Sparks and Taylor's Nursing Diagnosis Pocket Guide

Cover......Page 1
Title Page......Page 3
Copyright......Page 4
CONTRIBUTORS......Page 5
PREFACE......Page 7
ACKNOWLEDGMENTS......Page 23
CONTENTS......Page 25
PART ONE: Nursing Diagnoses Care Plans......Page 27
INEFFECTIVE ACTIVITY PLANNING......Page 28
ACTIVITY INTOLERANCE......Page 30
RISK FOR ACTIVITY INTOLERANCE......Page 32
DEFICIENT DIVERSIONAL ACTIVITY......Page 34
INEFFECTIVE AIRWAY CLEARANCE......Page 36
LATEX ALLERGY RESPONSE......Page 38
RISK FOR LATEX ALLERGY RESPONSE......Page 40
ANXIETY......Page 42
DEATH ANXIETY......Page 44
RISK FOR ASPIRATION......Page 46
RISK FOR IMPAIRED PARENT–CHILD ATTACHMENT......Page 48
AUTONOMIC DYSREFLEXIA......Page 50
RISK FOR AUTONOMIC DYSREFLEXIA......Page 52
RISK-PRONE HEALTH BEHAVIOR......Page 54
RISK FOR BLEEDING......Page 56
DISTURBED BODY IMAGE......Page 58
RISK FOR IMBALANCED BODY TEMPERATURE......Page 60
BOWEL INCONTINENCE......Page 62
EFFECTIVE BREASTFEEDING......Page 64
INEFFECTIVE BREASTFEEDING......Page 66
INTERRUPTED BREASTFEEDING......Page 68
INEFFECTIVE BREATHING PATTERN......Page 70
DECREASED CARDIAC OUTPUT......Page 72
CAREGIVER ROLE STRAIN......Page 74
RISK FOR CAREGIVER ROLE STRAIN......Page 76
READINESS FOR ENHANCED CHILDBEARING PROCESS......Page 78
IMPAIRED COMFORT......Page 80
READINESS FOR ENHANCED COMFORT......Page 82
IMPAIRED VERBAL COMMUNICATION......Page 84
READINESS FOR ENHANCED COMMUNICATION......Page 86
DECISIONAL CONFLICT......Page 88
PARENTAL ROLE CONFLICT......Page 90
ACUTE CONFUSION......Page 92
CHRONIC CONFUSION......Page 94
RISK FOR ACUTE CONFUSION......Page 96
CONSTIPATION......Page 98
PERCEIVED CONSTIPATION......Page 100
RISK FOR CONSTIPATION......Page 102
CONTAMINATION......Page 104
RISK FOR CONTAMINATION......Page 106
COMPROMISED FAMILY COPING......Page 108
DEFENSIVE COPING......Page 110
DISABLED FAMILY COPING......Page 112
INEFFECTIVE COPING......Page 114
INEFFECTIVE COMMUNITY COPING......Page 116
READINESS FOR ENHANCED COPING......Page 118
READINESS FOR ENHANCED COMMUNITY COPING......Page 120
READINESS FOR ENHANCED FAMILY COPING......Page 122
RISK FOR SUDDEN INFANT DEATH SYNDROME......Page 124
READINESS FOR ENHANCED DECISION MAKING......Page 126
INEFFECTIVE DENIAL......Page 128
IMPAIRED DENTITION......Page 130
RISK FOR DELAYED DEVELOPMENT......Page 132
DIARRHEA......Page 134
RISK FOR COMPROMISED HUMAN DIGNITY......Page 136
MORAL DISTRESS......Page 138
RISK FOR DISUSE SYNDROME......Page 140
RISK FOR DISTURBED MATERNAL–FETAL  DYAD......Page 142
RISK FOR ELECTROLYTE IMBALANCE......Page 144
DISTURBED ENERGY FIELD......Page 146
IMPAIRED ENVIRONMENTAL INTERPRETATION SYNDROME......Page 148
ADULT FAILURE TO THRIVE......Page 150
RISK FOR FALLS......Page 152
DYSFUNCTIONAL FAMILY PROCESSES: ALCOHOLISM......Page 154
INTERRUPTED FAMILY PROCESSES......Page 156
READINESS FOR ENHANCED FAMILY PROCESSES......Page 158
FATIGUE......Page 160
FEAR......Page 162
READINESS FOR ENHANCED FLUID BALANCE......Page 164
DEFICIENT FLUID VOLUME......Page 166
EXCESS FLUID VOLUME......Page 168
RISK FOR DEFICIENT FLUID VOLUME......Page 170
RISK FOR IMBALANCED FLUID VOLUME......Page 172
IMPAIRED GAS EXCHANGE......Page 174
DYSFUNCTIONAL GASTROINTESTINAL MOTILITY......Page 176
RISK FOR DYSFUNCTIONAL GASTROINTESTINAL MOTILITY......Page 178
RISK FOR UNSTABLE BLOOD GLUCOSE......Page 180
GRIEVING......Page 182
COMPLICATED GRIEVING......Page 184
RISK FOR COMPLICATED GRIEVING......Page 186
DELAYED GROWTH AND DEVELOPMENT......Page 188
RISK FOR DISPROPORTIONATE GROWTH......Page 190
INEFFECTIVE HEALTH MAINTENANCE......Page 192
IMPAIRED HOME MAINTENANCE......Page 194
READINESS FOR ENHANCED HOPE......Page 196
HOPELESSNESS......Page 198
HYPERTHERMIA......Page 200
HYPOTHERMIA......Page 202
DISTURBED PERSONAL IDENTITY......Page 204
READINESS FOR ENHANCED IMMUNIZATION STATUS......Page 206
FUNCTIONAL URINARY INCONTINENCE......Page 208
OVERFLOW URINARY INCONTINENCE......Page 210
REFLEX URINARY INCONTINENCE......Page 212
STRESS URINARY INCONTINENCE......Page 214
URGE URINARY INCONTINENCE......Page 216
RISK FOR URGE URINARY INCONTINENCE......Page 218
DISORGANIZED INFANT BEHAVIOR......Page 220
RISK FOR DISORGANIZED INFANT BEHAVIOR......Page 222
READINESS FOR ENHANCED ORGANIZED INFANT BEHAVIOR......Page 224
INEFFECTIVE INFANT FEEDING PATTERN......Page 226
RISK FOR INFECTION......Page 228
RISK FOR INJURY......Page 230
RISK FOR PERIOPERATIVE-POSITIONING INJURY......Page 232
INSOMNIA......Page 234
DECREASED INTRACRANIAL ADAPTIVE CAPACITY......Page 236
NEONATAL JAUNDICE......Page 238
DEFICIENT KNOWLEDGE (SPECIFY)......Page 240
READINESS FOR ENHANCED KNOWLEDGE......Page 242
SEDENTARY LIFESTYLE......Page 244
RISK FOR IMPAIRED LIVER FUNCTION......Page 246
RISK FOR LONELINESS......Page 248
IMPAIRED MEMORY......Page 250
IMPAIRED BED MOBILITY......Page 252
IMPAIRED PHYSICAL MOBILITY......Page 254
IMPAIRED WHEELCHAIR MOBILITY......Page 256
NAUSEA......Page 258
UNILATERAL NEGLECT......Page 260
NONCOMPLIANCE......Page 262
IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS......Page 264
IMBALANCED NUTRITION: MORE THAN BODY REQUIREMENTS......Page 266
READINESS FOR ENHANCED NUTRITION......Page 268
RISK FOR IMBALANCED NUTRITION: MORE THAN BODY REQUIREMENTS......Page 270
IMPAIRED ORAL MUCOUS MEMBRANE......Page 272
ACUTE PAIN......Page 274
CHRONIC PAIN......Page 276
READINESS FOR ENHANCED PARENTING......Page 278
IMPAIRED PARENTING......Page 280
RISK FOR IMPAIRED PARENTING......Page 282
RISK FOR PERIPHERAL NEUROVASCULAR DYSFUNCTION......Page 284
RISK FOR POISONING......Page 286
POSTTRAUMA SYNDROME......Page 288
RISK FOR POSTTRAUMA SYNDROME......Page 290
READINESS FOR ENHANCED POWER......Page 292
POWERLESSNESS......Page 294
RISK FOR POWERLESSNESS......Page 296
INEFFECTIVE PROTECTION......Page 298
RAPE-TRAUMA SYNDROME......Page 300
READINESS FOR ENHANCED RELATIONSHIP......Page 302
IMPAIRED RELIGIOSITY......Page 304
READINESS FOR ENHANCED RELIGIOSITY......Page 306
RISK FOR IMPAIRED RELIGIOSITY......Page 308
RELOCATION STRESS SYNDROME......Page 310
RISK FOR RELOCATION STRESS SYNDROME......Page 312
IMPAIRED INDIVIDUAL RESILIENCE......Page 314
RISK FOR COMPROMISED RESILIENCE......Page 316
READINESS FOR ENHANCED RESILIENCE......Page 318
INEFFECTIVE ROLE PERFORMANCE......Page 320
READINESS FOR ENHANCED SELF-CARE......Page 322
BATHING/HYGIENE SELF-CARE DEFICIT......Page 324
DRESSING/GROOMING SELF-CARE DEFICIT......Page 326
FEEDING SELF-CARE DEFICIT......Page 328
TOILETING SELF-CARE DEFICIT......Page 330
READINESS FOR ENHANCED SELF-CONCEPT......Page 332
CHRONIC LOW SELF-ESTEEM......Page 334
SITUATIONAL LOW SELF-ESTEEM......Page 336
RISK FOR SITUATIONAL LOW SELF-ESTEEM......Page 338
INEFFECTIVE SELF-HEALTH MANAGEMENT......Page 340
SELF-MUTILATION......Page 342
RISK FOR SELF-MUTILATION......Page 344
SELF-NEGLECT......Page 346
DISTURBED SENSORY PERCEPTION......Page 348
DISTURBED SENSORY PERCEPTION: AUDITORY......Page 350
DISTURBED SENSORY PERCEPTION: GUSTATORY......Page 352
DISTURBED SENSORY PERCEPTION: KINESTHETIC......Page 354
DISTURBED SENSORY PERCEPTION: OLFACTORY......Page 356
DISTURBED SENSORY PERCEPTION: TACTILE......Page 358
DISTURBED SENSORY PERCEPTION: VISUAL......Page 360
SEXUAL DYSFUNCTION......Page 362
INEFFECTIVE SEXUALITY PATTERN......Page 364
RISK FOR SHOCK......Page 366
IMPAIRED SKIN INTEGRITY......Page 368
RISK FOR IMPAIRED SKIN INTEGRITY......Page 370
SLEEP DEPRIVATION......Page 372
READINESS FOR ENHANCED SLEEP......Page 374
IMPAIRED SOCIAL INTERACTION......Page 376
SOCIAL ISOLATION......Page 378
CHRONIC SORROW......Page 380
SPIRITUAL DISTRESS......Page 382
RISK FOR SPIRITUAL DISTRESS......Page 384
READINESS FOR ENHANCED SPIRITUAL WELL-BEING......Page 386
STRESS OVERLOAD......Page 388
RISK FOR SUFFOCATION......Page 390
RISK FOR SUICIDE......Page 392
DELAYED SURGICAL RECOVERY......Page 394
IMPAIRED SWALLOWING......Page 396
INEFFECTIVE THERAPEUTIC REGIMEN MANAGEMENT......Page 398
INEFFECTIVE FAMILY THERAPEUTIC MANAGEMENT......Page 400
READINESS FOR ENHANCED THERAPEUTIC REGIMEN MANAGEMENT......Page 402
INEFFECTIVE THERMOREGULATION......Page 404
IMPAIRED TISSUE INTEGRITY......Page 406
RISK FOR DECREASED CARDIAC TISSUE PERFUSION......Page 408
RISK FOR INEFFECTIVE CEREBRAL TISSUE PERFUSION......Page 410
RISK FOR INEFFECTIVE GASTROINTESTINAL PERFUSION......Page 412
INEFFECTIVE PERIPHERAL TISSUE PERFUSION......Page 414
RISK FOR INEFFECTIVE RENAL TISSUE PERFUSION......Page 416
IMPAIRED TRANSFER ABILITY......Page 418
RISK FOR TRAUMA......Page 420
RISK FOR VASCULAR TRAUMA......Page 422
IMPAIRED URINARY ELIMINATION......Page 424
READINESS FOR ENHANCED URINARY ELIMINATION......Page 426
URINARY RETENTION......Page 428
IMPAIRED SPONTANEOUS VENTILATION......Page 430
DYSFUNCTIONAL VENTILATORY WEANING RESPONSE......Page 432
RISK FOR OTHER DIRECTED VIOLENCE......Page 434
RISK FOR SELF-DIRECTED VIOLENCE......Page 436
MPAIRED WALKING......Page 438
WANDERING......Page 440
PART TWO: Selected Nursing Diagnoses by Medical Diagnosis......Page 443
Acute renal failure......Page 444
Alcohol addiction and abuse......Page 445
Amputation......Page 446
Antisocial personality disorder......Page 447
Asthma......Page 448
Bipolar disorder: Manic phase......Page 449
Brain tumors......Page 450
Cancer......Page 451
Cervical cancer......Page 452
Chronic obstructive pulmonary disease......Page 453
Colitis......Page 454
Craniotomy......Page 455
Dementia......Page 456
Diabetes mellitus......Page 457
Drug addiction......Page 458
Endocarditis......Page 459
Fractures......Page 460
Gonorrhea......Page 461
Head or neck cancer......Page 462
Hepatitis......Page 463
Hyperpituitarism......Page 464
Impotence......Page 465
Labor and delivery......Page 466
Macular degeneration......Page 467
Mood disorders......Page 468
Myasthenia gravis......Page 469
Obsessive–compulsive disorder......Page 470
Parkinson’s disease......Page 471
Personality disorders......Page 472
Postpartum hemorrhage......Page 473
Pseudomembranous colitis......Page 474
Renal cancer......Page 475
Schizophrenia......Page 476
Spina bifida......Page 477
Spouse abuse......Page 478
Testicular cancer......Page 479
Urinary incontinence......Page 480
Viral hepatitis......Page 481
APPENDICES......Page 483
Appendix A: Assessment Parameters© Based on Taxonomy of Nursing Practice......Page 484
Appendix B: Taxonomy of Nursing Practice: A Common Unified Structure for Nursing Language......Page 494
Appendix C: Action Intervention Types......Page 496
INDEX......Page 497