P
Pacemaker
Anxiety r/t change in health status, presence of pacemaker
Death Anxiety r/t worry over possible malfunction of pacemaker
Deficient Knowledge r/t self-care program, when to seek medical attention
Acute Pain r/t surgical procedure
Risk for Bleeding: Risk factor: surgery
Risk for decreased Cardiac tissue perfusion: Risk factor: pacemaker malfunction
Risk for Powerlessness: Risk factor: presence of electronic device to stimulate heart
Readiness for enhanced Self-Health Management: appropriate health care management of pacemaker
Paget’s Disease
Disturbed Body Image r/t possible enlarged head, bowed tibias, kyphosis
Deficient Knowledge r/t appropriate diet high in protein and calcium, mild exercise
Chronic Sorrow r/t chronic condition with altered body image
Risk for Trauma: fracture: Risk factor: excessive bone destruction
Pain, Chronic
Impaired Comfort r/t altered health status
Disturbed Energy Field r/t unbalanced energy field
Painful Breasts, Engorgement
Impaired Comfort r/t physical condition
Acute Pain r/t distention of breast tissue
Ineffective Role Performance r/t change in physical capacity to assume role of breastfeeding mother
Impaired Tissue Integrity r/t excessive fluid in breast tissues
Risk for Infection: Risk factor: milk stasis
Risk for disturbed Maternal/Fetal Dyad: Risk factor: discomfort
Painful Breasts, Sore Nipples
Ineffective Breastfeeding r/t pain
Insufficient Breast Milk r/t long breastfeeding time/pain response
Impaired Comfort r/t physical condition
Acute Pain r/t cracked nipples
Ineffective Role Performance r/t change in physical capacity to assume role of breastfeeding mother
Impaired Skin Integrity r/t mechanical factors involved in suckling, breastfeeding management
Pancreatic Cancer
Death Anxiety r/t possible poor prognosis of disease process
Ineffective family Coping r/t poor prognosis
Fear r/t poor prognosis of the disease
Grieving r/t shortened life span
Deficient Knowledge r/t disease-induced diabetes, home management
Spiritual Distress r/t poor prognosis
Risk for impaired Liver Function: Risk factor: complications from underlying disease
See Cancer; Chemotherapy; Radiation Therapy; Surgery, Perioperative; Surgery, Postoperative; Surgery, Preoperative
Pancreatitis
Ineffective Breathing Pattern r/t splinting from severe pain
Ineffective Denial r/t ineffective coping, alcohol use
Diarrhea r/t decrease in pancreatic secretions resulting in steatorrhea
Adult Failure to Thrive r/t pain
Deficient Fluid Volume r/t vomiting, decreased fluid intake, fever, diaphoresis, fluid shifts
Ineffective Health Maintenance r/t deficient knowledge concerning diet, alcohol use, medication
Nausea r/t irritation of gastrointestinal system
Acute Pain r/t irritation and edema of the inflamed pancreas
Chronic Sorrow r/t chronic illness
Readiness for enhanced Comfort: expresses desire to enhance comfort
Panic Disorder (Panic Attacks)
Ineffective Activity Planning r/t unrealistic perception of events
Anxiety r/t situational crisis
Risk-prone Health Behavior r/t low self-efficacy
Ineffective Coping r/t personal vulnerability
Disturbed personal Identity r/t situational crisis
Post-Trauma Syndrome r/t previous catastrophic event
Social Isolation r/t fear of lack of control
Risk for Loneliness: Risk factor: inability to socially interact because of fear of losing control
Risk for Post-Trauma Syndrome: Risk factors: perception of the event, diminished ego strength
Risk for Powerlessness: Risk factor: ineffective coping skills
Paralysis
Disturbed Body Image r/t biophysical changes, loss of movement, immobility
Impaired Comfort r/t prolonged immobility
Constipation r/t effects of spinal cord disruption, inadequate fiber in diet
Ineffective Health Maintenance r/t deficient knowledge regarding self-care with paralysis
Impaired Home Maintenance r/t physical disability
Reflex urinary Incontinence r/t neurological impairment
Impaired physical Mobility r/t neuromuscular impairment
Impaired wheelchair Mobility r/t neuromuscular impairment
Self-Neglect r/t functional impairment
Powerlessness r/t illness-related regimen
Self-Care deficit: specify r/t neuromuscular impairment
Sexual Dysfunction r/t loss of sensation, biopsychosocial alteration
Chronic Sorrow r/t loss of physical mobility
Impaired Transfer Ability r/t paralysis
Risk for Autonomic Dysreflexia r/t cause of paralysis
Risk for Latex Allergy Response: Risk factor: possible repeated urinary catheterizations
Risk for Disuse Syndrome: Risk factor: paralysis
Risk for Falls: Risk factor: paralysis
Risk for Injury: Risk factors: altered mobility, sensory dysfunction
Risk for Post-Trauma Syndrome: Risk factor: event causing paralysis
Risk for impaired Religiosity: Risk factors: immobility, possible lack of transportation
Risk for compromised Resilience: Risk factor: chronic disability
Risk for situational low Self-Esteem: Risk factor: change in body image and function
Risk for impaired Skin Integrity: Risk factors: altered circulation, altered sensation, immobility
See Child with Chronic Condition; Hemiplegia; Hospitalized Child; Neural Tube Defects; Spinal Cord Injury
Paralytic Ileus
Constipation r/t decreased gastric motility
Deficient Fluid Volume r/t loss of fluids from vomiting, retention of fluid in bowel
Dysfunctional Gastrointestinal Motility r/t bowel obstruction
Nausea r/t gastrointestinal irritation
Impaired Oral Mucous Membrane r/t presence of nasogastric tube
Acute Pain r/t pressure, abdominal distention
Paranoid Personality Disorder
Ineffective Activity Planning r/t unrealistic perception of events
Anxiety r/t uncontrollable intrusive, suspicious thoughts
Risk-prone Health Behavior r/t intense emotional state
Disturbed personal Identity r/t difficulty with reality testing
Impaired individual Resilience r/t psychological disorder
Chronic low Self-Esteem r/t inability to trust others
Social Isolation r/t inappropriate social skills
Risk for Loneliness: Risk factor: social isolation
Risk for Post-Trauma Syndrome: Risk factor: exaggerated sense of responsibility
Risk for Suicide: Risk factor: psychiatric illness
Risk for other-directed Violence: Risk factor: being suspicious of others and others’ actions
Parathyroidectomy
Risk for ineffective Airway Clearance: Risk factors: edema or hematoma formation, airway obstruction
Risk for Bleeding: Risk factor: surgery
Risk for impaired verbal Communication: Risk factors: possible laryngeal damage, edema
Risk for Infection: Risk factor: surgical procedure
Parent Attachment
Risk for impaired Attachment (See Attachment, impaired, risk for, Section III)
Readiness for enhanced Childbearing Process: demonstrates appropriate care of newborn
Parental Role Conflict
Parental Role Conflict (See Role Conflict, parental Section III)
Ineffective Relationship r/t unrealistic expectations
Chronic Sorrow r/t difficult parent-child relationship
Risk for Spiritual Distress: Risk factor: altered relationships
Readiness for enhanced Parenting: willingness to enhance parenting
Parenting, Impaired
Impaired Parenting (See Parenting, impaired, Section III)
Chronic Sorrow r/t difficult parent-child relationship
Risk for Spiritual Distress: Risk factor: altered relationships
Parenting, Risk for Impaired
Risk for impaired Parenting (See Parenting, impaired, risk for, Section III)
Paresthesia
Risk for Injury r/t inability to feel temperature changes, pain
Risk for Impaired Skin Integrity r/t impaired sensation
Parkinson’s Disease
Adult Failure to Thrive r/t depression associated with chronic progressive disease
Chronic Sorrow r/t loss of physical capacity
Risk for Injury: Risk factors: tremors, slow reactions, altered gait
Patient Education
Deficient Knowledge r/t lack of exposure to information, information misinterpretation
Readiness for enhanced Knowledge (specify): interest in learning
PCA (Patient-Controlled Analgesia)
Impaired Comfort r/t condition requiring PCA, pruritus from medication side effects
Deficient Knowledge r/t self-care of pain control
Nausea r/t side effects of medication
Risk for Injury: Risk factors: possible complications associated with PCA
Risk for Vascular Trauma: Risk factor: insertion site and length of insertion time
Readiness for enhanced Knowledge: appropriate management of PCA
Penile Prosthesis
Ineffective Sexuality Pattern r/t use of penile prosthesis
Risk for Infection: Risk factor: invasive surgical procedure
Risk for situational low Self-Esteem: Risk factors: ineffective sexuality pattern
Pericardial Friction Rub
Acute Pain r/t inflammation, effusion
Delayed Surgical Recovery r/t complications associated with cardiac problems
Pericarditis
Activity Intolerance r/t reduced cardiac reserve, prescribed bed rest
Deficient Knowledge r/t unfamiliarity with information sources
Acute Pain r/t biological injury, inflammation
Delayed Surgical Recovery r/t complications associated with cardiac problems
Risk for decreased Cardiac tissue perfusion: Risk factor: inflammation in pericardial sac
Perioperative Positioning
Risk for Perioperative Positioning Injury (See Perioperative Positioning Injury, risk for, Section III)
Peripheral Neurovascular Dysfunction
Risk for Peripheral Neurovascular Dysfunction (See Peripheral Neurovascular Dysfunction, risk for, Section III)
See Neuropathy, Peripheral; Peripheral Vascular Disease (PVD)
Peripheral Vascular Disease (PVD)
Activity Intolerance r/t imbalance between peripheral oxygen supply and demand
Ineffective Health Maintenance r/t deficient knowledge regarding self-care and treatment of disease
Chronic Pain: intermittent claudication r/t ischemia
Ineffective peripheral Tissue Perfusion r/t disease process
Risk for Falls: Risk factor: altered mobility
Risk for Injury: Risk factors: tissue hypoxia, altered mobility, altered sensation
Risk for Peripheral Neurovascular Dysfunction: Risk factor: possible vascular obstruction
Risk for impaired Skin Integrity: Risk factor: altered circulation or sensation
Readiness for enhanced Self-Health Management: self-care and treatment of disease
See Neuropathy, Peripheral; Peripheral Neurovascular Dysfunction
Peritoneal Dialysis
Ineffective Breathing Pattern r/t pressure from dialysate
Impaired Home Maintenance r/t complex home treatment of client
Deficient Knowledge r/t treatment procedure, self-care with peritoneal dialysis
Acute Pain r/t instillation of dialysate, temperature of dialysate
Chronic Sorrow r/t chronic disability
Risk for unstable blood Glucose level r/t increased concentrations of glucose dialysate
Risk for ineffective Coping: Risk factor: disability requiring change in lifestyle
Risk for imbalanced Fluid Volume: Risk factor: medical procedure
Risk for Infection: peritoneal: Risk factor: invasive procedure, presence of catheter, dialysate
Risk for Powerlessness: Risk factor: chronic condition and care involved
See Child with Chronic Condition; Hemodialysis; Hospitalized Child; Renal Failure; Renal Failure, Acute/Chronic, Child
Peritonitis
Ineffective Breathing Pattern r/t pain, increased abdominal pressure
Constipation r/t decreased oral intake, decrease of peristalsis
Deficient Fluid Volume r/t retention of fluid in bowel with loss of circulating blood volume
Nausea r/t gastrointestinal irritation
Imbalanced Nutrition: less than body requirements r/t nausea, vomiting
Acute Pain r/t inflammation, stimulation of somatic nerves
Risk for dysfunctional Gastrointestinal Motility: Risk factor: gastrointestinal disease
Pernicious Anemia
Diarrhea r/t malabsorption of nutrients
Fatigue r/t imbalanced nutrition: less than body requirements
Impaired Memory r/t anemia; lack of adequate red blood cells
Nausea r/t altered oral mucous membrane; sore tongue, bleeding gums
Risk for Falls: Risk factors: dizziness, lightheadedness
Risk for Peripheral Neurovascular Dysfunction: Risk factor: anemia
Personal Identity Problems
Disturbed personal Identity (See Identity, personal, disturbed, Section III)
Personality Disorder
Ineffective Activity Planning r/t unrealistic perception of events
Impaired individual Resilience r/t psychological disorder
See specific disorder Antisocial Personality Disorder; Borderline Personality Disorder; OCD (Obsessive-Compulsive Disorder); Paranoid Personality Disorder
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