(A). Develop 3 care plan for the patient name Josephine Morrow
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Follow the NANDA Nursing Diagnosis List attach
2 physical problem
1 psychological problem
Write 2 expected outcome with a time set for example
within in two weeks patient will……………………
within a month patient will…………………
(B). Develop 3 care plan for the patient name Mona Hernandez
Follow the NANDA Nursing Diagnosis List Attach
2 physical problem
1 psychological problem
Write 2 expected outcome with a time set for example
within in two weeks patient will……………………
within a month patient will…………………
Example of the care plan show be like this
Patient is at risk of ulcer pressure related to patient………..as evidence
by………….
use the NANDA NURSING DIAGNOSIS and also with the attached picture of the two patients.
NANDANursing Diagnosis List
2018-2020
Domain 1: Health Promotion
CLASS 1. HEALTH AWARENESS
Deficient diversional activity
Sedentary lifestyle
CLASS 2. HEALTH MANAGEMENT
Frail elderly syndrome
Risk for frail elderly syndrome
Deficient community
Risk-prone health behavior
Ineffective health maintenance
Ineffective health management
Readiness for enhanced health management
Ineffective family health management
Noncompliance
Ineffective protection
Domain 2: Nutrition
CLASS 1. INGESTION
Insufficient breast milk
Ineffective breastfeeding
Interrupted breastfeeding
Readiness for enhanced breastfeeding
Ineffective infant feeding pattern
Imbalanced nutrition: less than body requirements
Readiness for enhanced nutrition
Obesity
Overweight
Risk for overweight
Impaired swallowing
CLASS 2. DIGESTION
None at present time
CLASS 3. ABSORPTION
None at present time
CLASS 4. METABOLISM
Risk for unstable blood glucose level
Neonatal jaundice
Risk for neonatal jaundice
Risk for impaired liver function
CLASS 5. HYDRATION
Risk for electrolyte imbalance
Readiness for enhanced fluid balance
Deficient fluid volume
Risk for deficient fluid volume
Excess fluid volume
Risk for imbalanced fluid volume
Domain 3: Elimination and Exchange
CLASS 1. URINARY FUNCTION
Impaired urinary elimination
Readiness for enhanced urinary elimination
Functional urinary incontinence
Overflow urinary incontinence
Reflex urinary incontinence
Stress urinary incontinence
Urge urinary incontinence
Risk for urge urinary incontinence
Urinary retention
CLASS 2. GASTROINTESTINAL FUNCTION
Constipation
Risk for constipation
Chronic functional constipation
Risk for chronic functional constipation
Perceived constipation
Diarrhea
Dysfunctional gastrointestinal motility
Risk for dysfunctional gastrointestinal motility
Bowel incontinence
CLASS 3. INTEGUMENTARY FUNCTION
None at this time
CLASS 4. RESPIRATORY FUNCTION
Impaired gas exchange
Domain 4: Activity/Rest
CLASS 1. SLEEP/REST
Insomnia
Sleep deprivation
Readiness for enhanced sleep
Disturbed sleep pattern
CLASS 2. ACTIVITY/EXERCISE
Risk for disuse syndrome
Impaired bed mobility
Impaired physical mobility
Impaired wheelchair mobility
Impaired sitting
Impaired standing
Impaired transfer ability
Impaired walking
CLASS 3. ENERGY BALANCE
Fatigue
Wandering
CLASS 4. CARDIOVASCULAR/PULMONARY RESPONSES
Activity intolerance
Risk for activity intolerance
Ineffective breathing pattern
Decreased cardiac output
Risk for decreased cardiac output
Risk for impaired cardiovascular function
Risk for ineffective gastrointestinal perfusion
Risk for ineffective renal perfusion
Impaired spontaneous ventilation
Risk for decreased cardiac tissue perfusion
Risk for ineffective cerebral tissue perfusion
Ineffective peripheral tissue perfusion
Risk for ineffective peripheral tissue perfusion
Dysfunctional ventilatory weaning
response
CLASS 5. SELF-CARE
Impaired home maintenance
Bathing self-care deficit
Dressing self-care deficit
Feeding self-care deficit
Toileting self-care deficit
Readiness for enhanced self-care
Self-neglect
Domain 5: Perception/Cognition
CLASS 1. ATTENTION
Unilateral neglect
CLASS 2. ORIENTATION
None at this time
CLASS 3. SENSATION/PERCEPTION
None at this time
CLASS 4. COGNITION
Acute confusion
Risk for acute confusion
Chronic confusion
Labile emotional control
Ineffective impulse control
Deficient knowledge
Readiness for enhanced knowledge
Impaired memory
CLASS 5. COMMUNICATION
Readiness for enhanced communication
Impaired verbal communication
Domain 6: Self-Perception
CLASS 1. SELF-CONCEPT
Readiness for enhanced hope
Hopelessness
Risk for compromised human dignity
Disturbed personal identity
Risk for disturbed personal identity
Readiness for enhanced self-concept
CLASS 2. SELF-ESTEEM
Chronic low self-esteem
Risk for chronic low self-esteem
Situational low self-esteem
Risk for situational low self-esteem
CLASS 3. BODY IMAGE
Disturbed body image
Domain 7: Role Relationships
CLASS 1. CAREGIVING ROLES
Caregiver role strain
Risk for caregiver role strain
Impaired parenting
Readiness for enhanced parenting
Risk for impaired parenting
CLASS 2. FAMILY RELATIONSHIPS
Risk for impaired attachment
Dysfunctional family processes
Interrupted family processes
Readiness for enhanced family processes
CLASS 3. ROLE PERFORMANCE
Ineffective relationship
Readiness for enhanced relationship
Risk for ineffective relationship
Parental role conflict
Ineffective role performance
Impaired social interaction
Domain 8: Sexuality
CLASS 1. SEXUAL IDENTITY
None at present time
CLASS 2. SEXUAL FUNCTION
Sexual dysfunction
Ineffective sexuality pattern
CLASS 3. REPRODUCTION
Ineffective childbearing process
Readiness for enhanced childbearing process
Risk for ineffective childbearing process
Risk for disturbed maternal–fetal dyad
Domain 9: Coping/Stress Tolerance
CLASS 1. POST-TRAUMA RESPONSES POST-TRAUMA SYNDROME
Risk for post-trauma syndrome
Rape-trauma syndrome
Relocation stress syndrome
Risk for relocation stress syndrome
CLASS 2. COPING RESPONSES
Ineffective activity planning
Risk for ineffective activity planning
Anxiety
Defensive coping
Ineffective coping
Readiness for enhanced coping
Ineffective community coping
Readiness for enhanced community coping
Compromised family coping
Disabled family coping
Readiness for enhanced family coping
Death anxiety
Ineffective denial
Fear
Grieving
Complicated grieving
Risk for complicated grieving
Impaired mood regulation
Readiness for enhanced power
Powerlessness
Risk for powerlessness
Impaired resilience
Readiness for enhanced resilience
Risk for impaired resilience
Chronic sorrow
Stress overload
CLASS 3. NEUROBEHAVIORAL STRESS
Decreased intracranial adaptive capacity
Autonomic dysreflexia
Risk for autonomic dysreflexia
Disorganized infant behavior
Readiness for enhanced organized infant
behavior
Risk for disorganized infant behavior
Domain 10: Life Principles
CLASS 1. VALUES
None at this time
CLASS 2. BELIEFS
Readiness for enhanced spiritual well-being
CLASS 3. VALUE/BELIEF/ACTION CONGRUENCE
Readiness for enhanced decision-making
Decisional conflict
Impaired emancipated decision-making
Readiness for enhanced emancipated
Decision-making
Risk for impaired emancipated decision-making
Moral distress
Impaired religiosity
Readiness for enhanced religiosity
Risk for impaired religiosity
Spiritual distress
Risk for spiritual distress
Domain 11: Safety/Protection
CLASS 1. INFECTION
Risk for infection
CLASS 2. PHYSICAL INJURY
Ineffective airway clearance
Risk for aspiration
Risk for bleeding
Risk for dry eye
Risk for falls
Risk for injury
Risk for corneal injury
Risk for perioperative positioning injury
Risk for thermal injury
Risk for urinary tract injury
Impaired dentition
Impaired oral mucous membrane
Risk for impaired oral mucous membrane
Risk for peripheral neurovascular dysfunction
Risk for pressure ulcer
Risk for shock
Impaired skin integrity
Risk for impaired skin integrity
Risk for sudden infant death syndrome
Risk for suffocation
Delayed surgical recovery
Risk for delayed surgical recovery
Impaired tissue integrity
Risk for impaired tissue integrity
Risk for trauma
Risk for vascular trauma
CLASS 3. VIOLENCE
Risk for other-directed violence
Risk for self-directed violence
Self-mutilation
Risk for self-mutilation
Risk for suicide
CLASS 4. ENVIRONMENTAL HAZARDS
Contamination
Risk for contamination
Risk for poisoning
CLASS 5. DEFENSIVE PROCESSES
Risk for adverse reaction to iodinated contrast media
Risk for allergy response
Latex allergy response
Risk for latex allergy response
CLASS 6. THERMOREGULATION
Risk for imbalanced body temperature
Hyperthermia
Hypothermia
Risk for hypothermia
Risk for perioperative hypothermia
Ineffective thermoregulation
Domain 12: Comfort
CLASS 1. PHYSICAL COMFORT
Impaired comfort
Readiness for enhanced comfort
Nausea
Acute pain
Chronic pain
Labor pain
Chronic pain syndrome
CLASS 2. ENVIRONMENTAL COMFORT
Impaired comfort
Readiness for enhanced comfort
CLASS 3. SOCIAL COMFORT
Impaired comfort
Readiness for enhanced comfort
Risk for loneliness
Social isolation
Domain 13: Growth/Development
CLASS 1. GROWTH
Risk for disproportionate growth
CLASS 2. DEVELOPMENT
Risk for delayed development
