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Chapter 6 Pulmonary Care Plans
Acute Respiratory Distress Syndrome (ARDS): Acute Lung Injury;
Noncardiogenic Pulmonary Edema; Stiff Lung; Wet Lung
Asthma: Bronchial Asthma; Status Asthmaticus
Chest Trauma: Pneumothorax; Tension Pneumothorax; Flail Chest;
Fractured Ribs; Pulmonary Contusion; Hemothorax; Myocardial
Contusion; Cardiac Tamponade
Chronic Obstructive Pulmonary Disease: Chronic Bronchitis;
Emphysema
Cystic Fibrosis
Drowning
Head and Neck Cancer: Surgical Approaches: Radical Neck Surgery;
Laryngectomy
Lung Cancer: Squamous Cell Carcinoma; Small Cell Carcinoma; Non–
Small Cell Carcinoma; Adenocarcinoma; Large Cell Tumors
Mechanical Ventilation: Ventilator; Endotracheal Tube; Intubation;
Ventilator-Associated Pneumonia
Obstructive Sleep Apnea: Sleep-Disordered Breathing
Pneumonia: Pneumonitis; Community-Acquired Pneumonia (CAP);
Hospital-Acquired Pneumonia (HAP); Aspiration Pneumonia
Pneumothorax With Chest Tube: Collapsed Lung; Tension
Pneumothorax
Pulmonary Embolism: Thromboembolism (VTE); Deep Vein
Thrombosis (DVT)
Pulmonary Tuberculosis: TB; Mycobacterium Tuberculosis
Respiratory Failure, Acute: Ventilatory Failure; Oxygenation Failure
Thoracotomy: Chest Surgery; Thoracic Surgery; Lobectomy;
Segmental Resection; Wedge Resection; Thoracostomy;
Pneumonectomy
Tracheostomy: Artificial Airway; Tracheotomy; Stoma
Chapter 7 Neurological Care Plans
Alzheimer's Disease/Dementia: Multi-Infarct Dementia (MID);
Dementia of the Alzheimer Type (DAT)
Amyotrophic Lateral Sclerosis: Lou Gehrig's Disease; Motor Neuron
Disease; Progressive Bulbar Palsy; Progressive Muscular Atrophy
Carpal Tunnel Syndrome: Repetitive Stress Injury; Median Nerve
Compression
Craniotomy: Craniectomy; Burr Hole; Cranioplasty; Cranial Surgery;
Stereotactic Surgery
Headache: Migraine, Cluster, Tension
Intracranial Infection: Meningitis; Encephalitis; Brain Abscess
Intervertebral Disk Disease: Low Back Pain, Herniated Disk; Slipped
Disk; Ruptured Disk; Sciatica; Laminectomy
Lyme Disease
Multiple Sclerosis: Disseminated Sclerosis; Demyelinating Disease
Myasthenia Gravis: Myasthenic Crisis; Cholinergic Crisis
Parkinson's Disease: Parkinsonism
Seizure Activity: Epilepsy; Seizure Disorder; Convulsion
Spinal Cord Injury: Tetraplegia; Quadriplegia; Paraplegia; Neurogenic
Shock; Spinal Shock
Stroke: Brain Attack; Cerebrovascular Accident (CVA); Ischemic
Stroke; Thrombotic Stroke; Embolic Stroke; Hemorrhagic Stroke
Transient Ischemic Attack: Transient Ischemic Attack (TIA); Carotid
Endarterectomy; Carotid Artery Stent
Traumatic Brain Injury: Head Trauma; Closed Head Trauma; Skull
Fracture; Subdural Hematoma; Concussion
West Nile Virus
Chapter 8 Gastrointestinal and Digestive Care Plans
Bariatric Surgery: Overweight; Obesity; Gastric Banding; Gastric
Bypass
Bowel Diversion Surgery: Colostomy, Ileostomy: Fecal Diversion;
Stoma
Cholecystectomy: Laparoscopic/Open, Postoperative Care
Cirrhosis: Laënnec's Cirrhosis; Hepatic Encephalopathy; Ascites;
Liver Failure
Colorectal Cancer: Colon Cancer; Rectal Cancer; Bowel Resection;
Hemicolectomy; Colectomy
Gastroenteritis: Food Poisoning; Stomach Flu; Traveler's Diarrhea
Gastrointestinal Bleeding: Lower Gastrointestinal Bleed; Upper
Gastrointestinal Bleed; Esophageal Varices; Ulcers
Hemorrhoids/Hemorrhoidectomy: Rectal Polyps; Piles
Hepatitis: Serum Hepatitis; Infectious Hepatitis; Viral Hepatitis
Inflammatory Bowel Disease: Crohn's Disease; Ulcerative Colitis;
Diverticulitis
Pancreatitis, Acute
Peptic Ulcer Disease: Duodenal Ulcers; Gastric Ulcers; Stress-
Induced Ulcers
Chapter 9 Musculoskeletal Care Plans
Amputation, Lower Extremity
Arthritis, Rheumatoid
Arthroscopy
Fibromyalgia: Fibromyalgia Syndrome; Fibromyositis; Fibrositis
Fractures: Extremity and Pelvic: Closed Reduction; Open Reduction;
Internal Fixation; External Fixation
Joint Arthroplasty/Replacement: Total Hip, Knee, Shoulder
Osteoarthritis
Osteomyelitis: Bone Infection
Osteoporosis: Brittle Bone
Traction: Skeletal Traction; Skin Traction
Chapter 10 Hematolymphatic, Immunological, and Oncological Care
Plans
Anemia: Iron Deficiency; Cobalamin (Vitamin B12) Deficiency;
Pernicious Anemia; Aplastic Anemia
Cancer Chemotherapy
Cancer Radiation Therapy: External Beam; Brachytherapy;
Teletherapy; Radiotherapy
Disseminated Intravascular Coagulation: Coagulopathy; Defibrination
Syndrome; DIC
Hematopoietic Stem Cell Collection: Bone Marrow Donor; Bone
Marrow Transplantation; Apheresis; Peripheral Blood Stem Cell
Donor; Autologous; Allogenic; Syngeneic
Hematopoietic Stem Cell Transplantation: Bone Marrow Transplant;
Peripheral Blood Stem Cell Transplant
Hemophilia: Clotting Abnormality; Factor VIII Deficiency; Factor IX
Deficiency; Hemophilia A; Hemophilia B
Human Immunodeficiency Virus (HIV) Disease: Acquired
Immunodeficiency Syndrome (AIDS)
Leukemia, Adult: Acute Lymphocytic Leukemia; Acute Myelocytic
Leukemia; Chronic Lymphocytic Leukemia; Lymphocytic Leukemia;
Chronic Myelocytic Leukemia; Nonlymphocytic Leukemia;
Myelogenous Leukemia; Granulocytic Leukemia
Lymphoma: Hodgkin's Lymphoma; Non-Hodgkin's Lymphoma
Multiple Myeloma: Plasma Cell Myeloma; Monoclonal Gammopathy
of Undetermined Significance (MGUS)
Neutropenia: Granulocytopenia
Organ Transplantation, Solid: Heart Transplantation; Lung
Transplantation; Liver Transplantation; Kidney Transplantation; Living
Kidney Donors
Sickle Cell Disease: Vasoocclusive Event; Sickle Cell Pain Crisis;
Sickle Cell Anemia
Systemic Lupus Erythematosus: SLE; Lupus
Chapter 11 Renal and Urinary Tract Care Plans
Acute Kidney Injury: Acute Tubular Necrosis (ATN); Renal
Insufficiency; Acute Renal Failure
Chronic Kidney Disease (CKD): Uremia; Renal Failure; Chronic/End-
Stage Renal Disease
Glomerulonephritis: Acute Poststreptococcal Glomerulonephritis;
Acute Glomerulonephritis; Rapidly Progressive Glomerulonephritis;
Chronic Glomerulonephritis
Hemodialysis: Internal Arteriovenous Fistula; Graft; Central Venous
Catheter; Renal Replacement Therapy
Peritoneal Dialysis: Intermittent Peritoneal Dialysis; Continuous
Ambulatory Peritoneal Dialysis; Continuous Cyclic Peritoneal Dialysis;
Renal Replacement Therapy
Renal Calculi: Kidney Stones; Urolithiasis; Nephrolithiasis; Staghorn
Calculi
Urinary Diversion: Bladder Cancer; Ileal Conduit; Koch Pouch;
Nephrostomy; Sigmoidostomy; Ureterostomy; Vesicostomy
Urinary Tract Infection: UTI; Pyelonephritis; Cystitis; Urethritis;
Nephritis
Chapter 12 Men's and Women's Health Care Plans
Gender Dysphoria: Gender Identity; Transgender; Transsexual;
Transman; Transwoman; Sex Reassignment Surgery
Sexually Transmitted Diseases
Benign Prostatic Hyperplasia
Erectile Dysfunction: Impotence
Prostate Cancer: Radical Prostatectomy; Localized Prostate Cancer
Testicular Cancer
Breast Cancer/Surgical Management With Breast Reconstruction
Option
Cervical Cancer
Hysterectomy: Salpingectomy; Oophorectomy; Total Abdominal
Hysterectomy; Cervical Cancer
Menopause: Perimenopause; Hormone Therapy
Ovarian Cancer
Pelvic Inflammatory Disease: Sexually Transmitted Infection (STI);
Salpingitis; Oophoritis
Pelvic Relaxation Disorder: Pelvic Floor Disorders; Uterine Prolapse;
Enterocele; Cystocele; Rectocele
Premenstrual Syndrome: Premenstrual Dysphoric Disorder (PMDD)
Chapter 13 Endocrine and Metabolic Care Plans
Adrenal Insufficiency (Addison's Disease): Addisonian Crisis
Cushing's Disease: Hypercortisolism; Cushing's Syndrome;
Adrenocortical Hyperfunction
Diabetes Insipidus
Diabetes Mellitus: Type 1; Type 2
Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Nonketotic
Syndrome
Hyperthyroidism: Graves' Disease
Hypothyroidism: Myxedema; Goiter
Syndrome of Inappropriate Antidiuretic Hormone (SIADH): Dilutional
Hyponatremia
Thyroidectomy: Hyperthyroidism; Thyrotoxicosis; Thyroid Storm
Chapter 14 Integumentary Care Plans
Burns: Partial Thickness Skin Loss; Full Thickness Skin Loss
Contact Dermatitis: Allergic Contact Dermatitis; Irritant Contact
Dermatitis
Plastic Surgery for Wound Closure: Skin Grafts; Flap Closure;
Myocutaneous Flap
Pressure Ulcers (Impaired Skin Integrity): Pressure Sores; Decubitus
Ulcers; Bedsores
Psoriasis
Shingles: Herpes Zoster
Skin Cancer: Basal Cell Carcinoma; Squamous Cell Carcinoma;
Malignant Melanoma
Index
Quick Care Plan Locator
Copyright
1600 John F. Kennedy Blvd.
St. Louis, Missouri 63043
NURSING CARE PLANS, NINTH EDITION ISBN: 978-0-323-
42818-7
Copyright © 2017 by Elsevier, Inc. All rights reserved.
Nursing Diagnoses: Definitions and Classification 2015-2017
©2015, 2012, 2009, 2007, 2005, 2003, 2001, 1998, 1996, 1994 NANDA
International. Used by arrangement with Blackwell Publishing
Limited, a company of John Wiley and Sons, Inc. In order to make
safe and effective judgments using NANDA-I nursing diagnoses it is
essential that nurses refer to the definitions and defining
characteristics of the diagnoses listed in the work.
No part of this publication may be reproduced or transmitted in any
form or by any means, electronic or mechanical, including
photocopying, recording, or any information storage and retrieval
system, without permission in writing from the publisher. Details on
how to seek permission, further information about the Publisher's
permissions policies and our arrangements with organizations such as
the Copyright Clearance Center and the Copyright Licensing Agency,
can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are
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protected under copyright by the Publisher (other than as may be
noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As
new research and experience broaden our understanding, changes in
research methods, professional practices, or medical treatment may
become necessary.
Practitioners and researchers must always rely on their own
experience and knowledge in evaluating and using any information,
methods, compounds, or experiments described herein. In using such
information or methods they should be mindful of their own safety
and the safety of others, including parties for whom they have a
professional responsibility.
With respect to any drug or pharmaceutical products identified,
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 practitioners, relying on their own experience
and knowledge of their patients, 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 authors,
contributors, or editors, assume any liability for any injury and/or
damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any
methods, products, instructions, or ideas contained in the material
herein.
Previous editions copyrighted 2014, 2011, 2007, 2003, 1998, 1994,
1990, and 1986.
Library of Congress Cataloging-in-Publication Data
Names: Gulanick, Meg, editor. | Myers, Judith L., editor.
Title: Nursing care plans : diagnoses interventions, & outcomes /
[edited by] Meg Gulanick, Judith L. Myers.
Description: 9th edition. | St. Louis, Missouri : Mosby, an imprint of
Elsevier Inc., [2017] | Includes bibliographical references and index.
Identifiers: LCCN 2016038099 | ISBN 9780323428187 (pbk. : alk.
paper)
Subjects: | MESH: Patient Care Planning | Nursing Diagnosis |
Nursing Care | Outcome Assessment (Health Care) | Handbooks
Classification: LCC RT49 | NLM WY 49 | DDC 610.73–dc23 LC
record available at https://lccn.loc.gov/2016038099
Executive Content Strategist: Lee Henderson
Content Development Manager: Lisa Newton
Senior Content Development Specialist: Danielle M. Frasier
Publishing Services Manager: Jeff Patterson
Book Production Specialist: Carol O'Connell
Design Direction: Ashley Miner
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Contributors
We wish to express our ongoing gratitude to those who contributed to
previous editions of this book, especially the following:
Virginia B. Bowman
Judy Lau Carino
Debra L. Cason
Pamela Cianci
Marianne T. Cosentino
Sandra Coslet
Paula Cox-North
Jennifer L. Crosby
Gail DeLuca
Lisa C. Dobogai
Amy Dolce
Linda Flemm
Patricia J. Friend
Katrina Gallagher
Nadia Goraczkowski-Jones
Rebecca Hagensee
Mary Ellen Hand
Margo S. Henderson
Connie Huberty
Judi Jennrich
Linda Kamenjarin
Tamara M. Kear
Catherine A. Kefer
Vicki A. Keough
Lucina Kimpel
Katherine T. Leslie
MariJo Letizia
Mary Jo Mikottis
Shelby J. Neel
Linda Denise Oakley
Linda Ohler
Kelly Oney
Judy K. Orth
Sue Penckofer
Joanne Pfeiffer
Dottie Roberts
Kathy G. Supple
Terry D. Takemoto
Geraldine Tansey
Stacy VandenBranden
Carol White
Jeffrey Zurlinden
We also want to acknowledge the prior editors of this classic book:
Deidra Gradishar, Susan Galanes, Audrey Klopp, and Michele Knoll
Puzas, who provided the foundation for Nursing Care Plans:
Diagnoses, Interventions, & Outcomes as it is known today.
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