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Nursing Care Plans - E-Book

Nursing Care Plans - E-Book

Meg Gulanick | Judith L. Myers

(2016)

Additional Information

Book Details

Abstract

Learn to think like a nurse with the bestselling nursing care planning book on the market! Covering the most common medical-surgical nursing diagnoses and clinical problems seen in adults, Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 9th Edition contains 217 care plans, each reflecting the latest best practice guidelines. This new edition specifically features three new care plans, two expanded care plans, updated content and language reflecting the most current clinical practice and professional standards, enhanced QSEN integration, a new emphasis on interprofessional collaborative practice, an improved page design, and more. It’s everything you need to create and customize effective nursing care plans!

  • 217 total care plans provide more care plans than any other book.
  • Prioritized care planning guidance internally organizes care plans from "actual" to "risk" diagnoses, from general to specific interventions, and from independent to collaborative/interprofessional interventions, to help you select the most important, priority interventions for your particular patients.
  • Introductory chapter explains the components of nursing care plans, NANDA-I nursing diagnoses, the NIC and NOC systems, and how to create nursing care plans.
  • Latest NANDA-I taxonomy is integrated throughout to incorporate the very latest NANDA-I nursing diagnoses, related factors, and defining characteristics.
  • Latest NIC and NOC labels ensure you are made aware of appropriate interventions and outcomes.
  • 70 nursing diagnosis care plans include the most common/important NANDA-I nursing diagnoses, providing the building blocks for you to create your own individualized care plans.
  • 150 disorders care plans cover virtually every common medical-surgical condition, organized by body system.
  • Health promotion and risk factor management care plans emphasize the importance of preventive care and teaching for self-management.
  • Basic nursing concepts care plans focuses on concepts that apply to disorders found in multiple body systems.
  • Nursing diagnosis care plan format includes a definition/explanation of the diagnosis, related factors, defining characteristics, expected outcomes, related NOC Outcomes and NIC Interventions, ongoing assessment, and therapeutic interventions.
  • Disorders care plan format covers synonyms for the disorder (for ease in cross referencing), a definition, common related factors, defining characteristics, expected outcomes, NOC Outcomes and NIC Interventions, ongoing assessment, and therapeutic interventions for each relevant nursing diagnosis.
  • Independent and collaborative/interprofessional interventions are highlighted by special icons that differentiate between independent and collaborative/interprofessional interventions.
  • 30 online care plans are hosted on the Evolve companion site in a user-friendly PDF format that allows you to cut-and-paste care plan contents to create customized care plans.

Table of Contents

Section Title Page Action Price
Front Cover cover
Evolve page IFC1
Nursing Care Plans i
Copyright Page ii
Contributors iii
Reviewers iii
Preface v
Table Of Contents vii
1 Using Nursing Care Plans to Individualize and Improve Care 1
Introduction 1
Components of These Nursing Care Plans 1
Nursing Diagnoses Taxonomy, and Interventions and Outcomes Classifications 2
Using Nursing Care Plans: Diagnoses, Interventions, and Outcomes 3
Developing an Individualized Care Plan 3
The Assessment 3
Performing the Assessment 3
Using General Versus Specific Care Plan Guides 5
General 5
Specific 5
A Focus on Optimizing Health 5
Other Common Themes 5
Ensuring Quality and Safety 5
Tools for Performance Improvement 6
Development of Patient Education Materials 7
A Basis for Clinical Paths 7
References 7
2 Nursing Diagnosis Care Plans 8
Activity Intolerance 8
Common Related Factors 8
Defining Characteristics 8
Common Expected Outcomes 8
Ongoing Assessment 8
Therapeutic Interventions 10
Education/Continuity of Care 10
Ineffective Airway Clearance 11
Common Related Factors 12
Defining Characteristics 12
Common Expected Outcome 12
Ongoing Assessment 12
Therapeutic Interventions 13
Education/Continuity of Care 14
Latex Allergy Response 15.e1
Common Related Factor 15.e1
Defining Characteristics 15.e1
Common Expected Outcomes 15.e2
Ongoing Assessment 15.e2
Therapeutic Interventions 15.e2
Education/Continuity of Care 15.e3
Anxiety 15
Common Related Factors 16
Defining Characteristics 16
Common Expected Outcomes 16
Ongoing Assessment 17
Therapeutic Interventions 17
Education/Continuity of Care 19
Risk for Aspiration 19
Common Risk Factors 20
Common Expected Outcome 20
Ongoing Assessment 20
Therapeutic Interventions 21
Education/Continuity of Care 22
Risk for Bleeding 23
Common Risk Factors 23
Common Expected Outcomes 24
Ongoing Assessment 24
Therapeutic Interventions 25
Education/Continuity of Care 25
Risk for Unstable Blood Glucose Level 26
Common Risk Factors 26
Common Expected Outcome 26
Ongoing Assessment 27
Therapeutic Interventions 28
Education/Continuity of Care 28
Disturbed Body Image 29
Common Related Factors 29
Defining Characteristics 29
Common Expected Outcome 30
Ongoing Assessment 30
Therapeutic Interventions 30
Education/Continuity of Care 31
Bowel Incontinence 31
Common Related Factors 32
Defining Characteristics 32
Common Expected Outcome 32
Ongoing Assessment 32
Therapeutic Interventions 33
Education/Continuity of Care 34
Ineffective Breathing Pattern 34
Common Related Factors 35
Defining Characteristics 35
Common Expected Outcome 35
Ongoing Assessment 35
Therapeutic Interventions 36
Education/Continuity of Care 37
Decreased Cardiac Output 37
Common Related Factors 38
Defining Characteristics 38
Common Expected Outcome 38
Ongoing Assessment 38
Therapeutic Interventions 40
Education/Continuity of Care 40
Caregiver Role Strain 41
Common Related Factors 42
Defining Characteristics 42
Common Expected Outcomes 42
Ongoing Assessment 42
Therapeutic Interventions 43
Education/Continuity of Care 44
Impaired Verbal Communication 44
Common Related Factors 45
Defining Characteristics 45
Common Expected Outcome 45
Ongoing Assessment 45
Therapeutic Interventions 47
Education/Continuity of Care 48
Chronic Confusion 49
Common Related Factors 49
Defining Characteristics 49
Common Expected Outcomes 49
Ongoing Assessment 49
Therapeutic Interventions 50
Education/Continuity of Care 51
Constipation 52
Common Related Factors 52
Defining Characteristics 52
Common Expected Outcomes 53
Ongoing Assessment 53
Therapeutic Interventions 53
Education/Continuity of Care 54
Ineffective Coping 55
Common Related Factors 55
Defining Characteristics 55
Common Expected Outcomes 56
Ongoing Assessment 56
Therapeutic Interventions 56
Education/Continuity of Care 57
Readiness for Enhanced Decision-Making 58
Defining Characteristics 58
Expected Outcomes 58
Ongoing Assessment 59
Therapeutic Interventions 59
Impaired Dentition 60.e1
Common Related Factors 60.e1
Defining Characteristics 60.e1
Common Expected Outcomes 60.e1
Ongoing Assessment 60.e2
Therapeutic Interventions 60.e2
Education/Continuity of Care 60.e3
Diarrhea 61
Common Related Factors 61
Defining Characteristics 61
Common Expected Outcomes 61
Ongoing Assessment 61
Therapeutic Interventions 63
Education/Continuity of Care 64
Risk for Electrolyte Imbalance 65
Common Risk Factors 65
Common Expected Outcomes 65
Ongoing Assessment 65
Therapeutic Interventions 66
Education/Continuity of Care 67
Disturbed Energy Field 67.e1
Common Related Factors 67.e1
Defining Characteristics 67.e1
Common Expected Outcome 67.e2
Ongoing Assessment 67.e2
Therapeutic Interventions 67.e2
Education/Continuity of Care 67.e3
Risk for Falls 67
Common Risk Factors 68
Common Expected Outcomes 68
Ongoing Assessment 69
Therapeutic Interventions 69
Education/Continuity of Care 71
Interrupted Family Processes 72
Common Related Factors 72
Defining Characteristics 72
Common Expected Outcomes 72
Ongoing Assessment 73
Therapeutic Interventions 73
Education/Continuity of Care 74
Fatigue 74
Common Related Factors 74
Defining Characteristics 74
Common Expected Outcomes 75
Ongoing Assessment 75
Therapeutic Interventions 76
Education/Continuity of Care 77
Fear 77
Common Related Factors 78
Defining Characteristics 78
Common Expected Outcomes 78
Ongoing Assessment 78
Therapeutic Interventions 78
Education/Continuity of Care 79
Deficient Fluid Volume 80
Common Related Factors 80
Defining Characteristics 80
Common Expected Outcome 80
Ongoing Assessment 81
Therapeutic Interventions 82
Education/Continuity of Care 83
Excess Fluid Volume 83
Common Related Factors 84
Defining Characteristics 84
Common Expected Outcome 84
Ongoing Assessment 84
Therapeutic Interventions 86
Education/Continuity of Care 86
Frail Elderly Syndrome 87
Common Related Factors 87
Defining Characteristics 87
Common Expected Outcomes 87
Ongoing Assessment 88
Therapeutic Interventions 89
Education/Continuity of Care 90
Impaired Gas Exchange 92
Common Related Factors 92
Defining Characteristics 92
Common Expected Outcome 92
Ongoing Assessment 92
Therapeutic Interventions 94
Education/Continuity of Care 95
Grieving 95
Common Related Factors 96
Defining Characteristics 96
Common Expected Outcome 96
Ongoing Assessment 96
Therapeutic Interventions 97
Education/Continuity of Care 98
Complicated Grieving 98.e1
Common Related Factors 98.e1
Defining Characteristics 98.e1
Common Expected Outcomes 98.e1
Ongoing Assessment 98.e2
Therapeutic Interventions 98.e2
Education/Continuity of Care 98.e3
Ineffective Health Maintenance 99
Common Related Factors 99
Defining Characteristics 99
Common Expected Outcomes 99
Ongoing Assessment 99
Therapeutic Interventions 100
Education/Continuity of Care 101
Impaired Home Maintenance 101.e1
Common Related Factors 101.e1
Defining Characteristics 101.e1
Common Expected Outcomes 101.e1
Ongoing Assessment 101.e2
Therapeutic Interventions 101.e2
Education/Continuity of Care 101.e3
Ineffective Health Management 102
Common Related Factors 102
Defining Characteristics 102
Common Expected Outcomes 102
Ongoing Assessment 102
Therapeutic Interventions 103
Education/Continuity of Care 104
Hopelessness 105
Common Related Factors 105
Defining Characteristics 105
Common Expected Outcomes 105
Ongoing Assessment 105
Therapeutic Interventions 106
Education/Continuity of Care 107
Hyperthermia 107.e1
Common Related Factors 107.e1
Defining Characteristics 107.e1
Common Expected Outcomes 107.e1
Ongoing Assessment 107.e1
Therapeutic Interventions 107.e2
Education/Continuity of Care 107.e2
Hypothermia 107.e3
Common Related Factors 107.e3
Defining Characteristics 107.e3
Common Expected Outcomes 107.e3
Ongoing Assessment 107.e3
Therapeutic Interventions 107.e4
Education/Continuity of Care 107.e5
Functional Urinary Incontinence 108
Common Related Factors 108
Defining Characteristics 108
Common Expected Outcomes 108
Ongoing Assessment 108
Therapeutic Interventions 109
Education/Continuity of Care 109
Reflex Urinary Incontinence 109
Common Related Factors 109
Defining Characteristics 109
Common Expected Outcomes 110
Ongoing Assessment 110
Therapeutic Interventions 110
Education/Continuity of Care 110
Stress Urinary Incontinence 111
Common Related Factors 111
Defining Characteristics 111
Common Expected Outcomes 111
Ongoing Assessment 111
Therapeutic Interventions 112
Education/Continuity of Care 112
Urge Urinary Incontinence 113
Common Related Factors 113
Defining Characteristics 113
Common Expected Outcomes 113
Ongoing Assessment 113
Therapeutic Interventions 114
Education/Continuity of Care 114
Risk for Infection 114
Common Risk Factors 115
Common Expected Outcomes 115
Ongoing Assessment 115
Therapeutic Interventions 116
Education/Continuity of Care 117
Insomnia 118
Common Related Factors 118
Defining Characteristics 118
Common Expected Outcome 118
Ongoing Assessment 118
Therapeutic Interventions 119
Education/Continuity of Care 120
Decreased Intracranial Adaptive Capacity 120
Common Related Factors 121
Defining Characteristics 121
Common Expected Outcome 121
Ongoing Assessment 121
Therapeutic Interventions 122
Education/Continuity of Care 123
Deficient Knowledge 123
Common Related Factors 124
Defining Characteristics 124
Common Expected Outcomes 124
Ongoing Assessment 124
Therapeutic Interventions 125
Education/Continuity of Care 127
Sedentary Lifestyle 128
Common Related Factors 128
Defining Characteristics 128
Common Expected Outcomes 128
Ongoing Assessment 128
Therapeutic Interventions 129
Education/Continuity of Care 130
Impaired Memory 131
Common Related Factors 131
Defining Characteristics 131
Common Expected Outcomes 131
Ongoing Assessment 132
Therapeutic Interventions 133
Education/Continuity of Care 134
Impaired Physical Mobility 134
Common Related Factors 135
Defining Characteristics 135
Common Expected Outcomes 135
Ongoing Assessment 135
Therapeutic Interventions 137
Education/Continuity of Care 138
Nausea 139
Common Related Factors 139
Defining Characteristics 139
Common Expected Outcome 140
Ongoing Assessment 140
Therapeutic Interventions 140
Education/Continuity of Care 141
Noncompliance 142
Common Related Factors 142
Defining Characteristics 142
Common Expected Outcomes 142
Ongoing Assessment 143
Therapeutic Interventions 144
Education/Continuity of Care 144
Imbalanced Nutrition: Less Than Body Requirements 145
Common Related Factors 145
Defining Characteristics 145
Common Expected Outcomes 145
Ongoing Assessment 146
Therapeutic Interventions 147
Education/Continuity of Care 148
Overweight/Obesity 148
Common Related Factors 148
Defining Characteristics 148
Common Expected Outcomes 149
Ongoing Assessment 149
Therapeutic Interventions 150
Education/Continuity of Care 150
Impaired Oral Mucous Membrane 151
Common Related Factors 151
Defining Characteristics 151
Common Expected Outcomes 152
Ongoing Assessment 152
Therapeutic Interventions 152
Education/Continuity of Care 154
Acute Pain 154
Common Related Factors 155
Defining Characteristics 155
Common Expected Outcomes 155
Ongoing Assessment 155
Therapeutic Interventions 157
Education/Continuity of Care 158
Chronic Pain 159
Common Related Factors 159
Defining Characteristics 159
Common Expected Outcomes 160
Ongoing Assessment 160
Therapeutic Interventions 161
Education/Continuity of Care 161
Post-Trauma Syndrome 163
Common Related Factors 163
Defining Characteristics 163
Common Expected Outcomes 164
Ongoing Assessments 164
Therapeutic Interventions 165
Education/Continuity of Care 165
Powerlessness 166
Common Related Factors 166
Defining Characteristics 166
Common Expected Outcomes 166
Ongoing Assessment 167
Therapeutic Interventions 167
Education/Continuity of Care 168
Rape-Trauma Syndrome 169
Common Related Factors 169
Defining Characteristics 169
Common Expected Outcomes 169
Ongoing Assessment 169
Therapeutic Interventions 170
Education/Continuity of Care 171
Relocation Stress Syndrome 172
Common Related Factors 172
Defining Characteristics 172
Common Expected Outcomes 173
Ongoing Assessments 173
Therapeutic Interventions 173
Education/Continuity of Care 174
Self-Care Deficit: Bathing, Dressing, Feeding, Toileting, Transfer/Ambulation 175
Common Related Factors 175
Defining Characteristics 175
Common Expected Outcomes 176
Ongoing Assessment 176
Therapeutic Interventions 177
Education/Continuity of Care 180
Situational Low Self-Esteem 180
Common Related Factors 180
Defining Characteristics 180
Common Expected Outcomes 180
Ongoing Assessment 181
Therapeutic Interventions 181
Education/Continuity of Care 182
Ineffective Sexuality Pattern 182
Common Related Factors 183
Defining Characteristics 183
Common Expected Outcomes 183
Ongoing Assessment 183
Therapeutic Interventions 184
Education/Continuity of Care 184
Risk for Impaired Skin Integrity 185
Common Risk Factors 186
Common Expected Outcome 186
Ongoing Assessment 186
Therapeutic Interventions 188
Education/Continuity of Care 189
Spiritual Distress 190
Common Related Factors 190
Defining Characteristics 190
Common Expected Outcomes 191
Ongoing Assessment 191
Therapeutic Interventions 191
Education/Continuity of Care 192
Risk for Suicide 192
Common Risk Factors 193
Common Expected Outcomes 193
Ongoing Assessment 194
Therapeutic Interventions 195
Education/Continuity of Care 196
Impaired Swallowing 196
Common Related Factors 197
Defining Characteristics 197
Common Expected Outcomes 197
Ongoing Assessment 197
Therapeutic Interventions 197
Education/Continuity of Care 199
Impaired Tissue Integrity 200
Common Related Factors 200
Defining Characteristics 200
Common Expected Outcome 200
Ongoing Assessment 200
Therapeutic Interventions 201
Education/Continuity of Care 202
Ineffective Peripheral Tissue Perfusion 202
Common Related Factors 202
Defining Characteristics 202
Common Expected Outcomes 203
Ongoing Assessment 203
Therapeutic Interventions 203
Education/Continuity of Care 204
Urinary Retention 204
Common Related Factors 205
Defining Characteristics 205
Common Expected Outcome 205
Ongoing Assessment 205
Therapeutic Interventions 206
Education/Continuity of Care 206
Dysfunctional Ventilatory Weaning Response 207.e1
Common Related Factors 207.e1
Defining Characteristics 207.e1
Common Expected Outcome 207.e2
Ongoing Assessment 207.e2
Therapeutic Interventions 207.e3
Education/Continuity of Care 207.e4
3 Health Promotion and Risk Factor Management Care Plans 208
Health-Seeking Behaviors 208
Common Related Factors 209
Defining Characteristics 209
Common Expected Outcomes 209
Ongoing Assessment 209
Therapeutic Interventions 210
Education/Continuity of Care 211
Readiness for Engaging in a Regular Physical Activity Program 211
Defining Characteristics 212
Common Expected Outcomes 212
Ongoing Assessment 212
Therapeutic Interventions 213
Readiness for Enhanced Immunization Status 215
Defining Characteristics 216
Common Expected Outcomes 216
Ongoing Assessment 216
Therapeutic Interventions 217
Readiness for Enhanced Nutrition 219
Defining Characteristics 219
Common Expected Outcomes 220
Ongoing Assessment 220
Therapeutic Interventions 220
Readiness for Enhanced Sleep 224
Defining Characteristics 224
Common Expected Outcomes 224
Ongoing Assessment 225
Therapeutic Interventions 225
Readiness for Managing Stress 228
Defining Characteristics 228
Common Expected Outcomes 228
Ongoing Assessment 228
Therapeutic Interventions 229
Readiness for Smoking Cessation 232
Defining Characteristics 233
Common Expected Outcomes 233
Ongoing Assessment 233
Therapeutic Interventions 234
Readiness for Weight Management 237
Defining Characteristics 237
Common Expected Outcomes 238
Ongoing Assessment 238
Therapeutic Interventions 239
4 Basic Nursing Concepts Care Plans 244
Surgical Experience: Preoperative and Postoperative Care 244
Preoperative Phase 245
Deficient Knowledge 245
Common Related Factors 245
Defining Characteristics 245
Common Expected Outcomes 245
Ongoing Assessment 245
Therapeutic Interventions 246
Anxiety 249
Common Related Factors 249
Defining Characteristics 249
Common Expected Outcomes 249
Ongoing Assessment 249
Therapeutic Interventions 250
Postoperative Phase 251
Acute Pain 251
Common Related Factors 251
Defining Characteristics 251
Common Expected Outcomes 251
Ongoing Assessment 251
Therapeutic Interventions 252
Ineffective Breathing Pattern 252
Common Related Factors 252
Defining Characteristics 252
Common Expected Outcome 252
Ongoing Assessment 252
Therapeutic Interventions 253
Risk for Deficient Fluid Volume 254
Common Risk Factors 254
Common Expected Outcome 254
Ongoing Assessment 254
Therapeutic Interventions 254
Risk for Infection 255
Common Risk Factors 255
Common Expected Outcomes 255
Ongoing Assessment 255
Therapeutic Interventions 256
Risk for Impaired Abdominal Wound Healing 257
Common Risk Factors 257
Common Expected Outcome 257
Ongoing Assessment 257
Therapeutic Interventions 258
Risk for Deep Vein Thrombosis 258
Common Risk Factors 258
Common Expected Outcome 259
Ongoing Assessment 259
Therapeutic Interventions 259
Deficient Knowledge 260
Common Related Factors 260
Defining Characteristics 260
Common Expected Outcome 260
Ongoing Assessment 260
Therapeutic Interventions 260
Blood Component Therapy 261
Deficient Knowledge 262
Common Related Factors 262
Defining Characteristics 262
Common Expected Outcomes 262
Ongoing Assessment 262
Therapeutic Interventions 263
Risk for Injury: Blood Transfusion Reaction 263
Common Risk Factors 263
Common Expected Outcome 263
Ongoing Assessment 263
Therapeutic Interventions 265
Central Venous Access Devices 266
Risk for Injury: Impaired Catheter Function 267
Common Risk Factors 267
Common Expected Outcome 267
Ongoing Assessment 267
Therapeutic Interventions 267
Risk for Infection 268
Common Risk Factors 268
Common Expected Outcome 268
Ongoing Assessment 268
Therapeutic Interventions 269
Deficient Knowledge 269
Common Related Factors 269
Defining Characteristics 269
Common Expected Outcomes 269
Ongoing Assessment 270
Therapeutic Interventions 270
Parenteral Nutrition 271
Imbalanced Nutrition: Less Than Body Requirements 271
Common Related Factors 271
Defining Characteristics 271
Common Expected Outcome 271
Ongoing Assessment 272
Therapeutic Interventions 272
Risk for Deficient Fluid Volume 273
Common Risk Factors 273
Common Expected Outcome 273
Ongoing Assessment 273
Therapeutic Interventions 273
Risk for Excess Fluid Volume 274
Common Risk Factors 274
Common Expected Outcome 274
Ongoing Assessment 274
Therapeutic Interventions 274
Risk for Altered Body Composition 275
Common Risk Factors 275
Common Expected Outcomes 275
Ongoing Assessment 275
Therapeutic Interventions 276
Enteral Nutrition 276
Imbalanced Nutrition: Less Than Body Requirements 277
Common Related Factor 277
Defining Characteristics 277
Common Expected Outcomes 277
Ongoing Assessment 277
Therapeutic Interventions 277
Risk for Aspiration 278
Common Risk Factors 278
Common Expected Outcome 278
Ongoing Assessment 279
Therapeutic Interventions 279
Risk for Diarrhea 280
Common Risk Factor 280
Common Expected Outcome 280
Ongoing Assessment 280
Therapeutic Interventions 281
Deficient Knowledge 281
Common Related Factors 281
Defining Characteristics 281
Common Expected Outcomes 281
Ongoing Assessment 282
Therapeutic Interventions 282
Hearing Loss 282
Impaired Verbal Communication 283
Common Related Factors 283
Defining Characteristics 283
Common Expected Outcome 283
Ongoing Assessment 283
Therapeutic Interventions 284
Deficient Knowledge 285
Common Related Factors 285
Defining Characteristics 285
Common Expected Outcomes 285
Ongoing Assessment 285
Therapeutic Interventions 285
Impaired Body Image 286
Common Related Factors 286
Defining Characteristics 286
Common Expected Outcome 286
Ongoing Assessment 286
Therapeutic Interventions 287
Visual Impairment 287
Deficient Knowledge 287
Common Related Factors 287
Defining Characteristics 287
Common Expected Outcome 288
Ongoing Assessment 288
Therapeutic Interventions 288
Risk for Falls 289
Common Risk Factors 289
Common Expected Outcomes 289
Ongoing Assessment 289
Therapeutic Interventions 290
Ineffective Coping 290
Common Related Factors 290
Defining Characteristics 290
Common Expected Outcomes 291
Ongoing Assessment 291
Therapeutic Interventions 291
Substance Use Disorders 292
Deficient Knowledge 293
Common Related Factors 293
Defining Characteristics 293
Common Expected Outcome 293
Ongoing Assessment 293
Therapeutic Interventions 294
Noncompliance With Treatment Program 295
Common Related Factors 295
Defining Characteristics 295
Common Expected Outcomes 295
Ongoing Assessment 296
Therapeutic Interventions 296
Death and Dying: End-of-Life Issues 297
Fear 297
Common Related Factors 297
Defining Characteristics 297
Common Expected Outcomes 297
Ongoing Assessment 298
Therapeutic Interventions 298
Grieving 300
Common Related Factor 300
Defining Characteristics 300
Common Expected Outcomes 300
Ongoing Assessment 300
Therapeutic Interventions 301
Powerlessness 302
Common Related Factors 302
Defining Characteristics 302
Common Expected Outcomes 302
Ongoing Assessment 302
Therapeutic Interventions 303
Spiritual Distress 304
Common Related Factors 304
Defining Characteristics 304
Common Expected Outcomes 304
Ongoing Assessment 305
Therapeutic Interventions 305
Common Mood Disorders: Depression and Bipolar Disorder 305.e1
Deficient Knowledge 305.e1
Common Related Factors 305.e1
Defining Characteristics 305.e1
Common Expected Outcome 305.e1
Ongoing Assessment 305.e2
Therapeutic Interventions 305.e2
Impaired Social Interaction 305.e4
Common Related Factors 305.e4
Defining Characteristics 305.e4
Common Expected Outcomes 305.e4
Ongoing Assessment 305.e5
Therapeutic Interventions 305.e5
5 Cardiac and Vascular Care Plans 306
Acute Coronary Syndromes/Myocardial Infarction: Unstable Angina; ST-Segment Elevation Myocardial Infarction; Non–ST-Segment Elevation Myocardial Infarction; 306
Acute Pain 307
Common Related Factors 307
Defining Characteristics 307
Common Expected Outcomes 307
Ongoing Assessment 307
Therapeutic Interventions 309
Fear 310
Common Related Factors 310
Defining Characteristics 310
Common Expected Outcomes 310
Ongoing Assessment 310
Therapeutic Interventions 311
Risk for Decreased Cardiac Output 311
Common Risk Factors 311
Common Expected Outcome 311
Ongoing Assessment 312
Therapeutic Interventions 312
Risk for Decreased Cardiac Output: Dysrhythmias 313
Common Risk Factor 313
Common Expected Outcome 313
Ongoing Assessment 313
Therapeutic Interventions 314
Deficient Knowledge 314
Common Related Factors 314
Defining Characteristics 314
Common Expected Outcome 315
Ongoing Assessment 315
Therapeutic Interventions 315
Angina Pectoris, Stable: Chest Pain 316
Acute Pain 317
Common Related Factors 317
Defining Characteristics 317
Common Expected Outcomes 317
Ongoing Assessment 317
Therapeutic Interventions 318
Deficient Knowledge 318
Common Related Factors 318
Defining Characteristics 318
Common Expected Outcomes 318
Ongoing Assessment 318
Therapeutic Interventions 319
Activity Intolerance 321
Common Related Factors 321
Defining Characteristics 321
Common Expected Outcomes 322
Ongoing Assessment 322
Therapeutic Interventions 322
Aortic Aneurysm: Abdominal Aneurysm; Thoracic Aneurysm; Dissecting Aneurysm 322.e1
Risk for Ineffective Tissue Perfusion 322.e1
Common Risk Factors 322.e1
Common Expected Outcomes 322.e1
Ongoing Assessment 322.e2
Therapeutic Interventions 322.e3
Risk for Decreased Cardiac Output 322.e3
Common Risk Factors 322.e3
Common Expected Outcome 322.e3
Ongoing Assessment 322.e4
Therapeutic Interventions 322.e4
Anxiety 322.e4
Common Related Factors 322.e4
Defining Characteristics 322.e4
Common Expected Outcomes 322.e5
Ongoing Assessment 322.e5
Therapeutic Interventions 322.e5
Deficient Knowledge: Follow-Up Care 322.e5
Common Related Factors 322.e5
Defining Characteristics 322.e5
Common Expected Outcome 322.e5
Ongoing Assessment 322.e6
Therapeutic Interventions 322.e6
Atrial Fibrillation 323
Deficient Knowledge 323
Common Related Factors 323
Defining Characteristics 323
Common Expected Outcome 323
Ongoing Assessment 324
Therapeutic Interventions 324
Risk for Ineffective Coping 326
Common Risk Factors 326
Common Expected Outcomes 326
Ongoing Assessment 326
Therapeutic Interventions 326
Cardiac Rehabilitation: Post–Myocardial Infarction; Post–Cardiac Surgery; Post–Percutaneous Transluminal Coronary Angioplasty; Chronic Heart Failure; Stable Angina; Activity Progression; Cardiac Education 327
Activity Intolerance 328
Common Related Factors 328
Defining Characteristics 328
Common Expected Outcomes 328
Ongoing Assessment 328
Therapeutic Interventions 329
Deficient Knowledge 331
Common Related Factors 331
Defining Characteristics 331
Common Expected Outcomes 331
Ongoing Assessment 331
Therapeutic Interventions 332
Risk for Ineffective Coping 333
Common Risk Factors 333
Common Expected Outcomes 333
Ongoing Assessment 333
Therapeutic Interventions 333
Coronary Bypass/Valve Surgery: Postoperative Care: Coronary Artery Bypass Graft (CABG); Valve Replacement; Minimally Invasive Direct CAB (MIDCAB) Surgery; Off-Pump CABG (OPCAB) 334
Coronary Bypass Surgery 334
Valve Replacement Surgery 335
Decreased Cardiac Output 335
Common Related Factor 335
Defining Characteristics 335
Common Expected Outcome 335
Ongoing Assessment 336
Therapeutic Interventions 337
Deficient Fluid Volume 338
Common Related Factors 338
Defining Characteristics 338
Common Expected Outcome 338
Ongoing Assessment 338
Therapeutic Interventions 339
Risk for Decreased Cardiac Output: Dysrhythmias 339
Common Risk Factors 339
Common Expected Outcome 339
Ongoing Assessment 339
Therapeutic Interventions 340
Decreased Cardiac Output: Cardiac Tamponade 340
Common Related Factor 340
Defining Characteristics 340
Common Expected Outcome 341
Ongoing Assessment 341
Therapeutic Interventions 342
Risk for Ineffective Myocardial Tissue Perfusion 342
Common Risk Factors 342
Common Expected Outcome 342
Ongoing Assessment 342
6 Pulmonary Care Plans 416
Acute Respiratory Distress Syndrome (ARDS): Acute Lung Injury; Noncardiogenic Pulmonary Edema; Stiff Lung; Wet Lung 416
Ineffective Breathing Pattern 417
Common Related Factors 417
Defining Characteristics 417
Common Expected Outcomes 417
Ongoing Assessment 417
Therapeutic Interventions 418
Impaired Gas Exchange 419
Common Related Factors 419
Defining Characteristics 419
Common Expected Outcome 419
Ongoing Assessment 419
Therapeutic Interventions 420
Risk for Decreased Cardiac Output 421
Common Risk Factors 421
Common Expected Outcome 422
Ongoing Assessment 422
Therapeutic Interventions 422
Risk for Ineffective Protection 423
Common Risk Factors 423
Common Expected Outcomes 423
Ongoing Assessment 423
Therapeutic Interventions 424
Anxiety 425
Common Related Factors 425
Defining Characteristics 425
Common Expected Outcomes 425
Ongoing Assessment 425
Therapeutic Interventions 425
Asthma: Bronchial Asthma; Status Asthmaticus 426
Ineffective Breathing Pattern 427
Common Related Factor 427
Defining Characteristics 427
Common Expected Outcome 427
Ongoing Assessment 427
Therapeutic Interventions 428
Ineffective Airway Clearance 429
Common Related Factors 429
Defining Characteristics 429
Common Expected Outcome 429
Ongoing Assessment 429
Therapeutic Interventions 430
Anxiety 431
Common Related Factors 431
Defining Characteristics 431
Common Expected Outcomes 431
Ongoing Assessment 431
Therapeutic Interventions 431
Deficient Knowledge 432
Common Related Factors 432
Defining Characteristics 432
Common Expected Outcome 432
Ongoing Assessment 432
Therapeutic Interventions 433
Chest Trauma: Pneumothorax; Tension Pneumothorax; Flail Chest; Fractured Ribs; Pulmonary Contusion; Hemothorax; Myocardial Contusion; Cardiac Tamponade 434
Ineffective Breathing Pattern 435
Common Related Factors 435
Defining Characteristics 435
Common Expected Outcome 435
Ongoing Assessment 435
Therapeutic Interventions 436
Deficient Fluid Volume 437
Common Related Factors 437
Defining Characteristics 437
Common Expected Outcome 437
Ongoing Assessment 438
Therapeutic Interventions 438
Decreased Cardiac Output 439
Related Factors 439
Defining Characteristics 439
Common Expected Outcome 439
Ongoing Assessment 440
Therapeutic Interventions 441
Acute Pain 441
Common Related Factors 441
Defining Characteristics 441
Common Expected Outcomes 442
Ongoing Assessment 442
Therapeutic Interventions 442
Anxiety 443
Common Related Factors 443
Defining Characteristics 443
Common Expected Outcomes 443
Ongoing Assessment 443
Therapeutic Interventions 443
Chronic Obstructive Pulmonary Disease: Chronic Bronchitis; Emphysema 444
Ineffective Airway Clearance 444
Common Related Factors 444
Defining Characteristics 444
Common Expected Outcomes 445
Ongoing Assessment 445
Therapeutic Interventions 446
Impaired Gas Exchange 447
Common Related Factors 447
Defining Characteristics 447
Common Expected Outcome 447
Ongoing Assessment 447
Therapeutic Interventions 448
Imbalanced Nutrition: Less Than Body Requirements 449
Common Related Factors 449
Defining Characteristics 449
Common Expected Outcome 449
Ongoing Assessment 449
Therapeutic Interventions 450
Risk for Infection 450
Common Risk Factors 450
Common Expected Outcome 450
Ongoing Assessment 450
Therapeutic Interventions 451
Deficient Knowledge 451
Common Related Factors 451
Defining Characteristics 451
Common Expected Outcome 451
Ongoing Assessment 452
Therapeutic Interventions 452
Cystic Fibrosis 454.e1
Infection 454.e1
Common Related Factors 454.e1
Defining Characteristics 454.e1
Common Expected Outcome 454.e1
Ongoing Assessment 454.e2
Therapeutic Interventions 454.e2
Ineffective Airway Clearance 454.e3
Common Related Factor 454.e3
Defining Characteristics 454.e3
Common Expected Outcomes 454.e3
Ongoing Assessment 454.e3
Therapeutic Interventions 454.e4
Impaired Gas Exchange 454.e4
Common Related Factors 454.e4
Defining Characteristics 454.e4
Common Expected Outcome 454.e4
Ongoing Assessment 454.e5
Therapeutic Interventions 454.e5
Imbalanced Nutrition: Less Than Body Requirements 454.e5
Common Related Factors 454.e5
Defining Characteristics 454.e5
Common Expected Outcomes 454.e5
Ongoing Assessment 454.e6
Therapeutic Interventions 454.e6
Deficient Knowledge 454.e6
Common Related Factors 454.e6
Defining Characteristics 454.e6
Common Expected Outcome 454.e7
Ongoing Assessment 454.e7
Therapeutic Interventions 454.e7
Drowning 454.e8
Impaired Gas Exchange 454.e9
Common Related Factors 454.e9
Defining Characteristics 454.e9
Common Expected Outcome 454.e9
Ongoing Assessment 454.e9
Therapeutic Interventions 454.e10
Ineffective Cerebral Tissue Perfusion 454.e10
Common Related Factors 454.e10
Defining Characteristics 454.e10
Common Expected Outcome 454.e10
Ongoing Assessment 454.e10
Therapeutic Interventions 454.e11
Excess/Deficient Fluid Volume 454.e11
Common Related Factors 454.e11
Defining Characteristics 454.e11
Common Expected Outcome 454.e11
Ongoing Assessment 454.e12
Therapeutic Interventions 454.e12
Risk for Decreased Cardiac Output 454.e13
Common Risk Factors 454.e13
Common Expected Outcome 454.e13
Ongoing Assessment 454.e13
Therapeutic Interventions 454.e13
Risk for Infection 454.e14
Common Risk Factors 454.e14
Common Expected Outcome 454.e14
Ongoing Assessment 454.e14
Therapeutic Interventions 454.e15
Head and Neck Cancer: Surgical Approaches: Radical Neck Surgery; Laryngectomy 454
Ineffective Airway Clearance 454
Common Related Factors 454
Defining Characteristics 454
Common Expected Outcome 455
Ongoing Assessment 455
Therapeutic Interventions 455
Impaired Verbal Communication 456
Common Related Factors 456
Defining Characteristics 456
Common Expected Outcome 456
Ongoing Assessment 456
Therapeutic Interventions 457
Risk for Ineffective Tissue Perfusion 457
Common Risk Factors 457
Common Expected Outcome 458
Ongoing Assessment 458
Therapeutic Interventions 458
Imbalanced Nutrition: Less Than Body Requirements 458
Common Related Factors 458
Defining Characteristics 458
Common Expected Outcomes 459
Ongoing Assessment 459
Therapeutic Interventions 459
Disturbed Body Image 460
Common Related Factors 460
Defining Characteristics 460
Common Expected Outcome 460
Ongoing Assessment 460
Therapeutic Interventions 460
Deficient Knowledge: Preoperative and Postoperative 461
Common Related Factors 461
Defining Characteristics 461
Common Expected Outcome 461
Ongoing Assessment 461
Therapeutic Interventions 461
Lung Cancer: Squamous Cell Carcinoma; Small Cell Carcinoma; Non–Small Cell Carcinoma; Adenocarcinoma; Large Cell Tumors 463
Deficient Knowledge 463
Common Related Factors 463
Defining Characteristics 463
Common Expected Outcomes 463
Ongoing Assessment 464
Therapeutic Interventions 464
Cancer-Related Fatigue 467
Common Related Factors 467
Defining Characteristics 467
Common Expected Outcomes 467
Ongoing Assessment 467
Therapeutic Interventions 468
Risk for Ineffective Protection 468
Common Risk Factors 468
Common Expected Outcome 468
Ongoing Assessment 469
Therapeutic Interventions 469
Acute Pain 470
Common Related Factors 470
Defining Characteristics 470
Common Expected Outcomes 470
Ongoing Assessment 470
Therapeutic Interventions 471
Mechanical Ventilation: Ventilator; Endotracheal Tube; Intubation; Ventilator-Associated Pneumonia 471
Impaired Spontaneous Ventilation 472
Common Related Factors 472
Defining Characteristics 472
Common Expected Outcomes 472
Ongoing Assessment 472
Therapeutic Interventions 473
Risk for Ineffective Protection 475
Common Risk Factors 475
Common Expected Outcomes 475
Ongoing Assessment 476
Therapeutic Interventions 477
Ineffective Airway Clearance 478
Common Related Factors 478
Defining Characteristics 478
Common Expected Outcome 478
Ongoing Assessment 478
Therapeutic Interventions 478
Risk for Decreased Cardiac Output 479
Common Risk Factors 479
Common Expected Outcome 479
Ongoing Assessment 479
Therapeutic Interventions 480
Anxiety 480
Common Related Factors 480
Defining Characteristics 480
Common Expected Outcomes 480
Ongoing Assessment 481
Therapeutic Interventions 481
Deficient Knowledge 481
Common Related Factors 481
Defining Characteristics 481
Common Expected Outcome 481
Ongoing Assessment 482
Therapeutic Interventions 482
Obstructive Sleep Apnea: Sleep-Disordered Breathing 483
Ineffective Breathing Pattern 483
Common Related Factors 483
Defining Characteristics 483
Common Expected Outcomes 483
Ongoing Assessment 483
Therapeutic Interventions 484
Sleep Deprivation 486
Common Related Factors 486
Defining Characteristics 486
Common Expected Outcome 486
Ongoing Assessment 486
Therapeutic Interventions 487
Pneumonia: Pneumonitis; Community-Acquired Pneumonia (CAP); Hospital-Acquired Pneumonia (HAP); Aspiration Pneumonia 488
Infection 488
Common Related Factor 488
Defining Characteristics 488
Common Expected Outcomes 488
Ongoing Assessment 489
Therapeutic Interventions 490
Ineffective Airway Clearance 490
Common Related Factors 490
Defining Characteristics 490
Common Expected Outcome 491
Ongoing Assessment 491
Therapeutic Interventions 491
Impaired Gas Exchange 492
Common Related Factors 492
Defining Characteristics 492
Common Expected Outcome 492
Ongoing Assessment 493
Therapeutic Interventions 493
Acute Pain 494
Common Related Factors 494
Defining Characteristics 494
Common Expected Outcomes 494
Ongoing Assessment 494
Therapeutic Interventions 494
Deficient Knowledge 495
Common Related Factors 495
Defining Characteristics 495
Common Expected Outcome 495
Ongoing Assessment 495
Therapeutic Interventions 495
Pneumothorax With Chest Tube: Collapsed Lung; Tension Pneumothorax 496.e1
Ineffective Breathing Pattern 496.e1
Common Related Factors 496.e1
Defining Characteristics 496.e1
Common Expected Outcome 496.e1
Ongoing Assessment 496.e1
Therapeutic Interventions 496.e2
Deficient Knowledge 496.e3
Common Related Factors 496.e3
Defining Characteristics 496.e3
Common Expected Outcome 496.e3
Ongoing Assessment 496.e3
Therapeutic Interventions 496.e3
Pulmonary Embolism: Thromboembolism (VTE); Deep Vein Thrombosis (DVT) 496
Ineffective Breathing Pattern 496
Common Related Factors 496
Defining Characteristics 496
Common Expected Outcome 496
Ongoing Assessment 497
Therapeutic Interventions 497
Impaired Gas Exchange 498
Common Related Factors 498
Defining Characteristics 498
Common Expected Outcome 498
Ongoing Assessment 498
Therapeutic Interventions 499
Risk for Bleeding 499
Common Risk Factors 499
Common Expected Outcomes 499
Ongoing Assessment 500
Therapeutic Interventions 500
Deficient Knowledge 501
Common Related Factors 501
Defining Characteristics 501
Common Expected Outcome 501
Ongoing Assessment 502
Therapeutic Interventions 502
Pulmonary Tuberculosis: TB; Mycobacterium Tuberculosis 503.e1
Infection 503.e1
Common Related Factor 503.e1
Defining Characteristics 503.e1
Common Expected Outcomes 503.e1
Ongoing Assessment 503.e1
Therapeutic Interventions 503.e2
Ineffective Breathing Pattern 503.e4
Common Related Factors 503.e4
Defining Characteristics 503.e4
Common Expected Outcome 503.e4
Ongoing Assessment 503.e4
Therapeutic Interventions 503.e4
Ineffective Health Management 503.e5
Common Related Factors 503.e5
Defining Characteristics 503.e5
Common Expected Outcomes 503.e5
Ongoing Assessment 503.e5
Therapeutic Interventions 503.e6
Respiratory Failure, Acute: Ventilatory Failure; Oxygenation Failure 503
Impaired Spontaneous Ventilation 503
Common Related Factors 503
Defining Characteristics 503
Common Expected Outcome 503
Ongoing Assessment 504
Therapeutic Interventions 504
Risk for Ineffective Airway Clearance 505
Common Risk Factors 505
Common Expected Outcome 505
Ongoing Assessment 505
Therapeutic Interventions 505
Risk for Infection 506
Common Risk Factors 506
Common Expected Outcome 506
Ongoing Assessment 506
Therapeutic Interventions 506
Anxiety 507
Common Related Factors 507
Defining Characteristics 507
Common Expected Outcomes 507
Ongoing Assessment 507
Therapeutic Interventions 508
Deficient Knowledge 508
Common Related Factors 508
Defining Characteristics 508
Common Expected Outcome 508
Ongoing Assessment 508
Therapeutic Interventions 509
Thoracotomy: Chest Surgery; Thoracic Surgery; Lobectomy; Segmental Resection; Wedge Resection; Thoracostomy; Pneumonectomy 509.e1
Ineffective Breathing Pattern 509.e1
Common Related Factors 509.e1
Defining Characteristics 509.e1
Common Expected Outcome 509.e1
Ongoing Assessment 509.e1
Therapeutic Interventions 509.e3
Ineffective Airway Clearance 509.e3
Common Related Factors 509.e3
Defining Characteristics 509.e3
Common Expected Outcome 509.e3
Ongoing Assessment 509.e4
Therapeutic Interventions 509.e4
Acute Pain 509.e5
Common Related Factors 509.e5
Defining Characteristics 509.e5
Common Expected Outcomes 509.e5
Ongoing Assessment 509.e5
Therapeutic Interventions 509.e5
Deficient Knowledge 509.e6
Common Related Factors 509.e6
Defining Characteristics 509.e6
Common Expected Outcome 509.e6
Ongoing Assessment 509.e6
Therapeutic Interventions 509.e6
Tracheostomy: Artificial Airway; Tracheotomy; Stoma 509.e7
Ineffective Airway Clearance 509.e8
Common Related Factors 509.e8
Defining Characteristics 509.e8
Common Expected Outcome 509.e8
Ongoing Assessment 509.e8
Therapeutic Interventions 509.e8
Risk for Impaired Gas Exchange 509.e9
Common Risk Factors 509.e9
Common Expected Outcome 509.e9
Ongoing Assessment 509.e9
Therapeutic Interventions 509.e10
Risk for Infection 509.e10
Common Risk Factors 509.e10
Common Expected Outcomes 509.e11
Ongoing Assessment 509.e11
Therapeutic Interventions 509.e11
Impaired Verbal Communication 509.e12
Common Related Factor 509.e12
Defining Characteristics 509.e12
Common Expected Outcome 509.e12
Ongoing Assessment 509.e12
Therapeutic Interventions 509.e12
Deficient Knowledge 509.e13
Common Related Factors 509.e13
Defining Characteristics 509.e13
Common Expected Outcome 509.e13
Ongoing Assessment 509.e13
Therapeutic Interventions 509.e13
7 Neurological Care Plans 510
Alzheimer’s Disease/Dementia: Multi-Infarct Dementia (MID); Dementia of the Alzheimer Type (DAT) 510
Risk for Violence: Self-Directed or Other-Directed 510
Common Risk Factors 510
Common Expected Outcomes 511
Ongoing Assessment 511
Therapeutic Interventions 511
Self-Care Deficit: Bathing, Dressing, Feeding 513
Common Related Factors 513
Defining Characteristics 513
Common Expected Outcome 513
Ongoing Assessment 513
Therapeutic Interventions 514
Impaired Social Interaction 514
Common Related Factors 514
Defining Characteristics 514
Common Expected Outcome 515
Ongoing Assessment 515
Therapeutic Interventions 515
Impaired Home Maintenance 516
Common Related Factors 516
Defining Characteristics 516
Common Expected Outcomes 516
Ongoing Assessment 516
Therapeutic Interventions 517
Caregiver Role Strain 517
Common Related Factors 517
Defining Characteristics 517
Common Expected Outcomes 517
Ongoing Assessment 518
Therapeutic Interventions 518
Amyotrophic Lateral Sclerosis: Lou Gehrig’s Disease; Motor Neuron Disease; Progressive Bulbar Palsy; Progressive Muscular Atrophy 519.e1
Anxiety 519.e1
Common Related Factors 519.e1
Defining Characteristics 519.e1
Common Expected Outcomes 519.e1
Ongoing Assessment 519.e2
Therapeutic Interventions 519.e2
Ineffective Airway Clearance 519.e3
Common Related Factors 519.e3
Defining Characteristics 519.e3
Common Expected Outcome 519.e3
Ongoing Assessment 519.e3
Therapeutic Interventions 519.e4
Impaired Physical Mobility 519.e5
Common Related Factors 519.e5
Defining Characteristics 519.e5
Common Expected Outcomes 519.e5
Ongoing Assessment 519.e5
Therapeutic Interventions 519.e5
Imbalanced Nutrition: Less Than Body Requirements 519.e6
Common Related Factors 519.e6
Defining Characteristics 519.e6
Common Expected Outcomes 519.e6
Ongoing Assessment 519.e6
Therapeutic Interventions 519.e7
Impaired Verbal Communication 519.e8
Common Related Factors 519.e8
Defining Characteristics 519.e8
Common Expected Outcome 519.e8
Ongoing Assessment 519.e8
Therapeutic Interventions 519.e8
Deficient Knowledge 519.e9
Common Related Factors 519.e9
Defining Characteristics 519.e9
Common Expected Outcome 519.e9
Ongoing Assessment 519.e9
Therapeutic Interventions 519.e10
Carpal Tunnel Syndrome: Repetitive Stress Injury; Median Nerve Compression 519.e11
Acute Pain 519.e11
Common Related Factors 519.e11
Defining Characteristics 519.e11
Common Expected Outcomes 519.e11
Ongoing Assessment 519.e12
Therapeutic Interventions 519.e12
Deficient Knowledge 519.e13
Common Related Factors 519.e13
Defining Characteristics 519.e13
Common Expected Outcome 519.e13
Ongoing Assessment 519.e13
Therapeutic Interventions 519.e13
Craniotomy: Craniectomy; Burr Hole; Cranioplasty; Cranial Surgery; Stereotactic Surgery 519.e14
Decreased Intracranial Adaptive Capacity 519.e14
Common Related Factors 519.e14
Defining Characteristics 519.e14
Common Expected Outcome 519.e15
Ongoing Assessment 519.e15
Therapeutic Interventions 519.e16
Risk for Deficient Fluid Volume 519.e17
Common Risk Factors 519.e17
Common Expected Outcome 519.e17
Ongoing Assessment 519.e17
Therapeutic Interventions 519.e17
Risk for Excess Fluid Volume 519.e18
Common Risk Factor 519.e18
Common Expected Outcome 519.e18
Ongoing Assessment 519.e18
Therapeutic Interventions 519.e18
Risk for Seizures 519.e18
Common Risk Factors 519.e18
Common Expected Outcomes 519.e19
Ongoing Assessment 519.e19
Therapeutic Interventions 519.e19
Deficient Knowledge 519.e20
Common Related Factors 519.e20
Defining Characteristics 519.e20
Common Expected Outcomes 519.e20
Ongoing Assessment 519.e20
Therapeutic Interventions 519.e20
Headache: Migraine, Cluster, Tension 519
Deficient Knowledge 520
Common Related Factors 520
Defining Characteristics 520
Common Expected Outcomes 520
Ongoing Assessment 520
Therapeutic Interventions 521
Acute Pain 522
Common Related Factor 522
Defining Characteristics 522
Common Expected Outcomes 522
Ongoing Assessment 522
Therapeutic Interventions 523
Intracranial Infection: Meningitis; Encephalitis; Brain Abscess 524.e1
Infection 524.e1
Common Related Factors 524.e1
Defining Characteristics 524.e1
Common Expected Outcome 524.e1
Ongoing Assessment 524.e2
Therapeutic Interventions 524.e2
Risk for Injury: Seizures 524.e3
Common Risk Factors 524.e3
Common Expected Outcomes 524.e3
Ongoing Assessment 524.e3
Therapeutic Interventions 524.e3
Acute Pain 524.e4
Common Related Factors 524.e4
Defining Characteristics 524.e4
Common Expected Outcomes 524.e4
Ongoing Assessment 524.e4
Therapeutic Interventions 524.e4
Deficient Knowledge 524.e5
Common Related Factors 524.e5
Defining Characteristics 524.e5
Common Expected Outcomes 524.e5
Ongoing Assessment 524.e5
Therapeutic Interventions 524.e5
Intervertebral Disk Disease: Low Back Pain, Herniated Disk; Slipped Disk; Ruptured Disk; Sciatica; Laminectomy 524
Acute Pain 524
Common Related Factor 524
Defining Characteristics 524
Common Expected Outcomes 524
Ongoing Assessment 525
Therapeutic Interventions 525
Deficient Knowledge 526
Common Related Factors 526
Defining Characteristics 526
Common Expected Outcome 526
Ongoing Assessment 526
Therapeutic Interventions 527
Lyme Disease 528.e1
Deficient Knowledge 528.e1
Common Related Factors 528.e1
Defining Characteristics 528.e1
Common Expected Outcome 528.e1
Ongoing Assessment 528.e1
Therapeutic Interventions 528.e2
Infection 528.e3
Common Related Factor 528.e3
Defining Characteristics 528.e3
Common Expected Outcome 528.e3
Ongoing Assessment 528.e3
Therapeutic Interventions 528.e3
Multiple Sclerosis: Disseminated Sclerosis; Demyelinating Disease 528
Deficient Knowledge 528
Common Related Factors 528
Defining Characteristics 528
Common Expected Outcome 529
Ongoing Assessment 529
Therapeutic Interventions 529
Impaired Physical Mobility 531
Common Related Factors 531
Defining Characteristics 531
Common Expected Outcomes 531
Ongoing Assessment 531
Therapeutic Interventions 532
Risk for Impaired Vision 532
Common Risk Factor 532
Common Expected Outcome 532
Ongoing Assessment 532
Therapeutic Interventions 533
Risk for Urinary Retention/Incontinence 533
Common Risk Factor 533
Common Expected Outcomes 533
Ongoing Assessment 533
Therapeutic Interventions 534
Risk for Falls 534
Common Risk Factors 534
Common Expected Outcomes 534
Ongoing Assessment 535
Therapeutic Interventions 535
Myasthenia Gravis: Myasthenic Crisis; Cholinergic Crisis 535.e1
Deficient Knowledge 535.e1
Common Related Factors 535.e1
Defining Characteristics 535.e1
Common Expected Outcome 535.e1
Ongoing Assessment 535.e2
Therapeutic Interventions 535.e2
Risk for Aspiration 535.e3
Common Risk Factors 535.e3
Common Expected Outcomes 535.e4
Ongoing Assessment 535.e4
Therapeutic Interventions 535.e4
Risk for Imbalanced Nutrition: Less Than Body Requirements 535.e5
Common Risk Factors 535.e5
Common Expected Outcomes 535.e5
Ongoing Assessment 535.e6
Therapeutic Interventions 535.e6
Ineffective Health Management 535.e7
Common Related Factors 535.e7
Defining Characteristics 535.e7
Common Expected Outcomes 535.e7
Ongoing Assessment 535.e7
Therapeutic Interventions 535.e7
Parkinson’s Disease: Parkinsonism 536
Impaired Physical Mobility 536
Common Related Factors 536
Defining Characteristics 536
Common Expected Outcomes 536
Ongoing Assessment 536
Therapeutic Interventions 537
Imbalanced Nutrition: Less Than Body Requirements 538
Common Related Factors 538
Defining Characteristics 538
Common Expected Outcomes 538
Ongoing Assessment 538
Therapeutic Interventions 539
Impaired Verbal Communication 539
Common Related Factor 539
Defining Characteristics 539
Common Expected Outcome 539
Ongoing Assessment 540
Therapeutic Interventions 540
Chronic Low Self-Esteem 540
Common Related Factors 540
Defining Characteristics 540
Common Expected Outcomes 540
Ongoing Assessment 541
Therapeutic Interventions 541
Deficient Knowledge 542
Common Related Factors 542
Defining Characteristics 542
Common Expected Outcome 542
Ongoing Assessment 542
Therapeutic Interventions 542
Seizure Activity: Epilepsy; Seizure Disorder; Convulsion 544
Deficient Knowledge 544
Common Related Factors 544
Defining Characteristics 544
Common Expected Outcome 545
Ongoing Assessment 545
Therapeutic Interventions 545
Risk for Chronic Low Self-Esteem 548
Common Risk Factors 548
Common Expected Outcome 548
Ongoing Assessment 548
Therapeutic Interventions 548
Spinal Cord Injury: Tetraplegia; Quadriplegia; Paraplegia; Neurogenic Shock; Spinal Shock 549
Risk for Ineffective Breathing Pattern 549
Common Risk Factors 549
Common Expected Outcome 550
Ongoing Assessment 550
Therapeutic Interventions 550
Risk for Decreased Cardiac Output 551
Common Risk Factors 551
Common Expected Outcome 551
Ongoing Assessment 551
Therapeutic Interventions 552
Impaired Physical Mobility 552
Common Related Factors 552
Defining Characteristics 552
Common Expected Outcomes 552
Ongoing Assessment 553
Therapeutic Interventions 553
Risk for Impaired Skin Integrity 554
Common Risk Factors 554
Common Expected Outcome 554
Ongoing Assessment 555
Therapeutic Interventions 555
Disturbed Body Image 556
Common Related Factors 556
Defining Characteristics 556
Common Expected Outcome 556
Ongoing Assessment 556
Therapeutic Interventions 557
Deficient Knowledge 557
Common Related Factors 557
Defining Characteristics 557
Common Expected Outcome 557
Ongoing Assessment 557
Therapeutic Interventions 558
Stroke: Brain Attack; Cerebrovascular Accident (CVA); Ischemic Stroke; Thrombotic Stroke; Embolic Stroke; Hemorrhagic Stroke 559
Impaired Cerebral Tissue Perfusion 559
Common Related Factors 559
Defining Characteristics 559
Common Expected Outcome 560
Ongoing Assessment 560
Therapeutic Interventions 561
Risk for Ineffective Airway Clearance 561
Common Risk Factors 561
Common Expected Outcome 561
Ongoing Assessment 562
Therapeutic Interventions 562
Impaired Physical Mobility 563
Common Related Factors 563
Defining Characteristics 563
Common Expected Outcomes 563
Ongoing Assessment 563
Therapeutic Interventions 564
Risk for Impaired Verbal Communication 566
Common Risk Factors 566
Common Expected Outcome 566
Ongoing Assessment 566
Therapeutic Interventions 566
Risk for Disturbed Sensory Perception (Tactile) 567
Common Risk Factor 567
Common Expected Outcome 567
Ongoing Assessment 567
Therapeutic Interventions 568
Risk for Unilateral Neglect 568
Common Risk Factor 568
Common Expected Outcomes 568
Ongoing Assessment 569
Therapeutic Interventions 569
Deficient Knowledge 570
Common Related Factors 570
Defining Characteristics 570
Common Expected Outcome 570
Ongoing Assessment 570
Therapeutic Interventions 570
Transient Ischemic Attack: Transient Ischemic Attack (TIA); Carotid Endarterectomy; Carotid Artery Stent 571.e1
Deficient Knowledge 571.e1
Common Related Factors 571.e1
Defining Characteristics 571.e1
Common Expected Outcome 571.e1
Ongoing Assessment 571.e1
Therapeutic Interventions 571.e2
Risk for Ineffective Cerebral Tissue Perfusion 571.e3
Common Risk Factors 571.e3
Common Expected Outcome 571.e3
Ongoing Assessment 571.e3
Therapeutic Interventions 571.e4
Traumatic Brain Injury: Head Trauma; Closed Head Trauma; Skull Fracture; Subdural Hematoma; Concussion 572
Decreased Intracranial Adaptive Capacity 572
Common Related Factors 572
Defining Characteristics 572
Common Expected Outcome 572
Ongoing Assessment 573
Therapeutic Interventions 574
Risk for Deficient Fluid Volume 574
Common Risk Factors 574
Common Expected Outcome 574
Ongoing Assessment 575
Therapeutic Interventions 575
Risk for Excess Fluid Volume 575
Common Risk Factor 575
Common Expected Outcome 575
Ongoing Assessment 576
Therapeutic Interventions 576
Risk for Seizures 576
Common Risk Factors 576
Common Expected Outcomes 576
8 Gastrointestinal and Digestive Care Plans 581
Bariatric Surgery: Overweight; Obesity; Gastric Banding; Gastric Bypass 581
Deficient Knowledge 581
Common Related Factors 581
Defining Characteristics 581
Common Expected Outcomes 581
Ongoing Assessment 582
Therapeutic Interventions 582
Risk for Imbalanced Nutrition: Less Than Body Requirements (Postoperative) 584
Common Risk Factors 584
Common Expected Outcomes 584
Ongoing Assessment 584
Therapeutic Interventions 584
Risk for Disturbed Body Image 585
Common Risk Factors 585
Common Expected Outcome 585
Ongoing Assessment 585
Therapeutic Interventions 585
Risk for Deficient Fluid Volume 586
Common Risk Factor 586
Common Expected Outcome 586
Ongoing Assessment 586
Therapeutic Interventions 587
Risk for Ineffective Health Management 587
Common Risk Factors 587
Common Expected Outcomes 587
Ongoing Assessment 587
Therapeutic Interventions 588
Bowel Diversion Surgery: Colostomy, Ileostomy: Fecal Diversion; Stoma 590
Deficient Knowledge: Surgical Procedure 590
Common Related Factors 590
Defining Characteristics 590
Common Expected Outcomes 590
Ongoing Assessment 590
Therapeutic Interventions 591
Risk for Toileting Self-Care Deficit 591
Common Risk Factors 591
Common Expected Outcome 591
Ongoing Assessment 592
Therapeutic Interventions 592
Risk for Ineffective Stoma Tissue Perfusion 592
Common Risk Factor 592
Common Expected Outcome 592
Ongoing Assessment 593
Therapeutic Interventions 593
Risk for Impaired Skin Integrity 593
Common Related Factors 593
Defining Characteristics 593
Common Expected Outcomes 593
Ongoing Assessment 594
Therapeutic Interventions 594
Risk for Disturbed Body Image 594
Common Risk Factors 594
Common Expected Outcome 594
Ongoing Assessment 595
Therapeutic Interventions 595
Deficient Knowledge: Stoma Care 595
Common Related Factors 595
Defining Characteristics 595
Common Expected Outcomes 596
Ongoing Assessment 596
Therapeutic Interventions 596
Cholecystectomy: Laparoscopic/Open, Postoperative Care 597
Risk for Infection 598
Common Risk Factor 598
Common Expected Outcomes 598
Ongoing Assessment 598
Therapeutic Interventions 598
Risk for Ineffective Breathing Pattern 599
Common Risk Factor 599
Common Expected Outcome 599
Ongoing Assessment 599
9 Musculoskeletal Care Plans 632
Amputation, Lower Extremity 632
Anxiety, Preoperative 632
Common Related Factors 632
Defining Characteristics 632
Common Expected Outcomes 632
Ongoing Assessment 633
Therapeutic Interventions 633
Risk for Impaired Skin Integrity 634
Common Risk Factors 634
Common Expected Outcome 634
Ongoing Assessment 634
Therapeutic Interventions 635
Impaired Physical Mobility 636
Common Related Factors 636
Defining Characteristics 636
Common Expected Outcomes 636
Ongoing Assessment 636
Therapeutic Interventions 637
Disturbed Body Image 638
Common Related Factors 638
Defining Characteristics 638
Common Expected Outcome 638
Ongoing Assessment 638
Therapeutic Interventions 639
Acute Pain and Chronic Pain 640
Common Related Factors 640
Defining Characteristics 640
Common Expected Outcomes 640
Ongoing Assessment 641
Therapeutic Interventions 641
Deficient Knowledge 642
Common Related Factors 642
Defining Characteristics 642
Common Expected Outcomes 642
Ongoing Assessment 642
Therapeutic Interventions 642
Arthritis, Rheumatoid 643
Deficient Knowledge 643
Common Related Factors 643
Defining Characteristics 643
Common Expected Outcome 644
Ongoing Assessment 644
Therapeutic Interventions 644
Chronic Joint Pain 647
Common Related Factors 647
Defining Characteristics 647
Common Expected Outcomes 647
Ongoing Assessment 647
Therapeutic Interventions 647
Joint Stiffness 648
Common Related Factors 648
Defining Characteristics 648
Common Expected Outcomes 648
Ongoing Assessment 648
Therapeutic Interventions 649
Impaired Physical Mobility 649
Common Related Factors 649
Defining Characteristics 649
Common Expected Outcomes 649
Ongoing Assessment 650
Therapeutic Interventions 650
Arthroscopy 651.e1
Deficient Knowledge 651.e1
Common Related Factors 651.e1
Defining Characteristics 651.e1
Common Expected Outcome 651.e1
Ongoing Assessment 651.e1
Therapeutic Interventions 651.e2
Acute Pain 651.e2
Common Related Factors 651.e2
Defining Characteristics 651.e2
Common Expected Outcomes 651.e3
Ongoing Assessment 651.e3
Therapeutic Interventions 651.e3
Impaired Physical Mobility 651.e3
Common Related Factors 651.e3
Defining Characteristics 651.e3
Common Expected Outcomes 651.e4
Ongoing Assessment 651.e4
Therapeutic Interventions 651.e4
Fibromyalgia: Fibromyalgia Syndrome; Fibromyositis; Fibrositis 651.e5
Deficient Knowledge 651.e5
Common Related Factors 651.e5
Defining Characteristics 651.e5
Common Expected Outcome 651.e5
Ongoing Assessment 651.e5
Therapeutic Interventions 651.e6
Chronic Pain 651.e7
Common Related Factors 651.e7
Defining Characteristics 651.e7
Common Expected Outcomes 651.e8
Ongoing Assessment 651.e8
Therapeutic Interventions 651.e8
Fatigue 651.e9
Common Related Factors 651.e9
Defining Characteristics 651.e9
Common Expected Outcomes 651.e9
Ongoing Assessment 651.e10
Therapeutic Interventions 651.e10
Fractures: Extremity and Pelvic: Closed Reduction; Open Reduction; Internal Fixation; External Fixation 651
Acute Pain 651
Common Related Factor 651
Defining Characteristics 651
Common Expected Outcomes 651
Ongoing Assessment 652
Therapeutic Interventions 652
Impaired Physical Mobility 653
Common Related Factors 653
Defining Characteristics 653
Common Expected Outcomes 653
Ongoing Assessment 653
Therapeutic Interventions 654
Risk for Ineffective Peripheral Tissue Perfusion 654
Common Risk Factors 654
Common Expected Outcome 654
Ongoing Assessment 655
Therapeutic Interventions 656
Deficient Knowledge 656
Common Related Factors 656
Defining Characteristics 656
Common Expected Outcome 656
Ongoing Assessment 657
Therapeutic Interventions 657
Risk for Impaired Urinary Elimination 658
Common Risk Factors 658
Common Expected Outcome 658
Ongoing Assessment 658
Therapeutic Interventions 659
Risk for Injury 659
Common Risk Factors 659
Common Expected Outcomes 659
Ongoing Assessment 659
Therapeutic Interventions 660
Joint Arthroplasty/Replacement: Total Hip, Knee, Shoulder 660
Acute Pain 661
Common Related Factor 661
Defining Characteristics 661
Common Expected Outcomes 661
Ongoing Assessment 662
Therapeutic Interventions 662
Impaired Physical Mobility 663
Common Related Factors 663
Defining Characteristics 663
Common Expected Outcomes 663
Ongoing Assessment 663
Therapeutic Interventions 663
Risk for Ineffective Peripheral Tissue Perfusion 664
Common Risk Factors 664
Common Expected Outcomes 665
Ongoing Assessment 665
Therapeutic Interventions 666
Deficient Knowledge 666
Common Related Factors 666
Defining Characteristics 666
Common Expected Outcome 667
Ongoing Assessment 667
Therapeutic Interventions 667
Osteoarthritis 668
Acute Pain/Chronic Pain 669
Common Related Factors 669
Defining Characteristics 669
Common Expected Outcomes 669
Ongoing Assessment 669
Therapeutic Interventions 670
Impaired Physical Mobility 671
Common Related Factors 671
Defining Characteristics 671
Common Expected Outcomes 671
Ongoing Assessment 671
Therapeutic Interventions 672
Osteomyelitis: Bone Infection 673.e1
Infection 673.e1
Common Related Factors 673.e1
Defining Characteristics 673.e1
Common Expected Outcome 673.e1
Ongoing Assessment 673.e1
Therapeutic Interventions 673.e2
Acute Pain 673.e2
Common Related Factor 673.e2
Defining Characteristics 673.e2
Common Expected Outcomes 673.e3
Ongoing Assessment 673.e3
Therapeutic Interventions 673.e3
Osteoporosis: Brittle Bone 673
Deficient Knowledge 673
Common Related Factors 673
Defining Characteristics 673
Common Expected Outcomes 674
Ongoing Assessment 674
Therapeutic Interventions 675
Risk for Falls 677
Common Risk Factors 677
Common Expected Outcomes 677
Ongoing Assessment 677
Therapeutic Interventions 678
Disturbed Body Image 678
Common Related Factors 678
Defining Characteristics 678
Common Expected Outcome 678
Ongoing Assessment 678
Therapeutic Interventions 679
Traction: Skeletal Traction; Skin Traction 679.e1
Deficient Knowledge 679.e1
Common Related Factors 679.e1
Defining Characteristics 679.e1
Common Expected Outcome 679.e1
Ongoing Assessment 679.e1
Therapeutic Interventions 679.e2
Acute Pain 679.e3
Common Related Factor 679.e3
Defining Characteristics 679.e3
Common Expected Outcomes 679.e3
Ongoing Assessment 679.e3
Therapeutic Interventions 679.e3
Impaired Physical Mobility 679.e4
Common Related Factors 679.e4
Defining Characteristics 679.e4
Common Expected Outcomes 679.e4
Ongoing Assessment 679.e5
Therapeutic Interventions 679.e5
Risk for Ineffective Peripheral Tissue Perfusion 679.e5
Common Risk Factor 679.e5
Common Expected Outcome 679.e5
Ongoing Assessment 679.e6
Therapeutic Interventions 679.e6
Risk for Infection: Pin Sites 679.e6
Common Risk Factors 679.e6
Common Expected Outcomes 679.e7
Ongoing Assessment 679.e7
Therapeutic Interventions 679.e7
10 Hematolymphatic, Immunological, and Oncological Care Plans 680
Anemia: Iron Deficiency; Cobalamin (Vitamin B12) Deficiency; Pernicious Anemia; Aplastic Anemia 680
Deficient Knowledge 681
Common Related Factors 681
Defining Characteristics 681
Common Expected Outcome 681
Ongoing Assessment 681
Therapeutic Interventions 681
Fatigue 683
Common Related Factor 683
Defining Characteristics 683
Common Expected Outcomes 683
Ongoing Assessment 683
Therapeutic Interventions 684
Risk for Bleeding 684
Common Risk Factors 684
Common Expected Outcome 684
Ongoing Assessment 684
Therapeutic Interventions 685
Risk for Infection 685
Common Risk Factors 685
Common Expected Outcome 685
Ongoing Assessment 685
Therapeutic Interventions 686
Cancer Chemotherapy 686
Deficient Knowledge 687
Common Related Factors 687
Defining Characteristics 687
Common Expected Outcome 687
Ongoing Assessment 687
Therapeutic Interventions 687
Nausea 689
Common Related Factors 689
Defining Characteristics 689
Common Expected Outcome 689
Ongoing Assessment 689
Therapeutic Interventions 690
Cancer-Related Fatigue 691
Common Related Factors 691
Defining Characteristics 691
Common Expected Outcomes 692
Ongoing Assessment 692
Therapeutic Interventions 692
Risk for Infection 693
Common Risk Factors 693
Common Expected Outcome 693
Ongoing Assessment 693
Therapeutic Interventions 693
Risk for Bleeding 694
Common Risk Factors 694
Common Expected Outcome 694
Ongoing Assessment 695
Therapeutic Interventions 695
Risk for Injury 696
Common Risk Factors 696
Common Expected Outcome 696
Ongoing Assessment 696
Therapeutic Interventions 697
Disturbed Body Image 698
Common Related Factors 698
Defining Characteristics 698
Common Expected Outcomes 698
Ongoing Assessment 698
Therapeutic Interventions 698
Risk for Injury 699
Common Risk Factor 699
Common Expected Outcome 699
Ongoing Assessment 699
Therapeutic Interventions 699
Cancer Radiation Therapy: External Beam; Brachytherapy; Teletherapy; Radiotherapy 700
Deficient Knowledge 700
Common Related Factors 700
Defining Characteristics 700
Common Expected Outcome 701
Ongoing Assessment 701
Therapeutic Interventions 701
Risk for Impaired Skin Integrity 702
Common Risk Factor 702
Common Expected Outcome 702
Ongoing Assessment 702
Therapeutic Interventions 703
Risk for Injury (Radiation Exposure) 703
Common Risk Factors 703
Common Expected Outcome 704
Ongoing Assessment 704
Therapeutic Interventions 704
Disseminated Intravascular Coagulation: Coagulopathy; Defibrination Syndrome; DIC 705
Risk for Bleeding 705
Common Risk Factors 705
Common Expected Outcomes 705
Ongoing Assessment 706
Therapeutic Interventions 707
Impaired Gas Exchange 708
Common Related Factor 708
Defining Characteristics 708
Common Expected Outcome 708
Ongoing Assessment 708
Therapeutic Interventions 708
Deficient Knowledge 709
Common Related Factors 709
Defining Characteristics 709
Common Expected Outcome 709
Ongoing Assessment 709
Therapeutic Interventions 709
Hematopoietic Stem Cell Collection: Bone Marrow Donor; Bone Marrow Transplantation; Apheresis; Peripheral Blood Stem Cell Donor; Autologous; Allogenic; Syngeneic 710.e1
Deficient Knowledge 710.e1
Common Related Factors 710.e1
Defining Characteristics 710.e1
Common Expected Outcome 710.e1
Ongoing Assessment 710.e1
Therapeutic Interventions 710.e2
Fear 710.e4
Common Related Factors 710.e4
Defining Characteristics 710.e4
Common Expected Outcomes 710.e4
Ongoing Assessment 710.e4
Therapeutic Interventions 710.e4
Risk for Infection 710.e5
Common Risk Factor 710.e5
Common Expected Outcome 710.e5
Ongoing Assessment 710.e5
Therapeutic Interventions 710.e5
Hematopoietic Stem Cell Transplantation: Bone Marrow Transplant; Peripheral Blood Stem Cell Transplant 710
Deficient Knowledge 711
Common Related Factors 711
Defining Characteristics 711
Common Expected Outcome 711
Ongoing Assessment 711
Therapeutic Interventions 711
Risk for Infection 714
Common Risk Factors 714
Common Expected Outcome 714
Ongoing Assessment 714
Therapeutic Interventions 715
Ineffective Protection 716
Common Related Factors 716
Defining Characteristics 716
Common Expected Outcomes 716
Ongoing Assessment 716
Therapeutic Interventions 718
Diarrhea 720
Common Related Factors 720
Defining Characteristics 720
Common Expected Outcomes 720
Ongoing Assessment 720
Therapeutic Interventions 721
Risk for Imbalanced Nutrition: Less Than Body Requirements 721
Common Risk Factors 721
Common Expected Outcome 721
Ongoing Assessment 721
Therapeutic Interventions 722
Hemophilia: Clotting Abnormality; Factor VIII Deficiency; Factor IX Deficiency; Hemophilia A; Hemophilia B 723.e1
Risk for Bleeding 723.e1
Common Risk Factor 723.e1
Common Expected Outcomes 723.e1
Ongoing Assessment 723.e1
Therapeutic Interventions 723.e2
Acute Pain 723.e3
Common Related Factors 723.e3
Defining Characteristics 723.e3
Common Expected Outcomes 723.e3
Ongoing Assessment 723.e3
Therapeutic Interventions 723.e3
Risk for Impaired Physical Mobility 723.e4
Common Risk Factors 723.e4
Common Expected Outcome 723.e4
Ongoing Assessment 723.e4
Therapeutic Interventions 723.e4
Deficient Knowledge 723.e4
Common Related Factors 723.e4
Defining Characteristics 723.e4
Common Expected Outcome 723.e5
Ongoing Assessment 723.e5
Therapeutic Interventions 723.e5
Human Immunodeficiency Virus (HIV) Disease: Acquired Immunodeficiency Syndrome (AIDS) 723
Deficient Knowledge: Disease and Transmission 723
Common Related Factors 723
Defining Characteristics 723
Common Expected Outcome 724
Ongoing Assessment 724
Therapeutic Interventions 724
Infection 726
Common Related Factor 726
Defining Characteristics 726
Common Expected Outcomes 726
Ongoing Assessment 726
Therapeutic Interventions 726
Imbalanced Nutrition: Less Than Body Requirements 727
Common Related Factors 727
Defining Characteristics 727
Common Expected Outcomes 728
Ongoing Assessment 728
Therapeutic Interventions 728
Leukemia, Adult: Acute Lymphocytic Leukemia; Acute Myelocytic Leukemia; Chronic Lymphocytic Leukemia; Lymphocytic Leukemia; Chronic Myelocytic Leukemia; Nonlymphocytic Leukemia; Myelogenous Leukemia; Granulocytic Leukemia 729
Deficient Knowledge 729
Common Related Factors 729
Defining Characteristics 729
Common Expected Outcome 729
Ongoing Assessment 730
Therapeutic Interventions 730
Risk for Ineffective Coping 731
Common Risk Factors 731
Common Expected Outcomes 731
Ongoing Assessment 731
Therapeutic Interventions 732
Risk for Infection 733
Common Risk Factors 733
Common Expected Outcome 733
Ongoing Assessment 733
Therapeutic Interventions 733
Risk for Bleeding 735
Common Risk Factors 735
Common Expected Outcome 735
Ongoing Assessment 735
Therapeutic Interventions 735
Cancer-Related Fatigue 736
Common Related Factors 736
Defining Characteristics 736
Common Expected Outcomes 737
Ongoing Assessment 737
Therapeutic Interventions 737
Nausea 738
Common Related Factors 738
Defining Characteristics 738
Common Expected Outcome 738
Ongoing Assessment 738
Therapeutic Interventions 739
Lymphoma: Hodgkin’s Lymphoma; Non-Hodgkin’s Lymphoma 740
Deficient Knowledge 741
Common Related Factors 741
Defining Characteristics 741
Common Expected Outcome 741
Ongoing Assessment 741
Therapeutic Interventions 741
Cancer-Related Fatigue 743
Common Related Factors 743
Defining Characteristics 743
Common Expected Outcomes 743
Ongoing Assessment 743
Therapeutic Interventions 743
Risk for Ineffective Coping 744
Common Risk Factors 744
Common Expected Outcome 744
Ongoing Assessment 744
Therapeutic Interventions 745
Risk for Infection 745
Common Risk Factors 745
Common Expected Outcome 745
Ongoing Assessment 746
Therapeutic Interventions 746
Risk for Bleeding 747
Common Risk Factor 747
Common Expected Outcome 747
Ongoing Assessment 747
Therapeutic Interventions 748
Nausea 749
Common Related Factors 749
Defining Characteristics 749
Common Expected Outcome 749
Ongoing Assessment 749
Therapeutic Interventions 750
Multiple Myeloma: Plasma Cell Myeloma; Monoclonal Gammopathy of Undetermined Significance (MGUS) 752
Deficient Knowledge 752
Common Related Factors 752
Defining Characteristics 752
Common Expected Outcome 752
Ongoing Assessment 752
Therapeutic Interventions 753
Acute Pain 753
Common Related Factors 753
Defining Characteristics 753
Common Expected Outcomes 754
Ongoing Assessment 754
Therapeutic Interventions 754
Impaired Physical Mobility 755
Common Related Factors 755
Defining Characteristics 755
Common Expected Outcomes 755
Ongoing Assessment 755
Therapeutic Interventions 755
Risk for Impaired Urinary Elimination 756
Common Risk Factors 756
Common Expected Outcome 756
Ongoing Assessment 756
Therapeutic Interventions 756
Ineffective Protection 757
Common Related Factors 757
Defining Characteristics 757
Common Expected Outcomes 757
Ongoing Assessment 757
Therapeutic Interventions 758
Neutropenia: Granulocytopenia 759
Risk for Infection 759
Common Risk Factors 759
Common Expected Outcome 759
Ongoing Assessment 760
Therapeutic Interventions 760
Deficient Knowledge 762
Common Related Factors 762
Defining Characteristics 762
Common Expected Outcome 762
Ongoing Assessment 762
Therapeutic Interventions 762
Organ Transplantation, Solid: Heart Transplantation; Lung Transplantation; Liver Transplantation; Kidney Transplantation; Living Kidney Donors 764.e1
Heart Transplantation 764.e1
Decreased Cardiac Output 764.e1
Common Related Factors 764.e1
Defining Characteristics 764.e1
Common Expected Outcome 764.e1
Ongoing Assessment 764.e2
Therapeutic Interventions 764.e2
Risk for Decreased Cardiac Output: Right Ventricular Failure 764.e3
Common Risk Factors 764.e3
Common Expected Outcome 764.e3
Ongoing Assessment 764.e3
Therapeutic Interventions 764.e4
Risk for Bleeding/Hemorrhage 764.e4
Common Risk Factors 764.e4
Common Expected Outcome 764.e4
Ongoing Assessment 764.e5
Therapeutic Interventions 764.e5
Ineffective Protection (After Heart Transplantation) 764.e6
Common Related Factor 764.e6
Defining Characteristics 764.e6
Common Expected Outcomes 764.e6
Ongoing Assessment 764.e6
Therapeutic Interventions 764.e6
Lung Transplantation 764.e7
Ineffective Airway Clearance 764.e7
Common Related Factors 764.e7
Defining Characteristics 764.e7
Common Expected Outcome 764.e7
Ongoing Assessment 764.e7
Therapeutic Interventions 764.e8
Ineffective Protection (After Lung Transplantation) 764.e9
Common Related Factors 764.e9
Defining Characteristics 764.e9
Common Expected Outcomes 764.e9
Ongoing Assessment 764.e9
Therapeutic Interventions 764.e10
Liver Transplantation 764.e10
Risk for Bleeding/Hemorrhage 764.e10
Common Risk Factors 764.e10
Common Expected Outcome 764.e10
Ongoing Assessment 764.e11
Therapeutic Interventions 764.e11
Ineffective Protection (After Liver Transplantation) 764.e11
Common Related Factors 764.e11
Defining Characteristics 764.e11
Common Expected Outcomes 764.e11
Ongoing Assessment 764.e12
Therapeutic Interventions 764.e12
Kidney Transplantation 764.e12
Kidney Transplant Recipient 764.e12
Risk for Ineffective Renal Perfusion 764.e12
Common Risk Factors 764.e12
Common Expected Outcome 764.e13
Ongoing Assessment 764.e13
Therapeutic Interventions 764.e13
Ineffective Protection (Transplanted Kidney) 764.e14
Common Related Factors 764.e14
Defining Characteristics 764.e14
Common Expected Outcomes 764.e14
Ongoing Assessment 764.e14
Therapeutic Interventions 764.e15
Living Kidney Donors 764.e15
Deficient Knowledge 764.e15
Common Related Factors 764.e15
Defining Characteristics 764.e15
Common Expected Outcome 764.e16
Ongoing Assessment 764.e16
Therapeutic Interventions 764.e16
Problems Common to Solid Organ Transplant Recipients: Risk for Infection, Ineffective Coping, and Knowledge Deficit 764.e17
Risk for Infection 764.e17
Common Risk Factors 764.e17
Common Expected Outcomes 764.e17
Ongoing Assessment 764.e17
Therapeutic Interventions 764.e18
Risk for Ineffective Coping 764.e18
Common Risk Factors 764.e18
Common Expected Outcomes 764.e19
Ongoing Assessment 764.e19
Therapeutic Interventions 764.e19
Deficient Knowledge 764.e20
Common Related Factors 764.e20
Defining Characteristics 764.e20
Common Expected Outcome 764.e20
Ongoing Assessment 764.e20
Therapeutic Interventions 764.e20
Sickle Cell Disease: Vasoocclusive Event; Sickle Cell Pain Crisis; Sickle Cell Anemia 764.e21
Risk for Ineffective Health Management 764.e22
Common Risk Factors 764.e22
Common Expected Outcomes 764.e22
Ongoing Assessment 764.e22
Therapeutic Interventions 764.e22
Acute Pain 764.e23
Common Related Factor 764.e23
Defining Characteristics 764.e23
Common Expected Outcomes 764.e23
Ongoing Assessment 764.e24
Therapeutic Interventions 764.e24
Risk for Ineffective Coping 764.e25
Common Risk Factors 764.e25
Common Expected Outcomes 764.e25
Ongoing Assessment 764.e25
Therapeutic Interventions 764.e26
Systemic Lupus Erythematosus: SLE; Lupus 764
Deficient Knowledge 765
Common Related Factors 765
Defining Characteristics 765
Common Expected Outcome 765
Ongoing Assessment 765
Therapeutic Interventions 765
Impaired Skin Integrity 767
Common Related Factors 767
Defining Characteristics 767
Common Expected Outcomes 767
Ongoing Assessment 767
Therapeutic Interventions 768
Joint Pain/Stiffness 769
Common Related Factor 769
Defining Characteristics 769
Common Expected Outcomes 769
Ongoing Assessment 769
Therapeutic Interventions 769
Fatigue 770
Common Related Factors 770
Defining Characteristics 770
Common Expected Outcomes 770
Ongoing Assessment 771
Therapeutic Interventions 771
11 Renal and Urinary Tract Care Plans 772
Acute Kidney Injury: Acute Tubular Necrosis (ATN); Renal Insufficiency; Acute Renal Failure 772
Impaired Renal Function 772
Common Related Factors 772
Defining Characteristics 772
Common Expected Outcome 772
Ongoing Assessment 773
Therapeutic Interventions 774
Excess Fluid Volume 775
Common Related Factors 775
Defining Characteristics 775
Common Expected Outcome 775
Ongoing Assessment 775
Therapeutic Interventions 775
Risk for Decreased Cardiac Output 776
Common Risk Factors 776
Common Expected Outcome 776
Ongoing Assessment 776
Therapeutic Interventions 777
Imbalanced Nutrition: Less Than Body Requirements 778
Common Related Factors 778
Defining Characteristics 778
Common Expected Outcomes 778
Ongoing Assessment 778
Therapeutic Interventions 779
Risk for Infection 779
Common Risk Factors 779
Common Expected Outcomes 779
Ongoing Assessment 780
Therapeutic Interventions 780
Deficient Knowledge 780
Common Related Factors 780
Defining Characteristics 780
Common Expected Outcome 780
Ongoing Assessment 781
Therapeutic Interventions 781
Chronic Kidney Disease (CKD): Uremia; Renal Failure; Chronic/End-Stage Renal Disease 781
Deficient Knowledge 782
Common Related Factors 782
Defining Characteristics 782
Common Expected Outcome 782
Ongoing Assessment 782
Therapeutic Interventions 783
Excess Fluid Volume 784
Common Related Factors 784
Defining Characteristics 784
Common Expected Outcome 784
Ongoing Assessment 784
Therapeutic Interventions 784
Risk for Decreased Cardiac Output 785
Common Risk Factors 785
Common Expected Outcome 785
Ongoing Assessment 785
Therapeutic Interventions 786
Risk for Electrolyte Imbalance: CKD Mineral and Bone Disorders 787
Common Risk Factors 787
Common Expected Outcomes 787
Ongoing Assessment 787
Therapeutic Interventions 788
Ineffective Protection: Anemia/Thrombocytopenia 788
Common Related Factors 788
Defining Characteristics 788
Common Expected Outcome 789
Ongoing Assessment 789
Therapeutic Interventions 789
Risk for Situational Low Self-Esteem 790
Common Risk Factors 790
Common Expected Outcome 790
Ongoing Assessment 790
Therapeutic Interventions 791
Sexual Dysfunction 791
Common Related Factor 791
Defining Characteristics 791
Common Expected Outcome 791
Ongoing Assessment 792
Therapeutic Interventions 792
Glomerulonephritis: Acute Poststreptococcal Glomerulonephritis; Acute Glomerulonephritis; Rapidly Progressive Glomerulonephritis; Chronic Glomerulonephritis 792.e1
Excess Fluid Volume 792.e1
Common Related Factor 792.e1
Defining Characteristics 792.e1
Common Expected Outcome 792.e1
Ongoing Assessment 792.e1
Therapeutic Interventions 792.e2
Deficient Knowledge 792.e2
Common Related Factors 792.e2
Defining Characteristics 792.e2
Common Expected Outcome 792.e3
Ongoing Assessment 792.e3
Therapeutic Interventions 792.e3
Hemodialysis: Internal Arteriovenous Fistula; Graft; Central Venous Catheter; Renal Replacement Therapy 792
Risk for Decreased Cardiac Output 793
Common Risk Factors 793
Common Expected Outcome 793
Ongoing Assessment 793
Therapeutic Interventions 794
Risk for Infection 794
Common Risk Factors 794
Common Expected Outcomes 794
Ongoing Assessment 794
Therapeutic Interventions 795
Risk for Ineffective Peripheral Tissue Perfusion 796
Common Risk Factor 796
Common Expected Outcome 796
Ongoing Assessment 796
Therapeutic Interventions 796
Deficient Knowledge 797
Common Related Factors 797
Defining Characteristics 797
Common Expected Outcome 797
Ongoing Assessment 797
Therapeutic Interventions 797
Peritoneal Dialysis: Intermittent Peritoneal Dialysis; Continuous Ambulatory Peritoneal Dialysis; Continuous Cyclic Peritoneal Dialysis; Renal Replacement Therapy 799
Excess Fluid Volume 799
Common Related Factors 799
Defining Characteristics 799
Common Expected Outcome 799
Ongoing Assessment 799
Therapeutic Interventions 800
Risk for Infection 800
Common Risk Factors 800
Common Expected Outcomes 801
Ongoing Assessment 801
Therapeutic Interventions 801
Acute Pain 802
Common Related Factors 802
Defining Characteristics 802
Common Expected Outcomes 802
Ongoing Assessment 802
Therapeutic Interventions 803
Deficient Knowledge 803
Common Related Factors 803
Defining Characteristics 803
Common Expected Outcomes 803
Ongoing Assessment 803
Therapeutic Interventions 804
Renal Calculi: Kidney Stones; Urolithiasis; Nephrolithiasis; Staghorn Calculi 805.e1
Deficient Knowledge 805.e1
Common Related Factors 805.e1
Defining Characteristics 805.e1
Common Expected Outcome 805.e1
Ongoing Assessment 805.e1
Therapeutic Interventions 805.e2
Acute Pain 805.e4
Common Related Factors 805.e4
Defining Characteristics 805.e4
Common Expected Outcomes 805.e4
Ongoing Assessment 805.e4
Therapeutic Interventions 805.e4
Risk for Infection 805.e5
Common Risk Factors 805.e5
Common Expected Outcome 805.e5
Ongoing Assessment 805.e5
Therapeutic Interventions 805.e6
Urinary Diversion: Bladder Cancer; Ileal Conduit; Koch Pouch; Nephrostomy; Sigmoidostomy; Ureterostomy; Vesicostomy 805
Deficient Knowledge: Preoperative 805
Common Related Factors 805
Defining Characteristics 805
Common Expected Outcome 806
Ongoing Assessment 806
Therapeutic Interventions 807
Risk for Toileting Self-Care Deficit 807
Common Risk Factors 807
Common Expected Outcome 808
Ongoing Assessment 808
Therapeutic Interventions 808
Risk for Disturbed Body Image 808
Common Risk Factors 808
Common Expected Outcome 809
Ongoing Assessment 809
Therapeutic Interventions 809
Risk for Ineffective Tissue Perfusion: Stoma 810
Common Risk Factors 810
Common Expected Outcome 810
Ongoing Assessment 810
Therapeutic Interventions 810
Risk for Infection 811
Common Risk Factors 811
Common Expected Outcome 811
Ongoing Assessment 811
Therapeutic Interventions 812
Deficient Knowledge: Stoma Care 812
Common Related Factors 812
Defining Characteristics 812
Common Expected Outcome 812
Ongoing Assessment 812
Therapeutic Interventions 814
Urinary Tract Infection: UTI; Pyelonephritis; Cystitis; Urethritis; Nephritis 815
Infection 815
Common Related Factors 815
Defining Characteristics 815
Common Expected Outcome 815
Ongoing Assessment 815
Therapeutic Interventions 816
Acute Pain 817
Common Related Factor 817
Defining Characteristics 817
Common Expected Outcomes 817
Ongoing Assessment 817
Therapeutic Interventions 817
Deficient Knowledge 818
Common Related Factors 818
Defining Characteristics 818
Common Expected Outcomes 818
Ongoing Assessment 818
Therapeutic Interventions 818
12 Men’s and Women’s Health Care Plans 820
General Health Care Plans 820
Gender Dysphoria: Gender Identity; Transgender; Transsexual; Transman; Transwoman; Sex Reassignment Surgery 820
Personal Identity Incongruence 821
Common Related Factors 821
Defining Characteristics 821
Common Expected Outcomes 821
Ongoing Assessment 821
Therapeutic Interventions 822
Deficient Knowledge 823
Common Related Factors 823
Defining Characteristics 823
Common Expected Outcomes 824
Ongoing Assessment 824
Therapeutic Interventions 824
Sexually Transmitted Diseases 827
Deficient Knowledge 827
Common Related Factors 827
Defining Characteristics 827
Common Expected Outcome 827
Ongoing Assessment 827
Therapeutic Interventions 828
Infection 829
Common Related Factors 829
Defining Characteristics 829
Common Expected Outcome 829
Ongoing Assessment 829
Therapeutic Interventions 830
Disturbed Body Image 832
Common Related Factors 832
Defining Characteristics 832
Common Expected Outcome 832
Ongoing Assessment 832
Therapeutic Interventions 833
Men’s Health Care Plans 833
Benign Prostatic Hyperplasia 833
Urinary Retention 834
Common Related Factor 834
Defining Characteristics 834
Common Expected Outcome 834
Ongoing Assessment 834
Therapeutic Interventions 835
Deficient Knowledge 836
Common Related Factors 836
Defining Characteristics 836
Common Expected Outcome 836
Ongoing Assessment 836
Therapeutic Interventions 838
Risk for Deficient Fluid Volume 839
Common Risk Factors 839
Common Expected Outcome 839
Ongoing Assessment 839
Therapeutic Interventions 839
Erectile Dysfunction: Impotence 840.e1
Sexual Dysfunction 840.e1
Common Related Factor 840.e1
Defining Characteristics 840.e1
Common Expected Outcomes 840.e1
Ongoing Assessment 840.e2
Therapeutic Interventions 840.e2
Situational Low Self-Esteem/Disturbed Body Image 840.e3
Common Related Factors 840.e3
Defining Characteristics 840.e3
Common Expected Outcomes 840.e4
Ongoing Assessment 840.e4
Therapeutic Interventions 840.e4
Prostate Cancer: Radical Prostatectomy; Localized Prostate Cancer 840
Fear 840
Common Related Factors 840
Defining Characteristics 840
Common Expected Outcomes 841
Ongoing Assessment 841
Therapeutic Interventions 841
Risk for Sexual Dysfunction 842
Common Risk Factors 842
Common Expected Outcomes 842
Ongoing Assessment 842
Therapeutic Interventions 843
Deficient Knowledge: Postoperative 843
Common Related Factors 843
Defining Characteristics 843
Common Expected Outcome 843
Ongoing Assessment 843
Therapeutic Interventions 844
Testicular Cancer 845
Health-Seeking Behaviors: Technique for Monthly Testicular Self-Examination 845
Common Related Factor 845
Defining Characteristics 845
Common Expected Outcome 845
Ongoing Assessment 845
Therapeutic Interventions 846
Deficient Knowledge 846
Common Related Factors 846
Defining Characteristics 846
Common Expected Outcome 846
Ongoing Assessment 846
Therapeutic Interventions 847
Ineffective Sexuality Pattern 848
Common Related Factors 848
Defining Characteristics 848
Common Expected Outcome 848
Ongoing Assessment 848
Therapeutic Interventions 849
Disturbed Body Image 849
Common Related Factors 849
Defining Characteristics 849
Common Expected Outcome 849
Ongoing Assessment 849
Therapeutic Interventions 850
Women’s Health Care Plans 850
Breast Cancer/Surgical Management With Breast Reconstruction Option 850
Deficient Knowledge: Preoperative 851
Common Related Factors 851
Defining Characteristics 851
Common Expected Outcome 851
Ongoing Assessment 852
Therapeutic Interventions 852
Acute Pain 854
Common Related Factors 854
Defining Characteristics 854
Common Expected Outcomes 854
Ongoing Assessment 855
Therapeutic Interventions 855
Risk for Situational Low Self-Esteem/Disturbed Body Image 855
Common Risk Factors 855
Common Expected Outcome 856
Ongoing Assessment 856
Therapeutic Interventions 856
Anxiety 857
Common Related Factors 857
Defining Characteristics 857
Common Expected Outcomes 857
Ongoing Assessment 857
Therapeutic Interventions 857
Deficient Knowledge: Postoperative 858
Common Related Factors 858
Defining Characteristics 858
Common Expected Outcome 858
Ongoing Assessment 858
Therapeutic Interventions 858
Cervical Cancer 860
Deficient Knowledge 860
Common Related Factors 860
Defining Characteristics 860
Common Expected Outcome 860
Ongoing Assessment 860
Therapeutic Interventions 861
Risk for Ineffective Coping 862
Common Risk Factors 862
Common Expected Outcomes 863
Ongoing Assessment 863
Therapeutic Interventions 863
Hysterectomy: Salpingectomy; Oophorectomy; Total Abdominal Hysterectomy; Cervical Cancer 864
Deficient Knowledge: Surgical Treatment 864
Common Related Factors 864
Defining Characteristics 864
Common Expected Outcomes 864
Ongoing Assessment 865
Therapeutic Interventions 865
Deficient Knowledge: Surgical Menopause 866
Common Related Factors 866
Defining Characteristics 866
Common Expected Outcome 866
Ongoing Assessment 866
Therapeutic Interventions 867
Acute Pain 868
Common Related Factors 868
Defining Characteristics 868
Common Expected Outcomes 868
Ongoing Assessment 868
Therapeutic Interventions 869
Disturbed Body Image 869
Common Related Factors 869
Defining Characteristics 869
Common Expected Outcomes 869
Ongoing Assessment 870
Therapeutic Interventions 870
Menopause: Perimenopause; Hormone Therapy 871
Deficient Knowledge 872
Common Related Factors 872
Defining Characteristics 872
Common Expected Outcome 872
Ongoing Assessment 872
Therapeutic Interventions 872
Ineffective Coping 874
Common Related Factors 874
Defining Characteristics 874
Common Expected Outcomes 874
Ongoing Assessment 875
Therapeutic Interventions 875
Ineffective Sexuality Pattern 875
Common Related Factors 875
Defining Characteristics 875
Common Expected Outcomes 875
Ongoing Assessment 876
Therapeutic Interventions 876
Insomnia 876
Common Related Factor 876
Defining Characteristics 876
Common Expected Outcome 877
Ongoing Assessment 877
Therapeutic Interventions 877
Ovarian Cancer 878
Deficient Knowledge 878
Common Related Factors 878
Defining Characteristics 878
Common Expected Outcomes 878
Ongoing Assessment 878
Therapeutic Interventions 879
Acute Pain 880
Common Related Factors 880
Defining Characteristics 880
Common Expected Outcomes 880
Ongoing Assessment 880
Therapeutic Interventions 880
Risk for Ineffective Breathing Pattern 881
Common Risk Factors 881
Common Expected Outcome 881
Ongoing Assessment 881
Therapeutic Interventions 882
Risk for Imbalanced Nutrition: Less Than Body Requirements 882
Common Risk Factors 882
Common Expected Outcome 882
Ongoing Assessment 882
Therapeutic Interventions 883
Pelvic Inflammatory Disease: Sexually Transmitted Infection (STI); Salpingitis; Oophoritis 884
Deficient Knowledge 884
Common Related Factors 884
Defining Characteristics 884
Common Expected Outcome 884
Ongoing Assessment 884
Therapeutic Interventions 885
Infection 886
Common Related Factors 886
Defining Characteristics 886
Common Expected Outcome 886
Ongoing Assessment 886
Therapeutic Interventions 887
Acute Pain 888
Common Related Factors 888
Defining Characteristics 888
Common Expected Outcomes 888
Ongoing Assessment 889
Therapeutic Interventions 889
Pelvic Relaxation Disorder: Pelvic Floor Disorders; Uterine Prolapse; Enterocele; Cystocele; Rectocele 889.e1
Deficient Knowledge 889.e1
Common Related Factors 889.e1
Defining Characteristics 889.e1
Common Expected Outcome 889.e1
Ongoing Assessment 889.e1
Therapeutic Interventions 889.e2
Stress Urinary Incontinence 889.e3
Common Related Factors 889.e3
Defining Characteristic 889.e3
Common Expected Outcomes 889.e3
Ongoing Assessment 889.e3
Therapeutic Interventions 889.e4
Disturbed Body Image 889.e5
Common Related Factors 889.e5
Defining Characteristics 889.e5
Common Expected Outcomes 889.e5
Ongoing Assessment 889.e5
Therapeutic Interventions 889.e5
Premenstrual Syndrome: Premenstrual Dysphoric Disorder (PMDD) 889.e6
Deficient Knowledge 889.e6
Common Related Factors 889.e6
Defining Characteristics 889.e6
Common Expected Outcomes 889.e7
Ongoing Assessment 889.e7
Therapeutic Interventions 889.e8
13 Endocrine and Metabolic Care Plans 890
Adrenal Insufficiency (Addison’s Disease): Addisonian Crisis 890.e1
Deficient Knowledge 890.e1
Common Related Factors 890.e1
Defining Characteristics 890.e1
Common Expected Outcomes 890.e1
Ongoing Assessment 890.e1
Therapeutic Interventions 890.e2
Risk for Imbalanced Nutrition: Less Than Body Requirements 890.e2
Common Risk Factors 890.e2
Common Expected Outcomes 890.e3
Ongoing Assessment 890.e3
Therapeutic Interventions 890.e3
Risk for Deficient Fluid Volume 890.e3
Common Risk Factors 890.e3
Common Expected Outcome 890.e3
Ongoing Assessment 890.e4
Therapeutic Interventions 890.e4
Risk for Decreased Cardiac Output 890.e5
Common Risk Factors 890.e5
Common Expected Outcome 890.e5
Ongoing Assessment 890.e5
Therapeutic Interventions 890.e5
Cushing’s Disease: Hypercortisolism; Cushing’s Syndrome; Adrenocortical Hyperfunction 890
Deficient Knowledge 890
Common Related Factors 890
Defining Characteristics 890
Common Expected Outcomes 890
Ongoing Assessment 891
Therapeutic Interventions 891
Disturbed Body Image 892
Common Related Factors 892
Defining Characteristics 892
Common Expected Outcome 893
Ongoing Assessment 893
Therapeutic Interventions 893
Risk for Injury 894
Common Risk Factors 894
Common Expected Outcome 894
Ongoing Assessment 894
Therapeutic Interventions 895
Risk for Excess Fluid Volume 895
Common Risk Factor 895
Common Expected Outcome 895
Ongoing Assessment 895
Therapeutic Interventions 896
Diabetes Insipidus 896.e1
Deficient Fluid Volume 896.e1
Common Related Factor 896.e1
Defining Characteristics 896.e1
Common Expected Outcome 896.e1
Ongoing Assessment 896.e1
Therapeutic Interventions 896.e2
Deficient Knowledge 896.e2
Common Related Factors 896.e2
Defining Characteristics 896.e2
Common Expected Outcome 896.e3
Ongoing Assessment 896.e3
Therapeutic Interventions 896.e3
Diabetes Mellitus: Type 1; Type 2 896
Risk for Unstable Blood Glucose Level 897
Common Risk Factors 897
Common Expected Outcome 897
Ongoing Assessment 897
Therapeutic Interventions 899
Risk for Ineffective Health Management 902
Common Risk Factors 902
Common Expected Outcomes 902
Ongoing Assessment 902
Therapeutic Interventions 902
Risk for Injury: Feet 904
Common Risk Factors 904
Common Expected Outcome 905
Ongoing Assessment 905
Therapeutic Interventions 906
Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome 907.e1
Risk for Deficient Fluid Volume 907.e1
Common Risk Factors 907.e1
Common Expected Outcomes 907.e1
Ongoing Assessment 907.e1
Therapeutic Interventions 907.e3
Hyperthyroidism: Graves’ Disease 907
Deficient Knowledge 907
Common Related Factors 907
Defining Characteristics 907
Common Expected Outcome 908
Ongoing Assessment 908
Therapeutic Interventions 908
Imbalanced Nutrition: Less Than Body Requirements 909
Common Related Factors 909
Defining Characteristics 909
Common Expected Outcomes 910
Ongoing Assessment 910
Therapeutic Interventions 910
Disturbed Body Image 911
Common Related Factor 911
Defining Characteristics 911
Common Expected Outcome 911
Ongoing Assessment 911
Therapeutic Interventions 911
Risk for Hyperthermia 912
Common Risk Factor 912
Common Expected Outcome 912
Ongoing Assessment 912
Therapeutic Interventions 912
Hypothyroidism: Myxedema; Goiter 913
Imbalanced Nutrition: More Than Body Requirements 913
Common Related Factors 913
Defining Characteristics 913
Common Expected Outcomes 914
Ongoing Assessment 914
Therapeutic Interventions 914
Fatigue 915
Common Related Factor 915
Defining Characteristics 915
Common Expected Outcomes 915
Ongoing Assessment 915
Therapeutic Interventions 915
Deficient Knowledge 916
Common Related Factors 916
Defining Characteristics 916
Common Expected Outcome 916
Ongoing Assessment 916
Therapeutic Interventions 917
Syndrome of Inappropriate Antidiuretic Hormone (SIADH): Dilutional Hyponatremia 917.e1
Excess Fluid Volume 917.e1
Common Related Factor 917.e1
Defining Characteristics 917.e1
Common Expected Outcome 917.e1
Ongoing Assessment 917.e1
Therapeutic Interventions 917.e2
Deficient Knowledge 917.e2
Common Related Factors 917.e2
Defining Characteristics 917.e2
Common Expected Outcome 917.e3
Ongoing Assessment 917.e3
Therapeutic Interventions 917.e3
Thyroidectomy: Hyperthyroidism; Thyrotoxicosis; Thyroid Storm 917.e3
Risk for Ineffective Breathing Pattern 917.e4
Common Risk Factors 917.e4
Common Expected Outcome 917.e4
Ongoing Assessment 917.e4
Therapeutic Interventions 917.e5
Risk for Electrolyte Imbalance: Hypocalcemia 917.e5
Common Risk Factor 917.e5
Common Expected Outcome 917.e5
Ongoing Assessment 917.e5
Therapeutic Interventions 917.e6
Risk for Injury: Thyroid Storm, Hyperthyroidism 917.e6
Common Risk Factors 917.e6
Common Expected Outcome 917.e6
Ongoing Assessment 917.e7
Therapeutic Interventions 917.e7
Deficient Knowledge 917.e7
Common Related Factors 917.e7
Defining Characteristics 917.e7
Common Expected Outcome 917.e7
Ongoing Assessment 917.e8
Therapeutic Interventions 917.e8
14 Integumentary Care Plans 918
Burns: Partial Thickness Skin Loss; Full Thickness Skin Loss 918
Impaired Skin Integrity 918
Common Related Factors 918
Defining Characteristics 918
Common Expected Outcomes 918
Ongoing Assessment 919
Therapeutic Interventions 919
Risk for Infection 921
Common Risk Factors 921
Common Expected Outcome 921
Ongoing Assessment 921
Therapeutic Interventions 921
Risk for Deficient Fluid Volume 923
Common Risk Factors 923
Common Expected Outcomes 923
Ongoing Assessment 923
Therapeutic Interventions 924
Risk for Ineffective Breathing Pattern 924
Common Risk Factors 924
Common Expected Outcome 924
Ongoing Assessment 925
Therapeutic Interventions 925
Acute Pain 926
Common Related Factors 926
Defining Characteristics 926
Common Expected Outcomes 926
Ongoing Assessment 926
Therapeutic Interventions 926
Risk for Ineffective Peripheral Tissue Perfusion 927
Common Risk Factors 927
Common Expected Outcome 927
Ongoing Assessment 927
Index 957
A 957
B 959
C 961
D 966
E 968
F 969
G 970
H 971
I 973
J 975
K 975
L 976
M 976
N 978
O 979
P 980
Q 983
R 983
S 985
T 988
U 989
V 990
W 990
X 991
Y 991
Z 991
Inside Back Cover ibc1