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Spiritual Distress NANDA Nursing Diagnosis

NANDA Definition: Disruption in the life principle that pervades a person's entire being and that integrates and transcends one's biological and psychosocial nature

Defining Characteristics:

  • Expresses concern with meaning of life/death and/or belief systems; 
  • questions moral/ethical implications of therapeutic regimen; 
  • describes nightmares/sleep disturbances; 
  • verbalizes inner conflict about beliefs; 
  • verbalizes concern about relationship with deity; 
  • unable to participate in usual religious practices; 
  • seeks spiritual assistance; 
  • questions the meaning of suffering; 
  • questions meaning of own existence; 
  • displacement of anger toward religious representatives; 
  • anger toward God; 
  • alteration in behavior/mood evidenced by anger, crying, withdrawal, preoccupation, anxiety, hostility, apathy; gallows humor (inappropriate humor in a grave situation)

Related Factors:
  • Challenged belief and value system (e.g., due to moral/ethical implications of therapy, intense suffering); 
  • separation from religious or cultural ties

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Dignified Dying
  • Hope
  • Spiritual Well-Being
Client Outcomes
  • States conflicts or disturbances related to practice of belief system
  • Discusses beliefs about spiritual issues
  • States feelings of trust in self, God, or other belief systems
  • Continues spiritual practices not detrimental to health
  • Discusses feelings about death
  • Displays a mood appropriate for the situation

NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels Read More : http://nanda-nic-noc.blogspot.com/2013/04/spiritual-distress-nursing-diagnosis.html

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Wandering NANDA Nursing Diagnosis

NANDA Definition:
Meandering; aimless or repetitive locomotion that exposes the individual to harm; frequently incongruent with boundaries, limits, or obstacles

Defining Characteristics:

  • Frequent or continuous movement from place to place, often revisiting the same destinations; 
  • persistent locomotion in search of "missing" or unattainable people or places; 
  • haphazard locomotion; 
  • locomotion in unauthorized or private spaces; 
  • locomotion resulting in unintended leaving of a premise; 
  • long periods of locomotion without an apparent destination; 
  • fretful locomotion or pacing;
  • inability to locate significant landmarks in a familiar setting; 
  • locomotion that cannot be easily dissuaded or redirected; 
  • following behind or shadowing a caregiver's locomotion; 
  • trespassing; 
  • hyperactivity; 
  • scanning, seeking, or searching behaviors; 
  • periods of locomotion interspersed with periods of nonlocomotion (e.g., sitting, standing, sleeping); 
  • getting lost

Related Factors:
  • Cognitive impairment, specifically memory and recall deficits, disorientation, poor visuoconstructive (or visuospatial) ability, and language (primarily expressive) defects; 
  • cortical atrophy; 
  • premorbid behavior (e.g., outgoing, sociable personality); 
  • premorbid dementia; 
  • separation from familiar people and places; 
  • sedation; 
  • emotional state, especially frustration, anxiety, boredom, or depression (agitation); 
  • overstimulating/understimulating social or physical environment; 
  • physiological state or need (e.g., hunger/thirst, pain, urination, constipation); 
  • time of day

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Safety Status: Falls Occurrence
  • Safety Behavior: Fall Prevention
  • Caregiver Home Care Readiness
Client Outcomes
  • Decreased incidence of falls (preferably free of falls)
  • Decreased incidence of elopements
  • Appropriate body weight maintained
  • Caregiver able to explain interventions can use to provide a safe environment for care receiver who displays wandering behavior
NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Dementia Management
Read More : http://nanda-nic-noc.blogspot.com/2013/04/wandering-nursing-diagnosis.html

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Risk for Suicide NANDA Nursing Diagnosis

NANDA Definition: At risk for self-inflicted, life-threatening injury

Related Factors:

Behavioral

  • History of previous suicide attempt; 
  • impulsiveness; 
  • buying a gun; 
  • stockpiling medicines; 
  • making or changing a will; 
  • giving away possessions; 
  • sudden euphoric recovery from major depression; 
  • marked changes in behavior, attitude, school performance
Verbal
  • Threats of killing oneself; 
  • states desire to die/end it all
Situational
  • Living alone; 
  • retired; 
  • relocation, institutionalization; 
  • economic instability; 
  • loss of autonomy/independence; 
  • presence of gun in home; 
  • adolescents living in nontraditional settings (e.g., juvenile detention center, prison, half-way house, group home)
Psychological
  • Family history of suicide; 
  • alcohol and substance use/abuse; 
  • psychiatric illness/disorder (e.g., depression, schizophrenia, bipolar disorder); 
  • abuse in childhood; guilt; gay or lesbian youth
Demographic
  • Age: elderly, young adult males, adolescents; 
  • race: Caucasian, Native American; 
  • gender: male divorced, widowed
Physical
  • Physical illness; 
  • terminal illness; 
  • chronic pain
Social
  • Loss of important relationship; 
  • disrupted family life; 
  • grief, bereavement; 
  • poor support systems; 
  • loneliness; 
  • hopelessness; 
  • helplessness; 
  • social isolation; 
  • legal or disciplinary problem; 
  • cluster suicides

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Cognitive Ability
  • Depression Control
  • Distorted Thought Control
  • Impulse Control
  • Self-Mutilation Restraint
  • Suicide Self-Restraint
  • Will to Live
Client Outcomes
  • Does not harm self
  • Expresses decreased anxiety and control of hallucinations
  • Talks about feelings; expresses anger appropriately
  • Obtains no access to harmful objects
  • Yields access to harmful objects

NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Anxiety Reduction
  • Coping Enhancement
  • Crisis Intervention
  • Suicide Prevention
  • Surveillance
Read More : http://nanda-nic-noc.blogspot.com/2013/04/risk-for-suicide-nursing-diagnosis.html

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Deficient Knowledge - NANDA Nursing Diagnosis

NANDA Definition: Absence or deficiency of cognitive information related to a specific topic

Defining Characteristics:

  • Verbalization of the problem; 
  • inaccurate follow-through of instruction;
  • inaccurate performance of test;
  • inappropriate or exaggerated behaviors (e.g., hysterical, hostile, agitated, apathetic)

Related Factors:
  • Lack of exposure;
  • lack of recall;
  • information misinterpretation;
  • cognitive limitation;
  • lack of interest in learning; 
  • unfamiliarity with information resources

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Knowledge of: Diet
  • Disease Process
  • Energy Conservation
  • Health Behaviors
  • Health Resources
  • Infection Control
  • Medication
  • Personal Safety
  • Prescribed Activity
  • Substance Use Control
  • Treatment Procedure(s)
  • Treatment Regimen
Client Outcomes
  • Explains disease state, recognizes need for medications, understands treatments
  • Explains how to incorporate new health regimen into lifestyle
  • States an ability to deal with health situation and remain in control of life
  • Demonstrates how to perform procedure(s) satisfactorily
  • Lists resources that can be used for more information or support after discharge
NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Teaching: Disease Process
  • Teaching: Individual
  • Teaching: Infant Care
Read More : http://nanda-nic-noc.blogspot.com/2013/03/deficient-knowledge-nursing-diagnosis.html

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