Introduction for Nursing Diagnosis
Risk of Deterioration of Cardiovascular Function is a nursing diagnosis in the international classification system of NANDA-I (North American Nursing Diagnosis Association International) which relates to an individual or family’s risk of impairment or decline in their cardiovascular function due to underlying factors.
NANDA Nursing Diagnosis Definition
Risk Of Deterioration Of Cardiovascular Function: The state in which an individual or family is in danger of developing or showcasing signs, symptoms and/or complications of cardiovascular dysfunction due to underlying factors.
Defining Characteristics
Subjective Data
- Expresses concern about cardiovascular health
- Complains of palpitations
- Expresses fears about risk factors
- Recounts episodes of pain during meals
Objective Data
- Changes in respiratory rate
- Decreased peripheral pulses
- Edema in the extremities
- Hypertension
- Fever
- Cyanosis
- Sudden weight gain
- Heart murmur
Related Factors
- Aging
- Lack of physical activity
- High cholesterol
- Poor nutrition
- Smoking
- Genetic predisposition
- Overweight/obesity
- Alcohol use
- Family history of cardiovascular dysfunction
- Stress
Risk Population
- Individuals suffering from conditions that may lead to cardiovascular problems such as hypertension, diabetes, and coronary artery disease
- Elderly individuals with age-related changes in the cardiovascular system
- Those predisposed to cardiovascular disease due to genetics, lifestyle choices, and/or age
- Individuals suffering from metabolic syndrome and inflammation
Associated Problems
- Cardiac arrest
- Arrhythmias
- Heart failure
- Stroke
- Angina
- Vascular occlusion
- Venous thromboembolism
Suggestions of Use
This NANDA nursing diagnosis can be used in a variety of clinical scenarios. For example, it would be beneficial for an elderly patient who appears to have increased respiratory rate and diminished peripheral pulses as these are signs and symptoms of a decrease in cardiovascular function. It could also be used in a patient recovering from an acute cardiac episode to monitor for any deterioration of their cardiovascular function.
Suggested Alternative NANDA Diagnoses
- Impaired Physical Mobility related to Cardiovascular Dysfunction
- Activity Intolerance related to Cardiac Condition
- Ineffective Peripheral Tissue Perfusion related to Decreased Cardiovascular Function
- Fear related to Prognosis of Cardiovascular Dysfunction
Usage Tips
- Assess the patient’s age, lifestyle choices, medical history, family history and associated conditions to determine the risk of deterioration of cardiovascular function.
- Perform a physical exam focusing on areas of the body that may show evidence of decreased cardiovascular functioning, such as the feet, hands and face.
- Evaluate the patient’s response to treatments, including medications, lifestyle changes and rehab.
- Have the patient report any change in physical comfort or well-being as soon as possible.
- Educate the patient and family members on the signs and symptoms of deteriorating cardiovascular function.
- Refer patient to other healthcare professionals, such as dietitians or cardiologists, when necessary.
NOC Results
- Cardiovascular Function: The patient’s ability to maintain normal heart rate, stroke volume, and peripheral perfusion is evaluated.
- Breathing Pattern: The patient displays respiratory rates within the expected range.
- Comfort Level: The patient experiences prolonged periods of comfort with no evidence of discomfort.
NIC Interventions
- Cardiovascular Monitoring: Constant monitoring of cardiovascular function by using methods such as pulse oximetry, ECG and stress tests.
- Hemodynamic Monitoring: Monitoring of the patient’s blood pressure and intravascular volume status.
- Medication Management: Administering and monitoring medications for cardiovascular conditions.
- Nutrition Support: Encouraging and educating the patient on proper nutrition and providing dietary guidance.
- Exercise Program: Developing an exercise plan with the patient to ensure proper cardiovascular health.
Conclusion
Risk of Deterioration of Cardiovascular Function is a NANDA nursing diagnosis that is used to identify individuals or families who are at risk for developing or exhibiting signs and symptoms of cardiovascular dysfunction due to underlying factors. Nurses should evaluate an individual’s risk by assessing age, lifestyle choices, medical history, family history and associated conditions. Nurses should also implement interventions such as cardiovascular monitoring, hemodynamic monitoring, medication management and nutrition support to manage the risk of deterioration of cardiovascular function.
FAQ (Frequently Asked Questions)
- What is the definition of Risk of Deterioration of Cardiovascular Function?
Risk of Deterioration of Cardiovascular Function is a nursing diagnosis based on the NANDA-I classification system which describes the state in which an individual or family is in danger of developing or exhibiting signs, symptoms and/or complications of cardiovascular dysfunction due to underlying factors. - How does risk of deterioration of cardiovascular function manifest itself?
Symptoms of Risk of Deterioration of Cardiovascular Function can include changes in respiratory rate, decreased peripheral pulses, edema, hypertension, fever, cyanosis, sudden weight gain, and heart murmurs. - What interventions should be implemented to manage Risk of Deterioration of Cardiovascular Function?
Interventions that should be implemented to manage Risk of Deterioration of Cardiovascular Function include cardiovascular monitoring, hemodynamic monitoring, medication management, nutrition support, and an exercise program.