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Nursing Diagnosis: Fatigue May be related to Decreased metabolic energy production, increased energy requirements (hypermetabolic state) Overwhelming psychological/emotional demands Altered body chemistry: side effects of medication, chemotherapy Possibly evidenced by Unremitting/overwhelming lack of energy, inability to maintain usual routines, decreased performance, impaired ability to concentrate, lethargy/listlessness Disinterest in surroundings Desired Outcomes Report improved sense of energy. Perform ADLs, with assistance ...

Nursing Diagnosis: Thought Processes, disturbed May be related to Hypoxemia, CNS infection by HIV, brain malignancies, and/or disseminated systemic opportunistic infection, cerebrovascular accident (CVA)/hemorrhage; vasculitis Alteration of drug metabolism/excretion, accumulation of toxic elements; renal failure, severe electrolyte imbalance, hepatic insufficiency Possibly evidenced by Altered attention span; distractibility Memory deficit Disorientation; cognitive dissonance; delusional thinking Sleep disturbances Impaired ability to make ...

Nursing Diagnosis: Anxiety/Fear May be related to Threat to self-concept, threat of death, change in health/socioeconomic status, role functioning Interpersonal transmission and contagion Separation from support system Fear of transmission of the disease to family/loved ones Possibly evidenced by Increased tension, apprehension, feelings of helplessness/hopelessness Expressed concern regarding changes in life Fear of unspecific consequences Somatic complaints, insomnia; sympathetic stimulation, ...

Nursing Diagnosis: Social Isolation May be related to Altered state of wellness, changes in physical appearance, alterations in mental status Perceptions of unacceptable social or sexual behavior/values Inadequate personal resources/support systems Physical isolation Possibly evidenced by Expressed feeling of aloneness imposed by others, feelings of rejection Absence of supportive SO: partners, family, acquaintances/friends Desired Outcomes Identify supportive individual(s). Use resources ...

Nursing Diagnosis: Powerlessness May be related to Confirmed diagnosis of a potentially terminal disease, incomplete grieving process Social ramifications of AIDS; alteration in body image/desired lifestyle; advancing CNS involvement Possibly evidenced by Feelings of loss of control over own life Depression over physical deterioration that occurs despite patient compliance with regimen Anger, apathy, withdrawal, passivity Dependence on others for care/decision ...

Nursing Diagnosis: Deficient Knowledge regarding disease, prognosis, current therapies, and self-care needs May be related to Lack of exposure/recall; information misinterpretation Cognitive limitation Unfamiliarity with information resources Possibly evidenced by Questions/request for information; statement of misconception Inaccurate follow-through of instructions, development of preventable complications Desired Outcomes Verbalize understanding of condition/disease process and potential complications. Identify relationship of signs/symptoms to the ...

Nursing Diagnosis: Risk for Deficient Fluid Volume Risk factors may include Excessive losses: copious diarrhea, profuse sweating, vomiting Hypermetabolic state, fever Restricted intake: nausea, anorexia; lethargy Desired outcomes Maintain hydration as evidenced by moist mucous membranes, good skin turgor, stable vital signs, individually adequate urinary output. 13 Acquired Immunodeficiency Syndrome (AIDS) Nursing Care Plan (NCP) Imbalanced Nutrition: Less Than Body Requirements ...