls;  wheelchair use;  (65 years of age;  female (if elderly);  lives alone;  lower limb prosthesis;  use of assistive devices (e.g., walker, cane) Physiological Presence of acute illness;  postoperative conditions;  visual difficulties;  hearing difficulties;  arthritis;  orthostatic hypotension;  sleeplessness;  faintness when turning or extending neck;  anemias;  vascular disease;  neoplasms (i.e., fatigue/limited mobility, urgency and/or incontinence, diarrhea, decreased lower extremity strength, posprandial blood sugar changes, foot problems, impaired physical mobility, impaired balance, difficulty with gait, unilateral neglect, proprioceptive deficits, neuropathy) Cognitive Diminished mental status (e.g., confusion, delerium, dementia, impaired reality testing) Medic...

At increased risk for being invaded by pathogenic organisms Related Factors: See Risk Factors. Risk Factors:  Invasive procedures; insufficient knowledge regarding avoidance of exposure to pathogens;  trauma;  tissue destruction and increased environmental exposure;  rupture of amniotic membranes;  pharmaceutical agents (e.g., immunosuppressants);  malnutrition;  increased environmental exposure to pathogens; immunosuppression; inadequate acquired immunity; inadequate secondary defenses (e.g., decreased hemoglobin, leukopenia, suppressed inflammatory response); inadequate primary defenses (e.g., broken skin, traumatized tissue, decrease in ciliary action, stasis of body fluids, change in pH secretions, altered peristalsis);  chronic disease NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels Immune Status Knowledge: Infection Control Risk Control Risk Detection Client Outcomes Remains free from symptoms of infection States symp...