The nursing goal for patients with stroke can be towards maintaining effective tissue perfusion, preventing further complications, and enhancing coping. This is a nursing care plan for patients with hemorrhagic stroke.

1 Ineffective Cerebral Tissue Perfusion

The presence of partial blockage of the blood vessel can be multifactorial. These can be due to vaso constriction, platelet adherence on rough surface, fat accumulation and therefore decreases elasticity of vessel wall leading to alteration of blood perfusion with the initiation of the clotting sequence. This may later lead to the development of thrombus which can be loosened and dislodged in some areas of the brain such as mid cerebral carotid artery that may lead to alteration of blood perfusion and further develop to cerebral infarct.

NCP- CVA- Ineffective- Tissue- Perfusion

14 Cerebrovascular Accident Nursing Care Plans Original source at: Nurseslabs

The first febrile seizure is one of life’s most frightening moments for parents. Most parents are afraid that their child will die or have brain damage. Thankfully, simple febrile seizures are harmless. There is no evidence that simple febrile seizures cause death, brain damage, mental retardation, a decrease in IQ, or learning difficulties. (www.nlm.com) However, a very small percentage of children go on to develop other seizure disorders such as epilepsy later in life.

See all our nursing care plans here

1 Hyperthermia

Benign Febrile Convulsion is a convulsion triggered by a rise in body temperature. Fever is not an illness and is an important part of the body’s defense against infection. Antigens or microorganisms cause inflammation and the release of pyrogens which is a substance that induces fever.

5 Benign Febrile Convulsions Nursing Care Plans Original source at: Nurseslabs

]]> http://nurseslabs.com/5-benign-febrile-convulsions-nursing-care-plans/feed/ 0 http://nurseslabs.com/nanda-nursing-diagnosis-list/ http://nurseslabs.com/nanda-nursing-diagnosis-list/#comments Thu, 12 Jan 2012 09:30:32 +0000 bobbyRN http://nurseslabs.com/?p=4578 Gordon’s functional health patterns is a method devised by Marjory Gordon to be used by the nurses in the nursing process to provide more comprehensive assessment of the client. Below contains the list of nursing diagnoses approved by NANDA-I. Health Perception and Management Pattern Contamination Disturbed energy field Effective therapeutic regimen management Health-seeking behaviors Ineffective [...]

NANDA Nursing Diagnosis List Original source at: Nurseslabs

]]> Gordon’s functional health patterns is a method devised by Marjory Gordon to be used by the nurses in the nursing process to provide more comprehensive assessment of the client.

Below contains the list of nursing diagnoses approved by NANDA-I.

Health Perception and Management Pattern

1. Contamination
2. Disturbed energy field
3. Effective therapeutic regimen management
4. Health-seeking behaviors
5. Ineffective community therapeutic regimen management
6. Ineffective family therapeutic regimen management
7. Ineffective health maintenance
8. Ineffective protection
9. Ineffective therapeutic regimen management
10. Noncompliance
11. Readiness for enhanced immunization status
12. Readiness for enhanced therapeutic regimen management
13. Risk for contamination
14. Risk for falls
15. Risk for infection
16. Risk for injury (trauma)
17. Risk for perioperative positioning injury
18. Risk for poisoning
19. Risk for suffocation

Nutritional-Metabolic Pattern

1. Adult failure to thrive
2. Deficient blood volume
3. Effective breastfeeding
4. Excess fluid volume
5. Hyperthermia
6. Hypothermia
7. Imbalanced nutrition: more than body requirements
8. Imbalanced nutrition: less than body requirements
9. Imbalanced nutrition: risk for more than body requirements
10. Impaired dentition
11. Impaired oral mucous membrane
12. Impaired skin integrity
13. Impaired swallowing
14. Impaired tissue integrity (specify type)
15. Ineffective breastfeeding
16. Ineffective infant feeding pattern
17. Ineffective thermoregulation
18. Interrupted breastfeeding
19. Latex allergy response
20. Nausea
21. Readiness for enhanced fluid balance
22. Readiness for enhanced nutrition
23. Risk for aspiration
24. Risk for deficient fluid volume
25. Risk for imbalanced fluid volume
26. Risk for imbalanced body temperature
27. Risk for latex allergy response
28. Risk for impaired liver function
29. Risk for impaired skin integrity
30. Risk for unstable blood glucose

Elimination Pattern

1. Bowel incontinence
2. Constipation
3. Diarrhea
4. Functional urinary incontinence
5. Impaired urinary elimination
6. Overflow urinary incontinence
7. Perceived constipation
8. Readiness for enhanced urinary elimination
9. Reflex urinary incontinence
10. Risk for constipation
11. Risk for urge urinary incontinence
12. Stress urinary incontinence
13. Total urinary incontinence
14. Urge urinary incontinence
15. Urinary retention

Activity-Exercise Pattern

1. Activity intolerance (specify)
2. Autonomic dysreflexia
3. Decreased cardiac output
4. Decreased intracranial adaptive capacity
5. Deficient diversional activity
6. Delayed growth and development
7. Delayed surgical recovery
8. Disorganized infant behavior
9. Dysfunctional ventilatory weaning response
10. Fatigue
11. Impaired spontaneous ventilation
12. Impaired bed mobility
13. Impaired gas exchange
14. Impaired home maintenance
15. Impaired physical mobility
16. Impaired transfer ability
17. Impaired walking
18. Impaired wheelchair mobility
19. Ineffective airway clearance
20. Ineffective breathing pattern
21. Ineffective tissue perfusion (specify)
22. Readiness for enhanced organized infant behavior
23. Risk for disproportionate growth
24. Risk for activity intolerance
25. Risk for autonomic dysreflexia
26. Risk for disuse syndrome
27. Risk for peripheral neurovascular dysfunction
28. Risk for sudden infant death syndrome
29. Sedentary lifestyle
30. Self-care deficit (specify: bathing/hygiene, dressing/grooming, feeding, toileting)
31. Wandering

Sleep-Rest Pattern

1. Insomnia
2. Readiness for enhanced sleep
3. Sleep deprivation

Cognitive-Perceptual Pattern

1. Acute confusion
2. Acute pain
3. Chronic confusion
4. Chronic pain
5. Decisional conflict (specify)
6. Deficient knowledge (specify)
7. Disturbed sensory perception (specify)
8. Disturbed thought process
9. Impaired environmental interpretation syndrome
10. Impaired memory
11. Readiness for enhanced comfort
12. Readiness for enhanced decision making
13. Readiness for enhanced knowledge
14. Risk for acute confusion
15. Unilateral neglect

Self-Perception and Self-Conception Pattern

1. Anxiety
2. Chronic low self-esteem
3. Death anxiety
4. Disturbed body image
5. Disturbed personal identity
6. Fear
7. Hopelessness
8. Powerlessness
9. Readiness for enhanced hope
10. Readiness for enhanced power
11. Readiness for enhanced self-concept
12. Risk for compromised human dignity
13. Risk for loneliness
14. Risk for self-directed violence
15. Risk for powerlessness
16. Risk for situational low self-esteem
17. Situational low self-esteem

Role-Relationship Pattern

1. Caregiver role strain
2. Chronic sorrow
3. Dysfunctional family process: alcoholism
4. Impaired parenting
5. Impaired social interaction
6. Impaired verbal communication
7. Ineffective role performance
8. Interrupted family process
9. Parental role conflict
10. Readiness for enhanced communication
11. Readiness for enhanced family processes
12. Readiness for enhanced parenting
13. Relocation stress syndrome
14. Risk for caregiver role strain
15. Risk for complicated grieving
16. Risk for impaired parent/child attachment
17. Risk for impaired parenting
18. Risk for relocation stress syndrome
19. Risk for other-directed violence
20. Social dysfunction

Sexuality-Reproductive

1. Ineffective sexuality pattern
2. Rape-trauma syndrome
3. Rape-trauma syndrome: compound reaction
4. Rape-trauma syndrime: silent reaction
5. Sexual dysfunction

Coping-Stress Tolerance Pattern

1. Compound family coping
2. Defensive coping
3. Disabled family coping
4. Ineffective community coping
5. Ineffective coping
6. Ineffective denial
7. Post-trauma syndrome
8. Readiness for enhanced community coping
9. Readiness for enhanced coping
10. Readiness for enhanced family coping
11. Risk for self-mutilation
12. Risk for suicide
13. Risk for post-trauma syndrome
14. Risk-prone health behaviors
15. Self-mutilation
16. Stress overload

Value-Belief Pattern

1. Impaired religiosity
2. Moral distress
3. Readiness for enhanced religiosity
4. Readiness for enhanced spiritual well-being
5. Risk for impaired religiosity
6. Risk for spiritual distress
7. Spiritual distress

These were modified by Marjory Gordon on 2007, with permission.

NANDA Nursing Diagnosis List Original source at: Nurseslabs

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