Selected Nursing Diagnoses by Medical Diagnosis (O and P)

Obesity

■ Imbalance nutrition: more than body requirements

■ Readiness for enhanced nutrition

■ Readiness for enhanced selfconcept

■ Risk for constipation

■ Risk for impaired skin integrity

■ Situational low self-esteem

■ Stress urinary incontinence

Obsessive–compulsive disorder

■ Anxiety

■ Decisional conflict

■ Disturbed personal identity

■ Impaired home maintenance

■ Ineffective coping

■ Ineffective denial

■ Insomnia

■ Risk for impaired religiosity

Risk for injury

Risk for suicide

Self-mutilation

Sleep deprivation

Social isolation

Organic brain syndrome

■ Adult failure to thrive

■ Risk for deficient fluid volume

Osteoarthritis

■ Activity intolerance

■ Acute pain

■ Compromised family coping

■ Deficient knowledge (specify)

■ Disturbed body image

■ Dressing or grooming selfcare deficit

■ Health-seeking behaviors

■ Imbalance nutrition: more than body requirements

■ Impaired home maintenance

■ Impaired physical mobility

■ Ineffective health maintenance

■ Risk for falls

■ Risk for injury

■ Situational low self-esteem

Osteomyelitis

■ Acute pain

■ Disturbed body image

■ Impaired physical mobility

■ Impaired skin integrity

■ Ineffective coping

■ Ineffective tissue perfusion

(specify)

■ Risk for infection
■ Risk for injury

Osteoporosis

■ Deficient knowledge (specify)

■ Disturbed body image

■ Fear

■ Ineffective denial

■ Ineffective sexuality patterns

■ Loneliness

■ Powerlessness

■ Risk for falls

■ Risk for injury

■ Risk for trauma

Social isolation

Ovarian cancer

■ Constipation

■ Death anxiety

■ Fear

■ Grieving

■ Imbalanced nutrition: less than body requirements

■ Impaired tissue integrity

■ Nausea

■ Powerlessness

■ Readiness for enhanced hope

■ Risk for falls

■ Spiritual distress

■ Urinary retention

Panic disorder

■ Anxiety

■ Chronic low self-esteem

■ Deficient knowledge (specify)

■ Fear

■ Ineffective coping

■ Insomnia

■ Powerlessness

■ Risk for posttrauma syndrome

■ Sleep deprivation

Paralysis

■ Bowel incontinence

■ Caregiver role strain

■ Complicated grieving

■ Compromised family coping

■ Hopelessness

■ Impaired physical mobility

■ Impaired skin integrity

■ Ineffective coping

■ Ineffective health maintenance

■ Ineffective role performance

■ Ineffective sexuality patterns

■ Powerlessness

■ Reflex urinary incontinence

■ Risk for caregiver role strain

■ Risk for impaired skin integrity

Parkinson’s disease

■ Activity intolerance
■ Bowel incontinence

■ Chronic low self-esteem
Compromised family coping

Death anxiety

Deficient knowledge (specify)
 ■ Disturbed body image

■ Disturbed sensory perception

(tactile)

■ Feeding self-care deficit

■ Grieving

■ Hopelessness

■ Imbalanced nutrition: less than body requirements

■ Impaired home maintenance

■ Impaired physical mobility

■ Ineffective breathing pattern

■ Ineffective coping

■ Ineffective health maintenance

■ Ineffective role performance

■ Ineffective sexuality patterns

■ Ineffective therapeutic regimen management

■ Powerlessness
■ Readiness for enhanced therapeutic regimen management

■ Risk for aspiration

■ Risk for caregiver role strain

■ Risk for compromised human dignity

■ Risk for injury

■ Risk for loneliness

■ Risk for urge urinary incontinence

■ Social isolation

Passive–aggressive personality disorder

■ Anxiety

■ Disturbed personal identity

■ Fear

■ Ineffective coping

Pelvic inflammatory disease

■ Acute pain

■ Deficient fluid volume
■ Sexual dysfunction

Pericarditis

■ Activity intolerance

■ Acute pain

■ Anxiety

Decreased cardiac output
Ineffective tissue perfusion(cardiopulmonary)

Perinatal trauma

■ Delayed growth and development

■ Hypothermia

■ Risk for injury

Peripheral vascular disease

■ Activity intolerance

■ Acute pain

■ Deficient diversional activity

■ Deficient knowledge (specify)

■ Impaired physical mobility

■ Impaired skin integrity

■ Impaired tissue integrity

■ Risk for falls

■ Risk for impaired skin integrity

■ Risk for infection

■ Risk for injury

■ Risk for peripheral neurovascular dysfunction

Peritoneal dialysis

■ Defensive coping

■ Deficient fluid volume

■ Deficient knowledge (specify)

■ Disturbed body image

■ Excess fluid volume

■ Imbalanced nutrition: less than body requirements

■ Interrupted family processes

■ Risk for infection

Peritonitis

■ Acute pain

■ Anxiety

■ Decreased cardiac output

■ Deficient fluid volume

■ Nausea

■ Risk for infection

Personality disorders

■ Decisional conflict

■ Interrupted family processes

■ Risk for loneliness

■ Risk for self-directed violence

■ Risk for suicide

Sexual dysfunction

Social isolation

Phobic disorder

■ Anxiety

■ Disturbed personal identity

■ Fear

■ Ineffective coping

■ Powerlessness

■ Risk for loneliness ■ Social isolation

Placenta previa

■ Anxiety

■ Fear

■ Ineffective denial

Pleural effusion

■ Acute pain

■ Dysfunctional ventilatory weaning response

■ Hyperthermia

■ Ineffective breathing pattern

■ Risk for infection

Pleurisy

■ Acute pain

■ Fatigue

■ Impaired gas exchange

■ Ineffective breathing pattern

Pneumonia

■ Bathing or hygiene self-care deficit

■ Deficient fluid volume

■ Imbalanced nutrition: less than body requirements

■ Impaired gas exchange

■ Impaired physical mobility

■ Impaired spontaneous ventilation

■ Impaired verbal communication

■ Ineffective airway clearance

■ Ineffective breathing pattern

■ Ineffective tissue perfusion

(cardiopulmonary)

■ Readiness for enhanced sleep

■ Risk for aspiration

■ Risk for infection
Pneumothorax

■ Anxiety

■ Ineffective breathing pattern

■ Fear

■ Impaired gas exchange

■ Acute pain

■ Ineffective tissue perfusion

(cardiopulmonary)

■ Impaired spontaneous ventilation

Poisoning

■ Contamination

■ Delayed growth and development

■ Disturbed sensory perception (olfactory)

■ Disturbed sensory perception

(tactile)

■ Ineffective tissue perfusion

(renal)

■ Risk for aspiration

■ Risk for injury

■ Risk for poisoning

Polycystic kidney disease

■ Acute pain

■ Defensive coping

■ Deficient knowledge

(specify)

■ Ineffective tissue perfusion

(renal)

■ Interrupted family processes

■ Moral distress

■ Risk for infection

Polycythemia vera

■ Acute pain

■ Disturbed sensory perception

(visual)

■ Impaired gas exchange
■ Impaired skin integrity

Postpartum hemorrhage

■ Anxiety

■ Deficient fluid volume

■ Ineffective tissue perfusion (cardiopulmonary)

■ Ineffective tissue perfusion (cerebral)

Posttraumatic stress disorder

■ Disturbed sensory perception

■ Disturbed thought processes

■ Hopelessness

■ Posttrauma syndrome

■ Powerlessness

■ Risk for loneliness

■ Risk for posttrauma syndrome

■ Situational low self-esteem

Pregnancy

■ Anxiety

■ Deficient knowledge (specify)

■ Impaired individual resiliance

■ Impaired tissue integrity

■ Ineffective coping

■ Ineffective tissue perfusion

(peripheral)

■ Interrupted family processes

■ Readiness for enhanced fluid balance

■ Risk for constipation

Premature labor

■ Anxiety

■ Deficient knowledge

(specify)

■ Effective breast-feeding

■ Impaired parenting

■ Ineffective coping
■ Risk for infection

■ Situational low self-esteem

Premature rupture of membranes

■ Deficient fluid volume
■ Risk for infection

Prematurity

■ Compromised family coping

■ Delayed growth and development

■ Disorganized infant behavior

■ Hypothermia

■ Imbalanced nutrition: less than body requirements

■ Impaired verbal communication

Ineffective breast-feeding Ineffective breathing pattern Ineffective infant feeding pattern

■ Ineffective thermoregulation
■ Interrupted breast-feeding

■ Readiness for enhanced parenting

■ Risk for aspiration

■ Risk for delayed development

■ Risk for disorganized infant behavior

■ Risk for impaired parent– infant–child attachment

■ Risk for sudden infant death syndrome

Pressure ulcers

■ Imbalanced nutrition: less than body requirements

■ Impaired physical mobility

■ Impaired skin integrity

■ Impaired tissue integrity

■ Ineffective protection

■ Risk for deficient fluid volume
■ Risk for infection

Prolapsed intervertebral disk

■ Acute pain

■ Impaired physical mobility

■ Reflex urinary incontinence
 ■ Urinary retention

Prostate cancer

■ Acute pain

■ Chronic sorrow

■ Impaired tissue integrity

■ Sexual dysfunction
■ Urinary retention

Prostatectomy

■ Disturbed body image

■ Impaired skin integrity

■ Risk for infection

■ Urinary retention

Pseudomembranous colitis

■ Deficient fluid volume

■ Diarrhea

■ Impaired skin integrity

■ Ineffective tissue perfusion(cardiopulmonary)

Ineffective tissue perfusion (GI)
Ineffective tissue perfusion(renal)

Psoriasis

■ Disturbed body image

■ Impaired skin integrity

■ Powerlessness

■ Risk for imbalanced body temperature

■ Social isolation

Pulmonary edema

■ Activity intolerance

■ Bathing or hygiene self-care deficit

■ Decreased cardiac output

■ Dysfunctional ventilatory weaning response

■ Excess fluid volume

■ Fear

■ Impaired gas exchange

■ Impaired verbal communication

■ Ineffective airway clearance

■ Ineffective breathing pattern

■ Ineffective tissue perfusion

(cardiopulmonary)

Pulmonary embolus

■ Acute pain

■ Anxiety

■ Activity intolerance

■ Decreased cardiac output

■ Deficient fluid volume

■ Impaired gas exchange

■ Impaired verbal communication

■ Ineffective breathing pattern

■ Risk for decreased cardiac tissue perfusion

Pyelonephritis

■ Acute pain

■ Excess fluid volume

■ Impaired physical mobility
■ Risk for infection

Pyloric stenosis 
Imbalanced nutrition: less than body requirements
Risk for aspiration Risk for imbalanced body temperature