Definition of the NANDA label
Risk for physical trauma is situation in which there is a risk of accidental tissue injuries such as fractures, wounds or burns.
Susceptible to physical injury of sudden onset and severity which require immediate attention.
Child safety flaws
• Children who play with matches, lighters, candles, cigarettes.
• Children who play with sharp or pointed objects.
• Children who play in the proximity of stairs that do not have the proper protection (security door) or surveillance.
Security flaws in the environment
• Slippery floors (wet or very waxed).
• Dirt or liquids spilled on the floor or stairs.
• Poor lighting conditions in rooms and corridors.
• Presence of obstacles in the corridors.
• Floor mats not attached or improperly attached.
• Lack of protection in low-rise windows.
• Use of unstable stairs.
• Use of inadequate or defective seats.
• Absence of railings, or deficiencies in them.
• Snow or ice on sidewalks or stairs.
• Bathtubs without handles and non-slip floors.
Safety failures in electrical installations
• Electric cables without proper fixation.
• Inadequate electrical outlets, damaged cables, defective electrical appliances.
• Overload of electrical outputs, failure in the fuse box.
Fire and burn hazards
• Gas leaks.
• Failure to ignite stove burners, heaters or gas oven.
• Experiments with chemical or flammable products.
• Use of plastic clothing near flames.
• Highly flammable children’s toys or clothing.
• Improper storage of corrosive or combustible products (matches, oil-soaked rags, bleach).
• Play with pyrotechnic material, gunpowder.
• Smoking in bed or near an oxygen source.
• Bathing with water that is too hot (especially faults in the control of children’s toilets).
• Lack of protection or inadequate protection of fireplaces, stoves and heaters.
• Use of pots and pots with inadequate or worn handles.
• Handling of acidic or alkaline substances.
Failures in road safety
• Using an unsafe vehicle.
• Driving after alcohol or drug use.
• Driving at excessive speed.
• Driving without adequate vision correction.
• Not using the seat belt.
• Carry children in the front of the car.
• No use of child restraints in the car or use of items unsuitable for the age and size of the child.
• Not wearing a helmet when traveling in two-wheelers.
• Carrying children on adult bicycles.
• Poor safety conditions on roads or crossings.
• Play or work near the passing of vehicles.
Dangers for the bedridden or hospitalized patient
• Use of high beds.
• Use of inadequate or poorly fixed bedding.
• Problems with the means of fastening.
• Failures in the mechanisms for calling for help.
Other risk factors
• Store firearms or ammunition without the proper security measures.
• Store unprotected knives.
• Use of broken or defective dishes.
• Being in contact with fast moving machinery, conveyor belts or industrial pulleys.
• Exposure to dangerous machines.
• Exposure to intense cold.
• Excessive or undue exposure to the sun, UVA lamps, radiotherapy.
• Bad vision.
• Balance problems.
• Decreased tactile and / or thermal sensitivity.
• Impaired neuromuscular coordination.
• Decreased hand-eye coordination.
• Failure to adopt precautions and security measures.
• Lack of financial resources to buy safety equipment or to carry out repairs.
• Emotional and cognitive disorders.
• History of trauma.
At risk population
• Economically disadvantaged
• Extremes of environmental temperature
• Gas leak
• High crime neighborhood
• History of trauma
• Alteration in cognitive functioning
• Alteration in sensation
• Decrease in eye-hand coordination
• Decrease in muscle coordination
• Risk Control.
• Safety: activities of daily living (ADL).
• Psychomotor energy.
• Self-care. Activities of Daily Living (ADL).
• Environmental management: safety.
• Surveillance: security.
• Health education.
• Physical restraint.
• Identification of risks.
This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.