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Mosbys Guide to Nursing Diagnosis, Fourth Edition ISBN: 978-0-323-08920-3
Copyright 2014, 2011, 2008, 2006 by Mosby Inc., an imprint of Elsevier Inc.
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This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
NANDA-International Nursing DiagnosesDefinitions and Classification 2012-2014, Herdman T.H. (ED). Copyright 2012, 1994-2012 NANDA International. Used by arrangement with John Wiley & Sons, Limited. In order to make safe and effective judgments using NANDA-I diagnoses it is essential that nurses refer to the definitions and defining characteristics of the diagnoses listed in this work.
Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editors assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.
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ISBN: 978-0-323-08920-3
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Dedication
To
Dale Ackley, the greatest guy in the world, without whose support this book would have never happened; and my daughter Dawn, and her husband Cameron Goulding.
And the absolute joys of my life, granddaughter Althea Goulding and grandson Emmett Goulding.
B. Ackley
Jerry Ladwig, my wonderful husband, who after 48 years is still supportive and helpfulhe has been my right-hand man in every revision of this book. Also to my very special children, their spouses, and all of my grandchildren: Jerry, Kathy, Alexandra, Elizabeth, and Benjamin Ladwig; Christine, John, Sean, Ciara, and Bridget McMahon; Jennifer, Jim, Abby, Katelyn, Blake, and Connor Martin; Amy, Scott, Ford, and Vaughn Bertramthe greatest family anyone could ever hope for.
Gift
to teach
is
to learn
to learn
is
to teach
the greatest moment
is when
the teacher
becomes the student
and
the student becomes the teacher
G. Ladwig
Acknowledgments
The authors would like to thank the following individuals for their contributions to Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, Tenth Edition, by Betty J. Ackley and Gail B. Ladwig, from which this book has been developed:
Betty J. Ackley, MSN, EdS, RN
Risk for Aspiration; Risk for Sudden Infant Death Syndrome; Impaired Dentition; Risk for complicated Grieving; Noncompliance; Imbalanced Nutrition: less than body requirements; Imbalanced Nutrition: more than body requirements; Risk for imbalanced Nutrition: more than body requirements; Readiness for enhanced Nutrition; Impaired Oral mucous membrane; Risk for Poisoning; Hearing loss; Vision loss; Risk for Suffocation; Overflow urinary Incontinence; Reflex urinary Incontinence; Impaired Urinary elimination; Readiness for enhanced Urinary elimination; Urinary retention
Keith A. Anderson, PhD
Readiness for enhanced family Coping
Sharon Baranoski, MSN, RN, CWCN, APN-CCNS, FAAN
Impaired Skin integrity; Risk for impaired Skin integrity; Impaired Tissue integrity
Nancy Albright Beyer, RN, CEN, MSN
Diarrhea; Risk for impaired Liver function; Dysfunctional gastrointestinal Motility
Kathaleen C. Bloom, PhD, CNM
Ineffective Health maintenance; Impaired Home maintenance; Deficient Knowledge; Readiness for enhanced Knowledge
Lisa Burkhart, PhD, RN
Moral Distress; Impaired Religiosity; Readiness for enhanced Religiosity; Spiritual distress; Readiness for enhanced Spiritual well-being
Emilia Campos de Carvalho, RN, PhD
Risk for vascular Trauma
Stacey M. Carroll, PhD, ANP-BC
Readiness for enhanced Communication; Impaired verbal Communication
Stephanie C. Christensen, PhD, CCC-SLP
Impaired Swallowing
June M. Como, RN, MSA, MS, EdD(c), CNS
Stress overload, Risk for Shock, Risk for Bleeding
Elizabeth Crago, RN, MSN, PhD
Autonomic dysreflexia
Maryanne Crowther, DNP, APN, CCRN
Decreased Cardiac output; Risk for decreased Cardiac perfusion
Ruth M. Curchoe, RN, MSN, CIC
Risk for Infection; Ineffective Protection
Helen de Graaf-Waar, CNS, RN
Grieving
Mary DeWys, RN, BS, CIMI
Risk for impaired Attachment; Disorganized Infant behavior
Susan Dirkes, BSN, MSA, CCRN
Excess fluid volume; Deficient fluid volume; Readiness for enhanced fluid balance; Risk for electrolyte imbalance
Roberta B. Dobrzanski, MSN, RN
Risk for disproportionate Growth
Julianne E. Doubet, BSN, RN, CEN, NREMT-P
Ineffective Denial; Risk for Loneliness; Rape-Trauma syndrome; Social isolation; Risk for Trauma
Lorraine Duggan, MSN, RN, ACNP, AHNP
Activity Intolerance; Ineffective peripheral tissue Perfusion
Shelly Eisbach, PhD, RN
Risk for compromised Resilience; Impaired individual Resilience; Readiness for enhanced Resilience
Dawn Fairlie, ANP, FNP, GNP, DNS(c)
Decisional Conflict; Ineffective community Coping; Readiness for enhanced community Coping; Readiness for enhanced Decision-Making; Ineffective family Therapeutic regimen management