Introduction for NANDA Nursing Diagnosis Thrombosis Risk
Thrombosis is a serious condition that may result in death or significant disability. It is an essential part of nursing practice to understand the risk factors for thrombosis and to detect and intervene when thrombosis becomes a problem. NANDA Nursing Diagnosis: Thrombosis Risk helps clinicians identify patients at risk of thrombosis and provide appropriate care.
NANDA Nursing Diagnosis Definition
NANDA Nursing Diagnosis: Thrombosis Risk is defined as “a state in which an individual is at increased risk for developing thrombotic disease due to identified risk factors.”
- Patient reports difficulty in walking or lying down
- Patient reports swelling, warmth, redness or pain in affected area, especially after immobility
- Patient expresses concerns about the development of thrombosis
- Increased body temperature and increased pulse rate
- Edema and redness in affected area
- Presence of affected limb(s)
These include age, sex, genetic factors, and certain medical conditions. Age increases risk, as the risk is higher in older individuals. Sex also increases risk, as the risk is higher in men than in women. Genetic factors contribute to the risk, such as inherited thrombophilia or prothrombin gene mutation. Certain medical conditions, such as cancer or trauma, increase the risk of thrombosis.
Those who are at risk include those with medical conditions, such as cancer, trauma, or heart disease; those who have had recent surgery; and those who have been immobile for a long period of time. Those who are pregnant or have recently given birth are also at risk.
Thrombosis can lead to serious complications, including pulmonary embolism, deep vein thrombosis, stroke, and arterial thrombosis. It can also lead to irreparable damage to the affected limb.
Suggestions for Use
In order to reduce the risk of thrombosis, it is important for healthcare professionals to assess for risk factors and to provide necessary treatments. These can include medications to prevent or reduce the risk, such as anticoagulants or antiplatelet agents. Regular follow up and monitoring are also important. Early interventions are key to reducing the risk of serious consequences.
Suggested Alternative NANDA Diagnoses
- Activity Intolerance
- Ineffective Health Maintenance
- Tissue Perfusion: Peripheral, Risk for Impaired
- Imbalanced Nutrition: Less Than Body Requirements
The nurse should assess for risk factors for thrombosis and address these factors. Additionally, the nurse should provide education on risk reduction, signs and symptoms of thrombosis, and the importance of following treatment plans and regular follow-up care.
- Knowledge: Disease Process: The patient will be able to identify risk factors associated with thrombosis and indicate strategies to reduce risks
- Self Care: Standards: The patient will understand and adhere to standards of care for risk reduction related to thrombosis.
- Mobility: Physical Activity: The patient will maintain physical activity within safe parameters.
- Therapeutic Regimen Management: Self-Health Care: The patient will be knowledgeable about thrombosis and its management through therapeutic regimens.
- Risk Identification: Assess patient risk factors for thrombosis.
- Education: Educate patient and family members on risk reduction and management of thrombosis.
- Medication Administration: Administer medications as prescribed by provider.
- Monitoring: Monitor patient’s condition and response to treatment interventions.
NANDA Nursing Diagnosis: Thrombosis Risk is a useful tool for nurses to recognize patients at risk and to provide appropriate care. By assessing for risk factors, providing education and interventions, and monitoring response to treatment, healthcare providers can help prevent serious complications from thrombosis.
- What is NANDA Nursing Diagnosis: Thrombosis Risk?
- NANDA Nursing Diagnosis: Thrombosis Risk is a nursing diagnosis that assesses the risk of an individual developing thrombotic disease due to identified risk factors.
- What are the defining characteristics of NANDA Nursing Diagnosis: Thrombosis Risk?
- The defining characteristics include patient reports of difficulty in walking or lying down, swelling, warmth and redness in the affected area, and expressed concerns about the development of thrombosis. Other objective indicators are increased body temperature and pulse rate, edema and redness in the affected area, and presence of affected limb(s).
- What are the related factors associated with NANDA Nursing Diagnosis: Thrombosis Risk?
- The related factors include age, sex, genetic factors and certain medical conditions.