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Pour calculer l'évaluation globale en nombre d'étoiles et la répartition en pourcentage par étoile, nous n'utilisons pas une moyenne simple. It also offers 56,000 definitions - with 2,400 brand new to the 20th edition -. Citation. RELATED FACTORS Interruption of ﬂow— arterial, venous; Exchange problems; Hypervolemia, hypovolemia; Mechanical reduction of venous and/or arterial blood ﬂow; Decreased hemoglobin concentration in blood; Altered afﬁnity of hemoglobin for oxygen; enzyme poisoning; Impaired transport of the oxygen across alveolar and/or capillary membrane; Mismatch of ventilation with blood ﬂow; Hypoventilation DEFINING CHARACTERISTICS Renal Objective: Altered blood pressure outside of acceptable parameters; Oliguria or anuria; hematuria; Arterial pulsations; bruits; Elevation in BUN/Creatinine ratio Cerebral Objective: Altered mental status; speech abnormalities; Behavioral changes; [restlessness]; changes in motor response; extremity weakness or paralysis; Changes in pupillary reactions; Difﬁculty in swallowing Cardiopulmonary Subjective: Chest pain; Dyspnea; Sense of “impending doom”; Objective: Dysrhythmias; Capillary reﬁll greater than sec; Altered respiratory rate outside of acceptable parameters; Use of accessory muscles; nasal ﬂaring; chest retraction; Bronchospasms; Abnormal arterial blood gases; [Hemoptysis] Gastrointestinal Subjective: Nausea; Abdominal pain or tenderness; Objective: Hypoactive or absent bowel sounds; Abdominal distention; [Melena] Peripheral Subjective: Claudication; Objective: Altered skin characteristics (hair, nails, moisture); Skin temperature changes; Skin discolorations; skin color diminished; color pale on 2784 Appendix N7 Nursing Diagnoses elevation, color does not return on lowering leg; Altered sensations; Blood pressure changes in extremities; weak or absent pulses; Edema; Slow healing of lesions; Positive Homans’ sign TRANSFER ABILITY, IMPAIRED Diagnostic Division: Safety Deﬁnition: Limitation of independent movement between two nearby surfaces RELATED FACTORS To be developed; [Conditions that result in poor muscle tone]; [Cognitive impairment]; [Fractures, trauma, spinal cord injury] DEFINING CHARACTERISTICS Impaired ability to transfer: from bed to chair and chair to bed, chair to car or car to chair, chair to ﬂoor or ﬂoor to chair, standing to ﬂoor or ﬂoor to standing, on or off a toilet or commode, in and out of tub or shower, between uneven levels TRAUMA, RISK FOR Diagnostic Division: Safety Deﬁnition: Accentuated risk of accidental tissue injury (e.g., wound, burn, fracture) RISK FACTORS Internal (individual) Weakness; Balancing difﬁculties; Reduced large, or small, muscle coordination, hand/ eye coordination; Poor vision; Reduced temperature and/or tactile sensation; Lack of safety education/precautions; Insufﬁcient ﬁnances to purchase safety equipment or to effect repairs; Cognitive or emotional difﬁculties; History of previous trauma External (environmental) [includes but is not limited to:] Slippery ﬂoors (e.g., wet or highly waxed); unanchored rug; litter or liquid spills on ﬂoors or stairways; snow or ice collected on stairs, walkways); Bathtub without hand grip or antislip equipment; Use of unsteady ladder or chairs; Obstructed passageways; entering unlighted rooms; Unsturdy or absent stair rails; children playing without gates at top of stairs; Unanchored electric wires; High beds; inappropriate call-for-aid mechanisms for bedresting client; Unsafe window protection in homes with young children; Pot handles facing toward front of stove; bathing in very hot water (e.g., unsupervised bathing of young children); Potential igniting of gas leaks; delayed lighting of gas burner or oven; Unscreened ﬁres or heaters; wearing of plastic aprons or ﬂowing clothing around open ﬂame; highly ﬂammable children’s toys or clothing; Smoking in bed or near oxygen; grease waste collected on stoves; Children playing with matches, candles, cigarettes; Playing with ﬁreworks or gunpowder; guns or ammunition stored unlocked Experimenting with chemical or gasoline; inadequately stored combustibles or corrosives (e.g., matches, oily rags, lye; contact with acids or alkalkis); Overloaded fuse boxes; faulty electrical plugs, frayed wires, or defective appliances; overloaded electrical outlets; Exposure to dangerous machinery; contact with rapidly moving machinery, industrial belts, or pulleys; Sliding on coarse bed linen or struggling within bed [/chair] restraints; Contact with intense cold; overexposure to sun, sun lamps, radiotherapy; Use of thin or worn-out pot holders [or mitts]; Use of cracked dishware glasses; Knives stored uncovered; children playing with sharp-edged toys; Large icicles hanging from roof; High-crime neighborhood and vulnerable clients; Driving a mechanically unsafe vehicle; driving at excessive speeds; driving without the necessary visual aids; Driving after partaking of alcoholic beverages or [other] drugs; Children riding in the front seat of car, nonuse or misuse of seat restraints/[unrestrained infant/child riding in car]; Misuse [or nonuse] of necessary headgear for motorized cyclists or young children carried on adult bicycles; Unsafe road or road-crossing conditions playing or working near vehicle pathways (e.g., driveways, lanes, railroad tracks) URINARY ELIMINATION, IMPAIRED Diagnostic Division: Elimination Deﬁnition: Disturbance in urine elimination Appendix N7– Nursing Diagnoses in Alphabetical Order 2785 RELATED FACTORS Multiple causality, including: sensory motor impairment; anatomical obstruction; urinary tract infection; [mechanical trauma; surgical diversion; ﬂuid/volume states; psychogenic factors] DEFINING CHARACTERISTICS Subjective Frequency; urgency; Hesitancy; Dysuria; Nocturia; [enuresis] Objective Incontinence; Retention URINARY ELIMINATION, READINESS FOR ENHANCED Diagnostic Division: Elimination Deﬁnition: A pattern of urinary functions that is sufﬁcient for meeting eliminatory needs and can be strengthened RELATED FACTORS To be developed DEFINING CHARACTERISTICS Subjective Expresses willingness to enhance urinary elimination Objective Urine is straw colored with no odor; Speciﬁc gravity is within normal limits; Amount of output is within normal limits for age and other factors; Positions self for emptying of bladder; Fluid intake is adequate for daily needs URINARY RETENTION [ACUTE/CHRONIC] Diagnostic Division: Elimination Deﬁnition: Incomplete emptying of the bladder [High urethral pressure inhibits voiding until increased abdominal pressure causes urine to be involuntarily lost, or high urethral pressure inhibits timely/complete emptying of bladder.] Cart All. Citation. Rent Taber's Cyclopedic Medical Dictionary 20th edition (978-0803612075) today, or search our site for other textbooks by Thomas. Taber's Cyclopedic Medical Dictionary 23rd Edition $39.99 Put the language of nursing, medicine and the healthcare professions at your fingertips. Citation. tabers cyclopedic medical dictionary 20th edition book only Oct 29, 2020 Posted By Dr. Seuss Publishing TEXT ID 45901647 Online PDF Ebook Epub Library Tabers Cyclopedic Medical Dictionary 20th Edition Book Only INTRODUCTION : #1 Tabers Cyclopedic Medical * Book Tabers Cyclopedic Medical Dictionary 20th Edition Book Only * Uploaded By Dr. Seuss, the tabers is the authority of all medical information … Impossible d'ajouter l'article à votre liste. RELATED FACTORS High urethral pressure caused by weak [/absent] detrusor; Inhibition of reﬂex arc; Strong sphincter; Blockage [e.g., BPH, perineal swelling]; [Habituation of reﬂex arc]; [Use of medications with side effect of retention (e.g., atropine, belladonna, psychotropics, antihistamines, opiates)]; [Infections]; [Neurologic diseases/trauma] DEFINING CHARACTERISTICS Subjective Sensation of bladder fullness; Dribbling; Dysuria Objective Bladder distention; Small, frequent voiding or absence of urine output; Residual urine [150 ml or more]; Overﬂow incontinence; [Reduced stream] VENTILATION, IMPAIRED SPONTANEOUS Diagnostic Division: Respiration Deﬁnition: Decreased energy reserves results in an individual’s inability to maintain breathing adequate to support life RELATED FACTORS Metabolic factors; [hypermetabolic state (e.g., infection), nutritional deﬁcits/depletion of energy stores]; Respiratory muscle fatigue; [Airway size/resistance; problems with secretion management] DEFINING CHARACTERISTICS Subjective Dyspnea; Apprehension 2786 Appendix N7 Nursing Diagnoses Objective Increased metabolic rate; Increased heart rate; Increased restlessness; Decreased cooperation; Increased use of accessory muscles; Decreased tidal volume; Decreased PO ; Decreased SaO ; Increased PCO 2 VENTILATORY WEANING RESPONSE, DYSFUNCTIONAL (DVWR) Diagnostic Division: Respiration Deﬁnition: Inability to adjust to lowered levels of mechanical ventilator support, that interrupts and prolongs the weaning process RELATED FACTORS Physical Ineffective airway clearance; Sleep pattern disturbance; Inadequate nutrition; Uncontrolled pain or discomfort; [Muscle weakness/fatigue, inability to control respiratory muscles; immobility] Psychological Knowledge deﬁcit of the weaning process, patient role; Patient-perceived inefﬁcacy about the ability to wean; Decreased motivation; Decreased self-esteem; Anxiety (moderate, severe); fear; insufﬁcient trust in the nurse; Hopelessness; Powerlessness; [Unprepared for weaning attempt] Situational Uncontrolled episodic energy demands or problems; Inappropriate pacing of diminished ventilator support; Inadequate social support; Adverse environment (noisy, active environment, negative events in the room, low nurse-patient ratio, extended nurse absence from bedside, unfamiliar nursing staff); History of ventilator dependence Ͼ1 week; History of multiple unsuccessful weaning attempts DEFINING CHARACTERISTICS Responds to lowered levels of mechanical ventilator support with: Mild DVWR Subjective Expressed feelings of increased need for oxygen, breathing discomfort, fatigue, warmth; Queries about possible machine malfunction Objective Restlessness; Slight increased respiratory rate from baseline; Increased concentration on breathing Moderate DVWR Subjective Apprehension Objective Slight increase from baseline blood pressure 20 mm Hg; Slight increase from baseline heart rate 20 beats/min; Baseline increase in respiratory rate breaths/min; Hypervigilance to activities; Inability to respond to coaching/cooperate; Diaphoresis; Eye widening, “wide-eyed look”; Decreased air entry on auscultation; Color changes: pale, slight cyanosis; Slight respiratory accessory muscle use Severe DVWR Objective Agitation; Deterioration in arterial blood gases from current baseline; Increase from baseline blood pressure 20 mm Hg; Increase from baseline heart rate 20 beats/min; Respiratory rate increases signiﬁcantly from baseline; Profuse diaphoresis; Full respiratory accessory muscle use; Shallow, gasping breaths; Paradoxical abdominal breathing; Discoordinated breathing with the ventilator; Decreased level of consciousness; Adventitious breath sounds, audible airway secretions; Cyanosis VIOLENCE, [ACTUAL]/RISK FOR OTHER-DIRECTED Diagnostic Division: Safety Deﬁnition: Behaviors in which an individual demonstrates that he/she can be physically, emotionally, and/or sexually harmful to others Appendix N7– Nursing Diagnoses in Alphabetical Order 2787 RISK FACTORS History of violence: against others (e.g., hitting, kicking, scratching, biting or spitting, throwing objects at someone; attempted rape, rape, sexual molestation, urinating/ defecating on a person); Threats (e.g, verbal threats against property/person, social threats, cursing, threatening notes/letters or gestures, sexual threats); Antisocial behavior (e.g., stealing, insistent borrowing, insistent demands for privileges, insistent interruption of meetings; refusal to eat or take medication, ignoring instructions); Indirect (e.g., tearing off clothes, urinating/defecating on ﬂoor, stamping feet, temper tantrum; running in corridors, yelling, writing on walls, ripping objects off walls, throwing objects, breaking a window, slamming doors; sexual advances) OTHER FACTORS Neurological impairment (e.g., positive ECG, CT, or MRI; head trauma; positive neurological ﬁndings; seizure disorders, [temporal lobe epilepsy]); Cognitive impairment (e.g., learning disabilities, attention deﬁcit disorder, decreased intellectual functioning); [organic brain syndrome]; History of childhood abuse/witnessing family violence, [negative role modeling]; cruelty to animals; ﬁresetting; Prenatal and perinatal complications/abnormalities; History of drug/alcohol abuse; pathological intoxication, [toxic reaction to medication]; Psychotic symptomatology (e.g, auditory, visual, command hallucinations; paranoid delusions; loose, rambling, or illogical thought processes); [panic states; rate reactions; catatonic/manic excitement]; Motor vehicle offenses (e.g., frequent trafﬁc violations, use of motor vehicle to release anger); Suicidal behavior, impulsivity; availability and/or possession of weapon(s); Body language: rigid posture, clenching of ﬁsts and jaw, hyperactivity, pacing, breathlessness, threatening stances; [Hormonal imbalance (e.g., premenstrual syndrome, postpartal depression/psychosis)]; [Expressed intent/desire to harm others directly or indirectly]; [Almost continuous thoughts of violence] VIOLENCE, [ACTUAL]/RISK FOR SELF-DIRECTED Diagnostic Division: Safety Deﬁnition: Behaviors in which an individual demonstrates that he/she can be physically, emotionally, and/or sexually harmful to self RISK FACTORS Age 15– 19, over 45; Marital status (single, widowed, divorced) ; Employment (unemployed, recent job loss/failure); occupation (executive, administrator, owner of business, professional, semiskilled worker); Conﬂictual interpersonal relationships; Family background (chaotic or conﬂictual, history of suicide); Sexual orientation: bisexual (active), homosexual (inactive); Physical health (hypochondriac, chronic or terminal illness); Mental health (severe depression, psychosis, severe personality disorder, alcoholism or drug abuse); Emotional status (hopelessness, despair [lifting of depressed mood]; increased anxiety, panic, anger, hostility); history of multiple suicide attempts; suicidal ideation (frequent, intense, prolonged); suicide plan (clear and speciﬁc; lethality: method and availability of destructive means); Personal resources (poor achievement, poor insight, affect unavailable and poorly controlled); Social resources (poor rapport, socially isolated, unresponsive family); Verbal clues (e.g., talking about death, “better off without me,” asking questions about lethal dosages of drugs; Behavioral clues (e.g., writing forlorn love notes, directing angry messages at a signiﬁcant other who has rejected the person, giving away personal items, taking out a large life insurance policy); Persons who engage in autoerotic sexual acts [e.g., asphyxiation] WALKING, IMPAIRED Diagnostic Division: Safety Deﬁnition: Limitation of independent movement within the environment on foot RELATED FACTORS To be developed; [Condition affecting muscles/joints impairing ability to walk] DEFINING CHARACTERISTICS Impaired ability to walk required distances, walk on an incline/decline, or walk on uneven surfaces, to navigate curbs, climb stairs 2788 Appendix N7 Nursing Diagnoses WANDERING [Specify sporadic or continual] Diagnostic Division: Safety Deﬁnition: Meandering, aimless or repetitive locomotion that exposes the individual to harm; frequently incongruent with boundaries, limits, or obstacles RELATED FACTORS Cognitive impairment, speciﬁcally memory and recall deﬁcits, disorientation, poor visuoconstructive (or visuospatial) ability, language (primarily expressive) defects; Cortical atrophy; Premorbid behavior (e.g., outgoing, sociable personality; premorbid dementia); Separation from familiar people and places; Emotional state, especially frustration, anxiety, boredom, or depression (agitation); Physiological state or need (e.g., hunger/thirst, pain, urination, constipation); Over/understimulating social or physical environment; Sedation; Time of day DEFINING CHARACTERISTICS Objective Frequent or continuous movement from place to place, often revisiting the same destinations; Persistent locomotion in search of “missing” or unattainable people or places; Scanning, seeking, or searching behaviors; Haphazard locomotion; Fretful locomotion or pacing; Long periods of locomotion without an apparent destination; Locomotion into unauthorized or private spaces; Trespassing; Locomotion resulting in unintended leaving of a premise; Inability to locate signiﬁcant landmarks in a familiar setting; Getting lost; Locomotion that cannot be easily dissuaded or redirected; Following behind or shadowing a caregiver’s locomotion; Hyperactivity; Periods of locomotion interspersed with periods of nonlocomotion (e.g., sitting, standing, sleeping) Notes F A Davis offers Taber’s in print, on CD, online, and for your PDA Which version of Taber’s is right for you? $ 21.01 ; or Best Offer +C $ 43.37 Shipping ; from United ;... 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