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Friday, April 3, 2015

Nursing Diagnosis NANDA 2012 - 2014 free pdf

Nursing Diagnoses 2012 – 2014
Domain 1 – Health Promotion Domain 4 – Activity/ Rest Deficient diversional activity Insomnia Sedentary lifestyle Sleep deprivation Deficient community health Readiness for enhanced sleep Risk-prone health behavior Disturbed sleep pattern Ineffective health maintenance Risk for disuse syndrome Readiness for enhanced immunization status Impaired bed mobility Ineffective protection Impaired physical mobility Ineffective self-health management Impaired wheelchair mobility Readiness for enhanced self-health management Impaired transfer ability Ineffective family therapeutic regimen management Impaired walking Disturbed energy field
Domain 2 – Nutrition Fatigue Wandering Insufficient breast milk Activity intolerance Ineffective infant feeding pattern Risk for activity intolerance Imbalanced nutrition: less than body requirements Ineffective breathing pattern Imbalanced nutrition: more than body requirements Decreased cardiac output Risk for imbalanced nutrition: more than body requirements Risk for ineffective gastrointestinal perfusion Readiness for enhanced nutrition Risk for ineffective renal perfusion Impaired swallowing Impaired spontaneous ventilation Risk for unstable blood glucose level Ineffective peripheral tissue perfusion Neonatal jaundice Risk for decreased cardiac tissue perfusion Risk for neonatal jaundice Risk for ineffective cerebral tissue perfusion Risk for impaired liver function Risk for ineffective peripheral tissue perfusion Risk for electrolyte imbalance Dysfunctional ventilatory weaning response Readiness for enhanced fluid balance Impaired home maintenance Deficient fluid volume Readiness for enhanced self-care Excess fluid volume Bathing self-care deficit Risk for deficient fluid volume Dressing self-care deficit Risk for imbalanced fluid volume Feeding self-care deficit Toileting self-care deficit
Domain 3 – Elimination and Exchange Self-neglect Functional urinary incontinence
Domain 5 – Perception/ Cognition Overflow urinary incontinence Reflex urinary incontinence Unilateral neglect Stress urinary incontinence Impaired environmental interpretation syndrome Urge urinary incontinence Acute confusion Risk for urge urinary incontinence Chronic confusion Impaired urinary elimination Risk for acute confusion Readiness for enhanced urinary elimination Ineffective impulse control Urinary retention Deficient knowledge Constipation Readiness for enhanced knowledge Perceived constipation Impaired memory Risk for constipation Readiness for enhanced communication Diarrhea Impaired verbal communication Dysfunctional gastrointestinal motility Risk for dysfunctional gastrointestinal motility
Domain 6 – Self-Perception Bowel incontinence Impaired gas exchange Hopelessness Risk for compromised human dignity Domain 8 – Sexuality Risk for loneliness Disturbed personal identity Sexual dysfunction Risk for disturbed personal identity Ineffective sexuality pattern Readiness for enhanced self-control Ineffective childbearing process Chronic low self-esteem Readiness for enhanced childbearing process Risk for chronic low self-esteem Risk for ineffective childbearing process Risk for situational low self-esteem Risk for disturbed maternal-fetal dyad Situational low self-esteem Disturbed body image
 Domain 7 – Role Relationships
Domain 10 – Life Principles Ineffective breastfeeding Readiness for enhanced hope Interrupted breastfeeding Readiness for enhanced spiritual well-being Readiness for enhanced breastfeeding Readiness for enhanced decision-making Caregiver role strain Decisional conflict Risk for caregiver role strain Moral distress Impaired parenting Noncompliance Readiness for enhanced parenting Impaired religiosity Risk for impaired parenting Readiness for enhanced religiosity Risk for impaired attachment Risk for impaired religiosity Dysfunctional family processes Spiritual distress Interrupted family processes Risk for spiritual distress Readiness for enhanced family processes Ineffective relationship
Domain 11 – Safety/ Protection Readiness for enhanced relationship Risk for ineffective relationship Risk for infection Parental role conflict Ineffective airway clearance Ineffective role performance Risk for aspiration Impaired social interaction Risk for bleeding Impaired dentition
Domain 9 – Coping/ Stress Tolerance Risk for dry eye Risk for falls Post-trauma syndrome Risk for injury Risk for post-trauma syndrome Impaired oral mucous membrane Rape-trauma syndrome Risk for perioperative positioning injury Relocation stress syndrome Risk for peripheral neurovascular dysfunction Risk for relocation stress syndrome Risk for shock Ineffective activity planning Impaired skin integrity Risk for ineffective activity planning Risk for impaired skin integrity Anxiety Risk for sudden infant death syndrome Compromised family coping Risk for suffocation Defensive coping Delayed surgical recovery Disabled family coping Risk for thermal injury Ineffective coping Impaired tissue integrity Ineffective community coping Risk for trauma Readiness for enhanced coping Risk for vascular trauma Readiness for enhanced family coping Risk for other-directed violence Death anxiety Risk for self-directed violence Ineffective denial Self-mutilation Adult failure to thrive Risk for self-mutilation Fear Risk for suicide Grieving Contamination Complicated grieving Risk for contamination Risk for complicated grieving Risk for poisoning Readiness for enhanced power Risk for adverse reaction to iodinated contrast media Powerlessness Risk for allergy response Risk for powerlessness Latex allergy response Impaired individual resilience Risk for latex allergy response Readiness for enhanced resilience Risk for imbalanced body temperature Risk for compromised resilience Hyperthermia Chronic sorrow Hypothermia Stress overload Ineffective thermoregulation Risk for disorganized infant behavior Autonomic dysreflexia
Domain 12 – Comfort Risk for autonomic dysreflexia Disorganized infant behavior Impaired comfort Readiness for enhanced organized infant behavior Readiness for enhanced comfort Decreased intracranial adaptive capacity Nausea Acute pain
Domain 13 – Growth/ Development Chronic pain Impaired comfort Risk for disproportionate growth Readiness for enhanced comfort Delayed growth and development Social isolation Risk for delayed development

Tuesday, October 21, 2014

The GALE ENCYCLOPEDIA of Nursing & Allied Health

The Gale Encyclopedia of Nursing and Allied Health
is a medical reference product designed to inform and
educate readers about a wide variety of diseases, treatments,
tests and procedures, health issues, human biology,
and nursing and allied health professions. The Gale
Group believes the product to be comprehensive, but not
necessarily definitive. While the Gale Group has made
substantial efforts to provide information that is accurate,
comprehensive, and up-to-date, the Gale Group makes no
representations or warranties of any kind, including without
limitation, warranties of merchantability or fitness for
a particular purpose, nor does it guarantee the accuracy,
comprehensiveness, or timeliness of the information contained
in this product. Readers should be aware that the
universe of medical knowledge is constantly growing
and changing, and that differences of medical opinion
exist among authorities.

Wednesday, October 15, 2014

Nutrition A Handbook for Community Nurses pdf ebook

Nutritional Issues Highlighted in Saving Lives:
Our Healthier Nation The following are all areas highlighted by the Government in their
recent strategy document.

The Government has begun a series of meetings with the food
industry to explore ways of reducing the salt content of processed
foods. A number of major retailers have already taken action to
reduce the salt content of their own-brand products. Around 90%
of the salt we eat is derived from processed foods. Looking for lower
salt options in the supermarket, avoidance of adding salt during
cooking and use of alternative seasonings at the table can help to
reduce salt intake. It is important, however, to ensure that nutritional
messages are placed in context. It is recognised in the report
that salt is not the only factor that affects blood pressure. Reducing
excess alcohol intake and increasing physical activity are also highlighted
as being important.
Practical advice for those with high blood pressure should focus
on diet and lifestyle. Maintenance of a body weight within the desirable
range should be promoted, along with regular physical activity
and adherence to sensible drinking guidelines (no more than two to
three drinks a day for women and no more than three or four drinks
a day for men). In dietary terms, excess salt intake should be avoided
and consumption of fruit and vegetables encouraged to provide
potassium. Low-fat dairy products should also be promoted as a
useful source of calcium, which may also beneficially affect blood
pressure. For further information, see Q4.2.

There is no specific target given for tackling obesity in Saving Lives:
Our Healthier Nation. The targets set in the previous health strategy,
The Health of the Nation, to reduce obesity incidence to 6% of men and
8% of women, were very ambitious. The latest figures on obesity
(BMI > 30) show that it has now risen to 17% in men and 20% in
women in England (Department of Health, 1999). Altogether, 62%
of men and 53% of women can now be classed as overweight (BMI
> 25). The Government states in Saving Lives: Our Healthier Nation that
the provision of information on healthy eating and the importance of
physical activity will help prevent obesity. It may be, however, that a
more clearly defined strategy is needed to begin to tackle this problem.
A major review of obesity, published by the British Nutrition
Foundation (1999a), suggested key action for policy-makers. This
might include fundamental changes in legislation, e.g. new legislation
to clamp down on miracle weight-loss cures that undermine the
efforts of reputable healthcare professionals and new transport policies
that promote increased levels of physical activity.
The relationship between obesity and health is discussed more
fully in Q4.4–4.12. Specific issues relating to obesity are discussed
throughout the book and a Government framework for tackling
obesity at local level can be found in the National Service Framework
for CHD (Department of Health 2000c).

The benefits of breast-feeding are recognised by the Government,
which is aiming to increase the prevalence of breast-feeding, especially
in areas of the country where breast-feeding rates are lowest. For more
information see Q3.21–3.34. There are numerous benefits associated
with breast-feeding (see Q3.24). As well as being a complete nutrient
source, breast milk has anti-infective properties and contains a variety
of enzymes, growth factors, hormones, nutrient-binding proteins and
non-absorbable carbohydrates. Breast-feeding may also help in the
development of a warm mother/child relationship.

Importance of good nutrition for schoolchildren
High on the Government’s agenda is the need to focus on the health
of Britain’s schoolchildren. The implementation of good habits in
childhood is important for the future health of the population. Over
the last 50 years, there has been a change in emphasis in relation to
concerns about schoolchildren’s diets. Historically, the focus was on
the adequate provision of nutrients, but providing adequate dietary
balance is now viewed as the main priority. The National Diet and
Nutrition Survey of young people (aged 4–18 years) is the most
detailed survey yet to be undertaken in this age group in Britain
(Gregory et al., 2000). This survey demonstrates that, although vitamin
intakes are generally adequate, a sizeable proportion of
children, particularly older girls, may have inadequate intakes of
some minerals. Also, there is a high intake of saturated fatty acids,
non-milk extrinsic sugars and salt among many children. Moreover,
with the exception of the youngest children (4–6 years), young people
in Britain are largely inactive. Clearly, these findings are worthy of our
attention because poor eating and physical activity habits in childhood
can store up problems for later life, particularly in relation to
obesity, heart disease, diabetes, osteoporosis and cancer.
There is clear evidence from the survey to justify the Government’s
concern about the diets of children living in households
where there is relative poverty. In particular, boys in households in
receipt of benefits seem to have lower energy intakes and poorer-
quality diets (Gregory et al., 2000). The independent report to the
Government on health inequalities from Professor Acheson indicated
that one in three of Britain’s children lives in poverty and, in
1996, 2.2 million children in Britain were in families receiving
income support (Acheson, 1998). This report highlighted the important
role of education in influencing health inequalities and providing
children with practical and social skills, including budgeting and
cooking. The Government’s Healthy Schools programme is aimed at
creating a healthy ethos in schools. This remit includes promoting
good nutrition and the acquisition of cooking skills, as well as increased
levels of physical activity. There are also plans to re-establish national
nutritional standards for school meals, which came into force in
April 2001.
A number of initiatives are under way to improve the nutrition of
schoolchildren and their awareness of healthy eating, including
school breakfast schemes, ‘healthy’ tuck shops and the development
of ‘Wired for Health’ – a website for teachers providing health information
to support the National Curriculum. Pilots for a scheme to
provide 4–6 year olds with free fruit at school, are underway with a
view to implementation by 2004 (Department of Health 2000b). For
further information, see Q3.59–3.76. The government has also
published a sports strategy which aims to encourage physical activity
among children by providing after school activities for all pupils and
establishing school sport co-ordinators in communities of greatest
need (for further details see Sports England website

Friday, October 10, 2014

Anxiety Management in Adult Day Surgery A Nursing Perspective PDF EBOOK

This book is centrally concerned with the formal management of preoperative
anxiety. The vast majority of patients experience varying degrees
of anxiety when entering hospital for surgery and yet little formal intervention
is commonly provided. This is the first book of its kind to be
written for nurses exclusively concerning the complete formal pre- and
postoperative management of anxiety in relation to modern, elective,
adult day surgery. During the early 1970s classic nursing studies suggested
information provision to be crucial for effective inpatient preoperative
anxiety management. However, following such early recommendations
no other formal aspects of psychoeducational care have impacted on
mainstream surgical nursing intervention. Physical aspects of care have
dominated proceedings for the last three decades or more, whereas psychoeducational
aspects have largely remained informal, marginal issues.
Both surgery and anaesthesia have changed dramatically during this period
and nursing intervention must now do likewise.
The domination of physical nursing intervention is, however, slowly
changing as the continuous global rise in elective ambulatory surgery has
highlighted the need for more structured psychoeducational approaches
to patient care. The psychological theories to aid preoperative anxiety
management have been available for many years. However, they have not
succeeded in making an impact within the clinical surgical setting,
because they have not previously been constructed into a coherent, clinically
realistic plan of care. The purpose of this book is therefore (1) to
consider the relevant psychological concepts that can inform and guide
modern surgical nursing practices, (2) to provide a comprehensive map of
the wider evidence available and (3) to introduce clinically realistic nursing
interventions necessary for the complete psychoeducational
management of adult patients undergoing elective, ambulatory surgery.
nurses working in the field of adult ambulatory surgery or studying
modern surgical nursing practices. We need to re-evaluate nursing
knowledge for this new surgical era so that compelling nursing evidence
can help to guide practice and not remain in the shadows of medical
advances. This book is intended to provoke debate within the profession,
present the case for change and, above all, demonstrate the ability of
nursing knowledge to make a significant contribution to the care required
by patients experiencing modern ambulatory surgery. Much evidence,
within the nursing domain, is widely available to help guide important
global nursing issues in ambulatory surgery.

Saturday, September 13, 2014

DISEASES AND DISORDERS A Nursing Therapeutics Manual THIRD EDITION pdf ebook

As in the first edition, we have included relevant information about Gender and Life Span Considerations, and have enhanced this section with information about racial and ethnic differences in health and disease. As our society has an ever-increasing diversity, we have developed this section so that practitioners have a basis from which to develop culturally competent care. Each entry begins with the Diagnosis Related Group (DRG) category. DRGs were initiated by the Health Care Financing Administration to serve as an organizing framework to grouprelated conditions and to stabilize reimbursements. Because they provide a convenient standard to evaluate hospital care, DRGs are used by institutions and disciplines to measure utilization and to allocate resources. We have included DRGs to indicate the expected norms in average length of stay for each entry. Each entry follows the nursing process, with assessment information incorporated in the History and Physical Assessment sections, the Psychosocial Assessment, and Diagnostic Highlights. Based on requests from our readers and reviewers, we have supplemented information on diagnostic testing from earlier editions to provide normal and abnormal values for the most important diagnostic tests. We have also added a section to explain the rationale for the test. These detailed, specific sections provide the foundation needed to perform a comprehensive assessment of the patient’s condition so that a Primary Nursing Diagnosis can be formulated appropriate to the patient’s specific needs. The Planning and Implementation section is divided into Collaborative and Independent interventions. The intent of the Collaborative section is to detail the goals of a multidisciplinary plan of care to manage the condition or disease. As in the second edition, there is an expanded section on Pharmacologic Highlights that explores commonly used drugs, their doses, mechanisms of action, and rationales for use. The Independent section focuses on independent nursing interventions that demonstrate the core of the art and science of nursing. Each entry then finishes with Documentation Guidelines and Discharge and Home Healthcare Guidelines to help nurses evaluate the outcomes of care and to prepare hospitalized patients for discharge. As with the first and second editions, the idea for the book originated with Joanne Patzek DaCunha, Publisher at F.A. Davis. The authors salute her creativity, perseverance, enthusiasm revision with a minimum of difficulty. We also owe a debt of gratitude to Jeff Sommers for his assistance with manuscript development, editing, proofreading, and supportive cheerleading. Finally we acknowledge with gratitude the hard work that a host of contributors made to the first edition. The entire reason to revise this book is to provide practicing nurses a concise and yet scientifically sound text to guide the professional practice of nursing. The provision of nursing care in the 21st century presents us with overwhelming challenges, and yet nursing is the discipline of choice for millions of practitioners.

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