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60(9):969–982Khan NA, Rahim SA, Anand SS, Simel DL, Panju A. Does the clinical examination predictlower extremity peripheral arterial disease?. JAMA. 2006; 295(5):536–546Kruidenier LM, Nicolaï SPA, Willigendael EM, de Bie RA, Prins MH, Teijink JAW.Functional claudication distance: a reliable and valid measurement to assessfunctional limitation in patients with intermittent claudication. BMC Cardiovasc Disord.2009; 9(9):9Lewis CD. Peripheral arterial disease of the lower extremity. J Cardiovasc Nurs. 2001;15(4):45–63, quiz 96–97Lopez Rowe V. Peripheral arterial occlusive disease. Retrieved from http://www.emedicine.com/med/topic391.htm ; 2005Maffei FHA, Lastoria S, Yoshida WB, Rollo HA, eds. Doenças vasculares periféricas. Rio deJaneiro: Medsi; 2002McDermott MM, Ades PA, Dyer A, Guralnik JM, Kibbe M, Criqui MH. Corridor-basedfunctional performance measures correlate better with physical activity during daily lifethan treadmill measures in persons with peripheral arterial disease. J Vasc Surg. 2008;48(5):1231–1237, 1237.e1 O’Donnell JM, N’acul F, eds. Surgical intensive care medicine.Boston: Kluwer Academic; 2001Silva RCG. Validação das características definidoras do diagnóstico de enfermagem:perfusão tissular periférica ineficaz em pacientes com doença arterial obstrutivaperiférica sintomática.[Validation of definingcharacteristics of the nursing diagnosis ineffective peripheral tissue perfusion in patientswith peripheral arterial disease in the lower limbs.] Doctoral dissertation. Universidade deSão Paulo. Faculdade de Medicina 2010:191Gengo de Silva RdeC, Monteiro da Cruz DdeA, Bortolotto LA, et al. Ineffective peripheraltissue perfusion: Clinical validation in patients with hypertensive cardiomiopathy. Int JNurs Terminol Classif. 2006; 17(2):97– 107
Stephens E. Peripheral vascular disease. eMedicine. Retrieved from http://www.emedicine.com/emerg/topic862.htm .; 2005Swearingen PL, Hicks Keen J, eds. Manual of critical care nursing: Nursing interventionsand collaborative management. 4th ed. St Louis, MO: Mosby; 20014.4.8 Risco de pressão arterial instávelBlum K. Heart failure: Management of acute decompensation of heart failure. In: MortonPG, Fontaine DK, eds. Critical care nursing: a holistic approach. 10th ed. Philadelphia,PA: Lippincott Williams & Wilkins; 2013:404–407Bradley EG. Nursing management: Hypertension (Chapter 33). In: Lewis S.L., Dirksen S. R., Heitkemper M. M., Bucher L., Camera I. M, eds. Medical-surgicalnursing: Assessment and management of clinical problems. 8th ed. US: ElsevierMosby; 2011Bucher L. Nursing management: Dysrythmias (Chapter 36). In: Lewis S. L., Dirksen S. R.,Heitkemper M. M., Bucher L., Camera I. M, eds. Medical- surgical nursing: Assessment andmanagement of clinical problems. 8th ed. USA: Elsevier Mosby; 2011Burnier M, Wuerzner G, Struijker-Boudier H, Urquhart J. Measuring, analyzing, andmanaging drug adherence in resistant hypertension. Hypertension. 2013;62(2):218–225Chatterjee NA, Fifer M. Heart Failure. In: Lilly L, ed. Pathophysiology of heart disease: acollaborative project of medical students and faculty. 5th ed. Philadelphia, PA: LippincottWilliams & Wilkins; 2011: 224–242 Freeman R, Chapleau MW. Testing the autonomicnervous system. Handb Clin Neurol. 2013; 115:115–136Frith J, Reeve P, Newton JL. Length of time required to achieve a stable baseline bloodpressure in the diagnosis of orthostatic hypotension. J Am Geriatr Soc. 2013; 61(8):1414–1415Grossman E, Messerli FH. Rare and unusual forms of hypertension (Chapter
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advertenciaSe ha hecho todo lo posi
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Profesor Asociado, Departamento de
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Editada como libro impreso en 2018.
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graciasEs casi innecesario menciona
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Títulos de los diagnósticos que h
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el debate y la mejora de los miembr
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Los brotes en los diagnósticos enf
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diarreaalimentos dignidad humanadin
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motilidad gastrointestinal mutilaci
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sufrimiento espiritual quesufren la
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abstractoParte 1 La terminología d
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7 Introducción a la taxonomía de
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Estilo de vida La disposición a se
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riesgo incontinencia urinaria de ur
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en actividad toleranciaen el riesgo
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paternidad Riesgo de deterioro de l
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sobrecarga La negación demiedo y e
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riesgo aspiraciónriesgo sequedad e
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hipotermiariesgo hipotermiariesgo L
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La terminología de la NANDA Intern
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2 Lo que es nuevo en la edición 20
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disponible en nuestro sitio. Este p
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LOE 3.1: Síntesis de la literatura
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Nuevos diagnósticos de enfermería
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Diagnóstico de enfermería revisad
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riesgo deintolerancia a laactividad
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expresión "padres / pareja".proces
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emancipado problemas parala toma de
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3.5 Diagnósticos de enfermería re
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3.6 Revisión de títulos diagnóst
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Cuando usted dice falta en Inglés,
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3.8 Introducción de "en riesgo las
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profesión de enfermería; por lo q
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por la NANDA-I en cada país, sin d
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La NANDA-I cree que la estructura d
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La NANDA-I existe para desarrollar,
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La participación de los miembros d
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Aspectos teóricos de diagnósticos
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5.1 Introduccióncuidado de la salu
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Manual diagnóstico y estadístico
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5.2 Como enfermera (o estudiante de
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5.4 Evaluación del pacienteLa eval
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diagnóstico 5.5 de enfermeríaUn d
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usualmente recogida durante la eval
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5.6 Planificación / intervenciónU
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5.7 Reevaluación continuaUn diagn
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las revisiones de diagnóstico y /
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5:10 ReferenciasAsociación America
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6.1 IntroducciónEl razonamiento cl
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Sin una base sólida de los concept
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6.2 El proceso de enfermeríaLa eva
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Sin embargo, teniendo en cuenta est
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presuponer que todos los pacientes
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Global Subjetiva (ASG) y / o el Min
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puntos de presión y de posicionami
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6.3 Análisis de DatosEl segundo pa
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(Frequency 40) y la superficie marc
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se emplean las direcciones. Por eje
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6.4 diagnósticos de enfermería de
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intestinal, se puede empezar a ver
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esta situación - elementos muy imp
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si la información obtenida y compa
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Cambio en loshábitosalimenticiosDo
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enfermera está considerando las si
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Siempre es útil pedir a un colega
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6.6 ResumenLa evaluación juega un
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7 Introducción a la Taxonomía de
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aprendido a la taxonomía biológic
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Con la información recibida, nos e
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7.2 Clasificación en enfermeríaPr
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conocimientos de enfermería incluy
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7.4 Estructuración de programas de
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7.5 La identificación de un diagn
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riesgo o relacionado y las caracter
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tres diagnósticos potenciales: con
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control sanitarioIdentificación, c
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00015 riesgo estreñimiento00012 es
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Clase 2.OrientaciónPercepción del
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Sin diagnóstico en el momento.Clas
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Clase 1.ValoresIdentificación y cl
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riesgos ambientales00181 contaminac
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7.7 ReferenciasA. Abbott Los sistem
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8.1 Estructura de la Taxonomía IIU
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8.2 Un sistema multiaxial para cons
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8.3 Definiciones ejes8.3.1 Eje 1: E
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control de los impulsos decontrol e
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Toma de decisionesLa toma de decisi
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excesivoCantidad de algo que está
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olfativoEn relación con el sentido
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8.4 Preparación y presentación de
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8.5 Las perspectivas de futuroLa NA
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8.7 ReferenciasLundberg C, Warren J
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9.2 Cuando necesitamos diagnóstico
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Alrededor de 9,3 lenguajes enfermer
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9.4 Acerca de la NANDA-I¿Cuál es
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diagnósticos de enfermería,de enf
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La NANDA-I proporciona una lista de
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la mejora continua de la atención
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cirugía de hoy y las posibles comp
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específicos, tales como la insufic
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¿Puedo cambiar un diagnóstico de
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Esa es una pregunta difícil y que,
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9.8 Acerca de los factores de riesg
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Puedo añadir "riesgo" para un diag
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09:10 Sobre el desarrollo de un pla
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completado antes de ir a otra cosa
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Elijo un diagnóstico de cada uno d
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específica - se aprenderán con la
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Acerca de 9:13 preparación y el ex
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NANDA Internacional sólo se comenz
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10 Glosario10.1 diagnóstico de enf
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10.2 Eje diagnóstico10.2.1 EjeUn e
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Eje 3: EnsayoUn ensayo es un descri
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10.3 Componentes de un diagnóstico
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10.4 Definiciones para la clasifica
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diagnósticos de enfermería de la
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La participación en actividades re
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Área 1 • Promoción de la saludc
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bibliografía de apoyo original dis
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voluntad de control sanitario mejor
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control sanitario familia ineficace
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mantenimiento ineficaz saludAprobad
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las condiciones asociadasagente far
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salud comunidad pobreAprobado en 20
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Síndrome de ancianos frágilesApro
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pérdida no intencional de 25% del
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riesgo el síndrome de ancianos fr
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Dominio 2 • Nutriciónclase 1 •
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condición asociadaembarazobibliogr
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Amamantamiento ineficazAprobado en
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La asfixia arcadasdeglución repeti
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Este diagnóstico será retirado de
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la dinámica de los alimentos adole
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hora de las comidas estresantes nor
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desventaja económicaLa implicació
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estándar ineficaz de alimentación
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nutrición des equilibrada: menos q
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rápido aumento de peso durante la
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sobrepesoAprobado en 2013 • Revis
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rápido aumento de peso durante la
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riesgo la función hepática dañad
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riesgo glucosa en la sangre inestab
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hiperbilirrubinemia neonatalAprobad
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La infección viralNiño con defici
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riesgo síndrome de desequilibrio m
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des riesgo el equilibrio de electro
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el volumen de líquido deficienteAp
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Presencia accidental respiratoria u
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riesgo volumen de líquido des equi
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eliminación urinaria alteradaAprob
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incontinencia urinaria de esfuerzoA
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incontinencia urinaria de urgenciaA
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riesgo incontinencia urinaria de ur
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incontinencia urinaria funcionalApr
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incontinencia urinaria desbordamien
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incontinencia reflejo de micciónAp
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retención urinarioAprobado en 1986
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estreñimientoAprobado en 1975 •
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anorrectal estenosis defisuras Hemo
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riesgo estreñimientoAprobado en 19
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• Eliminación de dominio 3 y el
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taburete retención postura Presenc
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la diabetes mellitusLa distrofia mi
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diarreaAprobado en 1975 • Revisad
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aumento anormal de la capacidad de
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motilidad gastrointestinal disfunci
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Desequilibrio en la ventilación-pe
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insomnioAprobado en 2006 • Revisa
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Dominio 4 • Actividad / sueñocla
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Prolongado asincronía circadiano b
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voluntad de sueño mejoradoAprobado
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capacidad de transferencia dañadoA
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El levantarse heridoAprobado en 201
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lesión neuromuscularproblemas de v
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movilidad discapacitados físicosAp
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trastorno psicológicobibliografía
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riesgo síndrome de desusoAprobado
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campo de energía des equilibradoAp
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no estimular los factores de estré
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perambulationAprobado en 2000 • R
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Disminución de los pulsos perifér
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La posición del cuerpo que inhibe
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riesgo perfusión tisular disminuci
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riesgo perfusión tisular cerebro i
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de fumarlas condiciones asociadasLa
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riesgo perfusión tisular periféri
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riesgo presión arterial inestableA
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GravesagitaciónEl aumento de la fr
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Cambio en la pérdida de la funció
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déficit autocuidado, bañoAprobado
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déficit autocuidado para la higien
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déficit vestidor autocuidadoAproba
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mantenimiento del hogar dañadoApro
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El dominio 5 • La percepción / c
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Transferencia de la sensación de d
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confusión agudoAprobado en 1994
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confusión crónicaAprobado en 1994
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conocimiento deficienteAprobado en
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voluntad de conocimiento mejoradoAp
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control de los impulsos ineficazApr
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trastorno emocionallas condiciones
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memoria dañadoAprobado en 1994 •
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Domínio 5 • Percepção/cogniç
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Domínio 5 • Percepção/cogniç
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Verbalização inapropriadaFatores
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Disposição para autoconceito melh
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Risco de dignidade humana compromet
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Des esperançaAprovado em 1986 •
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Domínio 6 • AutopercepçãoClass
Page 514 and 515:
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Preconceito percebidoProcessos fami
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Risco de distúrbio na identidade p
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Baixa autoestima crônicaAprovado e
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Transição de desenvolvimentoCondi
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Risco de baixa autoestima situacion
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Distúrbio na imagem corporalAprova
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Domínio 7 • Papéis e relacionam
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HostilidadeInadequação ao papel p
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Disposição cognitiva insuficiente
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Risco de paternidade ou maternidade
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Grande número de gestaçõesGravid
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Disposição para paternidade ou ma
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Tensão do papel de cuidadorAprovad
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No cuidadorAbuso de substânciasAut
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No receptor de cuidadosAlteração
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Risco de tensão do papel de cuidad
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AlienaçãoApoio social insuficient
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Processos familiares disfuncionaisA
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AbandonoAnsiedadeAssumir responsabi
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Populações em riscoDesfavorecido
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Processos familiares interrompidosA
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Mudança na percepção de outros s
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História de violência domésticaC
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Risco de relacionamento ineficazApr
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Disposição para relacionamento me
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Domínio 8 • SexualidadeClasse 2
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Condições associadasAlteração n
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Padrão de sexualidade ineficazApro
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Risco de binômio mãe-feto perturb
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Processo perinatológico ineficazAp
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Domínio 9 • Enfrentamento/toler
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Aconselhamento insuficiente anterio
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Risco de síndrome do estresse por
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Síndrome do trauma de estuproAprov
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NegaçãoPalpitações cardíacasPe
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Lesão grave a entes queridosOcupa
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Risco de transição complicada na
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AnsiedadeAprovado em 1973 • Revis
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ParassimpáticasAlteração no padr
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Não aceitação da própria mortal
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Enfrentamento defensivoAprovado em
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Apoio social insuficiente Avaliaç
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Disposição para enfrentamento mel
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Enfrentamento familiar comprometido
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Fatores relacionadosEstilos de enfr
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Disposição para enfrentamento fam
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Enfrentamento ineficaz da comunidad
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Disposição para enfrentamento mel
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Sobrecarga de estresseAprovado em 2
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MedoAprovado em 1980 • Revisado e
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Medo da separação Medo de perda d
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PesarAprovado em 1980 • Revisado
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Sofrimento pela separação Sofrime
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Risco de pesar complicadoAprovado e
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Planejamento de atividade ineficazA
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Risco de planejamento de atividade
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Regulação do humor prejudicadaApr
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Recursos inadequadosRecursos insufi
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Risco de resiliência prejudicadaAp
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Desfavorecido economicamenteCondiç
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Risco de sentimento de impotênciaA
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TaquicardiaProblemas regulatóriosI
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Prejuízo oral do lactenteProcedime
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Disposição para comportamento org
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Disreflexia autonômicaAprovado em
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Populações em riscoEjaculaçãoEx
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Risco de disreflexia autonômicaApr
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Embolia pulmonarEpididimite Fratura
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Síndrome de abstinência de subst
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Risco de síndrome de abstinência
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Síndrome de abstinência neonatalA
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Domínio 10 • Princípios da vida
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Disposição para bem-estar espirit
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Crise espiritualCrise pessoalCrises
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Risco de religiosidade prejudicadaA
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Separação do sistema de apoioCone
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Conflito racialEnvelhecimentoEvento
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Sofrimento moralAprovado em 2006
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Conflito de decisãoAprovado em 198
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Sistemas de saúde tradicionais hie
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Risco de tomada de decisão emancip
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Disposição para tomada de decisã
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Risco de infecçãoAprovado em 1986
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Domínio 11 • Segurança/proteç
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Tipo de procedimento cirúrgico Uso
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Risco de aspiraçãoAprovado em 198
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Hábitos alimentares inadequados Hi
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Desobstrução ineficaz das vias a
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Manchas brancas na boca Manchasespo
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Doença autoimuneEstado de jejum or
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Integridade da pele prejudicadaApro
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Alteração no metabolismoAlteraç
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Integridade tissular prejudicadaApr
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Trauma vascularLiteratura de apoio
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Risco de lesãoAprovado em 1978 •
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Escore de classificação do estado
Page 794 and 795:
Risco de lesão térmicaAprovado em
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Risco de morte súbita do lactenteA
Page 798 and 799:
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Mobilidade prejudicadaRedução da
Page 802 and 803:
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Escore de classificação do estado
Page 806 and 807:
Risco de recuperação cirúrgica r
Page 808 and 809:
Page 810 and 811:
Ventilação mecânicaLiteratura de
Page 812 and 813:
Risco de sangramentoAprovado em 200
Page 814 and 815:
Risco de sufocaçãoAprovado em 198
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Fiação elétrica sem fixação Fu
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TrombofiliaUso de contraceptivos co
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AutomutilaçãoAprovado em 2000 •
Page 828 and 829:
Condições associadasAutismoDesper
Page 830 and 831:
Risco de automutilaçãoAprovado em
Page 832 and 833:
Page 834 and 835:
Page 836 and 837:
DesesperançaDificuldades legaisIso
Page 838 and 839:
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Este diagnóstico será retirado da
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Risco de violência direcionada a s
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Efeitos neurológicos da exposiçã
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TabagismoPopulações em riscoCrian
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Risco de envenenamentoAprovado em 1
Page 854 and 855:
Risco de lesão ocupacionalAprovado
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Características gastrintestinaisDo
Page 864 and 865:
Risco de reação alérgica ao lát
Page 866 and 867:
HipertermiaAprovado em 1986 • Rev
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PalidezSofrimento respiratórioFato
Page 872 and 873:
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Suprimento insuficiente de gordura
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Risco de hipotermia perioperatória
Page 878 and 879:
Termorregulação ineficazAprovado
Page 880 and 881:
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Trauma
Page 884 and 885:
Conforto prejudicadoAprovado em 200
Page 886 and 887:
Domínio 12 • ConfortoClasse 1
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Agente físico lesivo Agentequímic
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Dor crônicaAprovado em 1986 • Re
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Fatores relacionadosA serem desenvo
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NáuseaAprovado em 1998 • Revisad
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Recursos insuficientesCondições a
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Disposição para conforto melhorad
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Conforto prejudicadoAprovado em 200
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Comportamento social incoerente com
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