| Introduction |
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vii | |
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Issues and Trends in Medical/Surgical Nursing |
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1 | (5) |
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The Ever-Changing Healthcare Environment |
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1 | (1) |
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Healthcare Costs and the Allocation of Resources |
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1 | (1) |
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Managed Care: Restructuring Healthcare |
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1 | (2) |
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3 | (1) |
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3 | (1) |
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3 | (1) |
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4 | (1) |
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4 | (1) |
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5 | (1) |
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The Nursing Process: Planning Care With Nursing Diagnoses |
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6 | (7) |
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9 | (1) |
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Components of the Plan of Care |
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9 | (3) |
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9 | (1) |
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10 | (1) |
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10 | (1) |
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Nursing Diagnosis (Problem/Need Identification) |
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10 | (1) |
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11 | (1) |
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Planning (Goals and Actions/Interventions) |
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11 | (1) |
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11 | (1) |
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12 | (1) |
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Critical Thinking: Adaptation of Theory to Practice |
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13 | (22) |
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Client Situation: Diabetes Mellitus |
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22 | (13) |
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Admitting Physician's Orders |
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22 | (1) |
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Client Assessment Database |
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22 | (4) |
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26 | (1) |
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26 | (1) |
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27 | (4) |
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31 | (2) |
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33 | (2) |
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35 | (167) |
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35 | (12) |
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Cardiac Output, risk for decreased |
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38 | (2) |
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40 | (1) |
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41 | (1) |
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Nutrition: more than body requirements, imbalanced |
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42 | (1) |
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43 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care and discharge needs |
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44 | (3) |
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47 | (15) |
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Cardiac Output, decreased |
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50 | (4) |
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54 | (1) |
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55 | (2) |
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Gas Exchange, risk for impaired |
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57 | (1) |
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Skin Integrity, risk for impaired |
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58 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment regimen, self-care, and discharge needs |
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59 | (2) |
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61 | (1) |
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Angina (Coronary Artery Disease) |
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62 | (10) |
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65 | (2) |
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Cardiac Output, risk for decreased |
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67 | (2) |
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69 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment needs, self-care, and discharge needs |
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70 | (2) |
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72 | (13) |
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75 | (1) |
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76 | (1) |
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Anxiety [specify level]/Fear |
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77 | (2) |
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Cardiac Output, risk for decreased |
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79 | (2) |
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Tissue Perfusion, ineffective |
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81 | (2) |
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Fluid Volume, risk for excess |
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83 | (1) |
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Knowledge, deficient [Learning Need] regarding cause/treatment of condition, self-care, and discharge needs |
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83 | (2) |
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Dysrhythmias (Including Digitalis Toxicity) |
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85 | (11) |
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Cardiac Output, risk for decreased |
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88 | (4) |
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Poisoning, risk for digitalis toxicity |
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92 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care, and discharge needs |
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93 | (3) |
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Cardiac Surgery: Postoperative Care---Coronary Artery Bypass Graft (CABG), Minimally Invasive Direct Coronary Artery Bypass (MIDCAB), Cardiomyoplasty, Valve Replacement |
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96 | (12) |
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Cardiac Output, risk for decreased |
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98 | (2) |
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100 | (2) |
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Role Performance, ineffective |
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102 | (1) |
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Breathing Pattern, risk for ineffective |
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103 | (2) |
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105 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment plan, postoperative care, self-care, and discharge needs |
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106 | (2) |
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Thrombophlebitis: Deep Vein Thrombosis (Including Pulmonary Emboli Considerations) |
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108 | (9) |
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Tissue Perfusion, ineffective |
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109 | (3) |
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112 | (1) |
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Gas Exchange, impaired (in presence of pulmonary embolus) |
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113 | (2) |
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Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care, and discharge needs |
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115 | (2) |
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Chronic Obstructive Pulmonary Disease (COPD) and Asthma |
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117 | (11) |
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Airway Clearance, ineffective |
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120 | (3) |
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123 | (2) |
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Nutrition: less than body requirements, imbalanced |
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125 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care, and discharge needs |
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126 | (2) |
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128 | (13) |
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Airway Clearance, ineffective |
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131 | (1) |
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132 | (1) |
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Infection, risk for [spread] |
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133 | (1) |
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134 | (1) |
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135 | (1) |
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Nutrition: risk for less than body requirements, imbalanced |
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136 | (1) |
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Fluid Volume, risk for deficient |
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137 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment plan, self-care, and discharge needs |
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138 | (2) |
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140 | (1) |
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Lung Cancer: Postoperative Care |
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141 | (9) |
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143 | (2) |
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Airway Clearance, ineffective |
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145 | (1) |
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146 | (1) |
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Fear/Anxiety [specify level] |
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147 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment, prognosis, self-care, and discharge needs |
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148 | (2) |
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150 | (7) |
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Breathing Pattern, ineffective |
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152 | (3) |
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155 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment regimen, self-care, and discharge needs |
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156 | (1) |
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Radical Neck Surgery: Laryngectomy (Postoperative Care) |
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157 | (13) |
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Airway Clearance, ineffective/Aspiration, risk for |
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159 | (1) |
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Communication, impaired verbal |
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160 | (2) |
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Skin/Tissue Integrity, impaired |
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162 | (1) |
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Oral Mucous Membrane, impaired |
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163 | (1) |
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164 | (1) |
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Nutrition: less than body requirements, imbalanced |
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165 | (2) |
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Body Image, disturbed/Role Performance, ineffective |
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167 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment, self-care, and discharge needs |
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168 | (2) |
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Ventilatory Assistance (Mechanical) |
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170 | (14) |
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Breathing Pattern, ineffective/Spontaneous Ventilation, impaired |
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171 | (3) |
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Airway Clearance, ineffective |
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174 | (2) |
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Communication, impaired verbal |
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176 | (1) |
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Fear/Anxiety [specify level] |
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177 | (1) |
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Oral Mucous Membrane, impaired |
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178 | (1) |
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Nutrition: less than body requirements, imbalanced |
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179 | (1) |
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180 | (1) |
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Ventilatory Weaning Response, risk for dysfunctional |
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181 | (2) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis and therapy, self-care, and discharge needs |
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183 | (1) |
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Pulmonary Tuberculosis (TB) |
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184 | (10) |
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Infection, risk for [spread/reactivation] |
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187 | (2) |
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Airway Clearance, ineffective |
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189 | (1) |
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Gas Exchange, risk for impaired |
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190 | (1) |
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Nutrition: less than body requirements, imbalanced |
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191 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, treatment, prevention, self-care, and discharge needs |
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192 | (2) |
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Respiratory Acid-Base Imbalances |
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194 | (1) |
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Respiratory Acidosis (Primary Carbonic Acid Excess) |
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194 | (4) |
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196 | (2) |
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Respiratory Alkalosis (Primary Carbonic Acid Deficit) |
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198 | (4) |
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200 | (2) |
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Neurological/Sensory Disorders |
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202 | (107) |
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202 | (6) |
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Sensory Perception, disturbed visual |
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204 | (2) |
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206 | (2) |
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208 | (10) |
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Trauma/Suffocation, risk for |
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211 | (3) |
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Airway Clearance/Breathing Pattern, risk for ineffective |
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214 | (1) |
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Self-Esteem, [specify situational or chronic) low |
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215 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment regimen, self-care, and discharge needs |
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216 | (2) |
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Craniocerebral Trauma (Acute Rehabilitative Phase) |
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218 | (18) |
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Tissue Perfusion, ineffective cerebral |
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221 | (3) |
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Breathing Pattern, risk for ineffective |
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224 | (1) |
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Sensory Perception, disturbed (specify) |
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225 | (2) |
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Thought Processes, disturbed |
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227 | (2) |
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Mobility, impaired physical |
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229 | (2) |
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231 | (1) |
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Nutrition: risk for less than body requirements, imbalanced |
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232 | (1) |
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Family Processes, interrupted |
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233 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, potential complications, treatment, self-care, and discharge needs |
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234 | (2) |
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Cerebrovascular Accident (CVA)/Stroke |
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236 | (16) |
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Tissue Perfusion, ineffective cerebral |
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238 | (3) |
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Mobility, impaired physical |
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241 | (2) |
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Communication, impaired verbal [and/or written] |
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243 | (1) |
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Sensory Perception, disturbed (specify) |
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244 | (2) |
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Self-Care Deficit (specify) |
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246 | (1) |
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247 | (1) |
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Swallowing, risk for impaired |
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248 | (2) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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250 | (2) |
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Herniated Nucleus Pulposus (Ruptured Intervertebral Disc) |
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252 | (8) |
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254 | (2) |
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Mobility, impaired physical |
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256 | (1) |
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Anxiety [specify level]/Coping, ineffective |
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257 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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258 | (2) |
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260 | (11) |
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Tissue Perfusion, ineffective (specify) |
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261 | (1) |
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Trauma, risk for (spinal) |
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262 | (1) |
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Breathing Pattern/Airway Clearance, risk for ineffective |
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263 | (1) |
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264 | (1) |
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Mobility, impaired physical |
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265 | (1) |
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266 | (1) |
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Urinary Retention, risk for |
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267 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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268 | (2) |
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270 | (1) |
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Spinal Cord Injury (Acute Rehabilitative Phase) |
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271 | (20) |
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Breathing Pattern, risk for ineffective |
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273 | (2) |
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Trauma, risk for [additional spinal injury] |
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275 | (1) |
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Mobility, impaired physical |
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276 | (2) |
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Sensory Perception, disturbed |
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278 | (1) |
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279 | (1) |
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280 | (2) |
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Self-Esteem, situational low |
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282 | (1) |
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Bowel Incontinence/Constipation |
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283 | (2) |
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Urinary Elimination, impaired |
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285 | (1) |
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Autonomic Dysreflexia, risk for |
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286 | (2) |
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Skin Integrity, risk for impaired |
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288 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, potential complications, treatment, self-care, and discharge needs |
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289 | (2) |
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291 | (18) |
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295 | (2) |
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Self-Care Deficit (specify) |
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297 | (1) |
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Self-Esteem, specify situational/chronic low |
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298 | (2) |
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Powerlessness [specify degree]/Hopelessness |
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300 | (1) |
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Coping, risk for ineffective |
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301 | (1) |
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Coping, compromised/disabled family |
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302 | (2) |
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Urinary Elimination, impaired |
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304 | (1) |
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Caregiver Role Strain, risk for |
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305 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, complications, treatment, self-care, and discharge needs |
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306 | (3) |
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Gastrointestinal Disorders |
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309 | (67) |
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Upper Gastrointestinal/Esophageal Bleeding |
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309 | (11) |
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Fluid Volume, deficient [isotonic] |
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312 | (3) |
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Tissue Perfusion, risk for ineffective |
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315 | (1) |
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Fear/Anxiety [specify level] |
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316 | (1) |
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317 | (2) |
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Knowledge, deficient [Learning Need] regarding disease process, prognosis, treatment, self-care, and discharge needs |
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319 | (1) |
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Subtotal Gastrectomy/Gastric Resection |
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320 | (4) |
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Nutrition, imbalanced, risk for less than body requirements |
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321 | (1) |
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Knowledge, deficient [Learning Need] regarding procedure, prognosis, treatment, self-care, and discharge needs |
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322 | (2) |
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Inflammatory Bowel Disease: Ulcerative Colitis, Regional Enteritis (Crohn's Disease, lleocolitis) |
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324 | (14) |
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328 | (2) |
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Fluid Volume, risk for deficient |
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330 | (1) |
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Nutrition: less than body requirements, imbalanced |
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331 | (2) |
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333 | (1) |
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334 | (1) |
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335 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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336 | (2) |
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Fecal Diversions: Postoperative Care of Ileostomy and Colostomy |
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338 | (12) |
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Skin Integrity, risk for impaired |
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338 | (2) |
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340 | (1) |
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341 | (1) |
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Skin/Tissue Integrity, impaired |
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342 | (1) |
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Fluid Volume, risk for deficient |
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343 | (1) |
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Nutrition: risk for less than body requirements, imbalanced |
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344 | (1) |
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345 | (1) |
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Constipation Diarrhea, risk for |
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346 | (1) |
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Sexual Dysfunction, risk for |
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347 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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348 | (2) |
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350 | (5) |
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352 | (1) |
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353 | (1) |
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Knowledge, deficient Learning Need regarding condition, prognosis, treatment, self-care, and discharge needs |
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354 | (1) |
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355 | (9) |
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Infection, risk for [septicemia] |
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357 | (2) |
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Fluid Volume, deficient [mixed] |
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359 | (1) |
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360 | (1) |
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Nutrition: risk for less than body requirements, imbalanced |
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361 | (1) |
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Anxiety [specify level]/Fear |
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362 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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363 | (1) |
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Cholecystitis with Cholelithiasis |
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364 | (7) |
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366 | (1) |
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Fluid Volume, risk for deficient |
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367 | (1) |
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Nutrition: risk for less than body requirements, imbalanced |
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368 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care and discharge needs |
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369 | (2) |
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371 | (5) |
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Breathing Pattern, ineffective |
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371 | (1) |
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Fluid Volume, risk for deficient |
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372 | (1) |
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Skin/Tissue Integrity, impaired |
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373 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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374 | (2) |
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Metabolic and Endocrine Disorders |
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376 | (123) |
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Eating Disorders: Anorexia Nervosa/Bulimia Nervosa |
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376 | (17) |
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Nutrition: less than body requirements, imbalanced |
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379 | (3) |
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Fluid Volume, actual or risk for deficient |
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382 | (1) |
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Thought Processes, disturbed |
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383 | (1) |
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Body Image, disturbed/Self-Esteem, chronic low |
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383 | (3) |
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386 | (1) |
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Skin Integrity, risk for impaired |
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387 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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388 | (2) |
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390 | (3) |
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Eating Disorders: Obesity |
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393 | (9) |
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Nutrition: more than body requirements, imbalanced |
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394 | (3) |
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397 | (1) |
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Body Image, disturbed/Self-Esteem, chronic low |
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398 | (2) |
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Social Interaction, impaired |
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400 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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401 | (1) |
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Obesity: Surgical Interventions (Gastric Partitioning/Gastroplasty, Gastric Bypass) |
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402 | (10) |
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Breathing Pattern, ineffective |
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404 | (1) |
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Tissue Perfusion, risk for ineffective |
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405 | (1) |
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Fluid Volume, risk for deficient |
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406 | (1) |
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Nutrition, risk for less than body requirements, imbalanced |
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407 | (1) |
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Skin Integrity, risk for impaired |
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408 | (1) |
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409 | (1) |
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410 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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411 | (1) |
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Diabetes Mellitus/Diabetic Ketoacidosis |
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412 | (14) |
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Fluid Volume, deficient [specify] |
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415 | (2) |
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Nutrition: less than body requirements, imbalanced |
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417 | (2) |
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Infection, risk for [sepsis] |
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419 | (1) |
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Sensory Perception, risk for disturbed (specify) |
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420 | (1) |
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421 | (1) |
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422 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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423 | (3) |
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Hyperthyroidism (Thyrotoxicosis, Graves' Disease) |
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426 | (11) |
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Cardiac Output, risk for decreased |
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428 | (3) |
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431 | (1) |
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Nutrition: risk for less than body requirements, imbalanced |
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432 | (1) |
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433 | (1) |
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Thought Processes, risk for disturbed |
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434 | (1) |
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Tissue Integrity, risk for impaired |
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435 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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436 | (1) |
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437 | (6) |
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Airway Clearance, risk for ineffective |
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438 | (1) |
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Communication, impaired verbal |
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439 | (1) |
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Injury, risk for [tetany] |
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440 | (1) |
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440 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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|
441 | (2) |
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443 | (10) |
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445 | (1) |
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Nutrition: less than body requirements, imbalanced |
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446 | (1) |
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Fluid Volume, risk for deficient |
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447 | (2) |
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Self-Esteem, situational low |
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449 | (1) |
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450 | (1) |
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Skin/Tissue Integrity, risk for impaired |
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451 | (1) |
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Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
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452 | (1) |
|
|
|
453 | (14) |
|
Nutrition: less than body requirements, imbalanced |
|
|
456 | (2) |
|
|
|
458 | (2) |
|
Skin Integrity, risk for impaired |
|
|
460 | (1) |
|
Breathing Pattern, risk for ineffective |
|
|
460 | (2) |
|
Injury, risk for [hemorrhage] |
|
|
462 | (1) |
|
Confusion, risk for acute |
|
|
463 | (2) |
|
Self-Esteem [specify] Body Image, disturbed |
|
|
465 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
465 | (2) |
|
|
|
467 | (11) |
|
|
|
470 | (1) |
|
Fluid Volume, risk for deficient |
|
|
471 | (2) |
|
Nutrition: less than body requirements, imbalanced |
|
|
473 | (1) |
|
|
|
474 | (2) |
|
Breathing Pattern, risk for ineffective |
|
|
476 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
477 | (1) |
|
Total Nutritional Support: Parenteral/Enteral Feeding |
|
|
478 | (13) |
|
Nutrition: less than body requirements, imbalanced |
|
|
481 | (3) |
|
|
|
484 | (1) |
|
Injury, risk for [multifactor] |
|
|
485 | (2) |
|
|
|
487 | (1) |
|
Fluid Volume, risk for imbalance |
|
|
488 | (1) |
|
|
|
489 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
490 | (1) |
|
Metabolic Acid-Base Imbalances |
|
|
491 | (1) |
|
Metabolic Acidosis (Primary Base Bicarbonate [HCO3] Deficit) |
|
|
492 | (3) |
|
Metabolic Alkalosis (Primary Base Bicarbonate Excess) |
|
|
495 | (4) |
|
Diseases of the Blood/Blood-Forming Organs |
|
|
499 | (42) |
|
Anemias (Iron Deficiency, Pernicious, Aplastic, Hemolytic) |
|
|
499 | (10) |
|
|
|
502 | (2) |
|
Nutrition: less than body requirements, imbalanced |
|
|
504 | (1) |
|
|
|
505 | (1) |
|
|
|
506 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
507 | (2) |
|
|
|
509 | (14) |
|
|
|
512 | (2) |
|
|
|
514 | (1) |
|
Tissue Perfusion, ineffective (specify) |
|
|
515 | (2) |
|
Fluid Volume, risk for deficient |
|
|
517 | (1) |
|
Mobility, impaired physical |
|
|
518 | (1) |
|
Skin Integrity, risk for impaired |
|
|
519 | (1) |
|
|
|
520 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
520 | (3) |
|
|
|
523 | (9) |
|
|
|
525 | (2) |
|
Fluid Volume, risk for deficient |
|
|
527 | (2) |
|
|
|
529 | (1) |
|
|
|
530 | (1) |
|
Knowledge, deficient [Learning Need] regarding disease, prognosis, treatment, self-care, and discharge needs |
|
|
531 | (1) |
|
|
|
532 | (9) |
|
Gas Exchange, risk for impaired |
|
|
536 | (1) |
|
|
|
537 | (1) |
|
Knowledge, deficient [Learning Need] regarding disease process, prognosis, treatment regimen, self-care, and discharge needs |
|
|
538 | (3) |
|
|
|
541 | (80) |
|
|
|
541 | (12) |
|
|
|
544 | (2) |
|
Cardiac Output, risk for decreased |
|
|
546 | (2) |
|
Nutrition: risk for less than body requirements, imbalanced |
|
|
548 | (1) |
|
|
|
549 | (1) |
|
Fluid Volume, risk for deficient |
|
|
550 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
551 | (2) |
|
|
|
553 | (11) |
|
Cardiac Output, risk for decreased |
|
|
556 | (1) |
|
Protection, risk for ineffective |
|
|
557 | (1) |
|
Thought Processes, disturbed |
|
|
558 | (1) |
|
Skin Integrity, risk for impaired |
|
|
559 | (1) |
|
Oral Mucous Membrane, risk for impaired |
|
|
560 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
561 | (3) |
|
|
|
564 | (11) |
|
Nutrition: less than body requirements, imbalanced |
|
|
565 | (2) |
|
Mobility, impaired physical |
|
|
567 | (1) |
|
Self-Care Deficit (specify) |
|
|
568 | (1) |
|
|
|
568 | (1) |
|
Thought Processes, risk for disturbed |
|
|
569 | (1) |
|
Anxiety [specify level]/Fear |
|
|
570 | (1) |
|
Body Image, disturbed/Self-Esteem, situational low |
|
|
571 | (2) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
573 | (2) |
|
Renal Dialysis: Peritoneal |
|
|
575 | (6) |
|
Fluid Volume, risk for excess |
|
|
576 | (1) |
|
Fluid Volume, risk for deficient |
|
|
577 | (1) |
|
|
|
578 | (1) |
|
|
|
578 | (1) |
|
Infection, risk for [peritonitis] |
|
|
579 | (1) |
|
Breathing Pattern, risk for ineffective |
|
|
580 | (1) |
|
|
|
581 | (4) |
|
Injury, risk for [loss of vascular access] |
|
|
582 | (1) |
|
Fluid Volume, risk for deficient |
|
|
583 | (1) |
|
Fluid Volume, risk for excess |
|
|
584 | (1) |
|
Urinary Diversions/Urostomy (Postoperative Care) |
|
|
585 | (11) |
|
Skin Integrity, risk for impaired |
|
|
586 | (2) |
|
|
|
588 | (1) |
|
|
|
589 | (2) |
|
|
|
591 | (1) |
|
Urinary Elimination, impaired |
|
|
592 | (1) |
|
Sexual Dysfunction, risk for |
|
|
593 | (2) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
595 | (1) |
|
Benign Prostatic Hyperplasia (BPH) |
|
|
596 | (8) |
|
Urinary Retention, acute/chronic |
|
|
598 | (2) |
|
|
|
600 | (1) |
|
Fluid Volume, risk for deficient |
|
|
601 | (1) |
|
Fear/Anxiety [specify level] |
|
|
602 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
603 | (1) |
|
|
|
604 | (9) |
|
Urinary Elimination, impaired |
|
|
605 | (1) |
|
Fluid Volume, risk for deficient |
|
|
606 | (1) |
|
|
|
607 | (1) |
|
|
|
608 | (1) |
|
Sexual Dysfunction, risk for |
|
|
609 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
610 | (3) |
|
Urolithiasis (Renal Calculi) |
|
|
613 | (8) |
|
|
|
615 | (1) |
|
Urinary Elimination, impaired |
|
|
616 | (1) |
|
Fluid Volume, risk for deficient |
|
|
617 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
618 | (3) |
|
|
|
621 | (21) |
|
|
|
621 | (9) |
|
Self-Esteem, situational low |
|
|
622 | (1) |
|
Urinary Elimination, impaired/Urinary Retention [acute] |
|
|
623 | (1) |
|
Constipation/Diarrhea, risk for |
|
|
624 | (1) |
|
Tissue Perfusion, risk for ineffective (specify) |
|
|
625 | (1) |
|
Sexual Dysfunction, risk for |
|
|
626 | (1) |
|
|
|
627 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
628 | (2) |
|
|
|
630 | (12) |
|
Fear/Anxiety [specify level] |
|
|
632 | (1) |
|
Skin/Tissue Integrity, impaired |
|
|
633 | (2) |
|
|
|
635 | (1) |
|
Self-Esteem, situational low |
|
|
636 | (1) |
|
Mobility, impaired physical |
|
|
637 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
638 | (2) |
|
|
|
640 | (2) |
|
|
|
642 | (38) |
|
|
|
642 | (15) |
|
Trauma, risk for [additional] |
|
|
644 | (1) |
|
|
|
645 | (2) |
|
Peripheral Neurovascular Dysfunction, risk for |
|
|
647 | (2) |
|
Gas Exchange, risk for impaired |
|
|
649 | (1) |
|
Mobility, impaired physical |
|
|
650 | (2) |
|
Skin/Tissue Integrity, actual/risk for impaired |
|
|
652 | (2) |
|
|
|
654 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
655 | (2) |
|
|
|
657 | (10) |
|
Self-Esteem, situational low |
|
|
659 | (1) |
|
|
|
660 | (2) |
|
Tissue Perfusion, risk for ineffective peripheral |
|
|
662 | (1) |
|
|
|
663 | (1) |
|
Mobility, impaired physical |
|
|
664 | (2) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
666 | (1) |
|
|
|
667 | (13) |
|
|
|
669 | (1) |
|
Mobility, impaired physical |
|
|
670 | (1) |
|
Peripheral Neurovascular, Dysfunction risk for |
|
|
671 | (2) |
|
|
|
673 | (1) |
|
|
|
674 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
675 | (2) |
|
|
|
677 | (3) |
|
|
|
680 | (21) |
|
Burns: Thermal/Chemical/Electrical (Acute and Convalescent Phases) |
|
|
680 | (21) |
|
Airway Clearance, risk for ineffective |
|
|
683 | (1) |
|
Fluid Volume, risk for deficient |
|
|
684 | (2) |
|
|
|
686 | (2) |
|
|
|
688 | (2) |
|
Tissue Perfusion, ineffective/Peripheral Neurovascular dysfunction, risk for |
|
|
690 | (1) |
|
Nutrition: less than body requirements, imbalanced |
|
|
691 | (2) |
|
Mobility, impaired physical |
|
|
693 | (1) |
|
Skin Integrity, impaired [grafts] |
|
|
694 | (2) |
|
|
|
696 | (1) |
|
Body Image, disturbed/Role Performance, ineffective |
|
|
697 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
698 | (3) |
|
Systemic Infections and Immunological Disorders |
|
|
701 | (69) |
|
|
|
701 | (11) |
|
Infection, risk for [progression of sepsis to septic shock, development of opportunistic infections] |
|
|
704 | (2) |
|
|
|
706 | (1) |
|
Tissue Perfusion, risk for ineffective |
|
|
707 | (2) |
|
Fluid Volume, risk for deficient |
|
|
709 | (1) |
|
Gas Exchange, risk for impaired |
|
|
710 | (1) |
|
Knowledge, deficient [Learning Need] regarding illness, prognosis, treatment, self-care, and discharge needs |
|
|
711 | (1) |
|
|
|
712 | (14) |
|
|
|
714 | (1) |
|
|
|
715 | (1) |
|
Nutrition: risk for less than body requirements, imbalanced |
|
|
716 | (3) |
|
Knowledge, deficient [Learning Need] regarding disease, prognosis, treatment self-care, and discharge needs |
|
|
719 | (3) |
|
Social Isolation, risk for |
|
|
722 | (1) |
|
Therapeutic Regimen Management, ineffective [Individual]/Family |
|
|
723 | (3) |
|
|
|
726 | (24) |
|
Infection, risk for [progression to sepsis/onset of new opportunistic infection] |
|
|
730 | (2) |
|
Fluid Volume, risk for deficient |
|
|
732 | (1) |
|
Breathing Pattern, ineffective/Gas Exchange, risk for impaired |
|
|
733 | (2) |
|
Injury, risk for (hemorrhage) |
|
|
735 | (1) |
|
Nutrition: less than body requirements, imbalanced |
|
|
736 | (2) |
|
|
|
738 | (1) |
|
Skin Integrity, actual and/or risk for impaired |
|
|
739 | (1) |
|
Oral Mucous Membrane, impaired |
|
|
740 | (2) |
|
|
|
742 | (1) |
|
Thought Processes, disturbed |
|
|
743 | (2) |
|
Anxiety [specify level]/Fear |
|
|
745 | (1) |
|
|
|
746 | (1) |
|
|
|
747 | (1) |
|
Knowledge, deficient [Learning Need] regarding disease, prognosis, current therapies, and self-care needs |
|
|
748 | (2) |
|
|
|
750 | (11) |
|
|
|
752 | (3) |
|
Mobility, impaired physical/Walking, impaired |
|
|
755 | (1) |
|
Body Image, disturbed/Role Performance, ineffective |
|
|
756 | (1) |
|
Self-Care Deficit (specify) |
|
|
757 | (1) |
|
Home Maintenance, risk for impaired |
|
|
758 | (1) |
|
Knowledge, deficient [Learning Need] regarding disease, prognosis, treatment, self-care, and discharge needs |
|
|
759 | (2) |
|
Transplantation (Postoperative and Lifelong) |
|
|
761 | (9) |
|
|
|
763 | (1) |
|
Anxiety [specify level]/Fear |
|
|
764 | (1) |
|
Coping, risk for ineffective/compromised/disabled family |
|
|
765 | (2) |
|
Knowledge, deficient [Learning Need] regarding prognosis, therapeutic regimen, self-care, and discharge needs |
|
|
767 | (3) |
|
|
|
770 | (197) |
|
Psychosocial Aspects of Care |
|
|
770 | (18) |
|
Coping, ineffective/decisional Conflict |
|
|
771 | (2) |
|
Coping, risk for compromised family |
|
|
773 | (1) |
|
Coping readiness for enhanced family |
|
|
774 | (1) |
|
Anxiety [specify level]/Fear |
|
|
775 | (3) |
|
Self-Esteem, situational low |
|
|
778 | (2) |
|
|
|
780 | (2) |
|
Religiosity, risk for impaired |
|
|
782 | (1) |
|
Therapeutic Regimen: Management, risk for ineffective |
|
|
783 | (2) |
|
Violence, risk for self-directed/other-directed |
|
|
785 | (2) |
|
|
|
787 | (1) |
|
|
|
788 | (22) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, self-care, and discharge needs |
|
|
790 | (2) |
|
Fear/Anxiety [specify level] |
|
|
792 | (2) |
|
Injury, risk for perioperative positioning |
|
|
794 | (1) |
|
|
|
795 | (2) |
|
|
|
797 | (2) |
|
Body Temperature, risk for imbalanced |
|
|
799 | (1) |
|
Breathing Pattern, ineffective |
|
|
800 | (1) |
|
Sensory Perception, disturbed: (specify)/Thought Processes, disturbed |
|
|
801 | (1) |
|
Fluid Volume, risk for deficient |
|
|
802 | (2) |
|
|
|
804 | (2) |
|
Skin/Tissue Integrity, impaired |
|
|
806 | (2) |
|
Tissue Perfusion, risk for ineffective |
|
|
808 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition/situation, prognosis, treatment, self-care, and discharge needs |
|
|
809 | (1) |
|
|
|
810 | (21) |
|
Relocation Stress Syndrome, risk for |
|
|
811 | (2) |
|
|
|
813 | (1) |
|
Memory/Thought Processes, disturbed |
|
|
814 | (1) |
|
Coping, compromised family |
|
|
815 | (2) |
|
|
|
817 | (1) |
|
Communication, impaired verbal |
|
|
818 | (1) |
|
|
|
819 | (1) |
|
Nutrition, less/more than body requirements, imbalanced |
|
|
820 | (2) |
|
|
|
822 | (1) |
|
Skin Integrity, risk for impaired |
|
|
823 | (2) |
|
Urinary Elimination, risk for impaired |
|
|
825 | (1) |
|
Constipation/Diarrhea, risk for |
|
|
826 | (1) |
|
Mobility, impaired physical |
|
|
827 | (1) |
|
Diversional Activity, deficient |
|
|
828 | (1) |
|
Sexuality Pattern, risk for ineffective |
|
|
829 | (1) |
|
Health Maintenance, ineffective |
|
|
830 | (1) |
|
Alcohol: Acute Withdrawal |
|
|
831 | (12) |
|
Breathing Pattern, risk for ineffective |
|
|
834 | (1) |
|
Cardiac Output, risk for decreased |
|
|
835 | (2) |
|
Injury, risk for [specify] |
|
|
837 | (1) |
|
Sensory Perception, disturbed (specify) |
|
|
838 | (2) |
|
Anxiety [severe/panic]/Fear |
|
|
840 | (1) |
|
|
|
841 | (2) |
|
Substance Dependence/Abuse Rehabilitation |
|
|
843 | (14) |
|
|
|
844 | (2) |
|
|
|
846 | (2) |
|
|
|
848 | (1) |
|
Nutrition: less than body requirements, imbalanced |
|
|
849 | (1) |
|
|
|
850 | (2) |
|
Family Processes: alcoholic [substance abuse], dysfunctional |
|
|
852 | (2) |
|
|
|
854 | (1) |
|
Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs |
|
|
855 | (2) |
|
|
|
857 | (23) |
|
Fear/Anxiety [specify level] |
|
|
859 | (2) |
|
|
|
861 | (1) |
|
Self-Esteem, situational low |
|
|
862 | (2) |
|
|
|
864 | (2) |
|
Nutrition: less than body requirements, imbalanced |
|
|
866 | (2) |
|
Fluid Volume, risk for deficient |
|
|
868 | (1) |
|
|
|
869 | (2) |
|
|
|
871 | (1) |
|
Oral Mucous Membrane, risk for impaired |
|
|
872 | (1) |
|
Skin/Tissue Integrity, risk for impaired |
|
|
873 | (2) |
|
Constipation/Diarrhea, risk for |
|
|
875 | (1) |
|
Sexuality Pattern, risk for ineffective |
|
|
876 | (1) |
|
Family Processes, risk for interrupted |
|
|
877 | (1) |
|
Knowledge, deficient [Learning Need] regarding illness, prognosis, treatment, self-care, and discharge needs |
|
|
878 | (2) |
|
|
|
880 | (10) |
|
|
|
881 | (2) |
|
Activity Intolerance/Fatigue |
|
|
883 | (1) |
|
Grieving, anticipatory/Anxiety, death |
|
|
884 | (2) |
|
Coping, compromised or disabled family Caregiver Role Strain, risk for |
|
|
886 | (2) |
|
Spiritual Distress, risk for |
|
|
888 | (2) |
|
|
|
890 | (15) |
|
Injury, risk for/actual (trauma, suffocation, poisoning) |
|
|
892 | (1) |
|
|
|
893 | (2) |
|
|
|
895 | (1) |
|
|
|
896 | (2) |
|
Post-Trauma Syndrome, risk for |
|
|
898 | (1) |
|
Coping, ineffective community |
|
|
899 | (1) |
|
Coping, potential for enhanced community |
|
|
900 | (5) |
|
|
|
905 | (14) |
|
|
|
906 | (1) |
|
Anxiety/Fear: Coping, ineffective |
|
|
907 | (2) |
|
Activity Intolerance/Fatigue |
|
|
909 | (1) |
|
Growth and Development, risk for delayed |
|
|
910 | (1) |
|
Nutrition, risk for less than body requirements, imbalanced |
|
|
911 | (1) |
|
|
|
912 | (3) |
|
Family Processes Parenting impaired |
|
|
915 | (1) |
|
Body Temperature, risk for imbalanced |
|
|
916 | (1) |
|
Health Maintenance, risk for ineffective |
|
|
917 | (2) |
|
Fluid and Electrolyte Imbalances |
|
|
919 | (26) |
|
|
|
919 | (1) |
|
Hypervolemia (Extracellular Fluid Volume Excess) |
|
|
919 | (3) |
|
Hypovolemia (Extracellular Fluid Volume Deficit) |
|
|
922 | (1) |
|
|
|
923 | (2) |
|
|
|
925 | (1) |
|
Hyponatremia (Sodium Deficit) |
|
|
925 | (3) |
|
Hypernatremia (Sodium Excess) |
|
|
928 | (3) |
|
|
|
931 | (1) |
|
Hypokalemia (Potassium Deficit) |
|
|
931 | (2) |
|
Hyperkalemia (Potassium Excess) |
|
|
933 | (3) |
|
|
|
936 | (1) |
|
Hypocalcemia (Calcium Deficit) |
|
|
936 | (2) |
|
Hypercalcemia (Calcium Excess) |
|
|
938 | (3) |
|
|
|
941 | (1) |
|
Hypomagnesemia (Magnesium Deficit) |
|
|
941 | (2) |
|
Hypermagnesemia (Magnesium Excess) |
|
|
943 | (2) |
|
Dementia of Alzheimer's Type/Vascular Dementia |
|
|
945 | (22) |
|
|
|
950 | (3) |
|
Sensory Perception, disturbed |
|
|
953 | (1) |
|
|
|
954 | (1) |
|
|
|
955 | (1) |
|
|
|
956 | (1) |
|
|
|
957 | (2) |
|
Nutrition, risk for less than body requirements, imbalanced |
|
|
959 | (1) |
|
Constipation/Bowel Incontinence, impaired |
|
|
960 | (1) |
|
Sexual Dysfunction, risk for |
|
|
961 | (1) |
|
Coping, compromised family |
|
|
961 | (2) |
|
Home Maintenance/Health Maintenance, impaired |
|
|
963 | (2) |
|
Caregiver Role Strain, risk for |
|
|
965 | (1) |
|
Relocation Stress Syndrome, risk for |
|
|
966 | (1) |
| Bibliography |
|
967 | (16) |
| Index of Nursing Diagnoses |
|
983 | |