Selected Nursing Diagnoses by Medical Diagnosis (D)

Deafness

■ Chronic low self-esteem

■ Defensive coping

■ Disturbed sensory perception

(auditory)

■ Fear

■ Impaired verbal communication

■ Ineffective coping

■ Readiness for enhanced coping
■ Risk for injury

Delusional disorder

■ Disturbed thought processes

■ Impaired home maintenance

Dementia

■ Activity intolerance

■ Acute confusion

■ Caregiver role strain

■ Chronic confusion

■ Disturbed thought processes

■ Diversional activity deficit

■ Functional urinary incontinence Impaired environmental interpretation syndrome Impaired memory Impaired verbal communication
nterrupted family processes

■ Risk for loneliness

■ Powerlessness

■ Risk for injury

■ Risk for self-directed violence

■ Social isolation

Depression

■ Adult failure to thrive

■ Caregiver role strain

■ Chronic low self-esteem

■ Constipation

■ Deficient diversional activity

■ Disturbed body image

■ Fatigue

■ Functional urinary incontinence

■ Hopelessness

■ Imbalance nutrition: more than body requirements

■ Imbalanced nutrition: less than body requirements

■ Impaired home maintenance

■ Ineffective coping

■ Ineffective denial

■ Posttrauma syndrome

■ Powerlessness

■ Readiness for enhanced hope

■ Readiness for enhanced nutrition

■ Readiness for enhanced selfconcept

■ Risk for constipation

■ Risk for imbalanced nutrition: more than body requirements

■ Risk for injury

■ Risk for loneliness
■ Risk for poisoning

■ Risk for posttrauma syndrome

■ Risk for self-directed violence

■ Sexual dysfunction

■ Sleep deprivation

■ Social isolation

■ Spiritual distress

Detached retina

■ Acute pain

■ Anxiety
Disturbed sensory perception(visual)

■ Risk for injury

Developmental disorder

■ Disabled family coping

■ Risk for impaired parent– infant–child attachment

■ Risk for injury

■ Risk for self-mutilation

Diabetes insipidus

■ Deficient fluid volume

■ Impaired oral mucous membrane

■ Risk for deficient fluid volume

■ Risk for imbalanced body temperature

■ Risk for unstable glucose level

Diabetes mellitus

■ Chronic low self-esteem

■ Compromised family coping

■ Constipation

■ Decreased cardiac output

■ Deficient knowledge (specify)

■ Disturbed body image

■ Disturbed sensory perception

■ Grieving

■ Hopelessness

■ Hyperthermia

■ Imbalance nutrition: more than body requirements

■ Impaired oral mucous membrane

■ Impaired skin integrity

■ Impaired urinary elimination

■ Ineffective coping

■ Ineffective health maintenance

■ Ineffective sexuality patterns

■ Ineffective therapeutic regimen management

■ Ineffective tissue perfusion (peripheral)

■ Ineffective tissue perfusion

(renal)

Noncompliance

Powerlessness Readiness for enhanced fluid balance

■ Readiness for enhanced nutrition

■ Readiness for enhanced urinary elimination

■ Risk for deficient fluid volume

■ Risk for imbalanced body temperature

■ Risk for imbalanced nutrition: more than body requirements

■ Risk for impaired skin integrity

■ Risk for infection

■ Risk for injury

■ Risk for unstable glucose level

■ Risk-prone health behavior

■ Social isolation

■ Total urinary incontinence

Diabetic ketoacidosis

■ Deficient fluid volume

■ Disturbed thought processes

■ Risk for acute confusion

■ Risk for imbalanced body temperature

■ Risk for unstable glucose level

Diarrhea

■ Deficient fluid volume
■ Diarrhea

■ Disturbed body image

■ Readiness for enhanced fluid balance

■ Risk for deficient fluid volume

■ Risk for imbalanced fluid volume

Digoxin toxicity

■ Decreased cardiac output

■ Deficient knowledge

(specify)

■ Risk for poisoning Disseminated intravascular coagulation 
■ Decreased cardiac output

■ Deficient fluid volume
■ Fear

■ Impaired gas exchange

Dissociative disorder

■ Disturbed thought processes
■ Impaired home maintenance

■ Interrupted family processes

Diverticulitis

■ Acute pain

■ Constipation

■ Deficient fluid volume

■ Diarrhea

■ Imbalanced nutrition: less than body requirements

Down syndrome

■ Compromised family coping

■ Deficient knowledge (specify)

■ Delayed growth and development

■ Interrupted family processes

■ Readiness for enhanced knowledge

■ Readiness for enhanced selfcare

■ Risk for aspiration

■ Risk for delayed development

■ Risk for infection

■ Risk for injury

■ Situational low self-esteem
■ Toileting self-care deficit

Drug addiction

■ Acute confusion

■ Adult failure to thrive

■ Decisional conflict
■ Defensive coping

■ Dysfunctional family processes: alcoholism

■ Ineffective community therapeutic regimen management

■ Ineffective coping Ineffective denial Ineffective family therapeutic regimen management

Ineffective health maintenance

Moral distress

■ Risk for compromised human dignity

■ Risk for impaired liver function

■ Risk for poisoning

■ Risk for self-directed violence

■ Risk for sudden infant death syndrome

■ Sexual dysfunction
■ Sleep deprivation

Drug overdose

■ Disturbed thought processes

■ Functional urinary incontinence

■ Hyperthermia

■ Hypothermia

■ Impaired gas exchange

■ Ineffective coping

■ Ineffective thermoregulation

■ Moral Distress

■ Risk for compromised human dignity

■ Risk for poisoning

■ Risk for suffocation

■ Risk for trauma

■ Spiritual distress

Drug toxicity

■ Functional urinary incontinence

■ Hyperthermia

■ Hypothermia

■ Impaired gas exchange
■ Risk for poisoning

Duodenal ulcer

■ Acute pain

■ Anxiety

■ Imbalanced nutrition: less than body requirements

■ Ineffective tissue perfusion (GI)