Risk Of Peripheral Neurovascular Dysfunction

Risk Of Peripheral Neurovascular Dysfunction


Introduction to Nursing Diagnosis: Risk Of Peripheral Neurovascular Dysfunction

Peripheral Neurovascular Dysfunction (PNVD) is a disorder characterized by impaired functioning of the peripheral nerves and vascular system due to injury or disease. This diagnosis can carry long-term risk of developing additional complications such as atrophy, inflammation and pressure generated by standing or walking. There is evidence that PNVD can lead to long-term issues with mobility, pain or functional disability.

Nursing Diagnosis Definition

Risk for peripheral neurovascular dysfunction describes a state in which an individual is at risk of developing peripheral neurovascular impairment because of additional illness or injury.

Defining Characteristics


  • Complaints of decreased sensation
  • Altered circulation
  • Presence of diseases of the nervous system
  • Weakness in the extremities


  • Decreased muscle strength
  • Deformity
  • Skin changes
  • Decreased range of motion

Related Factors

The factors associated with the risk for peripheral neurovascular dysfunction include:

  • Age-related changes. Normal aging can reduce sensitivity, increase risk for poor circulation, and reduce range of motion, all of which contribute to a heightened risk for peripheral neurovascular dysfunction.
  • Injuries or surgery. Injury or surgery can damage the nerve or vascular system and impair its functioning.
  • Medication use. Certain medications can cause nerve or vascular damage.
  • Systemic diseases. Systemic diseases such as diabetes and cardiovascular disease can contribute to peripheral neurovascular dysfunction.

Risk Population

The population at risk of developing PNVD includes anyone suffering from chronic illness or injury, those who have had surgery recently or in the past, and people over the age of 65. Additionally, certain medications can increase the risk of PNVD.

Associated Problems

The problems associated with developing PNVD can range from mild discomfort to severe pain and functional disability. These may include difficulty with mobility, walking and carrying out activities of daily living (ADLs), atrophy, inflammation, inadequate tissue perfusion, impaired nerve conduction, wound healing delay and development of ulcers due to poor circulation.

Suggestions for Use

When caring for a patient who may be at risk for peripheral neurovascular dysfunction, nurses should assess for signs and symptoms of PNVD. It is also important to educate patients and their families about the risk factors and ways in which they can keep their circulation healthy.

Suggested Alternative Nursing Diagnosis

Alternative NANDA diagnoses to consider in the care of a patient at risk for PNVD include impaired physical mobility, risk for impaired skin integrity, impaired tissue integrity, and activity intolerance.

Usage Tips

When assessing a patient for PNVD, it is important to note any presence of redness, edema, decreased range of motion, numbness, tingling, and other deficits. Additionally, the nurse should provide appropriate interventions to support the patient and family members in any changes that need to be made to reduce and prevent the risk of developing PNVD.

NOC Results

The following are NOC results related to a patient at risk for PNVD:

  • Sensory Perception: Communicating the perception of sensory stimuli
  • Musculoskeletal Mobility: Ability to move joints and muscles through full range of motion
  • Skin Integrity: Skin and mucous membrane intactness
  • Tissue Integrity: Ability to conserve, repair and maintain tissue integrity

NIC Interventions

The following are NIC interventions related to a patient at risk for PNVD:

  • Nerve Conduction Monitoring: Monitoring transmission of electrical impulses along peripheral nerves
  • Gait Training: Teaching safe and efficient methods of walking
  • Range-of-Motion Activities: Performance of activities to maintain or increase joint flexibility and range of motion
  • Positioning: Placing patient in lying, sitting, standing, or kneeling position to ensure comfort and safety


Peripheral neurovascular dysfunction is a disorder that can have long-term implications on a patient’s mobility, pain and functional ability. Those who are at risk should be carefully monitored for signs and symptoms of PNVD and provided with appropriate interventions to reduce and prevent its occurrence.


  • What is peripheral neurovascular dysfunction?
  • Peripheral neurovascular dysfunction is a disorder characterized by impaired functioning of the peripheral nerves and vascular system due to injury or disease.
  • Who is at risk for PNVD?
  • Anyone suffering from chronic illness or injury, those who have had surgery recently or in the past, and people over the age of 65 are at risk of developing PNVD.
  • What are some interventions that can help prevent PNVD?
  • Interventions that can help prevent PNVD include nerve conduction monitoring, gait training, range-of-motion activities, and positioning.

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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