00197 Risk Of Gastrointestinal Motility Dysfunctional

Domain 3: elimination and exchange
Class 2: gastrointestinal function
Diagnostic Code: 00197
Nanda label: gastrointestinal motility risk dysfunctional
Diagnostic focus: gastrointestinal motility
Approved 2008 • Revised 2013, 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « risk of gastrointestinal motility .

Risk factors

  • Altered water source
  • Anxiety
  • Changes in eating habits
  • deterioration of physical mobility
  • Malnutrition
  • Sedentary lifestyle
  • Stressors
  • Non -hygienic food preparation

Risk population

  • People who have ingested contaminated material
  • Older adults
  • Premature infants

Associated problems

  • Decrease in gastrointestinal circulation
  • Diabetes mellitus
  • Enteral nutrition
  • Food intolerance
  • Gastroesophageal reflux
  • Infections
  • Pharmacological preparations
  • Therapeutic regime

Suggestions of use

  • For this and other sections and its contents, consult the diagnosis of gastrointestinal motility dysfunctional

Suggestions of use

ineffective gastrointestinal perfusion could represent a medical diagnosis or condition. The results and interventions would correspond to medical or surgical treatments. The role of the nursing professional is to monitor and detect changes in the patient’s condition. Therefore, nursing care will be based on the use of collaboration problems (for example, possible complication of renal failure: ineffective gastrointestinal perfusion).

Suggested alternative diagnostics

  • cardiac spending, decrease in

NOC Results

Note : The following result is used to evaluate the real presence of ineffective gastrointestinal perfusion:

  • Tissue perfusion: abdominal organs: sufficiency of blood flow of small vessels of abdominal viscera to maintain visceral function

Note : Some examples of the results associated with ineffective gastrointestinal perfusion risk factors are the following:

  • Behavior for cessation in alcohol abuse: personal actions to eliminate alcohol consumption that represents a health risk
  • Effectiveness of cardiac pumping: sufficiency of the blood volume expelled by the left ventricle to maintain the systemic perfusion pressure
  • Circulatory status: Unidirectional blood flow without obstacles, with adequate pressure, through the large vessels of systemic and pulmonary circuits
  • Gastrointestinal function: process in which food (ingested or administered by probe) goes from ingestion to excretion
  • Severity of water overload: severity of excess fluids in intracellular and extracellular spaces of the body
  • Hydration: appropriate amount of water in the intracellular and extracellular spaces of the body

  • • Demonstrates circulatory state, as manifested by the following indicators (specify from 1 to 5: severely, substantially, moderately, slightly or without deviation from normal limits): systolic and diastolic ta
  • • Demonstrates hydration, as manifested by the following indicators (specify from 1 to 5: seriously, substantially, moderately, slightly or not compromised):
    • High hematocrit
    • Ureic nitrogen in the blood
    • thirst (abnormal)
  • Other examples

    • • Demonstrates adequate intake of food, liquids and nutrients
    • • Report sufficient energy
    • • Present body weight and mass within the expected limits

    NIC Interventions

    • Cardiac care: limitation of complications resulting from the imbalance between the contribution and the oxygen needs of the myocardium, with symptoms of alteration of cardiac function
    • Circulatory care: Arterial insufficiency: improvement of arterial circulation
    • Circulatory care: venous insufficiency: improvement of venous circulation
    • Liquid management: improvement of liquid balance and prevention of complications resulting from an anomalous or unwanted amount of liquids
    • Hemorrhage reduction: gastrointestinal: limitation of the amount of blood loss of the lower and upper gastrointestinal tract, as well as related complications
    • Hemodynamic regulation: optimization of heart rate, preload, postcard and contractility

    Nursing Activities

    Valuations

    • • Monitor the vital signs
    • • Monitor the heart rate
    • • Keep a precise record of fluid intake and spending
    • • Monitor the presence of signs of water imbalance (for example, dry mucous, cyanosis and jaundice)

    Collaboration activities

    • • (NIC) Liquid management:
      • Administer therapy by IV, according to prescription

    Patient and family education

    • • Explain to the patient all the expected procedures and sensations
    • • Explain the need to restrict some liquids, as required

    Collaboration activities

    • • Administer diuretics, according to prescription
    • • Notify the doctor if signs and symptoms of excessive liquid volume appear