Introduction to NANDA Nursing Diagnosis: Deterioration of Standing
NANDA Nursing Diagnosis (ND) is a standardised method of diagnosing and managing diseases and illnesses, assisting in identifying appropriate treatment goals and interventions. Evaluating and determining a patient’s ND helps healthcare professionals provide evidence-based and efficient care. Nursing diagnoses are classified into four categories: actual or risk diagnoses, support diagnoses, health promotion, and syndrome diagnoses. NANDA Nursing Diagnosis: Deterioration of Standing is categorised as an actual or risk diagnosis.
NANDA Nursing Diagnosis Definition
NANDA nursing diagnosis: Deterioration of Standing is defined as a decrease in the ability to maintain an upright position which results from a deficiency or disruption of physical or psychological functioning. It is characterised by a decline in the self-care ability to remain upright for an extended period.
Defining Characteristics
Subjective
- Expressions of difficulty standing
- Expressions of fatigue during standing
- Decreased ability to maintain standing posture or steady balance while standing
Objective
- Frequent changes in body position while standing
- Limited ability to shift weight while standing
- Decrease in strength to maintain steady standing position
Related Factors
The factors related to NANDA nursing diagnosis: Deterioration of Standing may be due to a variety of causes, such as a decrease in muscle strength or endurance, neurological deficits, decreased sensation, poor alignment and posture issues, malnutrition, dehydration, severe anemia, changes in vision, vertigo, orthostatic hypotension, sleep deprivation, adverse drug reactions, underlying diseases, and age-related conditions.
Risk Population
Those at increased risk of having a decline in the ability to maintain an upright position include older adults, pregnant women, individuals with disabilities, and those with neurological or musculoskeletal impairments. Additionally, those who do not engage in regular physical activity or have limited mobility are at greater risk of developing this nursing diagnosis.
Associated Problems
A decline in the ability to maintain an upright position can lead to an increased risk of falls, injury or fractures, which can adversely affect an individual’s quality of life. Additionally, a decline in standing ability can cause difficulty while walking and/or performing activities of daily living, thus impacting an individual’s independence and mobility.
Suggestions of Use
The diagnosis of Deterioration of Standing can be used to identify potential interventions that may improve an individual’s standing ability. Examples of interventions may include, but are not limited to, physical therapy, muscle strengthening and stretching exercises, balance exercises, occupational therapy, education on posture and proper alignment, nutritional assessment and intervention, and medication management.
Suggested Alternative NANDA Nursing Diagnoses
- Impaired Physical Mobility
- Impaired Transfer Ability
- Ineffective Peripheral Tissue Perfusion
- Activity Intolerance
- Fatigue
- Ineffective Breathing Pattern
- Hypothermia
Usage Tips
When diagnosing a patient with NANDA nursing diagnosis: Deterioration of Standing, it is important to consider the patient’s medical history, risk factors, and other associated problems in order to determine the most effective interventions. Furthermore, it is essential to monitor a patient’s progress in order to measure the effectiveness of the interventions implemented.
NOC Results
NOC (Nursing Outcome Classification) results associated with NANDA nursing diagnosis: Deterioration of Standing include: Enduring Sensory Perception, Mobility, Balance, Gait, and Strength.
- Enduring Sensory Perception – The patient maintains accurate sensory perception.
- Mobility – The patient is able to move independently around the environment.
- Balance – The patient is able to maintain balance while standing or moving.
- Gait – The patient is able to move from one place to another in an uninterrupted manner.
- Strength – The patient has sufficient traction to transfer, stand and ambulate without assistance.
NIC Interventions
NIC (Nursing Interventions Classification) interventions associated with NANDA Nursing Diagnosis: Deterioration of Standing include: Prosthetic Management, Exercise Therapy, Mobility Training, Balance Training, Rehabilitative Mobility Training, and Motor Activity Promotion.
- Prosthetic Management – Assist the patient with the fitting and use of prosthetic or supportive devices to enhance mobility.
- Exercise Therapy – Provide instruction in strengthening, stretching and conditioning exercises to enhance the patient’s standing ability.
- Mobility Training – Provide instruction in safety measures when moving and transferring in order to prevent falls and injuries.
- Balance Training – Teach the patient balance strategies and activities to improve stability when in an upright position.
- Rehabilitative Mobility Training – Provide instruction in ambulatory activities to improve the patient’s standing ability.
- Motor Activity Promotion – Encourage the patient to participate in recreational activities to increase physical functioning and mobility.
Conclusion
NANDA Nursing Diagnosis: Deterioration of Standing is aimed at evaluating and diagnosing a decline in the ability to maintain an upright position which affects an individual’s physical functioning and quality of life. Properly assessing and treating this condition involves determining the patient’s risk factors and managing them through education, exercise therapies, and prosthetics when needed. By doing so, healthcare providers can help patients improve their standing ability, reduce their risk of falls and injuries, and improve their quality of life.
FAQs
- What is NANDA Nursing Diagnosis: Deterioration of Standing?
NANDA Nursing Diagnosis: Deterioration of Standing is a nursing diagnosis that is categorized as an actual or risk diagnosis. It is defined as a decrease in the ability to maintain an upright position which results from a deficiency or disruption of physical or psychological functioning.
- What are some of the associated problems with NANDA Nursing Diagnosis: Deterioration of Standing?
A decline in the ability to maintain an upright position can lead to an increased risk of falls, injury or fractures, which can adversely affect an individual’s quality of life. Additionally, a decline in standing ability can cause difficulty while walking and/or performing activities of daily living, thus impacting an individual’s independence and mobility.