Oxygenation - nursing diagnosis/outcomes |
1. |
Mild/Moderate/Severe Dyspnea |
2. |
Cough |
Nursing interventions |
1. |
Referring to Physiotherapy Service |
2. |
Encouraging Breathing Or Coughing Technique |
3. |
Maintaining Airway Clearance |
4. |
Measuring Breathing Movements |
5. |
Assessing Eating Or Drinking Behaviour |
6. |
Assessing Respiratory Status |
7. |
Teaching Family About Monitoring Respiratory Status |
8. |
Teaching About Fluid Intake |
9. |
Teaching Breathing Technique |
10 |
Teaching Mask Use in the First 15 Days ofTreatment |
Nutrition - nursing diagnosis/outcomes |
1. |
Lack Of Appetite |
2. |
*Impaired Weight |
Nursing interventions |
1. |
Monitoring Food Intake |
2. |
Monitoring Weight |
3. |
Assessing Appetite |
4. |
Assessing Food Intake |
5. |
Assessing Food Supply |
6. |
Teaching Family About Disease |
7. |
Teaching About Food Intake |
8. |
Teaching About Effective Weight |
9. |
Weighing Patient |
Elimination - nursing diagnosis/outcomes |
1. |
*Expectoration |
Nursing interventions |
1. |
Evaluating Presence Of Blood |
2. |
Collecting Sputum Samples |
3. |
Forwarding Sputum Sample to Laboratory |
4. |
Referring to Physiotherapist Service |
5. |
Stimulating Expectoration |
6. |
Managing Specimen |
7. |
Managing Specimen Control |
8. |
Assessing Sputum |
9. |
Teaching About Fluid Intake |
Exercise and physical activity - nursing diagnosis/outcomes |
1. |
Fatigue |
2. |
Weakness |
3. |
Activity Intolerance |
4. |
*Disability |
Nursing interventions |
1. |
Encouraging Rest |
2. |
Facilitating Ability To Communicate Needs |
3. |
Managing Fatigue |
4. |
Monitoring Medication Side Effect |
5. |
Assessing Fatigue |
6. |
Assessing Weakness |
7. |
Assessing Food Supply |
8. |
Assessing Activity Tolerance |
9. |
Teaching How To Increase Activity Tolerance |
10. |
Teaching About Disease |
11. |
Teaching About Food Intake |
12. |
Reinforcing Capabilities |
Sexuality - nursing diagnosis/outcomes |
1. |
*Impaired Sexual Behaviour |
Nursing interventions |
1. |
Facilitating Ability to Communicate Needs and Feelings |
2. |
Assessing Sexual Behaviour |
3. |
Teaching About Sexual Behaviour |
4. |
Teaching About Disease |
5. |
Diagnostic Test (for HIV) |
6. |
Contraceptive Use |
Regulation - nursing diagnosis/outcomes |
1. |
Fever |
2. |
Decreased Mood |
3. |
*Impaired Night Perspiration Process |
Nursing interventions |
1. |
Facilitating Access To Treatment |
2. |
Facilitating Family Ability To Participate In Care Plan |
3. |
Facilitating Ability To Communicate Needs And Feelings |
4. |
Decreased Mood Screening |
5. |
Managing Negative Behaviour |
6. |
Managing Fever |
7. |
Managing Decreased Mood |
8. |
Measuring Body Temperature |
9. |
Monitoring Body Temperature |
10. |
Assessing Emotional Support |
11. |
Assessing Decreased Mood |
12. |
Teaching Family About Disease |
13. |
Teaching How To Control Fever |
14. |
Teaching About Disease |
15. |
Teaching How To Measure Body Temperature |
16. |
Teaching How To Use Medication |
17. |
Prescribing Medication |
18. |
Promoting Social Support |
19. |
Promoting Emotional Support |
Treatment - nursing diagnosis/outcomes |
1. |
Impaired Adherence to Medication Regime |
2. |
Impaired Adherence to Regime |
3. |
Medication Side Effect |
4. |
Non Adherence to Medication Regime |
5. |
Non Adherence to Regime |
6. |
Risk For Medication Side Effect |
Nursing interventions |
1. |
Administering Medication |
2. |
Scheduling Follow Up Appointment |
3. |
Evaluating Adherence To Regime |
4. |
Evaluating Response To Medication |
5. |
Collaborating With Family On Medication Procurement |
6. |
Consulting Health Care Provider About Medication Side Effects |
7. |
Demonstrating Medication Administration |
8. |
Contracting For Adherence |
9. |
Follow Up Appointment |
10. |
Home Visit |
11. |
Facilitating Access To Treatment |
12. |
Facilitating Family Ability To Participate in Care Plan |
13. |
Facilitating Ability To Communicate Needs and Feelings |
14. |
Managing Medication Side Effect |
15. |
Monitoring Adherence To Medication |
16. |
Monitoring Medication Side Effect |
17. |
Assessing Adherence |
18. |
Assessing Adherence To Medication Regime |
19. |
Assessing Adherence to Regime |
20. |
Assessing Barriers to Adherence |
21. |
Assessing Medication Side Effect |
22. |
Teaching About Disease |
23. |
Teaching About Medication Side Effects |
24. |
Teaching About Medication |
25. |
Teaching About Treatment Regime |
26. |
Prioritising Treatment Regime |
27. |
Promoting Adherence to Medication |
28. |
Promoting Adherence to Regime |
29. |
Reinforcing Adherence |
30. |
Reporting Status To Interprofessional Team |
Body care - nursing diagnosis/outcomes |
1. |
Self Care Deficit |
Nursing interventions |
1. |
Encouraging Self Care |
2. |
Facilitating Family Ability To Participate in Care Plan |
3. |
Assessing Self Care |
4. |
Assessing Ability To Perform Caretaking |
5. |
Assessing Hygiene Pattern |
6. |
Teaching Family About Hygiene Pattern |
7. |
Teaching About Self Care |
8. |
Teaching About Hygiene |
9. |
Promoting Self Care |
Physical safety - nursing diagnosis/outcomes |
1. |
Alcohol Abuse |
2. |
Drug Abuse |
3. |
Tobacco or Smoking Abuse |
Nursing interventions |
1. |
Counselling About Drug Abuse |
2. |
Counselling About Smoking |
3. |
Counselling About Alcohol Use |
4. |
Administering Medication |
5. |
Evaluating Smoking (Fagestrom Test) |
6. |
Referring To Self Help Service |
7. |
Referring To Health Service (Centro de Atenção Psicossocial Álcool e Drogas - CAPS AD) |
8. |
Referring To Support Group Therapy |
9. |
Home Visit |
10. |
Facilitating Access To Treatment |
11. |
Facilitating Family Ability To Participate in Care Plan |
12. |
Facilitating Ability To Communicate Needs And Feelings |
13. |
Facilitating Alcohol Abuse Recovery |
14. |
Facilitating Drug Abuse Recovery |
15. |
Alcohol Abuse Screening |
16. |
Drug Abuse Screening |
17. |
Smoking Screening |
18. |
Managing Withdrawal Symptom |
19. |
Monitoring Withdrawal |
20. |
Assessing Withdrawal |
21. |
Assessing Alcohol Abuse |
22. |
Assessing Drug Abuse |
23. |
Assessing Readiness For Smoking Cessation |
24. |
Assessing Smoking |
25. |
Teaching About Smoking Cessation |
26. |
Teaching About Alcohol Abuse |
27. |
Teaching About Drug Abuse |
28. |
Teaching About Withdrawal Symptom Control |
29. |
Teaching About Self Help Service |
30. |
Teaching About Smoking |
31. |
Reporting Status To Interprofessional Team |
32. |
Smoking Cessation Therapy |
Perception - nursing diagnosis/outcomes |
1. |
*Chest Pain |
Nursing interventions |
1. |
Knowledge Of Patient Controlled Analgesia |
2. |
Evaluating Response to Pain Control |
3. |
Managing Pain |
4. |
Assessing Pain |
5. |
Teaching About Disease |
6. |
Teaching About Pain |
7. |
Teaching About Managing Pain |
8. |
Prescribing Medication |
PSYCHOSOCIAL NEEDS
|
Gregarious - nursing diagnosis/outcomes |
1. |
*Discrimination |
2. |
Stigma |
3. |
Social Isolation |
4. |
Risk For Social Isolation |
5. |
Risk For Loneliness |
6. |
*Loneliness |
Nursing interventions |
1. |
Counselling About Fears |
2. |
Supporting Psychological Status |
3. |
Supporting Family |
4. |
Supporting Family Coping Process |
5. |
Referring To Community Service |
6. |
Referring To Support Group Therapy |
7. |
Encouraging Positive Affirmations |
8. |
Facilitating Access To Treatment |
9. |
Facilitating Family Ability To Participate in Care Plans |
10. |
Facilitating Ability To Communicate Needs and Feelings |
11. |
Identifying Altered Perceptions |
12. |
Assessing Readiness For Disclosure Of Health Status |
13. |
Assessing Health And Social Care Needs |
14. |
Teaching Community About Disease |
15. |
Teaching About Diversional Therapy |
16. |
Promoting Family Support |
17. |
Promoting Social Support |
18. |
Promoting Diversional Therapy |
Love - nursing diagnosis/outcomes |
1. |
Lack Of Family Support |
2. |
Lack Of Social Support |
Nursing interventions |
1. |
Supporting Family |
2. |
Collaborating With Family |
3. |
Coordinating Family Conference |
4. |
Demonstrating Medication Administration |
5. |
Referring To Community Service |
6. |
Referring To Family Therapy |
7. |
Home Visit |
8. |
Facilitating Family Ability To Participate in Care Plan |
9. |
Facilitating Ability To Communicate Needs and Feelings |
10. |
Monitoring For Impaired Family Coping |
11. |
Assessing Social Support |
12. |
Assessing Family Knowledge Of Disease |
13. |
Assessing Health And Social Care Need |
14. |
Assessing Family Process |
15. |
Teaching Family About Disease |
16. |
Teaching About Family Process |
17. |
Teaching About Diversional Therapy |
18. |
Promoting Family Support |
19. |
Promoting Social Support |
20. |
Promoting Effective Family Communication |
21. |
Promoting Diversional Therapy |
22. |
Promoting Social Support |
Acceptance - nursing diagnosis/outcomes |
1. |
Acceptance Of Health Status |
2. |
Denial |
Nursing interventions |
1. |
Administering Medication |
2. |
Referring To Support Group Therapy |
3. |
Establishing Trust |
4. |
Home Visit |
5. |
Facilitating Ability To Communicate Needs and Feelings |
6. |
Assessing Acceptance Of Health Status |
7. |
Assessing Attitude Toward Health Status |
8. |
Assessing Readiness For Disclosure Of Health Status |
9. |
Assessing Denial |
10. |
Teaching Family About Health Seeking Behaviour |
11. |
Teaching About Health Seeking Behaviour |
12. |
Teaching About Disease |
13. |
Promoting Acceptance Of Health Status |
14. |
Promoting Family Support |
15. |
Promoting Health Seeking Behaviour |
16. |
Reporting Status To Interprofessional Team |
Learning - nursing diagnosis/outcomes |
1. |
Lack Of Knowledge Of Disease (Tuberculosis) |
2. |
Lack Of Knowledge Of Medication Regime |
3. |
Lack Of Knowledge Of Treatment Regime |
Nursing interventions |
1. |
Demonstrating Medication Administration |
2. |
Home Visit |
3. |
Assessing Knowledge Of Medication Regime |
4. |
Assessing Knowledge Of Treatment Regime |
5. |
Assessing Attitude Toward Medication Management |
6. |
Assessing Knowledge Of Disease |
7. |
Assessing Family Knowledge Of Disease |
8. |
Teaching Community About Disease |
9. |
Teaching Family About Disease |
10. |
Teaching Family About Treatment Regime |
11. |
Teaching About Disease |
12. |
Teaching About Medication |
13. |
Teaching About Treatment Regime |
Self-esteem and safety - nursing diagnosis/outcomes |
1. |
*Distress |
2. |
Low Self Esteem |
3. |
*Impaired Patient Right |
4. |
*Compromised Dignity |
5. |
Hope |
6. |
*Stress |
7. |
*Insecurity |
8. |
Fear |
9. |
Employment Problem |
10. |
Inadequate Income |
11. |
Sadness |
12. |
Shame |
Nursing interventions |
1. |
Acceptance Of Health Status |
2. |
Counselling about Hopes |
3. |
Counselling About Fears |
4. |
Demonstrating Relaxation Technique |
5. |
Referring To Social Worker |
6. |
Referring To Health Service (Psychologist) |
7. |
Referring To Social Worker Service |
8. |
Referring To Group Therapy |
9. |
Referring To Support Group Therapy |
10. |
Encouraging Positive Affirmations |
11. |
Establishing Trust |
12. |
Explaining Patient Right (Market Basket and Transport Voucher) |
13. |
Facilitating Ability To Communicate Needs and Feelings |
14. |
Decreased Mood Screening |
15. |
Managing Impaired Coping Process |
16. |
Identifying Barrier To Communication |
17. |
Identifying Altered Perceptions |
18. |
Maintaining Dignity And Privacy |
19. |
Observing Altered Perception |
20. |
Assessing Attitude Toward Disease |
21. |
Assessing Attitude Toward Treatment Regime |
22. |
Assessing Self Esteem |
23. |
Assessing Ability To Manage Stress |
24. |
Assessing Fear |
25. |
Assessing Stress Level |
26. |
Assessing Sadness |
27. |
Teaching About Health Seeking Behaviour |
28. |
Teaching About Stress Control |
29. |
Teaching About Diversional Therapy |
30. |
Teaching Relaxation Technique |
31. |
Promoting Emotional Support |
32. |
Promoting Self Esteem |
33. |
Promoting Health Seeking Behaviour |
34. |
Promoting Positive Psychological Status |
35. |
Promoting Hope |
36. |
Promoting Positive Relationships |
37. |
Promoting Diversional Therapy |
38. |
Protecting Patient Right |
39. |
Promoting Emotional Support |
40. |
Diversional Therapy |
41. |
Use Relaxation Technique |
Self-fulfillment - nursing diagnosis/outcomes |
1. |
Powerlessness |
Nursing interventions |
1. |
Referring To Support Group Thaerapy |
2. |
Encouraging Positive Affirmations |
3. |
Facilitating Ability To Communicate Needs and Feelings |
4. |
Assessing Attitude Toward Health Status |
5. |
Teaching About Health Seeking Behaviour |
6. |
Promoting Family Support |
7. |
Promoting Health Seeking Behaviour |
PSYCHOSPIRITUAL NEEDS
|
Religious - nursing diagnosis/outcomes |
1. |
*Impaired Belief |
Nursing interventions |
1. |
Supporting Beliefs |
2. |
Assessing Beliefs |
3. |
Facilitating Ability To Communicate Needs and Feelings |