L


L




Labor, Normal


Anxiety r/t fear of the unknown, situational crisis


Impaired Comfort r/t labor


Fatigue r/t childbirth


Deficient Knowledge r/t lack of preparation for labor


Acute Pain r/t uterine contractions, stretching of cervix and birth canal


Impaired Tissue Integrity r/t passage of infant through birth canal, episiotomy


Risk for deficient Fluid Volume: Risk factor: excessive loss of blood


Risk for Infection: Risk factors: multiple vaginal examinations, tissue trauma, prolonged rupture of membranes


Risk for Injury: fetal: Risk factor: hypoxia


Risk for Post-Trauma Syndrome: Risk factors: trauma or violence associated with labor pains, medical or surgical interventions, history of sexual abuse


Risk for Powerlessness: Risk factor: labor process


Readiness for enhanced Childbearing Process: responds appropriately, is proactive, bonds with infant and uses support systems


Readiness for enhanced family Coping: significant other providing support during labor


Readiness for enhanced Power: expresses readiness to enhance participation in choices regarding treatment during labor


Readiness for enhanced Self-Health Management: prenatal care and childbirth education birth process














Laryngectomy


Ineffective Airway Clearance r/t surgical removal of glottis, decreased humidification of air


Disturbed Body Image r/t change in body structure and function


Impaired Comfort r/t surgery


Death Anxiety r/t unknown results of surgery


Interrupted Family Processes r/t surgery, serious condition of family member, difficulty communicating


Grieving r/t loss of voice, fear of death


Imbalanced Nutrition: less than body requirements r/t absence of oral feeding, difficulty swallowing, increased need for fluids


Impaired Oral Mucous Membrane r/t absence of oral feeding


Chronic Sorrow r/t change in body image


Ineffective Self-Health Management r/t deficient knowledge regarding self-care with laryngectomy


Impaired Swallowing r/t edema, laryngectomy tube


Impaired verbal Communication r/t removal of larynx


Risk for Electrolyte Imbalance: Risk factor: fluid imbalance


Risk for complicated Grieving: Risk factors: loss, major life event


Risk for compromised Human Dignity: Risk factor: loss of control of body function


Risk for Infection: Risk factors: invasive procedure, surgery


Risk for Powerlessness: Risk factors: chronic illness, change in communication


Risk for compromised Resilience: Risk factor: change in health status


Risk for situational low Self-Esteem: Risk factor: disturbed body image


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Dec 10, 2016 | Posted by in NURSING | Comments Off on L

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