D
Deafness
Hearing Loss r/t alteration in sensory reception, transmission, integration
Impaired verbal Communication r/t impaired hearing
Risk for delayed Development: Risk factor: impaired hearing
Death
Risk for Sudden Infant Death Syndrome (SIDS) (See death Syndrome, infant, sudden, Risk for, Section III)
Death, Oncoming
Death Anxiety r/t unresolved issues surrounding dying
Compromised family Coping r/t client’s inability to provide support to family
Ineffective Coping r/t personal vulnerability
Grieving r/t loss of significant other
Powerlessness r/t effects of illness, oncoming death
Social Isolation r/t altered state of wellness
Spiritual Distress r/t intense suffering
See 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
Decisions, Difficulty Making
Readiness for enhanced Decision-Making (See Decision-Making, readiness for enhanced, Section III)
Defensive Behavior
Defensive Coping r/t nonacceptance of blame, denial of problems or weakness
Ineffective Denial r/t inability to face situation realistically
Dehiscence, Abdominal
Fear r/t threat of death, severe dysfunction
Acute Pain r/t stretching of abdominal wall
Impaired Skin Integrity r/t altered circulation, malnutrition, opening in incision
Delayed Surgical Recovery r/t altered circulation, malnutrition, opening in incision
Impaired Tissue Integrity r/t exposure of abdominal contents to external environment
Risk for Infection: Risk factor: loss of skin integrity, open surgical wound
Dehydration
Deficient Fluid Volume r/t active fluid volume loss
Impaired Oral Mucous Membrane r/t decreased salivation, fluid deficit
Readiness for enhanced Knowledge: expresses an interest in learning
Delirium
Adult Failure to Thrive r/t delirium
Sleep deprivation r/t nightmares
Risk for Injury: Risk factor: altered level of consciousness
Delusions
Impaired verbal Communication r/t psychological impairment, delusional thinking
Acute Confusion r/t alcohol abuse, delirium, dementia, drug abuse
Ineffective Coping r/t distortion and insecurity of life events
Adult Failure to Thrive r/t delusional state
Fear r/t content of intrusive thoughts
Risk for other-directed Violence: Risk factor: delusional thinking
Risk for self-directed Violence: Risk factor: delusional thinking
Dementia
Chronic Confusion r/t neurological dysfunction
Impaired Environmental Interpretation Syndrome r/t dementia
Adult Failure to Thrive r/t depression, apathy
Interrupted Family Processes r/t disability of family member
Impaired Home Maintenance r/t inadequate support system, neurological dysfunction
Functional urinary Incontinence r/t neurological dysfunction
Insomnia r/t neurological impairment, naps during the day
Impaired physical Mobility r/t neuromuscular impairment
Self-Neglect r/t cognitive impairment
Imbalanced Nutrition: less than body requirements r/t neurological impairment
Self-Care deficit: specify r/t psychological or neuromuscular impairment
Impaired Swallowing r/t neuromuscular changes associated with long-standing dementia
Chronic Sorrow: Significant other r/t chronic long-standing disability, loss of mental function
Risk for Falls: Risk factor: diminished mental status
Risk for Injury: Risk factors: confusion, decreased muscle coordination
Risk for impaired Skin Integrity: Risk factors: altered nutritional status, immobility
Denial of Health Status
Ineffective Denial r/t lack of perception about the health status effects of illness
Ineffective Self-Health Management r/t denial of seriousness of health situation
Dental Caries
Ineffective Self-Health Maintenance r/t lack of knowledge regarding prevention of dental disease
Depression (Major Depressive Disorder)
Death Anxiety r/t feelings of lack of self-worth
Constipation r/t inactivity, decreased fluid intake
Disturbed Energy Field r/t disharmony
Impaired Environmental Interpretation Syndrome r/t severe mental functional impairment
Adult Failure to Thrive r/t depression
Fatigue r/t psychological demands
Hopelessness r/t feeling of abandonment, long-term stress
Self-Neglect r/t depression, cognitive impairment
Powerlessness r/t pattern of helplessness
Chronic low Self-Esteem r/t repeated unmet expectations
Sexual Dysfunction r/t loss of sexual desire
Social Isolation r/t ineffective coping
Chronic Sorrow r/t unresolved grief
Risk for complicated Grieving: Risk factor: lack of previous resolution of former grieving response
Dermatitis
Anxiety r/t situational crisis imposed by illness
Impaired Skin Integrity r/t side effect of medication, allergic reaction
Readiness for enhanced Knowledge: expresses an interest in learning
Destructive Behavior Toward Others
Risk-prone Health Behavior r/t intense emotional state
Risk for other-directed Violence (See Violence, other-directed, risk for, Section III)
Developmental Concerns
Delayed Growth and Development (See Growth and Development, delayed, Section III)
Risk for delayed Development (See Development, delayed, risk for, Section III)
Diabetes Insipidus
Deficient Fluid Volume r/t inability to conserve fluid
Ineffective Health Maintenance r/t deficient knowledge regarding care of disease, importance of medications
Diabetes Mellitus
Adult Failure to Thrive r/t undetected disease process
Ineffective Health Maintenance r/t complexity of therapeutic regimen
Ineffective Self-Health Management (See Self-Health Management, ineffective, Section III)
Ineffective peripheral Tissue Perfusion r/t impaired arterial circulation
Powerlessness r/t perceived lack of personal control
Sexual Dysfunction r/t neuropathy associated with disease
Vision Loss r/t ineffective tissue perfusion of retina
Risk for unstable blood Glucose level (See Glucose level, blood, unstable, risk for, Section III)
Risk for Infection: Risk factors: hyperglycemia, impaired healing, circulatory changes
Risk for dysfunctional Gastrointestinal Motility: Risk factor: complication of diabetes
Risk for impaired Skin Integrity: Risk factor: loss of pain perception in extremities
Readiness for enhanced Self-Health Management (See Self-Health Management, readiness for enhanced, Section III)
Readiness for enhanced Knowledge: expresses an interest in learning
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