Introduction for Nursing Diagnosis
NANDA Nursing Diagnosis is defined as a clinical judgment about individual, family, or community experiences/responses to actual or potential health problems/life processes. It provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.
NANDA Nursing Diagnosis Definition
In this post, we will cover NANDA Nursing Diagnosis: Ineffective Self-Management Risk Of Lymphatic Edema. This diagnosis implies that an individuals has difficulty in self-management of lymphatic circulation that results in risk for edema.
- Complains of swollen and tight limbs
- Expresses feelings of concern
- Expresses feeling of fatigue
- Fluid retention
- Decreased skin turgor at circumference of calf asymmetrically
Lymphatic edema may relate to the following factors:
- Medication Side Effects: Certain medications such as nonsteroidal anti-inflammatory drugs, alpha-blockers can cause fluid retention.
- SYndromes: Certain Diseases and Syndromes such as lymphedema, hypothyroidism, nephrosis can lead to fluid accumulation.
- Trauma: Trauma can cause damage to lymph nodes, leading to impaired absorption of lymphatic fluid.
This diagnosis applies to individuals with compromised or damaged lymphatic systems who have difficulty managing lymphatic circulation.
Lymphatic edema often leads to the development of other associated problems such as tissue hypoxia, edema, skin breakdown, and infections.
Suggestions of Use
Instructing the patient on how to check for edema, manage and record diet, perform range-of-motion exercises, and use compression garments are some of the ways that this diagnosis can be used to improve self-management of lymphatic edema.
Suggested Alternative NANDA Diagnoses
Alternative NANDA Nursing Diagnoses include:
- Ineffective tissue perfusion related to cardiac disorder.
- Impaired physical mobility related to muscle weakness
- Deficient fluid volume related to electrolyte imbalance
When implementing this diagnosis, some useful tips to consider include:
- Provide any necessary education and information to the patient on self-care and self-management of risk for edema.
- Assess any risk factors contributing to the edema and make any necessary lifestyle changes.
- Incorporate any necessary safety measures to prevent infection.
List of NOC Outcomes
Some potential NOC Outcomes associated with this diagnosis include:
- Mobility Level: The patient will be able to actively and independently perform necessary movements with minimal assistance from a healthcare provider.
- Pain Management: The patient will experience relief from pain associated with edema and congestion of the lymphatic system.
- Self-Care Requirement Level: The patient will be able to take care of their own needs without assistance or supervision.
List of NIC Interventions
Some potential NIC Interventions associated with this diagnosis include:
- Compression bandaging: The application of a supportive bandage to limbs affected by edema.
- Diet Instruction: Educating the patient on how to maintain a diet low in salt, sugar, and fat.
- Skin Care: Regularly cleansing and moisturizing skin to prevent breakdown and infection.
Conclusion & FAQ
NANDA Nursing Diagnosis: Ineffective Self-Management Risk Of Lymphatic Edema may be helpful in educating the patient on how to monitor, prevent, and self-manage the risk of edema. Specialized nursing interventions and patient education can significantly reduce the risk of swelling, pain, and infection associated with lymphatic edema.
- What is NANDA Nursing Diagnosis?
- NANDA Nursing Diagnosis is a clinical judgment based on individual, family, or community experiences/responses to actual or potential health problems/life processes that provides the basis for selection of nursing interventions.