常见护理诊断
常用护理诊断 营养失调:高于机体需要量,Altered nutrition:More than body requirements,
营养失调:低于机体需要量,Altered Nutrition: less than body requirements,
有外伤的危险,Risk for trauma,
有感染的危险,Risk for infection,
体温过高,Hyperthermia,
便秘,Constipation,
尿潴留,Urinary retention,
组织灌注量改变,肾、脑、心肺、胃肠、周围血管,,Altered tissue perfusion,renal,
cereral,cardiopulmonary gastrointestinal,peripheral, 体液过多,Fluid volume excess,
体液不足,Fluid volume deficit,
体液不足的危险,Risk for fluid volume deficit, 心输出量减少,Decreased cardiac output,
清理呼吸道无效,Ineffective airway clearance, 低效性呼吸型态,Ineffective breathing pattern, 有受伤的危险,Risk for Injury,
有窒息的危险,Risk for suffocation,
组织完整性受损,Impaired tissue integrity,
口腔粘膜改变,Altered oral mucous membrane, 皮肤完整性受损,Impaired skin integrity,
有皮肤完整性受损的危险,Risk for impaired skin integrity,
躯体移动障碍,Impaired physical mobility, 活动无耐力,Activity Intolerance,
睡眠状态紊乱,Sleep pattern disturbance, 自我形象紊乱,Body image disturbance,
知识缺乏,特定的,,Knowledge deficit,,Specify, 疼痛,Pain,
预感性悲哀,Anticipatory grieving,
焦虑,Anxiety,
恐惧,Fear,
渐进性意识模糊,Chronic Confusion,
语言沟通障碍,impaired Verbal Communication, 感知改变,特定的,,视、听、运动、味、触、嗅,,Sensory,Perceptual alterations,
,specify,,Visual,Auditory,Kinesthetic,Gustatory,Tactile,Olfactory,
生活自理障碍,Self care deficit,
自尊紊乱,Self esteem disturbance,