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Nanda 2021 a 2023 português pdf

Academia.edu uses cookies to personalize content, tailor ads and improve the user experience. By using our site, you agree to our collection of information through the use of cookies. To learn more, view our Privacy Policy. Completamente atualizada por T. Heather Herdman, Shigemi Kamitsuru e Camila Takáo Lopes, a edição 2021-2023
do Diagnósticos de Enfermagem da NANDA-I reúne os 267 diagnósticos de enfermagem revisados e aprovados pelo Comitê de Desenvolvimento de Diagnósticos (DDC).Nesta nova edição, os capítulos introdutórios foram reestruturados e trazem informações necessárias para compreender a avaliação do paciente, sua ligação com o diagnóstico e o
raciocínio clínico, assim como o propósito e a utilização da taxonomia na assistência de enfermagem. a classificação da NANDA-I é um recurso fundamental para todos os estudantes de enfermagem, enfermeiros, educadores e pesquisadores.Destaques desta edição:- 46 diagnósticos novos e 67 revisados- Atualização de títulos dos diagnósticos,
garantindo coerência com a literatura atual- Refinamento da maioria dos fatores relacionados e de risco- Padronização dos indicadores diagnósticos (características definidoras, fatores relacionados, fatores de risco, condições associadas e populações em risco)- Novo capítulo sobre critérios dos níveis de evidência para submissão de diagnósticos
Referências específicas 17 1.2 New Nursing Diagnoses – Maria G.M.N. Paiva, Jéssica D.S. Tinôco, Fernanda Beatriz B.L. Silva, Juliane R. Dantas, Maria Isabel C.D. Fernandes, Isadora L.A. Nogueira, Ana B.A. Medeiros Marcos Venícios O. Lopes, Ana L.B.C. Lira1 – Richardson Augusto R. Silva, Wenysson N.
Santos, Francisca M.L.C. Souza, Rebecca Stefany C. Santos, Izaque C. Oliveira, Hallyson L.L. Silva, Dhyanine M.

Santos, Izaque C. Oliveira, Hallyson L.L. Silva, Dhyanine M.


Lima1 – Camila T. Lopes1 – Readiness for enhanced health self-management – DDC – Ineffective family health self-management – Andressa T. Nunciaroni, Rafaela S. Pedrosa1 – Camila T. Lopes1 – Ineffective home maintenance behaviors, Risk for ineffective home mainte- nance behaviors, Readiness for enhanced home maintenance behaviors – Ángel
Martín-García5 – Diagnosis Development Committee (DDC) Domain 2. Nutrition – Ineffective infant suck-swallow response – T. Heather Herdman7 – Risk for metabolic syndrome – DDC Domain 3. Elimination and exchange – Disability-associated urinary incontinence, Mixed urinary incontinence – Juliana N. Costa, Maria Helena B.M. Lopes, Marcos
Venícios O. Lopes1 – Risk for urinary retention – Aline S. Meira, Gabriella S.

Dantas, Maria Isabel C.D. Fernandes, Isadora L.A. Nogueira, Ana B.A. Medeiros Marcos Venícios O. Lopes, Ana L.B.C. Lira1 – Richardson Augusto R.

Dantas, Maria Isabel C.D. Fernandes, Isadora L.A. Nogueira, Ana B.A. Medeiros Marcos Venícios O. Lopes, Ana L.B.C. Lira1 – Richardson Augusto R. Silva, Wenysson N. Santos, Francisca M.L.C. Souza, Rebecca Stefany C. Santos, Izaque C. Oliveira, Hallyson L.L. Silva, Dhyanine M. Lima1 – Camila T.
Lopes1 – Readiness for enhanced health self-management – DDC – Ineffective family health self-management – Andressa T. Nunciaroni, Rafaela S. Pedrosa1 – Camila T. Lopes1 – Ineffective home maintenance behaviors, Risk for ineffective home mainte- nance behaviors, Readiness for enhanced home maintenance behaviors – Ángel Martín-García5 –
Diagnosis Development Committee (DDC) Domain 2. Nutrition – Ineffective infant suck-swallow response – T. Heather Herdman7 – Risk for metabolic syndrome – DDC Domain 3. Elimination and exchange – Disability-associated urinary incontinence, Mixed urinary incontinence – Juliana N. Costa, Maria Helena B.M. Lopes, Marcos Venícios O. Lopes1 –
Risk for urinary retention – Aline S. Meira, Gabriella S. Lima, Luana B. Storti, Maria Angélica A. Diniz, Renato M. Ribeiro, Samantha S. Cruz, Luciana Kusumota2 – Juliana N. Costa, Micnéias L. Botelho, Erika C.M. Duran, Elenice V. Carmona, Ana Railka S. Oliveira-Kumakura, Maria Helena B.M. Lopes2 – Impaired bowel continence – DDC – Barbara G.
Anderson7 Domain 4. Activity/rest – Decreased activity tolerance, Risk for decreased activity tolerance – Jana Kolb, Steve Strupeit2 27 18 1 The NANDA International Terminology: General Information – Risk for impaired cardiovascular function – María B.S. Gómez5, Gonzalo D. Clíments5, Tibelle F. Mauricio1, Rafaela P. Moreira1, Edmara C. Costa1 –
Gabrielle P.
da Silva, Francisca Márcia P. Linhares, Suzana O. Man- gueira, Marcos Venícius O. Lopes, Jaqueline G.A. Perrelli, Tatiane G. Guedes1 – Ineffective lymphedema self-management, Ineffective lymphedema risk self-management – Gülengün Türk, Elem K. Güler, İzmir Demokrasi6 – DDC – Risk for thrombosis – Eneida R.R. Silva, Thamires S. Hilário,
Graziela B. Aliti, Vanessa M. Mantovani, Amália F. Lucena1 – DDC – Dysfunctional adult ventilatory weaning response – Ludmila Christiane R. Silva, Tânia C.M. Chianca1 Domain 5. Perception/cognition – Disturbed thought process – Paula Escalada-Hernández, Blanca Marín-Fernández5 Domain 7. Role relationship – Disturbed family identity
syndrome, Risk for disturbed family identity syndrome – Mitra Zandi, Eesa Mohammadi3 – DDC Domain 9. Coping/stress tolerance – Maladaptive grieving, Risk for maladaptive grieving, Readiness for enhanced grieving – Martín Rodríguez-Álvaro, Alfonso M. García-Hernández, Ruymán Brito-Brito5 – DDC Domain 11. Safety/protection – Ineffective dry
eye self-management – Elem K. Güler, İsmet Eşer6Diego D. Araujo, Andreza Werli-Alvarenga, Tânia C.M. Chianca1 28 19 1.2 New Nursing Diagnoses – Jéssica N. M. Araújo, Allyne F. Vitor1 – DDC – Risk for adult falls – Flávia O.M. Maia1 – Danielle Garbuio, Emilia C. Carvalho1 – Dolores E. Hernández1 – Camila T. Lopes1 – Silvana B. Pena, Heloísa
C.Q.C.P. Guimarães, Lidia S. Guandalini, Môn- ica Taminato, Dulce A. Barbosa, Juliana L.
Lopes, Alba Lucia B.L. Barros1 – Risk for child falls – Camila T. Lopes, Ana Paula D.F. Guareschi1 – Neonatal hypothermia, Risk for neonatal hypothermia – T. Heather Herdman7 – Nipple-areolar complex injury, Risk for nipple-areolar complex injury – Flaviana Vely Mendonca Vieira1 – Agueda Maria Ruiz Zimmer Cavalcante1 – Janaina Valadares
Guimarães1 – Adult pressure injury, Risk for adult pressure injury – Amália F. Lucena, Cássia T. Santos, Taline Bavaresco, Miriam A. Almeida1 – T. Heather Herdman7 – Child pressure injury, Risk for child pressure injury, Neonatal pressure injury, Risk for neonatal pressure injury – T. Heather Herdman7 – Amália F.
Santos, Francisca M.L.C. Souza, Rebecca Stefany C. Santos, Izaque C. Oliveira, Hallyson L.L. Silva, Dhyanine M. Lima1 – Camila T. Lopes1 – Readiness for enhanced health self-management – DDC – Ineffective family health self-management – Andressa T. Nunciaroni, Rafaela S. Pedrosa1 – Camila T. Lopes1 – Ineffective home maintenance behaviors,
Risk for ineffective home mainte- nance behaviors, Readiness for enhanced home maintenance behaviors – Ángel Martín-García5 – Diagnosis Development Committee (DDC) Domain 2. Nutrition – Ineffective infant suck-swallow response – T. Heather Herdman7 – Risk for metabolic syndrome – DDC Domain 3. Elimination and exchange – Disability-
associated urinary incontinence, Mixed urinary incontinence – Juliana N.

Santos, Izaque C. Oliveira, Hallyson L.L. Silva, Dhyanine M. Lima1 – Camila T. Lopes1 – Readiness for enhanced health self-management – DDC – Ineffective family health self-management – Andressa T. Nunciaroni, Rafaela S. Pedrosa1 – Camila T. Lopes1 – Ineffective home maintenance behaviors, Risk for ineffective home mainte- nance behaviors,
Readiness for enhanced home maintenance behaviors – Ángel Martín-García5 – Diagnosis Development Committee (DDC) Domain 2. Nutrition – Ineffective infant suck-swallow response – T. Heather Herdman7 – Risk for metabolic syndrome – DDC Domain 3. Elimination and exchange – Disability-associated urinary incontinence, Mixed urinary
incontinence – Juliana N. Costa, Maria Helena B.M. Lopes, Marcos Venícios O. Lopes1 – Risk for urinary retention – Aline S. Meira, Gabriella S. Lima, Luana B.
Storti, Maria Angélica A.
Diniz, Renato M. Ribeiro, Samantha S.
Cruz, Luciana Kusumota2 – Juliana N. Costa, Micnéias L. Botelho, Erika C.M. Duran, Elenice V. Carmona, Ana Railka S. Oliveira-Kumakura, Maria Helena B.M. Lopes2 – Impaired bowel continence – DDC – Barbara G.
Anderson7 Domain 4. Activity/rest – Decreased activity tolerance, Risk for decreased activity tolerance – Jana Kolb, Steve Strupeit2 27 18 1 The NANDA International Terminology: General Information – Risk for impaired cardiovascular function – María B.S. Gómez5, Gonzalo D. Clíments5, Tibelle F. Mauricio1, Rafaela P. Moreira1, Edmara C. Costa1 –
Gabrielle P. da Silva, Francisca Márcia P. Linhares, Suzana O.
Man- gueira, Marcos Venícius O. Lopes, Jaqueline G.A. Perrelli, Tatiane G. Guedes1 – Ineffective lymphedema self-management, Ineffective lymphedema risk self-management – Gülengün Türk, Elem K.
Güler, İzmir Demokrasi6 – DDC – Risk for thrombosis – Eneida R.R. Silva, Thamires S. Hilário, Graziela B.
Aliti, Vanessa M. Mantovani, Amália F. Lucena1 – DDC – Dysfunctional adult ventilatory weaning response – Ludmila Christiane R. Silva, Tânia C.M. Chianca1 Domain 5. Perception/cognition – Disturbed thought process – Paula Escalada-Hernández, Blanca Marín-Fernández5 Domain 7. Role relationship – Disturbed family identity syndrome, Risk for
disturbed family identity syndrome – Mitra Zandi, Eesa Mohammadi3 – DDC Domain 9. Coping/stress tolerance – Maladaptive grieving, Risk for maladaptive grieving, Readiness for enhanced grieving – Martín Rodríguez-Álvaro, Alfonso M. García-Hernández, Ruymán Brito-Brito5 – DDC Domain 11. Safety/protection – Ineffective dry eye self-
management – Elem K. Güler, İsmet Eşer6Diego D. Araujo, Andreza Werli-Alvarenga, Tânia C.M. Chianca1 28 19 1.2 New Nursing Diagnoses – Jéssica N. M. Araújo, Allyne F. Vitor1 – DDC – Risk for adult falls – Flávia O.M. Maia1 – Danielle Garbuio, Emilia C. Carvalho1 – Dolores E. Hernández1 – Camila T. Lopes1 – Silvana B. Pena, Heloísa C.Q.C.P.
Guimarães, Lidia S. Guandalini, Môn- ica Taminato, Dulce A. Barbosa, Juliana L. Lopes, Alba Lucia B.L. Barros1 – Risk for child falls – Camila T. Lopes, Ana Paula D.F. Guareschi1 – Neonatal hypothermia, Risk for neonatal hypothermia – T. Heather Herdman7 – Nipple-areolar complex injury, Risk for nipple-areolar complex injury – Flaviana Vely
Mendonca Vieira1 – Agueda Maria Ruiz Zimmer Cavalcante1 – Janaina Valadares Guimarães1 – Adult pressure injury, Risk for adult pressure injury – Amália F. Lucena, Cássia T. Santos, Taline Bavaresco, Miriam A. Almeida1 – T. Heather Herdman7 – Child pressure injury, Risk for child pressure injury, Neonatal pressure injury, Risk for neonatal
pressure injury – T. Heather Herdman7 – Amália F. Lucena, Cássia T.
Santos, Taline Bavaresco, Miriam A. Almeida1 – Risk for suicidal behavior – Girliani S. Sousa, Jaqueline G.A. Perrelli, Suzana O. Mangueira, Marcos Venícios O. Lopes, Everton B.
Sougey1 Domain 13. Growth/development – Delayed child development – Juliana M.
Souza, Maria L.O.R. Veríssimo1 – T. Heather Herdman7 – Risk for delayed child development, Delayed infant motor development, Risk for delayed infant motor development – T. Heather Herdman7 29 20 2 International Considerations on the Use of the NANDA-I Nursing Diagnoses 2 International Considerations on the Use of the NANDA-I Nursing
Diagnoses T. Heather Herdman As we noted earlier, NANDA International, Inc. initially began as a North American organization and, therefore, the earliest nursing diagnoses were pri- marily developed by nurses from the United States and Canada.
However, over the past 20 to 30 years, there has been an increasing involvement by nurses from around the world, and membership in NANDA International, Inc.
now includes nurses from nearly 40 countries, with nearly two-thirds of its members coming from countries outside North America. Work is occur- ring across all continents using NANDA-I nursing diagnoses in curricula, clinical practice, research, and informatics applications. Development and refinement of diagnoses is ongoing across multiple
countries, and the majority of research related to the NANDA-I nursing diagnoses is occurring outside North America. As a reflection of this increased international activity, contribution, and utilization, the North American Nursing Diagnosis Association changed its scope to an international organization in 2002, changing its name to NANDA
International, Inc. So, please, we ask that you do not refer to the organiza- tion as the North American Nursing Diagnosis Association (or as the North American Nursing Diagnosis Association International), unless referring to something that happened prior to 2002 – it simply does not reflect our inter- national scope, and it is not the legal name of the
organization. We retained “NANDA” within our name because of its status in the nursing profession, so think of it more as a trademark or brand name than as an acronym, since it no longer “stands for” the original name of the association. As NANDA-I experiences increased worldwide adoption, issues related to differences in the scope of nursing
practice, diversity of nurse practice models, divergent laws and regulations, nurse competency, and educational differences must be addressed. In 2009, NANDA-I held an International Think Tank Meeting, which included 86 individuals representing 16 countries. During that meeting, significant discussions occurred as to how best to handle these and
other issues.
Nurses in some countries are not able to utilize nursing diagnoses of a more physiologic nature because they are in conflict with their current scope of nursing practice. Nurses in other nations are facing regulations aimed to ensure that everything done within nursing practice can be demonstrated 45 21 1 The NANDA International Terminology:
General Information to be evidence-based, and therefore face difficulties with some of the older nursing diagnoses and/or those linked interventions that are not supported by a strong level of research literature. Discussions were therefore held with international leaders in nursing diagnosis use and research, looking for direc- tion that would meet the
needs of the worldwide community. These discussions resulted in a unanimous decision to maintain the taxon- omy as an intact body of knowledge in all languages, in order to enable nurses around the world to view, discuss, and consider diagnostic concepts being used by nurses within and outside of their countries, and to engage in discus- sions,
research, and debate regarding the appropriateness of all of the diag- noses. A critical statement agreed upon in that Summit is noted here prior to introducing the nursing diagnoses themselves: Not every nursing diagnosis within the NANDA-I taxonomy is appropriate for every nurse in practice – nor has it ever been. Some of the diagnoses are
specialty-specific, and would not necessarily be used by all nurses in clinical practice . . . There are diagnoses within the taxonomy that may be outside the scope or standards of nursing practice governing a particular geographic area in which a nurse practices. Those diagnoses and/or related/risk factors would, in these instances, not be appropriate
for practice, and should not be used if they lie outside the scope or standards of nursing practice for a particular geographic region. However, it is appropriate for these diagnoses to remain visible in the classification, because the classification represents clinical judgments made by nurses around the world, not just those made in one region or
country. Every nurse should be aware of, and work within, the standards and scope of practice and any laws or regulations within which he/she is licensed to practice. However, it is also important for all nurses to be aware of the areas of nursing practice that exist globally, as this informs discussion and may over time support the broadening of
nursing practice across other countries. Conversely, these indi- viduals may be able to provide evidence that would support the removal of diagnoses from the current classification, which, if they were not shown in their translations, would be unlikely to occur. That said, it is important that you are not avoiding the use of a diagnosis because, in the
opinion of one local expert or published textbook, it is not appropriate. I have met nurse authors who indicate that operating room nurses “cannot diagnose because they don’t assess”, or that intensive care unit nurses “have to practice under strict physician protocol that doesn’t include 46 Avançar para o conteúdo

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