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Nursing Problem Based List for MedSurg-Mental Health-Critical Care

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NURSING PROBLEMS LIST
INTEGRATED
Concepts in Nursing
• Professional Nursing
• Health Equity and culturally Competent Care
• Health History and Physical Examination
• Patient and Caregiver Teaching
• Chronic Illness and Older Adults
Problems Related to Comfort & Coping
● Stress
● Insomnia, Obstructive Sleep Apnea
● Pain
● Palliative & End of Life Care
● Substance Use Disorders
● Skin Integrity
● Health Awareness/Health Management/Self Care
● Safety
● Knowledge
Problems Related to Homeostasis & Protection
● Inflammation
● Altered Immune Response, Allergies, Immunodeficiency Disorders,
● Infection
● Cancer
● Fluid, Electrolyte , and Acid-Base Balance
● Skin Integrity
● Health Awareness/Health Management/Self Care
● Safety
● Knowledge
Post-Operative Problems (PACU & on Units)
● Respiratory, Cardiovascular, Neurologic & Psychologic, Temperature changes, Pain &
Discomfort, Gastrointestinal, Urinary, Integumentary problems
● Problems Related to Altered Sensory Input
● Visual problems
● Auditory problems
● Integumentary problems: skin cancer, skin infections & infestations
● Burns
● Skin Integrity
● Health Awareness/Health Management/Self Care
● Safety
● Knowledge
Problem List for Fundamentals (N170)/Mental Health (N171)/Medical-Surgical (N172) & Critical Care (N176) Oct 27, 2021
NURSING PROBLEMS LIST
INTEGRATED
Problems of Oxygenation: Ventilation
● Upper Respiratory problems: nose and sinus, pharynx, larynx and trachea problems
● Lower Respiratory problems: infections, lung cancer, chest trauma and thoracic injuries
● Restrictive Respiratory problems: atelectasis, pleural effusion, pulmonary embolism
● Obstructive Pulmonary problems: asthma. COPD, cystic fibrosis,
● Problems of Oxygenation: Transport
● Anemia, polycythemia, thrombocytopenia, DIC, neutropenia, leukemia, lymphomas
● Skin Integrity
● Health Awareness/Health Management/self Care
● Safety
● Knowledge
Problems of Oxygenation: Perfusion
● HTN
● CAD & ACS
● Heart Failure
● Dysrhythmias
● Inflammatory and structural heart disorders: infections, valve disorders, cardiomyopathy
● Vascular problems: Peripheral Arterial & Peripheral Venous disorders: VTE
● Skin Integrity
● Health Awareness/Health Management/Self Care
● Safety
● Knowledge
Problems of Indigestion, Digestion, Absorption, and Elimination
● Nutritional problems: inadequate nutrition (malnutrition), excessive nutrition (obesity)
● Upper GI problems: N&V, oral/esophageal/stomach cancer, GERD, Peptic ulcer disease
● Lower GI problems: diarrhea/constipation, IBS, appendicitis/peritonitis, gastroenteritis,
obstructions, colorectal cancer, diverticulosis/diverticulitis, malabsorption syndrome
● Liver, Biliary tract, Pancreas problems: hepatitis, cirrhosis, acute liver failure, pancreatitis,
cholelithiasis/cholecystitis
● Inadequate hydration, Excessive hydration
● Skin Integrity
● Health Awareness/Health Management/Self Care
● Safety
● Knowledge
Problems of Urinary Function
● Infections: UTI, pyelonephritis, nephrotic syndrome
● Obstructions: urinary calculi, strictures
● Incontinence
● Acute Kidney Injury & Chronic Kidney disease
● Skin Integrity
● Health Awareness/Health Management/Self Care
● Safety
● Knowledge
Problem List for Fundamentals (N170)/Mental Health (N171)/Medical-Surgical (N172) & Critical Care (N176) Oct 27, 2021
NURSING PROBLEMS LIST
INTEGRATED
Problems Related to Regulatory and Reproductive Mechanisms
● Diabetes I & II, Pituitary Gland (SIADH, Hyper/Hypothyroidism, Addison’s/Cushing’s syndrome
● Breast Disorders, STDs, female/male reproductive problems
● Skin Integrity
● Health Awareness/Health Management/Self Care
● Safety
● Knowledge
Problems Related to Movement and Coordination
● Intracranial problems: head injury, brain tumors, infections
● Stroke
● Chronic neurologic problems: HA, seizures, MS, Parkinson’s, MG, ALS
● Dementia/Alzheimer’s, Delirium
● Spinal cord & Peripheral Nerve problems: spinal cord injury, cranial nerve disorders: Bell’s palsy,
GB syndrome
● Musculoskeletal problems: sprains/strains, fractures, amputation, osteomyelitis, bone tumors,
Muscular Dystrophy, Intervertebral disc disease, osteoporosis
● Arthritis and connective Tissue problems: osteoarthritis, rheumatoid arthritis, gout, lyme
disease, systemic lupus erythematosus, fibromyalgia
● Falls
● Skin Integrity
● Health Awareness/Health Management/Self Care
● Safety
● Knowledge
Care in Specialized Settings
• Critical Care
• Shock, Sepsis, Multiple Organ Dysfunction Syndrome
• Acute Respiratory Failure and Acute Respiratory Distress Syndrome
• Emergency and Disaster Nursing
• Skin Integrity
• Health Awareness/Health Management/Self Care
• Safety
• Knowledge
Problem List for Fundamentals (N170)/Mental Health (N171)/Medical-Surgical (N172) & Critical Care (N176) Oct 27, 2021
NURSING PROBLEMS LIST
INTEGRATED
Problems in Mental Health
• Ineffective communication
• Legal /Ethical Complications: (Voluntary, Involuntary, Involuntary Holds – 5150/5250
/Conservatorship/Reised/Medication Rights. Denial of Rights, Restraints-Chemical, physical /soft
/ violent/ non-violent)
• Schizophrenia (Auditory hallucinations, Visual Hallucinations, Tactile Hallucinations, Positive &
negative symptoms, prodromal, Paranoid /Disorganized/Catatonic/Undifferentiated/Residual)
• Psychosis (Detachment from Reality/ Disassociation)
• Stress(Eustress, Distress, Traumatic Stress)
• Crisis (Acute and Chronic)
• Suicidal Ideation (Attempt, Ideation, Plan, Safety Plan )
• Anxiety (Mild, Moderate, Severe, Panic, Specific Phobia, OCD, ADHD, Generalized) )
• Trauma (Post Traumatic Stress, Acute, Chronic, Unmanaged)
• Somatic Disorders (Conversion Disorder, Pain Disorder, Hypochondriasis, Body Dysmorphic
Disorder)
• Dissociative Disorders (Dissociative amnesia, Dissociative identity disorder, Depersonalizationde-realization disorder)
• Mood Disorders (Bipolar, Mania, Major Depressive Disorder, Cyclical Depression, Dysthymic
Disorder, Postpartum Depression)
• Eating Disorders (Compulsive Overeating, Anorexia Nervosa, Anorexia Bulimia)
• Substance Abuse Disorders(Alcohol abuse, narcotic abuse, poly substance abuse)
• Withdrawal (Alcohol withdrawal, Opiate withdrawal, Seizure, Respiratory Depression, Delirium
Tremens))
• Personality Disorders (Borderline, Psychopath, Sociopath, Narcissist. Cluster A, Cluster B, Cluster
C)
• Neurocognitive Disorders: Dementia, Alzheimer’s, Delirium (Hospital acquired, r/t UTI, Alcoholic
Delirium Tremens, Sun downing, Altered level of Consciousness/cognition)
• Aging (Physical, Physiological, Psychological, Spiritual – Erikson’s Theory)
• Interpersonal Violence (Elder Abuse, Rape, Domestic Violence)
Childhood Disorders (Autism Spectrum Disorder (ASD), Attention Deficit Disorder (ADHD),
Oppositional Defiant Disorder, Tourette’s Disorder)
Problem List for Fundamentals (N170)/Mental Health (N171)/Medical-Surgical (N172) & Critical Care (N176) Oct 27, 2021
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