Nursing Care Plan Chart - Assessment Of Universal Self Care Requisites Page 4
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4NEUROSENSORY
NEUROSENSORY
Adaptive capacity, decreased –intracranial
Confusion, acute
Confusion, acute
Confusion, chronic
Confusion, chronic
Infant behavior, disorganized
Dysreflexia, autonomic
Infant behavior, disorganized, risk for
Dysreflexia, risk for autonomic
Infant behavior, organized, readiness for
Infant behavior, disorganized
enhanced
Infant behavior, disorganized, risk for
Memory, impaired
Infant behavior, organized, potential for
Peripheral neurovascular dysfunction, risk for
enhancement
Sensory-perceptual disturbed (specify):
Memory, impaired
visual, auditory, kinethetic, gustatory, tactile,
Peripheral neurovascular dysfunction, risk for
olfactory
Sensory-perceptual alterations (specify):
visual, auditory, kinethetic, gustatory, tactile,
olfactory
NORMALCY
Thought process, disturbed
EGO INTEGRITY
Fear
SEXUALITY (COMPONENT OF EGO
Grieving, anticipatory
INTEGRITY AND SOCIAL INTERACTION)
Grieving, dysfunctional
Sexual dysfunction
Hopelessness
Sexuality patterns, ineffective
Personal identity disturbed
Post-trauma syndrome
Post-trauma syndrome, risk for
HAZARDS
Spiritual well-being, Readiness for enhanced
SAFETY
Body temperature, imbalanced, risk for
TEACHING/LEARNING
Environmental interpretation syndrome,
impaired
Development, risk for delayed
Falls, risk for
Growth and development, delayed
Health maintenance, ineffective
Growth, Risk for disproportionate
Home Maintenance, impaired
Health-seeking behaviors (specify)
Hyperthermia
Knowledge deficient (specify)
Hypothermia/infection, risk for
Knowledge [specify], readiness for enhanced
Infection: Risk for or actual
Management of therapeutic regime,
Injury, risk for
effective
Latex allergy, response
Management of therapeutic regime,
Latex allergy response, risk for
Ineffective
Mobility impaired, physical
Management of therapeutic regime,
Mobility impaired, bed
readiness for enhanced
Mobility impaired, wheelchair
Management of therapeutic regimen:
Perioperative positioning injury, risk for
Community, ineffective
Poisoning, risk for
Management of therapeutic regimen, family
Protection, ineffective
Ineffective
Self-mutilation
Non-compliance [compliance, altered] (specify)
Self-mutilation, risk for
Skin integrity, impaired
Skin integrity, impaired, risk for
Suffocation, risk for
Suicide, risk for
Surgical recovery, delayed
Thermoregulation ineffective
Tissue integrity, impaired
Trauma, risk for
Violence, other directed, risk for
Violence, self directed, risk for
Wandering
Revised: 2004
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