50
D
Dying Client
Acute Pain r/t vascular inflammation, edema
Ineffective peripheral Tissue perfusion r/t deficient knowledge
of aggravating factors
Delayed Surgical recovery r/t impaired physical mobility
Readiness for enhanced Knowledge: expresses an interest in
learning
Risk for imbalanced body Temperature: Risk factor: inactivity
See Anticoagulant Therapy
Dying Client
See Terminally Ill Adult; Terminally Ill Adolescent; Terminally Ill
Child, Infant/Toddler; Terminally Ill Child, Preschool Child; Terminally Ill Child, School-Age Child/Preadolescent; Terminally Ill
Child/Death of Child, Parent
Dysfunctional Eating Pattern
Imbalanced Nutrition: less than body requirements r/t psychological factors
Risk for Overweight: Risk factor: psychological factors
See Anorexia Nervosa; Bulimia; Maturational Issues, Adolescent;
Obesity
Dysfunctional Family Unit
See Family Problems
Dysfunctional Ventilatory Weaning
Dysfunctional Ventilatory weaning response r/t physical, psychological, situational factors
Dysmenorrhea
Nausea r/t prostaglandin effect
Acute Pain r/t cramping from hormonal effects
Readiness for enhanced Knowledge: expresses an interest in
learning
Dyspareunia
Sexual Dysfunction r/t lack of lubrication during intercourse,
alteration in reproductive organ function
Dyspepsia
Anxiety r/t pressures of personal role
Acute Pain r/t gastrointestinal disease, consumption of irritating foods
Readiness for enhanced Knowledge: expresses an interest in
learning
Dysphagia
Impaired Swallowing r/t neuromuscular impairment
Risk for Aspiration: Risk factor: loss of gag or cough reflex
Dysphasia
Impaired verbal Communication r/t decrease in circulation
to brain
Impaired social Interaction r/t difficulty in communicating
Dyspnea
Activity intolerance r/t imbalance between oxygen supply and
demand
Ineffective Breathing pattern r/t compromised cardiac or
pulmonary function, decreased lung expansion, neurological
impairment affecting respiratory center, extreme anxiety
Fear r/t threat to state of well-being, potential death
Impaired Gas exchange r/t alveolar-capillary damage
Insomnia r/t difficulty breathing, positioning required for effective breathing
Sleep deprivation r/t ineffective breathing pattern
Dysrhythmia
Activity intolerance r/t decreased cardiac output
Decreased Cardiac output r/t alteration in heart rate,
rhythm
Fear r/t threat of death, change in health status
Risk for ineffective Cerebral tissue perfusion: Risk factor:
decreased blood supply to the brain from dysrhythmia
Readiness for enhanced Knowledge: expresses an interest in
learning
Dysthymic Disorder
Ineffective Coping r/t impaired social interaction
Ineffective Health maintenance r/t inability to make good judgments regarding ways to obtain help
Insomnia r/t anxious thoughts
Chronic low Self-Esteem r/t repeated unmet expectations
Ineffective Sexuality pattern r/t loss of sexual desire
Social Isolation r/t ineffective coping
See Depression (Major Depressive Disorder)
Dystocia
Anxiety r/t difficult labor, deficient knowledge regarding
normal labor pattern
Ineffective Coping r/t situational crisis
Fatigue r/t prolonged labor
Grieving r/t loss of ideal labor experience
Acute Pain r/t difficult labor, medical interventions
Powerlessness r/t perceived inability to control outcome of
labor
Risk for Bleeding: Risk factor: hemorrhage secondary to
uterine atony
Risk for ineffective Cerebral tissue perfusion (fetal): Risk
factor: difficult labor and birth
Risk for delayed Development (Infant): Risk factor: difficult
labor and birth
Risk for disproportionate Growth: Risk factor: difficult labor
and birth
Risk for Infection: Risk factor: prolonged rupture of
membranes
Risk for impaired Tissue integrity (maternal and fetal): Risk
factor: difficult labor
Dysuria
Impaired Urinary elimination r/t infection/inflammation of the
urinary tract