C
Cancer
Activity Intolerance r/t side effects of treatment, weakness from cancer
Death Anxiety r/t unresolved issues regarding dying
Disturbed Body Image r/t side effects of treatment, cachexia
Constipation r/t side effects of medication, altered nutrition, decreased activity
Ineffective Coping r/t personal vulnerability in situational crisis, terminal illness
Ineffective Denial r/t complicated grieving process
Fear r/t serious threat to well-being
Grieving r/t potential loss of significant others, high risk for infertility
Ineffective Health Maintenance r/t deficient knowledge regarding prescribed treatment
Hopelessness r/t loss of control, terminal illness
Impaired physical Mobility r/t weakness, neuromusculoskeletal impairment, pain
Chronic Pain r/t metastatic cancer
Powerlessness r/t treatment, progression of disease
Ineffective Protection r/t cancer suppressing immune system
Ineffective Role Performance r/t change in physical capacity, inability to resume prior role
Self-Care deficit: specify r/t pain, intolerance to activity, decreased strength
Impaired Skin Integrity r/t immunological deficit, immobility
Social Isolation r/t hospitalization, lifestyle changes
Chronic Sorrow r/t chronic illness of cancer
Spiritual Distress r/t test of spiritual beliefs
Risk for Bleeding: Risk factor: bone marrow depression from chemotherapy
Risk for Disuse Syndrome: Risk factors: immobility, fatigue
Risk for impaired Home Maintenance: Risk factor: lack of familiarity with community resources
Risk for Infection: Risk factor: inadequate immune system
Risk for compromised Resilience: Risk factors: multiple stressors, pain, chronic illness
Risk for Spiritual Distress: Risk factor: physical illness of cancer
Readiness for enhanced Knowledge: expresses an interest in learning
See Chemotherapy; Child with Chronic Condition; Hospitalized Child; Leukemia; Radiation Therapy; Terminally Ill Child, Adolescent; Terminally Ill Child, Infant/Toddler; Terminally Ill Child, Preschool Child; Terminally Ill Child, School-Age Child/Preadolescent; Terminally Ill Child/Death of Child, Parent
Candidiasis, Oral
Readiness for enhanced Knowledge: expresses an interest in learning
Impaired Oral Mucous Membrane r/t overgrowth of infectious agent, depressed immune function
Capillary Refill Time, Prolonged
Impaired Gas Exchange r/t ventilation perfusion imbalance
Ineffective peripheral Tissue Perfusion r/t interruption of arterial flow
Cardiac Catheterization
Fear r/t invasive procedure, uncertainty of outcome of procedure
Risk for Injury: hematoma: Risk factor: invasive procedure
Risk for decreased Cardiac tissue perfusion: Risk factors: ventricular ischemia, dysrhythmia
Risk for Peripheral Neurovascular Dysfunction: Risk factor: vascular obstruction
Cardiac Disorders
Decreased Cardiac Output r/t cardiac disorder
Risk for decreased Cardiac tissue perfusion: Risk factor: cardiac disorder
Cardiac Disorders in Pregnancy
Death Anxiety r/t potential danger of condition
Ineffective Coping r/t personal vulnerability
Interrupted Family Processes r/t hospitalization, maternal incapacitation, changes in roles
Fatigue r/t physiological, psychological, and emotional demands
Fear r/t potential maternal effects, potential poor fetal or maternal outcome
Powerlessness r/t illness-related regimen
Situational low Self-Esteem r/t situational crisis, pregnancy
Social Isolation r/t limitations of activity, bed rest or hospitalization, separation from family and friends
Risk for delayed Development: Risk factor: poor maternal oxygenation
Risk for impaired Gas Exchange: Risk factor: pulmonary edema
Risk for disproportionate Growth: Risk factor: poor maternal oxygenation
Risk for disturbed Maternal/Fetal Dyad: Risk factor: compromised oxygen transport
Risk for compromised Resilience: Risk factors: multiple stressors, fear
Risk for Spiritual Distress: Risk factor: fear of diagnosis for self and infant
Readiness for enhanced Knowledge: expresses an interest in learning
Caregiver Role Strain
Caregiver Role Strain (See Caregiver Role Strain, Section III)
Risk for compromised Resilience: Risk factor: stress of prolonged caregiving
Carotid Endarterectomy
Fear r/t surgery in vital area
Risk for ineffective Airway Clearance: Risk factor: hematoma compressing trachea
Risk for Bleeding Risk factor: possible hematoma formation, trauma to region
Risk for ineffective Cerebral tissue perfusion: Risk factors: hemorrhage, clot formation
Readiness for enhanced Knowledge: expresses an interest in learning
Carpal Tunnel Syndrome
Impaired physical Mobility r/t neuromuscular impairment
Chronic Pain r/t unrelieved pressure on median nerve
Casts
Deficient Diversional Activity r/t physical limitations from cast
Impaired physical Mobility r/t limb immobilization
Self-Care deficit: bathing, dressing, feeding r/t presence of cast(s) on upper extremities
Self-Care deficit: toileting r/t presence of cast(s) on lower extremities
Impaired Walking r/t cast(s) on lower extremities, fracture of bones
Risk for impaired Skin Integrity: Risk factor: unrelieved pressure on skin from cast
Readiness for enhanced Knowledge: expresses an interest in learning
Cataract Extraction
Anxiety r/t threat of permanent vision loss, surgical procedure
Vision Loss r/t edema from surgery
Risk for Injury: Risk factors: increased intraocular pressure, accommodation to new visual field
Readiness for enhanced Knowledge: expresses an interest in learning
Catatonic Schizophrenia
Impaired verbal Communication r/t cognitive impairment
Impaired Memory r/t cognitive impairment
Social Isolation r/t inability to communicate, immobility
Catheterization, Urinary
Risk for Infection: Risk factor: invasive procedure
Readiness for enhanced Knowledge: expresses an interest in learning
Celiac Disease
Imbalanced Nutrition: less than body requirements r/t malabsorption due to immune effects of gluten
Diarrhea r/t malabsorption of food, immune effects of gluten on gastrointestinal system
Readiness for enhanced Knowledge: Expresses an interest in learning
Cellulitis
Acute Pain r/t inflammatory changes in tissues from infection
Ineffective peripheral Tissue Perfusion r/t edema of extremities
Impaired Tissue Integrity r/t inflammatory process damaging skin and underlying tissue
Risk for Vascular Trauma: Risk factor: infusion of antibiotics
Readiness for enhanced Knowledge: expresses an interest in learning
Cellulitis, Periorbital
Acute Pain r/t edema and inflammation of skin/tissues
Vision Loss r/t decreased visual field secondary to edema of eyelids
Impaired Skin Integrity r/t inflammation or infection of skin, tissues
Readiness for enhanced Knowledge: expresses an interest in learning
Central Line Insertion
Risk for Infection: Risk factor: invasive procedure
Risk for Vascular Trauma (See Vascular Trauma, risk for, Section III)
Readiness for enhanced Knowledge: expresses an interest in learning
Cerebral Aneurysm
See Craniectomy/Craniotomy; Intracranial Pressure, Increased; Subarachnoid Hemorrhage
Cerebral Palsy
Impaired physical Mobility r/t spasticity, neuromuscular impairment or weakness
Imbalanced Nutrition: less than body requirements r/t spasticity, feeding or swallowing difficulties
Self-Care deficit: specify r/t neuromuscular impairments, sensory deficits
Chronic Sorrow r/t presence of chronic disability
Risk for Falls: Risk factor: impaired physical mobility
Risk for Injury: Risk factors: muscle weakness, inability to control spasticity
Risk for Spiritual Distress: Risk factors: psychological stress associated with chronic illness
Cerebral Perfusion
Risk for ineffective Cerebral tissue perfusion (See Cerebral tissue perfusion, ineffective, risk for, Section III)
Cervicitis
Ineffective Health Maintenance r/t deficient knowledge regarding care and prevention of condition
Ineffective Sexuality Pattern r/t abstinence during acute stage
Risk for Infection: Risk factors: spread of infection, recurrence of infection
Cesarean Delivery
Disturbed Body Image r/t surgery, unmet expectations for childbirth
Interrupted Family Processes r/t unmet expectations for childbirth
Fear r/t perceived threat to own well-being, outcome of birth
Impaired physical Mobility r/t pain
Acute Pain r/t surgical incision
Ineffective Role Performance r/t unmet expectations for childbirth
Situational low Self-Esteem r/t inability to deliver child vaginally
Risk for Bleeding: Risk factor: surgery
Risk for imbalanced Fluid Volume: Risk factors: loss of blood, fluid shifts
Risk for Infection: Risk factor: surgical incision
Risk for Urinary Retention: Risk factor: regional anesthesia
Readiness for enhanced Knowledge: expresses an interest in learning
Chemotherapy
Death Anxiety r/t chemotherapy not accomplishing desired results
Disturbed Body Image r/t loss of weight, loss of hair
Fatigue r/t disease process, anemia, drug effects
Nausea r/t effects of chemotherapy
Imbalanced Nutrition: less than body requirements r/t side effects of chemotherapy
Impaired Oral Mucous Membrane r/t effects of chemotherapy
Ineffective Protection r/t suppressed immune system, decreased platelets
Risk for Bleeding: Risk factors: tumor eroding blood vessel, stress effects on GI system
Risk for Infection: Risk factor: immunosuppression
Risk for Vascular Trauma: Risk factor: infusion of irritating medications
Readiness for enhanced Knowledge: expresses an interest in learning
Chest Pain
Fear r/t potential threat of death
Acute Pain r/t myocardial injury, ischemia
Risk for decreased Cardiac tissue perfusion: Risk factor: ventricular ischemia
Chest Tubes
Ineffective Breathing Pattern r/t asymmetrical lung expansion secondary to pain
Impaired Gas Exchange r/t decreased functional lung tissue
Acute Pain r/t presence of chest tubes, injury
Risk for Injury: Risk factor: presence of invasive chest tube
CHF (Congestive Heart Failure)
Activity Intolerance r/t weakness, fatigue
Constipation r/t activity intolerance
Fatigue r/t disease process with decreased cardiac output
Fear r/t threat to one’s own well-being
Excess Fluid Volume r/t impaired excretion of sodium and water
Impaired Gas Exchange r/t excessive fluid in interstitial space of lungs
Powerlessness r/t illness-related regimen
Risk for Shock (Cardiogenic): Risk factors: decreased contractility of heart, increased afterload
Readiness for enhanced Self-Health Management (See Self-Health Management, readiness for enhanced, Section III)
See Child with Chronic Condition; Congenital Heart Disease/Cardiac Anomalies; Hospitalized Child
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