58 Grandiosity Grandiosity Defensive Coping r/t inaccurate perception of self and abilities Grand Mal Seizure See Seizure Disorders, Adult; Seizure Disorders, Childhood (Epilepsy, Febrile Seizures, Infantile Spasms) Grandparents Raising Grandchildren H Anxiety r/t change in role status Decisional Conflict r/t support system deficit Parental Role conflict r/t change in parental role Compromised family Coping r/t family role changes Interrupted Family processes r/t family roles shift Ineffective Role performance r/t role transition, aging Ineffective family Health management r/t excessive demands on individual or family Risk for impaired Parenting: Risk factor: role strain Risk for Powerlessness: Risk factors: role strain, situational crisis, aging Risk for Spiritual distress: Risk factor: life change Readiness for enhanced Parenting: physical and emotional needs of children are met Graves’ Disease See Hyperthyroidism Grieving Grieving r/t anticipated or actual significant loss, change in life status, style, or function Grieving, Complicated Complicated Grieving r/t expected or sudden death of a significant other with whom there was a volatile relationship, emotional instability, lack of social support Risk for complicated Grieving: Risk factors: death of a significant other with whom there was a volatile relationship, emotional instability, lack of social support Groom Self (Inability to) Bathing Self-Care deficit (See Self-Care deficit, bathing, Section III) Dressing Self-Care deficit (See Self-Care deficit, dressing, Section III) Growth and Development Lag Risk for disproportionate Growth (See Growth, disproportionate, risk for, Section III) Guillain-Barré Syndrome Impaired Spontaneous Ventilation r/t weak respiratory muscles Risk for Aspiration r/t ineffective cough; depressed gag reflex See Neurologic Disorders Guilt Grieving r/t potential loss of significant person, animal, prized material possession, change in life role Impaired individual Resilience (See Resilience, individual, impaired, Section III) Situational low Self-Esteem r/t unmet expectations of self Risk for complicated Grieving: Risk factors: actual loss of significant person, animal, prized material possession, change in life role Risk for Post-Trauma syndrome: Risk factor: exaggerated sense of responsibility for traumatic event Readiness for enhanced Spiritual well-being: desire to be in harmony with self, others, higher power or God H H1N1 See Influenza Hair Loss Disturbed Body Image r/t psychological reaction to loss of hair Imbalanced Nutrition: less than body requirements r/t inability to ingest food because of biological, psychological, economic factors Halitosis Impaired Dentition r/t ineffective oral hygiene Impaired Oral Mucous Membrane r/t ineffective oral hygiene Hallucinations Anxiety r/t threat to self-concept Acute Confusion r/t alcohol abuse, delirium, dementia, mental illness, drug abuse Ineffective Coping r/t distortion and insecurity of life events Risk for Self-Mutilation: Risk factor: command hallucinations Risk for other-directed Violence: Risk factors: catatonic excitement, manic excitement, rage or panic reactions, response to violent internal stimuli Risk for self-directed Violence: Risk factors: catatonic excitement, manic excitement, rage or panic reactions, response to violent internal stimuli Head Injury Ineffective Breathing pattern r/t pressure damage to breathing center in brainstem Acute Confusion r/t increased intracranial pressure Decreased Intracranial adaptive capacity r/t increased intracranial pressure Risk for ineffective Cerebral tissue perfusion: Risk factors: effects of increased intracranial pressure, trauma to brain Vision Loss r/t pressure damage to sensory centers in brain (see care plan in Appendix) See Neurologic Disorders