Self Care Deficit Nursing Diagnosis - Nanda

 Self Care Deficit Nursing Diagnosis - Nanda

Bathing/Hygiene; Dressing/Grooming; Feeding; Toileting

NANDA Definition: Impaired ability to perform or complete activities of daily living, such as feeding, dressing, bathing, toileting

The nurse may encounter the patient with a self-care deficit in the hospital or in the community. The deficit may be the result of transient limitations, such as those one might experience while recuperating from surgery; or the result of progressive deterioration that erodes the individual’s ability or willingness to perform the activities required to care for himself or herself. Careful examination of the patient’s deficit is required in order to be certain that the patient is not failing at self-care because of a lack in material resources or a problem with arranging the environment to suit the patient’s physical limitations. The nurse coordinates services to maximize the independence of the patient and to ensure that the environment that the patient lives in is safe and supportive of his or her special needs.

Defining Characteristics:

Inability to feed self independently
Inability to dress self independently
Inability to bathe and groom self independently
Inability to perform toileting tasks independently
Inability to transfer from bed to wheelchair
Inability to ambulate independently
Inability to perform miscellaneous common tasks such as telephoning and writing

Related Factors:

Neuromuscular impairment, secondary to cerebrovascular accident (CVA)
Musculoskeletal disorder such as rheumatoid arthritis
Cognitive impairment
Energy deficit
Severe anxiety
Decreased motivation
Environmental barriers
Impaired mobility or transfer ability

Expected Outcomes

Patient safely performs (to maximum ability) self-care activities.
Resources are identified which are useful in optimizing the autonomy and independence of the patient.

NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels

Self-Care: Eating
Self-Care: Bathing
Self-Care: Dressing
Self-Care: Grooming
Self-Care: Hygiene
Self-Care: Toileting

NIC Interventions (Nursing Interventions Classification)
Suggested NIC Labels

Self-Care Assistance: Bathing/Hygiene
Self-Care Assistance
Self-Care Assistance: Feeding
Self-Care Assistance: Toileting
Environment Management

Related Articles:

No comments:

Post a Comment