00238 Deterioration Of Standing

Domain 4: activity/rest
Class 2: activity/exercise
Diagnostic Code: 00238
NANDA Tag: Deterioration of standing
Diagnostic focus: standing
Approved 2013 • Revised 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « deterioration of standing is defined as: limitation of the ability to obtain and/or maintain independently and voluntarily an upright position of the body, of the feet to The head.

Definite characteristics

  • Difficulty adjusting the position of one or both members lower than irregular surfaces
  • Difficulty to achieve postural balance
  • Difficulty for the extension of one or both hips
  • Difficulty for the extension of one or both knees
  • Difficulty in flexion of one or both hips
  • Difficulty for flexion of one or both knees
  • Difficulty to maintain postural balance
  • Difficulty for movement of one or both hips
  • Difficulty for movement of one or both knees
  • Difficulty to keep the torso upright with the weight of the body

Related factors

  • Excessive emotional alteration
  • Insufficient energy
  • Insufficient muscle strength
  • Insufficient physical resistance
  • Malnutrition
  • Obesity
  • Pain
  • Self -determined relief posture

Associated problems

  • Circulatory perfusion disorder
  • Metabolism deterioration
  • Lower extremities injury
  • Neurological disorder
  • Posture prescribed
  • Sarcopenia
  • Surgical procedures