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Jamshed N, Lee ZE, Olden KW. Diagnostic approach to chronic constipation in adults. Am FamPhysician. 2011; 84(3):299–306Leung L, Riutta T, Kotecha J, Rosser W. Chronic constipation: an evidence- based review. J AmBoard Fam Med. 2011; 24(4):436–451 Lewis SJ, Heaton KW. Stool form scale as a usefulguide to intestinal transit time. Scand J Gastroenterol. 1997; 32(9):920–924Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functionalbowel disorders. Gastroenterology. 2006; 130(5):1480– 1491Mertz H, Naliboff B, Mayer E. Physiology of refractory chronic constipation. Am J Gastroenterol.1999; 94(3):609–615Müller-Lissner S. The pathophysiology, diagnosis, and treatment of constipation. DtschArztebl Int. 2009; 106(25):424–431, quiz 431–432 Noguera A, Centeno C, Librada S, NabalM. Screening for constipation in palliative care patients. J Palliat Med. 2009; 12(10):915–920Rao SS, Meduri K. What is necessary to diagnose constipation?. Best Pract Res ClinGastroenterol. 2011; 25(1):127–140Tabbers MM, Boluyt N, Berger MY, Benninga MA. Clinical practice : diagnosis andtreatment of functional constipation. Eur J Pediatr. 2011; 170(8):955–963Tack J, Müller-Lissner S, Stanghellini V, et al. Diagnosis and treatment of chronicconstipation–a European perspective. Neurogastroenterol Motil. 2011; 23(8):697–7103.2.6 DiarreiaNenhuma referência no momento.3.2.7 Incontinência intestinalNenhuma referência no momento.
3.2.8 Motilidade gastrintestinal disfuncionalChial HJ, Camilleri M. Motility disorders of the stomach and small intestine. In: Friedman SL,McQuaid KR, Grendell JH, eds. Current diagnosis & treatmentin gastroenterology. New York, NY: Lange Medical Books/McGraw Hill;2003:355–367Holmes HN, Henry K, Bilotta K, Comerford K, Weinstock D, Eds. Professional guide tosigns & symptoms, 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2007:112–118Kahrilas PJ. Esophageal motility disorders. In: Weinstein WM, Hawkey CJ, Bosch J, eds.Clinical gastroenterology and hepatology. St Louis, MO: Elsevier Mosby; 2005: 253–259Madsen D, Sebolt T, Cullen L, et al. Listening to bowel sounds: an evidence- based practiceproject: nurses find that a traditional practice isn’t the best indicator of returninggastrointestinal motility in patients who’ve undergone abdominal surgery. Am J Nurs.2005; 105(12):40–49, quiz 49– 50Ouyang A, Locke GR,III. Overview of neurogastroenterologygastrointestinalmotility and functional GI disorders: classification, prevalence, andepidemiology. Gastroenterol Clin North Am. 2007; 36(3):485–498, viiQuigley EMM. Gastric motor and sensory function and motor disorders of the stomach. In:Feldman M, Friedman LS, Brandt LJ, Sleisenger MH, eds. Sleisingerand Fordtran’s gastrointestinal and liver diseasepathophysiology/diagnosis/management. St Louis: Saunders Elsevier; 2006: 999–1028Tack J. Gastric motility disorders. In: Weinstein WM, Hawkey CJ, Bosch J, eds. Clinicalgastroenterology and hepatology. St Louis: Elsevier Mosby; 2005:261–266Taylor C, Lillis C, LeMone P, Lynn P. Fundamentals of nursing the art and science of nursingcare, 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2008 636–639
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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
Page 614 and 615:
AnsiedadeAprovado em 1973 • Revis
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ParassimpáticasAlteração no padr
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Não aceitação da própria mortal
Page 622 and 623:
Enfrentamento defensivoAprovado em
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Apoio social insuficiente Avaliaç
Page 628 and 629:
Disposição para enfrentamento mel
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Enfrentamento familiar comprometido
Page 632 and 633:
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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
Page 652 and 653:
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Sofrimento pela separação Sofrime
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Risco de pesar complicadoAprovado e
Page 658 and 659:
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
Page 692 and 693:
Disposição para comportamento org
Page 694 and 695:
Disreflexia autonômicaAprovado em
Page 696 and 697:
Populações em riscoEjaculaçãoEx
Page 698 and 699:
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
Page 706 and 707:
Síndrome de abstinência neonatalA
Page 708 and 709:
Domínio 10 • Princípios da vida
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Disposição para bem-estar espirit
Page 712 and 713:
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Crise espiritualCrise pessoalCrises
Page 716 and 717:
Risco de religiosidade prejudicadaA
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Page 722 and 723:
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
Page 740 and 741:
Disposição para tomada de decisã
Page 742 and 743:
Risco de infecçãoAprovado em 1986
Page 744 and 745:
Domínio 11 • Segurança/proteç
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Tipo de procedimento cirúrgico Uso
Page 748 and 749:
Risco de aspiraçãoAprovado em 198
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Page 754 and 755:
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Hábitos alimentares inadequados Hi
Page 758 and 759:
Desobstrução ineficaz das vias a
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Manchas brancas na boca Manchasespo
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Doença autoimuneEstado de jejum or
Page 770 and 771:
Integridade da pele prejudicadaApro
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Page 774 and 775:
Alteração no metabolismoAlteraç
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Integridade tissular prejudicadaApr
Page 778 and 779:
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Trauma vascularLiteratura de apoio
Page 782 and 783:
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:
Page 804 and 805:
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
Page 816 and 817:
Page 818 and 819:
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Fiação elétrica sem fixação Fu
Page 822 and 823:
Page 824 and 825:
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
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DesesperançaDificuldades legaisIso
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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
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Risco de lesão ocupacionalAprovado
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Características gastrintestinaisDo
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Risco de reação alérgica ao lát
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HipertermiaAprovado em 1986 • Rev
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PalidezSofrimento respiratórioFato
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Suprimento insuficiente de gordura
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Risco de hipotermia perioperatória
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Termorregulação ineficazAprovado
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Trauma
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Conforto prejudicadoAprovado em 200
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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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NáuseaAprovado em 1998 • Revisad
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Recursos insuficientesCondições a
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Disposição para conforto melhorad
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