NANDA’s Nursing Diagnoses: Definitions and Classification

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Ineffective Health Maintenance (00099) (1982) Domain 1: Health Promotion Class 2: Health Management Definition: Inability to identify, manage, and/or seek out help to maintain health Defining Char... acteristics: Demonstrated lack of adaptive behaviors to environmental changes, Demonstrated lack of knowledge about basic health practices, Lack of expressed interest in improving health behaviors, History of lack of health-seeking behavior, Inability to take responsibility for meeting basic health practices, Impairment of personal support systems Related Factors: Cognitive impairment, Complicated grieving, Deficient communication skills, Diminished fine motor skills, Diminished gross motor skills, Inability to make appropriate judgments, Ineffective family coping, Ineffective individual coping, Insufficient resources (e.g., equipment, finances), Lack of fine motor skills, Lack of gross motor skills, Perceptual impairment, Spiritual distress, Unachieved developmental tasks Ineffective Self Health Management (00078) (1994, 2008, LOE 2.1) Domain 1: Health Promotion Class 2: Health Management Definition: Pattern of regulating and integrating into daily living a therapeutic regime for treatment of illness and its sequelae that is unsatisfactory for meeting specific health goals Defining Characteristics: Failure to include treatment regimens in daily living, Failure to take action to reduce risk factors, Makes choices in daily living ineffective for meeting health goals, Verbalizes desire to manage the illness, Verbalizes difficulty with prescribed regimens Related Factors: Complexity of healthcare system, Complexity of therapeutic regimen, Decisional conflicts, Economic difficulties, Excessive demands made (e.g., individual, family), Family conflict, Family patterns of healthcare, Inadequate number of cues to action, Knowledge deficit, Regimen, Perceived barriers, Powerlessness, Perceived seriousness, Perceived susceptibility, Perceived benefits, Social support deficit References Banister N.A., Jastrow, S.T., Hodges, V., Loop, R., & Gillham, M.B. (2004). Diabetes self-management training program in a community clinic improves patient outcomes at modest cost. J Am Dietetic Assoc 104: 807–10. Benavides-Vaello S., Garcia, A.A., Brown, S.A., et al (2004). Using focus group to plan and evaluate diabetes self-management interventions for Mexican Americans. Diabetes Educ 30: 238–56. Bodenheimer, T., Lorig, K., Holman, H., et al (2002). Patient self-management of chronic disease in primary care. JAMA 288: 2469. Brown, C.M. & Segal, R. (1996). Ethnic differences in temporal orientation and its implications for hypertension management. J Health Soc Behav 37: 350. Bythe, F.M., March, L.M., Nicholas, M.K., & Counsins, M.J. (2005). Self-management of chronic pain: a population-based study. Pain 113: 285–92. Chinn, M.H. et al (2000). Developing a conceptual framework for understanding illness and attitudes in older, urban African Americans with diabetes. Diabetes Educ 26: 439. NANDA’S NURSING DIAGNOSES: DEFINITIONS AND CLASSIFICATION Cousins, S.O. (2000). My heart can’t take it: older women’s beliefs about exercise benefits and risks. J Gerontol B Psychol Sci Soc Sci 55B: 283. Curtin, R.B., Sitter, D.C.B., Schatell, D., et al (2004). Self-management, knowledge, and functioning and well being of patients on hemodialysis, Neph Nurs J 31: 378–86. Deakin, T., McShane, C.E., Cade, J.E., & Willams, R.D. (2005). Group-based training for self management strategies in people with type 2 diabetes mellitus. Cochrane Database Sys Rev 18(2): CD003417. DeWalt, D.A., Pignone, M., Malone, R., et al (2004). Development and pilot testing of a disease management program for low literacy patients with heart failure. Patient Educ Couns 55: 78–86. DiLorio, C., Shafer, P.O., Letz, R., Henry, T.R., Schomer, D.I., & Yeager, K. (2004). Project EASE: a study to test a psychosocial model of epilepsy medication management. Epilepsy Behav 5: 926–36. Funnell, M.M. & Anderson, R.M. (2004). Empowerment and self-management of diabetes. Clin Diabetes 22: 123–7. Gallant, M.H., Beaulieu, M.C., & Carnevale, F.A. (2002). Partnership: an analysis of the concept within the nurse-client relationship. J Adv Nurs 40(2): 149. Georges, C.A., Bolton, L.B., & Bennett, C. (2004). Functional health literacy: an issue in African-American and other ethnic and racial communities, J Natl Black Nurses Assoc 15(1): 1–4. Goldberg, H.I., Lessier, D.S., Mertens, K., Eytan, T.A., & Cheadle, A.D. (2004). Self management support in a web-based medical record: A pilot randomized controlled trial. J Comm J Qual Saf 30: 629–35, 589. Goodwin, J.S., Black, S.A., & Satish, S. (1999). Aging versus disease: the opinions of older black, Hispanic, and non-Hispanic white Americans about the causes and treatment of common medical conditions. J Am [Show More]

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