Diagnosa keperawatan NANDA 2010-2011

Berikut ini adalah daftar diagnosa keperawatan NANDA 2010-2011 yang disusun menurut fokus keperawatan divisi diagnosa oleh Doengoes/Moorhouse :

2009-2011 NURSING DIAGNOSES

ORGANIZED ACCORDING TO A NURSING FOCUS

BY DOENGES/MOORHOUSE DIAGNOSTIC DIVISIONS

* = New diagnoses

+ = Revised diagnoses

ACTIVITY/REST—Ability to engage in necessary/desired activities of life (work and leisure) and to obtain adequate sleep/rest

Activity Intolerance

Activity Intolerance, risk for

*Activity Planning, ineffective

Disuse Syndrome, risk for

Diversional Activity, deficient

Fatigue

Insomnia

Lifestyle, sedentary

Mobility, impaired bed

Mobility, impaired wheelchair

Sleep, readiness for enhanced

Sleep Deprivation

+Sleep Pattern, disturbed

Transfer Ability, impaired

Walking, impaired

CIRCULATION—Ability to transport oxygen and nutrients necessary to meet cellular needs

Autonomic Dysreflexia

Autonomic Dysreflexia, risk for

*Bleeding, risk for

Cardiac Output, decreased

Intracranial Adaptive Capacity, decreased

*Perfusion, ineffective peripheral tissue

*Perfusion, risk for decreased cardiac tissue

*Perfusion, risk for ineffective cerebral tissue

*Perfusion, risk for ineffective gastrointestinal

*Perfusion, risk for ineffective renal

*Shock, risk for

EGO INTEGRITY —Ability to develop and use skills and behaviors to integrate and manage life experiences

Anxiety [specify level]

Anxiety, death

Behavior, risk-prone health

Body Image, disturbed

Conflict, decisional (specify)

+Coping, defensive

Coping, ineffective

Coping, readiness for enhanced

Decision Making, readiness for enhanced

Denial, ineffective

Dignity, risk for compromised human

Distress, moral

Energy Field, disturbed

Fear

Grieving

Grieving, complicated

Grieving, risk for complicated

Hope, readiness for enhanced

Hopelessness

+Identity, disturbed personal

Post-Trauma Syndrome

Post-Trauma Syndrome, risk for

Power, readiness for enhanced

Powerlessness

Powerlessness, risk for

Rape-Trauma Syndrome

[Rape-Trauma Syndrome: compound reaction-retired 2009]

[Rape-Trauma Syndrome: silent reaction-retired 2009]

*Relationships, readiness for enhanced

Religiosity, impaired

Religiosity, ready for enhanced

Religiosity, risk for impaired

Relocation Stress Syndrome

Relocation Stress Syndrome, risk for

*Resilience, impaired individual

*Resilience, readiness for enhanced

*Resilience, risk for compromised

Self-Concept, readiness for enhanced

+Self-Esteem, chronic low

Self-Esteem, situational low

Self-Esteem, risk for situational low

Sorrow, chronic

Spiritual Distress

Spiritual Distress, risk for

Spiritual Well-Being, readiness for enhanced

ELIMINATION—Ability to excrete waste products

Bowel Incontinence

Constipation

Constipation, perceived

Constipation, risk for

Diarrhea

*Motility, dysfunctional gastrointestinal

*Motility, risk for dysfunctional gastrointestinal

Urinary Elimination, impaired

Urinary Elimination, readiness for enhanced

Urinary Incontinence, functional

Urinary Incontinence, overflow

Urinary Incontinence, reflex

Urinary Incontinence, risk for urge

Urinary Incontinence, stress

[Urinary Incontinence, total-retired 2009]

Urinary Incontinence, urge

Urinary Retention [acute/chronic]

FOOD/FLUID—Ability to maintain intake of and utilize nutrients and liquids to meet physiological needs

Breastfeeding, effective

Breastfeeding, ineffective

Breastfeeding, interrupted

Dentition, impaired

*Electrolyte Imbalance, risk for

Failure to Thrive, adult

Feeding Pattern, ineffective infant

Fluid Balance, readiness for enhanced

[Fluid Volume, deficient hyper/hypotonic]

Fluid Volume, deficient [isotonic]

Fluid Volume, excess

Fluid Volume, risk for deficient

+Fluid Volume, risk for imbalanced

Glucose, risk for unstable blood

+Liver Function, risk for impaired

Nausea

Nutrition: less than body requirements, imbalanced

Nutrition: more than body requirements, imbalanced

Nutrition: risk for more than body requirements, imbalanced

Nutrition, readiness for enhanced

Oral Mucous Membrane, impaired

Swallowing, impaired

HYGIENE—Ability to perform activities of daily living

Self-Care, readiness for enhanced

Self-Care Deficit, bathing

Self-Care Deficit, dressing

Self-Care Deficit, feeding

Self-Care Deficit, toileting

*Neglect, self

NEUROSENSORY—Ability to perceive, integrate, and respond to internal and external cues

Confusion, acute

Confusion, risk for acute

Confusion, chronic

Infant Behavior, disorganized

Infant Behavior, readiness for enhanced organized

Infant Behavior, risk for disorganized

Memory, impaired

Neglect, unilateral

Peripheral Neurovascular Dysfunction, risk for

Sensory Perception, disturbed (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)

Stress Overload

[Thought Processes, disturbed-retired 2009]

PAIN/DISCOMFORT—Ability to control internal/external environment to maintain comfort

*Comfort, impaired

Comfort, readiness for enhanced

Pain, acute

Pain, chronic

RESPIRATION—Ability to provide and use oxygen to meet physiological needs

Airway Clearance, ineffective

Aspiration, risk for

Breathing Pattern, ineffective

Gas Exchange, impaired

Ventilation, impaired spontaneous

Ventilatory Weaning Response, dysfunctional

SAFETY—Ability to provide safe, growth-promoting environment

Allergy Response, latex

Allergy Response, risk for latex

Body Temperature, risk for imbalanced

Contamination

Contamination, risk for

Death Syndrome, risk for sudden infant

Environmental Interpretation Syndrome, impaired

Falls, risk for

Health Maintenance, ineffective

Home Maintenance, impaired

Hyperthermia

Hypothermia

Immunization Status, readiness for enhanced

Infection, risk for

Injury, risk for

Injury, risk for perioperative positioning

*Jaundice, neonatal

*Maternal/Fetal Dyad, risk for disturbed

Mobility, impaired physical

Poisoning, risk for

Protection, ineffective

Self-Mutilation

Self-Mutilation, risk for

Skin Integrity, impaired

Skin Integrity, risk for impaired

Suffocation, risk for

Suicide, risk for

Surgical Recovery, delayed

Thermoregulation, ineffective

Tissue Integrity, impaired

Trauma, risk for

*Trauma, risk for vascular

Violence, [actual/] risk for other-directed

Violence, [actual/] risk for self-directed

Wandering [specify sporadic or continual]

SEXUALITY—[Component of Ego Integrity and Social Interaction] Ability to meet requirements/characteristics of male/female role

*Childbearing Process, readiness for enhanced

Sexual Dysfunction

Sexuality Pattern, ineffective

SOCIAL INTERACTION —Ability to establish and maintain relationships

Attachment, risk for impaired

Caregiver Role Strain

Caregiver Role Strain, risk for

Communication, impaired verbal

Communication, readiness for enhanced

Conflict, parental role

Coping, ineffective community

Coping, readiness for enhanced community

Coping, compromised family

Coping, disabled family

Coping, readiness for enhanced family

Family Processes, dysfunctional

Family Processes, interrupted

Family Processes, readiness for enhanced

Loneliness, risk for

Parenting, impaired

Parenting, readiness for enhanced

Parenting, risk for impaired

Role Performance, ineffective

Social Interaction, impaired

Social Isolation

TEACHING/LEARNING—Ability to incorporate and use information to achieve healthy lifestyle/optimal wellness

Development, risk for delayed

Growth, risk for disproportionate

Growth and Development, delayed

+Health Behavior, risk-prone

+Health Management, ineffective self

Knowledge, deficient (specify)

Knowledge (specify), readiness for enhanced

Noncompliance [Adherence, ineffective] [specify]

[Therapeutic Regimen Management, effective-retired 2009]

Therapeutic Regimen Management, ineffective

[Therapeutic Regimen Management, ineffective community-retired 2009]

Therapeutic Regimen Management, ineffective family

Therapeutic Regimen Management, readiness for enhanced

* = New diagnoses

+ = Revised diagnoses

Sumber : keperawatan.net