00181 Contamination

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00181 Contamination

Definition of the NANDA label

Exposure to environmental pollutants in doses sufficient to cause adverse health effects.

Exposure to environmental contaminants in doses sufficient to cause adverse health effects.

Defining characteristics

(Defining characteristics depend on the causative agent. Agents can cause a variety of organic and systemic responses).

Pesticides

• Dermatological effects of exposure to pesticides.
• Gastrointestinal effects of pesticide exposure.
• Neurological effects of pesticide exposure.
• Pulmonary effects of pesticide exposure.
• Kidney effects of pesticide exposure.
• Main categories of pesticides: insecticides, herbicides, fungicides, antimicrobials, rodenticides.

Chemical agents

• Dermatological effects of exposure to chemical agents.
• Gastrointestinal effects of exposure to chemical agents.
• Immunological effects of exposure to chemical agents.
• Neurological effects of exposure to chemical agents.
• Pulmonary effects of exposure to chemical agents.
• Kidney effects of exposure to chemical agents.
• Main chemical agents: petroleum derivatives; type I anticolesterinases, which act on the proximal tracheobronchial portion of the respiratory tract; type II, which act on the alveoli; Type III agents, which produce systemic effects.

Biological agents

• Dermatological effects of exposure to biological agents.
• Gastrointestinal effects of exposure to biological agents.
• Neurological effects of exposure to biological agents.
• Pulmonary effects of exposure to biological agents.
• Kidney effects of exposure to biological agents (toxins from living organisms [bacteria, viruses, fungi]).

Pollution

• Neurological effects of exposure to pollution.
• Pulmonary effects of exposure to pollution (main locations: air, water, soil; main agents: asbestos, radon, tobacco, heavy metals, lead, noise, exhaust gases).

Waste products

• Dermatological effects of exposure to waste products.
• Gastrointestinal effects of exposure to waste products.
• Hepatic effects of exposure to waste products.
• Lung effects of exposure to waste products (waste categories: garbage, raw sewage, industrial waste).

Related factors

External

• Chemical contamination of food.
• Chemical contamination of water.
• Exposure to bioterrorism.
• Exposure to disasters (natural or man-made).
• Exposure to radiation (work in radiology, employment in nuclear industries and power plants, living near nuclear industries and power plants).
• Exposure through ingestion of radioactive material (eg food / water contamination).
• Peeling, peeling paint in the presence of young children.
• Peeling, chipping of plaster in the presence of young children.
• Coating of surfaces (carpeted surfaces contain more polluting residues than bare surfaces).
• Geographic area (living in an area where there is a high degree of pollutants).
• Domestic hygiene practices.
• Inadequate municipal services (garbage collection or wastewater treatment services).
• Inappropriate use of protective clothing.
• Lack of decomposition of pollutants once they are inside (decomposition is inhibited if there is no exposure to the sun and rain).
• Lack of protective clothing.
• Lacquer in poorly ventilated areas.
• Lacquer without effective protection.
• Living in poverty (increases the potential for multiple exposures, lack of access to health care, and inadequate diet).
• Paint in poorly ventilated areas.
• Painting without effective protection.
• Personal hygiene practices.
• Playing outside in areas where environmental pollutants are used.
• Presence of atmospheric pollution.
• Home use of environmental contaminants (eg, pesticides, chemicals, tobacco smoke).
• Unprotected contact with chemicals (eg, chromium, lead).

Internal

• Age (children under 5 years old, the elderly).
• Concomitant exposures.
• Characteristics of development in children.
• Female gender.
• Gestational age during exposure.
• Nutritional factors (eg obesity, vitamin and mineral deficiencies).
• Pre-existing disease states.
• Pregnancy.
• Previous exhibitions.
• Smoking.

At risk population

– Children < 5 years
– Economically disadvantaged
– Exposure to areas with high contaminant level – Exposure to atmospheric pollutants
– Exposure to bioterrorism
– Exposure to disaster
– Exposure to radiation
– Female gender
– Gestational age during exposure
– Older adults
– Previous exposure to contaminant

Associated condition

– Pre-existing disease – Pregnancy

NOC

• Risk control.
• Exposure control.
• Healthy behavior.
• Healthy environment.
• Education.
• Self-care.
• Effective ventilation.
• Effective kidney function.
• Neurological function.
• Tissue integrity: skin and mucous membranes.

NIC

• Nutrition management.
• Neurological monitoring.
• Teaching.
• Monitoring of vital signs.
• Promotion of self-care.
• Promotion of self-responsibility.
• Environmental management: safety.
• Promotion of healthy behaviors.
• Prevention.
• Teaching treatment.

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