Cover Page and Front Matter
The Nursing Diagnosis Handbook, 13th Edition, features a cover page with the title, edition, and authors’ names prominently displayed. The front matter includes the imprint, dedication, and acknowledgments sections, providing essential publication details and recognitions.
1.1 Title Page
The title page of the Nursing Diagnosis Handbook, 13th Edition, clearly displays the book’s title, subtitle, and edition. It features the names of the primary authors, Mary Beth Flynn Makic, PhD, APRN, CCNS, CCRN, FAAN, FNAP, FCNS, and Marina Reyna Martinez-Kratz, along with their credentials. The publisher, Mosby, is prominently listed, ensuring credibility and authenticity. The title page also includes the publication date, May 30, 2022, and the book’s language, English. This page serves as the official face of the handbook, providing essential information about the work. The design is professional and straightforward, reflecting the academic and practical nature of the content. The title page is a critical component of the front matter, setting the tone for the comprehensive guide within.
1.2 Imprint
The imprint section of the Nursing Diagnosis Handbook, 13th Edition, provides essential publication details. It states that the book is published by Mosby, a renowned medical and nursing publisher, ensuring credibility and authority in the field. The imprint includes the publication date, May 30, 2022, and the book’s language, English. Additionally, it lists the ISBN-10 (0323776833) and ISBN-13 (978-0323776837) numbers, which are critical for identification and purchasing. This section also includes copyright information, protecting the intellectual property of the authors and publisher. The imprint serves as a legal and informational foundation for the handbook, ensuring transparency and accountability. It is a standard feature in academic and professional publications, providing readers with necessary details about the book’s origins and distribution. The imprint is concise yet comprehensive, fulfilling its purpose effectively.
1.3 Dedication
The dedication of the Nursing Diagnosis Handbook, 13th Edition, is a heartfelt acknowledgment of the individuals and groups who have contributed to the book’s creation and purpose. It honors the hard work and dedication of the authors, editors, and contributors who have shaped the handbook into a trusted resource for nursing professionals. The dedication also recognizes the support of colleagues, students, and families, who inspire and motivate the continuous improvement of nursing practice. This section reflects the authors’ gratitude and commitment to advancing evidence-based nursing care. It serves as a personal touch, connecting the technical content with the human element that drives the nursing profession. The dedication is concise yet meaningful, setting a professional and appreciative tone for the rest of the handbook. It is a standard feature in academic publications, emphasizing the importance of collaboration and recognition in achieving excellence.
1.4 About the Authors
The Nursing Diagnosis Handbook, 13th Edition, is authored by Mary Beth Flynn Makic, PhD, APRN, CCNS, CCRN, FAAN, FNAP, FCNS, and Marina Reyna Martinez-Kratz. Dr. Makic is a renowned clinical nurse specialist with expertise in critical care and evidence-based practice. Her work focuses on improving patient outcomes through advanced nursing interventions. Ms. Martinez-Kratz brings extensive experience in women’s health and medical-surgical nursing, contributing to the handbook’s comprehensive approach. Both authors are dedicated to advancing nursing education and practice, ensuring the handbook remains a trusted resource for nurses worldwide. Their combined expertise spans clinical practice, education, and research, making them highly qualified to guide nurses in diagnosis and care planning. This section highlights their professional backgrounds, emphasizing their commitment to excellence in nursing care and education. Their contributions have significantly shaped the handbook’s content and relevance to contemporary nursing practice.
1.5 Contributors
The Nursing Diagnosis Handbook, 13th Edition, acknowledges the contributions of numerous clinical experts, educators, and researchers who have enriched the content with their specialized knowledge. These contributors include advanced practice nurses, clinical specialists, and academic professionals with expertise in various domains of nursing practice. Their input ensures the handbook remains current, evidence-based, and applicable across diverse clinical settings. Contributors have reviewed and refined nursing diagnoses, care plans, and interventions, ensuring accuracy and relevance. Their collective effort has enhanced the handbook’s ability to address complex patient needs and promote best practices in nursing care. The contributions reflect a commitment to advancing nursing science and improving patient outcomes, making the handbook an indispensable resource for nurses worldwide. The diversity of contributors’ backgrounds underscores the collaborative nature of nursing practice and education. Their work is integral to the handbook’s success and relevance in modern healthcare.
1.6 Reviewers
The Nursing Diagnosis Handbook, 13th Edition, benefited from the expertise of a diverse group of reviewers, each selected for their clinical and academic excellence. These reviewers, representing various healthcare settings and specialties, meticulously evaluated the content to ensure accuracy, relevance, and alignment with current nursing practices. Their feedback was instrumental in refining the nursing diagnoses, care plans, and evidence-based interventions presented in the handbook. Reviewers were chosen based on their extensive experience in nursing education, research, and clinical practice, ensuring a comprehensive and multidisciplinary perspective. Their contributions enhanced the handbook’s clarity and practicality, making it a valuable resource for nurses at all levels of practice. The reviewers’ dedication to improving the quality of nursing care is reflected in the handbook’s updated and expanded content, which addresses the complexities of modern healthcare. Their input has been invaluable in maintaining the handbook’s reputation as a trusted guide for nursing professionals.
1.7 Preface
The preface of the Nursing Diagnosis Handbook, 13th Edition, introduces the purpose and scope of the handbook, emphasizing its role as a comprehensive guide for evidence-based nursing practice. The authors highlight the importance of accurate nursing diagnoses and care planning in delivering high-quality patient care. They outline the key features of the 13th edition, including updated nursing diagnoses, revised care plans, and the integration of the latest clinical reasoning and evidence-based practices. The preface also acknowledges the evolving nature of healthcare and the need for nurses to stay current with best practices. It serves as a roadmap for using the handbook effectively, encouraging nurses to apply the content to real-world scenarios. The authors express their commitment to supporting nursing professionals in their daily practice and fostering optimal patient outcomes. The preface sets the tone for a practical, user-friendly resource tailored to meet the needs of modern nursing professionals.
1.8 Acknowledgments
The acknowledgments section of the Nursing Diagnosis Handbook, 13th Edition, expresses gratitude to the contributors, reviewers, and editors who played a crucial role in the development of the handbook. The authors recognize the expertise and dedication of the nursing professionals who provided valuable insights and feedback, ensuring the content remains evidence-based and relevant. They also acknowledge the support of their colleagues, mentors, and institutions, highlighting the collaborative effort that went into updating and refining the material. Additionally, the authors thank the publishers for their commitment to producing a high-quality resource that supports nursing education and practice. This section underscores the importance of teamwork and shared knowledge in advancing nursing care. The acknowledgments serve as a tribute to all those who contributed to the handbook’s success, reflecting the authors’ appreciation for their collaboration and expertise.
How to Use the Nursing Diagnosis Handbook
This handbook provides a structured, evidence-based approach to nursing care planning, guiding users through assessment, diagnosis, and intervention strategies with clarity and precision for effective patient care.
2.1 Step 1: Client Assessment
Client assessment is the foundational step in the nursing process, requiring a comprehensive evaluation of the patient’s physical, emotional, and social health. This step involves gathering subjective and objective data through interviews, observations, physical examinations, and diagnostic tests. The handbook emphasizes the importance of a systematic approach to ensure no aspect of the patient’s health is overlooked. Nurses are guided to identify risk factors, health patterns, and any deviations from normal findings. The assessment data serves as the basis for formulating accurate nursing diagnoses and developing individualized care plans. The 13th edition provides updated tools and evidence-based strategies to enhance the accuracy and efficiency of the assessment process, ensuring that nurses can deliver high-quality, patient-centered care. By focusing on thorough data collection, nurses can set the stage for effective care planning and positive patient outcomes.
2.2 Step 2: Diagnose
Step 2 of the nursing process involves diagnosing, where nurses identify specific nursing diagnoses based on the data collected during the client assessment. The Nursing Diagnosis Handbook, 13th Edition, provides a structured approach to formulating accurate diagnoses using NANDA-I taxonomy. Nurses are guided to analyze assessment findings, identify patterns, and determine the underlying causes of health issues. The handbook emphasizes the importance of evidence-based diagnoses, ensuring interventions are tailored to address the client’s unique needs. It includes diagnostic criteria, defining characteristics, and related factors for common nursing diagnoses, such as Activity Intolerance or Pain. By prioritizing diagnoses, nurses can develop targeted care plans that promote optimal outcomes. This step is critical for ensuring that care is individualized, effective, and aligned with the client’s specific health challenges.
2.3 Step 3: Determine Outcomes
Step 3 involves determining outcomes, where nurses establish clear, measurable goals based on the identified nursing diagnoses. The Nursing Diagnosis Handbook, 13th Edition, guides nurses in setting realistic and patient-centered outcomes using the SMART criteria (Specific, Measurable, Achievable, Relevant, Time-bound). These outcomes are aligned with NANDA-I taxonomy and evidence-based practices, ensuring they address the client’s specific health concerns. The handbook provides examples of outcome statements for various diagnoses, helping nurses tailor goals to individual needs. Nurses are encouraged to involve clients in this process to promote engagement and adherence. The outcomes serve as benchmarks for evaluating the effectiveness of care. By focusing on measurable results, nurses can track progress and adjust interventions as needed, ensuring high-quality, client-focused care. This step is essential for aligning care with desired health outcomes and improving patient well-being. The handbook’s structured approach simplifies this critical phase of the nursing process.
2.4 Plan Interventions
Planning interventions is a critical step in the nursing process, where nurses design specific actions to address the identified diagnoses and achieve desired outcomes. The Nursing Diagnosis Handbook, 13th Edition, provides a comprehensive guide for selecting evidence-based interventions tailored to individual client needs. Nurses can refer to the handbook for detailed lists of interventions, including those classified by the Nursing Interventions Classification (NIC); These interventions are organized to align with NANDA-I nursing diagnoses, ensuring a systematic approach to care planning. The handbook emphasizes the importance of prioritizing interventions based on client priorities, medical conditions, and care settings. Examples of interventions include educational strategies, physical care measures, and psychological support. By using this resource, nurses can create personalized care plans that promote optimal client outcomes. The handbook’s structured format makes it easier to select appropriate interventions, ensuring effective and efficient care delivery. This step is vital for translating diagnoses into actionable care strategies.
2.5 Give Nursing Care
Delivering nursing care is the implementation phase where planned interventions are executed. The Nursing Diagnosis Handbook, 13th Edition, provides clear guidelines for nurses to administer care effectively. It emphasizes evidence-based practices, ensuring interventions are grounded in current research and clinical expertise. The handbook offers detailed care plans aligned with NANDA-I diagnoses, making it easier for nurses to implement appropriate actions. Nurses can refer to the handbook for specific interventions, such as educational strategies, physical care measures, and psychological support. The resource also highlights the importance of individualizing care to meet clients’ unique needs. By following the handbook’s recommendations, nurses can ensure that care is delivered safely and compassionately. The handbook’s structured approach helps nurses prioritize tasks, monitor progress, and adjust care as needed. This step is crucial for translating care plans into tangible, patient-centered actions that promote positive health outcomes. The handbook serves as a valuable tool for nurses to deliver high-quality care.
2.6 Evaluate Nursing Care
Evaluating nursing care is a critical step in the nursing process, ensuring that interventions meet client needs and achieve desired outcomes. The Nursing Diagnosis Handbook, 13th Edition, provides a framework for assessing the effectiveness of care. Nurses can use the handbook to compare actual client outcomes with the expected outcomes established during the planning phase. This step involves monitoring progress, identifying any deviations from the care plan, and determining whether goals have been met. The handbook offers evidence-based criteria for evaluation, helping nurses make informed decisions. It also includes tools and guidelines for documenting client responses to care, which are essential for continuous improvement. By evaluating care, nurses can refine their interventions, ensuring that clients receive the most effective and personalized support. This step underscores the importance of accountability and quality in nursing practice, aligning with the handbook’s focus on evidence-based care.
2.7 Document Nursing Care
Documenting nursing care is a fundamental step in the nursing process, ensuring continuity of care and accountability. The Nursing Diagnosis Handbook, 13th Edition, emphasizes the importance of accurate and thorough documentation. Nurses are guided to record client assessments, diagnoses, interventions, and outcomes in a clear and organized manner. The handbook provides templates and examples to assist in documenting care plans effectively. Proper documentation also serves as a legal record of the care provided and facilitates communication among healthcare team members. By following the handbook’s evidence-based approach, nurses can ensure that their documentation reflects the highest standards of practice. This step not only enhances client care but also supports professional accountability and continuous improvement in nursing practice. The handbook’s structured approach to documentation helps nurses maintain clarity and precision, making it an indispensable resource for effective care management.
Section I: Nursing Process, Clinical Reasoning, Nursing Diagnosis, and Evidence-Based Nursing
This section integrates the nursing process, clinical reasoning, and evidence-based practice to enhance nursing diagnosis accuracy. It provides a comprehensive framework for nurses to deliver high-quality, patient-centered care effectively.
3.1 Overview of the Nursing Process
The nursing process is a systematic, evidence-based approach to delivering high-quality patient care. It involves five key phases: assessment, diagnosis, planning, implementation, and evaluation. This structured method ensures nurses gather comprehensive data about patients, identify health issues, and develop individualized care plans. The process emphasizes critical thinking and clinical reasoning to address physical, emotional, and social needs. By following the nursing process, nurses can prioritize interventions, monitor progress, and adjust care strategies as needed. The Nursing Diagnosis Handbook, 13th Edition, aligns with this framework, providing clear guidelines for accurate diagnoses and effective care planning. It supports nurses in making informed decisions and delivering patient-centered care that promotes optimal outcomes. This section serves as a foundation for understanding how the nursing process integrates with clinical reasoning and evidence-based practices.
3.2 Clinical Reasoning in Nursing Practice
Clinical reasoning is the critical thinking process nurses use to make sound judgments in patient care. It involves analyzing data, identifying patterns, and making decisions based on evidence and experience. This skill is essential for accurate nursing diagnoses and effective care planning. The Nursing Diagnosis Handbook, 13th Edition, emphasizes the importance of clinical reasoning in guiding nurses through client assessment, diagnosis, and intervention planning. By integrating evidence-based practices, nurses can enhance their ability to prioritize care, anticipate potential issues, and deliver personalized interventions. The handbook provides practical tools and guidelines to support nurses in developing and refining their clinical reasoning skills, ensuring they can address complex patient needs with confidence and precision. This section underscores how clinical reasoning is a cornerstone of professional nursing practice, enabling nurses to provide high-quality, patient-centered care.
3.3 Nursing Diagnosis: Definition and Importance
Nursing diagnosis is a clinical judgment concerning a patient’s response to health conditions or life processes. It provides a framework for identifying health problems, risk factors, or wellness opportunities. The Nursing Diagnosis Handbook, 13th Edition, defines nursing diagnosis as a critical step in the nursing process, enabling nurses to develop individualized care plans. Its importance lies in its ability to guide evidence-based interventions, improve patient outcomes, and enhance the quality of care. By focusing on patient-specific responses, nursing diagnoses facilitate effective communication among healthcare providers and ensure targeted therapies. This section highlights how nursing diagnoses are essential for addressing the unique needs of patients, promoting continuity of care, and documenting nursing practice. The handbook emphasizes the role of nursing diagnoses in advancing professional nursing practice and improving patient-centered care outcomes.
3.4 Evidence-Based Nursing Practice
Evidence-based nursing practice integrates the best available research, clinical expertise, and patient preferences to guide decision-making. The Nursing Diagnosis Handbook, 13th Edition, emphasizes the importance of evidence-based care in developing accurate diagnoses and effective interventions. By linking nursing diagnoses to evidence-based outcomes and interventions, nurses can ensure high-quality, patient-centered care. The handbook provides a three-step process—assessment, diagnosis, and planning—that aligns with evidence-based principles. It includes interventions from the Nursing Interventions Classification (NIC), supporting standardized and effective care. This approach not only enhances patient outcomes but also promotes consistency and reliability in nursing practice. The 13th edition underscores the role of evidence-based practice in addressing over 1,450 client symptoms, making it a comprehensive resource for nurses seeking to deliver care grounded in current research and best practices.
Section II: Guide to Nursing Diagnosis
This section provides a comprehensive guide to nursing diagnoses, offering detailed care plans for over 1,450 client symptoms. It includes interventions from NIC, ensuring evidence-based and systematic nursing care.
4.1 Abdominal Hysterectomy
Abdominal hysterectomy involves the surgical removal of the uterus, requiring comprehensive nursing care. Common nursing diagnoses include risk for infection, acute pain, and constipation. Interventions focus on monitoring for signs of infection, managing pain, and promoting bowel function. Nurses should assess the client’s physical and emotional state, provide education on postoperative care, and ensure a safe recovery environment. The handbook provides evidence-based care plans tailored to address these diagnoses, ensuring optimal client outcomes. Interventions may include wound care, medication administration, and emotional support. This section guides nurses in developing individualized care plans, incorporating NIC interventions for effective management. By addressing these diagnoses, nurses can enhance the client’s recovery process and overall well-being following an abdominal hysterectomy.
4.2 Abdominal Pain
Abdominal pain is a common symptom requiring thorough assessment and nursing intervention. The handbook identifies relevant nursing diagnoses, such as acute pain, anxiety, and deficient fluid volume. Interventions focus on pain management, hydration, and identifying underlying causes. Nurses should assess pain characteristics, implement analgesics, and monitor for complications. The handbook provides evidence-based care plans, including non-pharmacological strategies like relaxation techniques and positioning. Fluid management and electrolyte balance are emphasized to prevent dehydration. Patient education on pain coping strategies and when to seek help is crucial. This section equips nurses with tools to address abdominal pain effectively, ensuring comprehensive and individualized care. By addressing both physical and emotional needs, nurses can improve client outcomes and reduce discomfort associated with abdominal pain. The handbook’s guidance supports nurses in delivering high-quality, evidence-based care tailored to each client’s situation.
4.3 Abdominal Surgery
Abdominal surgery requires comprehensive nursing care to address preoperative, intraoperative, and postoperative needs. The handbook outlines nursing diagnoses such as risk for infection, acute pain, and impaired wound healing. Interventions focus on infection prevention, pain management, and wound care. Nurses should monitor for complications like bleeding or ileus and ensure proper use of antibiotics. Postoperative care includes assessing bowel sounds, managing drains, and promoting mobility. Patient education on wound care, dietary restrictions, and signs of complications is essential. The handbook provides evidence-based strategies to optimize recovery and reduce risks; By addressing both physical and emotional needs, nurses can enhance patient outcomes. This section offers practical guidance for developing individualized care plans tailored to clients undergoing abdominal surgery, ensuring safe and effective recovery. The handbook’s approach supports nurses in delivering high-quality, patient-centered care.
4.4 Abdominal Trauma
Abdominal trauma, whether blunt or penetrating, requires prompt and precise nursing care. The handbook identifies key nursing diagnoses such as risk for bleeding, hypovolemic shock, and acute pain. Assessment focuses on vital signs, abdominal tenderness, and fluid status. Interventions include monitoring for hemorrhage, managing pain, and preventing infection. Nurses should prioritize fluid resuscitation and prepare for potential surgical interventions. The handbook emphasizes the importance of stabilizing the client and addressing both physical and emotional distress. Evidence-based strategies are provided to manage complications like organ damage or sepsis. Clear guidance is offered for documenting findings and communicating effectively with the healthcare team. This section equips nurses with the tools to deliver targeted, compassionate care for clients with abdominal trauma, ensuring optimal recovery and minimizing long-term effects. The handbook’s structured approach supports nurses in managing complex cases with confidence.
4;5 Ablation, Radiofrequency Catheter
Radiofrequency catheter ablation is a minimally invasive procedure used to treat arrhythmias by destroying abnormal electrical pathways in the heart. The handbook outlines key nursing diagnoses, including risk for bleeding, acute pain, and cardiac tissue damage. Nurses should assess the client’s cardiovascular status, monitor for complications like hematoma or infection, and provide education on post-procedure care. Interventions focus on maintaining bed rest, applying pressure to the catheter site, and managing discomfort. The handbook emphasizes the importance of continuous cardiac monitoring and early detection of adverse effects. Evidence-based strategies are provided to reduce risks and promote recovery. Clear guidelines are offered for documenting outcomes and communicating with the healthcare team. This section ensures nurses are well-prepared to care for clients undergoing radiofrequency ablation, optimizing safety and recovery outcomes. The structured approach supports nurses in delivering high-quality, patient-centered care.
4.6 Abortion, Induced
Induced abortion is a medical or surgical procedure to terminate pregnancy, requiring comprehensive nursing care. The handbook identifies key nursing diagnoses, such as risk for infection, acute pain, and emotional distress. Nurses should assess the client’s physical and emotional state, monitor for bleeding or complications, and provide empathetic support. Interventions include administering pain relief, educating on post-procedure self-care, and addressing psychological needs. The handbook emphasizes infection prevention strategies and the importance of privacy and confidentiality. Evidence-based guidelines are provided for managing potential complications and promoting recovery. Clear care plans are outlined to address both physical and emotional well-being. This section ensures nurses are equipped to deliver compassionate, patient-centered care, addressing the unique needs of clients undergoing induced abortion. The structured approach supports safe and effective outcomes, aligning with current clinical standards.
4.7 Abortion, Spontaneous
Spontaneous abortion refers to the unintended termination of pregnancy before viability, often due to genetic or environmental factors. The handbook outlines key nursing diagnoses, such as risk for infection, acute pain, and emotional distress. Nurses should assess vaginal bleeding, cramping, and emotional responses. Interventions include monitoring for hemorrhage, providing pain management, and offering psychological support. The handbook emphasizes the importance of a compassionate approach, addressing grief and loss. Evidence-based care plans are provided to manage physical symptoms and promote emotional healing. Nurses are guided to educate clients on self-care and follow-up care to prevent complications. The section also highlights the need for privacy and sensitivity when addressing the client’s needs. By following the structured guidelines, nurses can deliver holistic care, addressing both physical and emotional well-being. This ensures comprehensive support during a challenging experience. The handbook’s evidence-based approach aids in optimizing client outcomes.
4.8 Abruptio Placentae
Abruptio placentae, or placental abruption, is a serious pregnancy complication where the placenta separates from the uterus prematurely. The handbook identifies key nursing diagnoses, such as risk for shock, acute pain, and anxiety. Nurses should assess for vaginal bleeding, abdominal tenderness, and maternal vital sign changes. Interventions include close monitoring of maternal and fetal status, fluid resuscitation, and preparing for potential emergency delivery. The handbook emphasizes the importance of maintaining a calm environment and providing emotional support to the client and family. Evidence-based care plans focus on stabilizing the client, preventing complications, and ensuring a safe outcome for both mother and baby. Nurses are guided to prioritize timely communication with the healthcare team and educate clients on post-event care. The section underscores the critical role of nursing in managing this high-risk condition effectively. By adhering to the handbook’s guidelines, nurses can optimize client outcomes and ensure safe, compassionate care.