Nursing Diagnosis for Metabolic and Endocrine Disorders

Eating Disorders: Anorexia Nervosa/ Bulimia Nervosa

  • Imbalanced nutrition, less than body requirements
  • Actual or risk for deficient fluid volume
  • Disturbed thought process
  • Disturbed body image
  • Low self-esteem
  • Impaired parenting
  • Risk for impaired tissue integrity
  • Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Eating Disorders: Obesity

  • Imbalanced nutrition, less than body requirements
  • Actual or risk for deficient fluid volume
  • Disturbed thought process
  • Disturbed body image
  • Chronic low self-esteem
  • Impaired parenting
  • Risk for impaired skin integrity
  • Disturbed thought process
  • Disturbed body image

Obesity: Surgical Interventions (Gastric Partitioning/Gastroplasty, Gastric Bypass)

  • Ineffective breathing pattern
  • Risk for ineffective tissue perfusion
  • Risk for deficient fluid volume
  • Imbalanced nutrition less than body requirements
  • Risk for impaired tissue integrity
  • Risk for infection
  • Diarrhea
  • Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Diabetes Mellitus/ Diabetic Ketoacidosis

  • Deficient fluid volume (specify)
  • Imbalanced nutrition less than body requirements
  • Risk for infection (sepsis)
  • Risk for disturbed sensory perception (specify)
  • Fatigue
  • Powerlessness
  • Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

View Sample Nursing Care Plan for Diabetes Mellitus type 1

View Sample Nursing Care Plan for Diabetes Mellitus type 2

Hyperthyroidism (Thyrotoxicosis, Grave’s Disease)

  • Risk for decreased cardiac output
  • Fatigue
  • Risk for imbalanced nutrition, less than body requirements
  • Anxiety (specify level)
  • Risk for disturbed thought process
  • Risk for impaired tissue integrity
  • Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Thyroidectomy

  • Risk for ineffective airway clearance
  • Impaired verbal communication
  • Risk for injury (tetany)
  • Acute pain
  • Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Hepatitis

  • Fatigue
  • Imbalanced nutrition less than body requirements
  • Risk for deficient fluid volume
  • Low self-esteem
  • Risk for infection
  • Risk for impaired skin or tissue integrity
  • Imbalanced nutrition less than body requirements

View Sample Nursing Care Plan for Hepatitis A

Cirrhosis of the liver

  • Imbalanced nutrition less than body requirements
  • Excess fluid volume
  • Risk for impaired tissue integrity
  • Risk for ineffective breathing pattern
  • Risk for injury (hemorrhage)
  • Risk for acute confusion
  • Disturbed self-esteem
  • Disturbed body image
  • Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

View Sample Nursing Care Plan for Liver Cirrhosis

Pancreatitis

  • Acute pain
  • Risk for deficient fluid volume
  • Imbalanced nutrition less than body requirements
  • Risk for infection
  • Risk for ineffective breathing pattern
  • Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Total Nutritional Support: Parenteral/ Enteral Feeding

  • Imbalanced nutrition less than body requirements
  • Risk for infection
  • Risk for injury (multifactor)
  • Risk for aspiration
  • Risk for imbalance fluid volume
  • Fatigue
  • Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

Daisy Jane Antipuesto RN MN

Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.

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