CNC - Outcome Example (NOC)

Published on College of Nursing | The University of Iowa (http://www.nursing.uiowa.edu)

Hydration--0602

DEFINITION: Adequate water in the intracellular and extracellular compartments of the body

OUTCOME TARGET RATING: Maintain at______ Increase to_______

		Severely compromised	Substantially compromised	Moderately compromised	Mildly compromised	Not compromised
OUTCOME OVERALL RATING		1	2	3	4	5
Indicators:
060201	Skin turgor	1	2	3	4	5	NA
060202	Moist mucous membranes	1	2	3	4	5	NA
060215	Fluid intake	1	2	3	4	5	NA
060211	Urine output	1	2	3	4	5	NA
060216	Serum sodium	1	2	3	4	5	NA
060217	Tissue perfusion	1	2	3	4	5	NA
060218	Cognitive function	1	2	3	4	5	NA
		Severe	Substantial	Moderate	Mild	None
060205	Thirst	1	2	3	4	5	NA
060219	Dark urine	1	2	3	4	5	NA
060208	Soft, sunken eyeballs	1	2	3	4	5	NA
060220	Sunken fontanel	1	2	3	4	5	NA
060212	Decreased blood pressure	1	2	3	4	5	NA
060221	Rapid thready pulse	1	2	3	4	5	NA
060213	Increased hematocrit	1	2	3	4	5	NA
060222	Increased blood urea nitrogen	1	2	3	4	5	NA
060223	Weight loss	1	2	3	4	5	NA
060224	Muscle cramps	1	2	3	4	5	NA
060225	Muscle twitching	1	2	3	4	5	NA
060226	Diarrhea	1	2	3	4	5	NA
060227	Body temperature elevation	1	2	3	4	5	NA

Domain-Physiologic Health (II) Class-Fluid & Electrolytes (G) 1st edition 1997; revised 2004, 2013

OUTCOME CONTENT REFERENCES:

Arieff, A. (1986). Hyponatremia, convulsions, respiratory arrest, and permanent brain damage after elective surgery in healthy women. The New England Journal of Medicine, 314(24), 1529-1534.

Carcillo, J. A., Davis, A. L., & Zaritsky, A. (1991). Role of early fluid resuscitation in pediatric septic shock. Journal of the American Medical Association, 266(9), 1242-1245.

Gilski, D. (1993). Controversies in patient management after cardiac surgery. Journal of Cardiovascular Nursing, 7(4), 1-13.

Hill, P., & Aldag, J. (1991). Potential indicators of insufficient milk supply syndrome. Research in Nursing & Health, 14(1), 11-19.

Innerarity, S. A. (1997). Fluids and electrolytes (3rd ed.). Springhouse, PA: Springhouse.

The Joanna Briggs Institute for Evidence Based Nursing and Midwifery. (2000). Identification and nursing management of dysphagia in adults with neurological impairment. Best Practice, 4(2), Blackwell Science-Asia, Australia.

Mentes, J., Culp, K., Wakefield, B., Gaspar, P., Rapp, C., Mobily, P., & Tripp-Reimer, T. (1998). Dehydration as a precipitating factor in the development of acute confusion in the frail elderly. In B. Vellas, J. Albarde, & P. Garry (Eds.), Facts, research, and intervention in geriatrics: Hydration and aging (pp. 83-100). Paris: Serdi.

Reese, J. L. (2001). Fluid volume deficit – dehydration: Isotonic, hypotonic, and hypertonic. In M. Maas, K. Buckwalter, M. Hardy, T. Tripp-Reimer, M. Titler, & J. Specht (Eds.), Nursing care of older adults: Diagnoses, outcomes & interventions (pp. 183-200). St. Louis: Mosby.

Wakefield, B., Mentes, J., Digglemann, L., & Culp, K. (2002). Monitoring hydration status in elderly veterans. Western Journal of Nursing Research, 24(2), 132-142.

Source: Moorhead, S., Johnson, M., Maas, M., & Swanson, E. (Eds.). (2013). Nursing Outcomes Classification (NOC): Measurement of Health Outcomes (5th ed, p. 253.). St. Louis, MO: Elsevier.

NIC and NOC are developed at the University of Iowa College of Nursing, but are published and copyrighted by Mosby, Elsevier Health Sciences. For licensing information, please contact Karen Delany at Elsevier Hearlth Sciences (215) 239-3278 or karen-delaney@elsevier.com [1]; email: nicnoc@harcourt.com [2]. For permission to use NIC and NOC please contact Health Permissions at (800) 523-1649, ext. 3804 or healthpersmissions@elsevier.com [3].

Source URL: http://www.nursing.uiowa.edu/cncce/noc-outcome-example

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