Inephical Peripheral Tissue Perfusion Risk

Inephical Peripheral Tissue Perfusion Risk


Nursing Diagnosis: Inefficacious Peripheral Tissue Perfusion Risk

nursing diagnosis is a recognized, standardized classification system of nursing diagnoses. Inefficacious Peripheral Tissue Perfusion Risk (IPTP) is one such nursing diagnosis that is used to assess and identify the problems related to perfusion of peripheral tissue.

Nursing Diagnosis Definition

The nursing diagnosis definition of Inefficacious Peripheral Tissue Perfusion Risk is “the state in which an individual is at risk for decreased peripheral tissue perfusion resulting in an inability to adequately meet metabolic needs.”

Defining Characteristics


  • Agitation
  • Altered circulation status
  • Changes in respiration
  • Decreased consciousness
  • Fatigue
  • Numbness or tingling sensation
  • Pain
  • Paleness of skin
  • Paresthesia


  • Abnormal cardiac output
  • Abnormal capillary refill
  • Abnormal color of extremities
  • Altered peripheral pulses
  • Altered peripheral skin temperature
  • Diminished peripheral sensation
  • Inefficacious nutrient delivery
  • Ineffective tissue perfusion

Related Factors

  • Age-related physiological changes: Age-related factors such as decreased mobility, alterations in autonomic nervous system functioning, and increased susceptibility to infection can affect blood circulation.
  • Environmental/contextual factors: Living in an environment that is poor in quality nourishment or is physically stressful can lead to poor perfusion of peripheral tissue.
  • Excessive body weight: Excessive body weight can reduce the effectiveness of peripheral tissue perfusion.
  • Infection: Certain types of infections, such as sepsis, can reduce blood circulation in affected areas.
  • Surgery: Surgical procedures can temporarily prevent/reduce the circulation of blood in certain areas.
  • Toxins: Exposure to toxins can induce congestion, leading to reduced tissue perfusion.

Risk Population

  • Elderly: Elderly individuals may be more prone to poor perfusion of peripheral tissues due to age-related changes.
  • Malnourished: Malnourished individuals may have a lower ability to fight infection, as well as a higher risk for poor peripheral perfusion.
  • Postoperative: Patients who have recently undergone surgery may require extra vigilance as they adjust to new lifestyle activities and potential tissue ischemia.
  • Sedentary: Individuals who lead a sedentary lifestyle may be at higher risk for poor peripheral perfusion due to lack of exercise.

Associated Problems

  • Acute pain
  • Altered immune function
  • Altered nutrition less than body requirements
  • Body image disturbance
  • Inefficient activity planning
  • Loneliness
  • Risk for infection
  • Social isolation
  • Self-care deficit

Suggested Use

The IPTP nursing diagnosis should be used to assess the risk for decreased peripheral tissue perfusion in any settings where poor tissue perfusion has been identified. It should be used in conjunction with other nursing assessments to develop an appropriate plan of care.

Suggested Alternative NANDA Nursing Diagnoses

  • Altered Circulation
  • Ineffective Energy Conservation
  • Ineffective Nutritional Intake
  • Ineffective Peripheral Tissue Perfusion
  • Risk for Infection
  • Risk for Injury

Usage Tips

  • Include children in the assessment of risk so that adequate care and interventions can be provided.
  • Collaborate with health professionals and family members to ensure that the individual receives necessary resources and support to improve tissue perfusion.
  • When initiating interventions, consider the cultural and spiritual values and beliefs of the individual in order to facilitate acceptance of activities, treatments and lifestyle modifications.
  • Carefully monitor vital signs and intake & output as well as response to interventions.
  • Encourage patient to practice relaxation techniques during treatment.
  • Provide encouragement and support to the individual on ways to remain mobile so as to improve tissue perfusion.

NOC Results

  • Cardiac Output: Ability of the heart to eject enough blood to meet metabolic demands.
  • Nutrition: Satisfactory nutritional intake adequate to meet metabolic demands.
  • Respiration: Volume of air inspired and expired during a given period of time.
  • Skin Integrity: A structural and functional integrity of the skin intact.
  • Tissue Perfusion: An adequate supply of oxygen and nutrients to the organs, tissues and cells of the body.

NIC Interventions

  • Circulation Enhancement: Actions taken to improve tissue perfusion by promoting optimal cardiac output.
  • Nutritional Monitoring: Tracking of nutritional intake to ensure adequate levels of energy and nutrients.
  • Skin Surveillance: Assessment of skin integrity and identification of changes to skin integrity.
  • Peripheral Sensory Stimulation: Practices used to promote adequate sensory function in limbs.
  • Deep Breathing Exercise: Promote proper respiratory function through deep breathing exercises.


Inefficacious Peripheral Tissue Perfusion Risk is an important nursing diagnosis to consider when assessing individuals for potential tissue perfusion problems. By utilizing tools such as NOC results and NIC interventions, nurses can identify and provide appropriate interventions that target the risk factors of this diagnosis.


  • What is Inefficacious Peripheral Tissue Perfusion Risk?
  • Inefficacious Peripheral Tissue Perfusion Risk is a nursing diagnosis that identifies an individual’s risk for decreased peripheral tissue perfusion resulting in an inability to adequately meet metabolic needs.

  • What are defining characteristics of IPTP Risk?
  • Defining characteristics of Inefficacious Peripheral Tissue Perfusion Risk include agitation, altered circulation status, changes in respiration, decreased consciousness, fatigue, numbness or tingling sensations, pain, paleness of skin, paresthesia, abnormal cardiac output, abnormal capillary refill, abnormal color of extremities, altered peripheral pulses, altered peripheral skin temperature, diminished peripheral sensation, and ineffective tissue perfusion.

Isabella White

Hello to all nursing enthusiasts! I'm Isabella White and I'm thrilled to welcome you to this space dedicated to the exciting world of nursing. Let me share a little about myself and what we can expect together on this journey. About Me: Nursing is more than just a profession to me, it's a calling. When I'm not caring for my patients or learning more about health and wellness, you'll find me enjoying the great outdoors, exploring new trails in nature, or savoring a good cup of coffee with close friends. I believe in the balance between caring for others and self-care, and I'm here to share that philosophy with you. My Commitment to You: In this space, I commit to being your reliable guide in the world of nursing. Together, we'll explore health topics, share practical tips, and support each other on our journeys to wellness. But we'll also celebrate life beyond the hospital walls, finding moments of joy in the everyday and seeking adventures that inspire us to live fully. In summary, this is a place where nursing meets life, where we'll find support, inspiration, and hopefully a little fun along the way. Thank you for joining me on this exciting journey. Welcome to a world of care, knowledge, and connection! Sincerely, Isabella White

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