- Introduction to Nursing Diagnosis: Risk Of Peripheral Neurovascular Dysfunction
- Nursing Diagnosis Definition
- Defining Characteristics
- Related Factors
- Risk Population
- Associated Problems
- Suggestions for Use
- Suggested Alternative Nursing Diagnosis
- Usage Tips
- NOC Results
- NIC Interventions
- Conclusion
- FAQs
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
Subjectives
- Complaints of decreased sensation
- Altered circulation
- Presence of diseases of the nervous system
- Weakness in the extremities
Objectives
- Decreased muscle strength
- Deformity
- Skin changes
- Decreased range of motion
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
Conclusion
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.
FAQs
- 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.
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