ANSIETAS

NIC Label:
1. Anxiety Reduction
2. Coping Enhancement
3. Teaching : preoperative
4. Emotional Support
5. Crisis Intervention
6. Grief Work Facilitation
7.
DEFISIENSI PENGETAHUAN
NOC Label:
NIC Label:
1. Knowledge: Disease Process
1. Teaching : Disease Process
2. Knowledge : Health Behaviour
2. Health Education
3. Knowledge : Disease Process
3. Teaching Prescribed Medication
4. Knowledge: Medication
4. Behaviour Medication
5. Knowledge: Diet
5. Surgical preparation
6. Pre procedure readiness
6. Learning Facilitation
7. Knowledge: health promotion
7.
8. Knowledge: Parenting
9. Knowledge: Illness Care
10. Knowledge : Personal Safety
DEFISIT PERAWATAN DIRI: MANDI, BERPAKAIAN, ELIMINASI, MAKAN,
NOC Label:
NIC Label:
1. self care :bathing
1. Bathing
2. self-care : hygiene
2. Oral health maintenance
3. Self-care :dressing
3. Nail care
4. Self- care : toileting
4. Self-care
Assistance:
Dressing/
5. Self-care : Eating
Grooming
5. Self-care Assistance: Toileting
6. Self-care Assistance: Feeding
DEPRIVASI TIDUR
NOC Label:
NIC Label:
1. Sleep
1. Sleep Enhancement
2.
DIARE
NOC Label:
NIC Label:
1. Bowel Elimination
1. Diarrhea Management
2. Fluid Balance
2.
DISFUNGSI SEKSUAL
NOC Label:
NIC Label:
1. Sexual Functioning
1. Sexual Counseling
GANGGUAN ELIMINASI URIN
NOC Label:
NIC Label:
1. Urinary Elimination
1. Urinary elimination management
2. Kidney Function
2. Hemodyalisis Therapi
NOC Label:
1. Anxiety Self-Control
2. Coping
3. Anxiety level
4. Acceptance : Health status
5.

3. Urinary Continence
4.

3. Urinary Retention Care

4. Urinary Catheterization
5. Pelvic Muscle Exercise
6. Medication Management
7.
GANGGUAN CITRA TUBUH
NOC Label:
NIC Label:
1. Body image
1. Body Image Enhancement
2. Adaptation to Physical Disability
2. Self Esteem Enhancement
3. Self Esteem
3. Emotional Support
4.
4.
RESIKO/GANGGUAN KESEIMBANGAN ELEKTROLIT
NOC Label:
NIC Label:
1. Electrolyte & Acid/ Base Balance
1. Electrolyte Management: Hyperkalemia
2.
2. electrolyte management: Hyponatremia
3. Electrolyte Management:
GANGGUAN MENELAN
NOC Label:
NIC Label:
1. Swallowing Status
1. Swallowing Theraphy
2. Swallowing Status: Oral Phase
2. Aspiration precautions
3. Swallowing Status: Esophageal Status
3. Nutrition Management
4. Aspiration prevention
5. Swallowing status : Pharyngeal phase
6. Nutritional Status : Food & Fluid
Intake
7.
GANGGUAN PERTUKARAN GAS
NOC Label:
NIC Label:
1. Respiratory status
1. Oxygen Therapy
2. Respiratory Status : Gas Exchange
2. Airway Management
3. Vital Sign
3. Energy Management
4. respiratory status : airway patency
4. respiratory monitoring
5. respiratory status : ventilation
5. Airway suctioning
6. Tissue perfusion : peripheral
6. Chest Physiotherapy
7.
7. Acid Base Management
8. Vital sign monitoring
9. Acid base management: Respiratory
Acidosis
10.
GANGGUAN POLA TIDUR
NOC Label:
NIC Label:
1. Sleep
1. Sleep enhancement
2. Energy Conservation
2. Enviromental management: comfort
3.
3. Relaxation therapy
4.
GANGGUAN RASA NYAMAN

NOC Label:
NIC Label:
1. Pain Level
1. Pain Management
2. Comfort Status: Physical
2. Environmental Management: Comfort
3. Comfort status: psychospiritual
3. Pruritus Management
4. Discomfort level
4. Anxiety Reduction
5. symptom control
5. Distraction
6. Comfort Status : Environment
7.
GANGGUAN VENTILASI SPONTAN
NOC Label:
NIC Label:
1. Respiratory Status
1. Respiratory monitoring
2. Vital Signs
2. Vital sign monitoring
3. Respiratory status: ventilation
3. Acid-Base Management: Respiratory
4. Respiratory status: gas exchange
Acidosis
5.
4. Acid-Base Management
5. Mechanical Ventilation
6. Infection Control
7. Airway Suctioning
8.
HAMBATAN INTERAKSI SOSIAL
NOC Label:
NIC label:
1. Hearing Compensation Behavior
1. Communication Enhancement: Hearing
2. Agitation level
Deficit
3.
2. Anxiety Reduction
3.
HAMBATAN KOMUNIKASI VERBAL
NOC Label:
NIC Label:
1. Communication: expressive
1. Communication enhancement: hearing
deficit
HAMBATAN MOBILITAS FISIK
NOC Label:
NIC Label:
1. Mobility
1. Exercise Therapy: Muscle Control
2. Body Positioning : Self-Initiated
2. Exercise promotion
3. Body positioning : Mobility
3. Exercise Therapy: Join mobility
4. Ambulation
4. Exercise Therapy: balance
5. Balance
5. Exercise therapy : ambulation
6. Body Mechanics Performance
6.
7.
HARGA DIRI RENDAH KRONIK
NOC Label:
NIC Label:
1. Motivation
1. Emotional Support
2. Coping Enhancement
3.
HARGA DIRI RENDAH SITUASIONAL
NOC Label:
NIC Label:

1. Self-esteem
2. Abuse recovery : emotional
3. Stress level
4.

1. Self-esteem enhancement
2. Emotional support
3.

HYPERTHERMIA
NIC Label:
1. Temperature Regulation
2. Fever Treatment
3. Vital Sign Monitoring
4. NUTRITION MANAGEMENT
5. INFECTION CONTROL
INKONTENSIA URINE REFLEKS
NOC Label:
NIC Label:
1. Urinary elimination
1. urinary elimination management
2.
2.
INTOLERANSI AKTIVITAS
NOC Label:
NIC label:
1. Activity tolerance
1. Activity therapy
2. Fatigue Level
2. Energy Management
3. Energy Conservation
3. Teaching : Prescribe Activity/Exercise
4. Respiratory status : ventilation
4. Exercise Therapy : Strength Training
5. respiratory status : airway patency
5.
6.
KEKURANGAN VOLUME CAIRAN
NOC Label:
NIC Label:
1. Fluid Balance
1. Fluid Management
2.
2. Fluid Monitoring
3. Hypovolemia Management
4.
KELEBIHAN VOLUME CAIRAN
NOC Label:
NIC Label:
1. Fluid Balance
1. Fluid management
2. Fluid overload severity
2. Fluid Monitoring
3. Weight: Body Mass
3. Hemodialisis Therapy
4. Hemodialisis Access
4.
5. Electrolyte & Acid/Base Balance
6.
KELETIHAN
NOC Label:
NIC Label:
1. Energy conservation
1. energy management
2. Fatigue Level
2. Sleep Enhancement
3.
KERUSAKAN INTEGRITAS KULIT
NOC Label:
NIC Label:
1. Tissue Integrity: Skin & Mucous
1. Skin Care: Topical Treatment
NOC Label:
1. Thermoregulation
2. Vital sign
3. Hydration

Membrane
Infection Severity
Infection Severity: Newborn
Allergic Respond : Localized
Wound Healing: Secondary intention
Risk control
Hemodialysis Access

2. Skin Surveillance
2.
3. Medication Administration: Eye
3.
4. Perineal Care
4.
5. Pressure management
5.
6. Medication Management
6.
7. Foot Care
7.
8. Wound Care
9. Wound Irrigation
10. Risk Identification
11. Self-Care Assistance : Bathing/Hygiene
KERUSAKAN MEMBRAN MUKOSA ORAL
NOC Label:
NIC Label:
1. Oral hygiene
1. Oral health restoration
2. Tissue Integrity: Skin & mucous
2. Oral Health Maintenance
membrane
3.
3.
KESIAPAN MENINGKATKAN MANAJEMEN KESEHATAN DIRI
NOC Label:
NIC Label:
1. Knowledge : Health Behavior
1. Health System Guidance
KETAKUTAN
NOC Label:
NIC Label:
1. Anxiety level
1. Anxiety reduction
2. Anxiety Self Control
2. Coping Enhancement
KETERLAMBATAN PERTUMBUHAN DAN PERKEMBANGAN
NOC Label:
NIC Label:
1. Growth
1. Nutrition Therapy
2. Child Development : 4 Years
2. Development Enhancement : Child
3. Child Development : 6 Month
3. Development Care
4. Knowledge Parenting
4. Teaching infant stimulation
5. Child development : 2 month
5. Nutrition Management
6.
6. Teaching : Infant Nutrition
KETIDAKEFEKTIFAN BERSIHAN JALAN NAFAS
NOC Label:
NIC Label:
1. Respiratory Status : Airway Patency
1. Airway Management
2. Allergic Response Localize
2. Oxygen Therapy
3. Mechanical
Ventilation
Response
3. Chest Physiotherapy
(Adult)
4. Airway Suctioning
4. Asthma Self-Management
5. Allergy Management
5. Respiratory Status: Ventilation
6. Ventilation Assistance
6.
7. Temperature regulation:
8. Vital sign monitoring
9. Asthma Management
10. Respiratory Monitoring
11. Cough Enhancement:
12.
KETIDAKEFEKTIFAN MANAGEMENT REGIMENT TERAPEUTIK KELUARGA

NOC Label:
NIC Label:
1. Knowledge: treatment procedure
1. Cognitive Restructuring
2. Knowledge: treatment regimen
2. Family Mobilization
3. Family Coping
3. Family Involvement Promotion
4. family support during treatment
4. Teaching : disease process
5. Asthma Self-Management
5.
6.
KETIDAKEFEKTIFAN MANAJEMEN KESEHATAN DIRI
NOC Label:
NIC Label:
1. Knowledge : Treatment Regimen
1. Health Education
2.
2. Coping Enhancement
3. Anticipatory Guidance
4.
KETIDAKEFEKTIFAN PEMBERIAN ASI
NOC Label:
NIC Label:
1. Breastfeeding Establishment : Infant
1. Lactation counseling
2. Breastfeeding Maintenance
2. Breastfeeding Assistance
3. Knowledge Breastfeeding
3. Teaching : Infant nutrition
KETIDAKEFEKTIFAN PERFORMA PERAN
NOC Label:
NIC Label:
1. Knowledge : Infant Care
1. Teaching : Infant Safety 0-3 Months
2. Parenting : Infant/Toddler Physical
Safety
3.
KETIDAKEFEKTIFAN PERFUSI JARINGAN PERIFER
NOC Label:
NIC Label:
1. Tissue Perfusion : Peripheral
1. Circulatory Care: Arterial Insufficiency
2.
2. Circulatory Care: Mechanical Assist
Device
3. Vital Signs Monitoring
4. Hemodynamic Regulation
KETIDAKEFEKTIFAN POLA NAFAS
NOC Label:
NIC Label:
1. Respiratory Status : Ventilation
1. Respiratory Monitoring
2. Respiratory Status: Airway Patency
2. Vital Signs Monitoring
3. Vital Signs
3. Airway Management
4. Discomfort Level
4. Pain Management
5. Aspiration Prevention
5. Ventilation Assistance
6. Oxygen Therapy
KETIDAKPATUHAN
NOC Label:
NIC Label:
1. Knowledge: treatment regimen
1. Health education
2. Knowledge : disease process
KETIDAKSEIMBANGAN NUTRISI KURANG DARI KEBUTUHAN TUBUH
NOC Label:
NIC Label:

1.
2.
3.
4.
5.
6.
7.

Nutritional Status
Appetite
Nutritional status : nutrient intake
gastrointestinal function
Weight: Body Mass
Body images
Nutrition status : Food & Fluid Intake

1. Nutrition Therapy
2. Nutrition Monitoring
3. Nutrition Counseling
4. Fluid Management
5. Weight Management
6. Nutrition management
7. Body Image
8. Eating disorder management
9. Swallowing therapy
10.
KONSTIPASI
NOC Label:
NIC Label:
1. Bowel Elimination
1. Constipation/Impaction Management
2.
MUAL
NOC Label:
NIC Label:
1. Appetite
1. Oral Health Maintenance
2. Nausea and Vomiting Control
2. Nausea Management
3. Nausea & Vomiting Severity
3. Vomiting Management
4. Oral Hygiene
4. Intracranial Pressure (ICP) Monitoring
5. Nausea & Vomiting: Disruptive Effects
5. Fluid Monitoring
6. Discomfort Level
6.
NYERI AKUT/KRONIS
NOC Label:
NIC Label:
1. Pain Level
1. Pain Management
2. Pain Control
2. Analgesic Administration
3. Vital Signs
3. Vital Signs Monitoring
4. Comfort Status: Physical
4. relaxation therapy
5. Discomfort Level
5. Distraction
6. Sleep Enhancement
7.
PENURUNAN CURAH JANTUNG
NOC Label:
NIC Label:
1. Cardiac Pump Effectiveness
1. Medication Administration
2. Circulation Status
2. Cardiac Care
3. Fatigue Level
3. Anxiety reduction
4. Respiratory Status: Airway Patency
4. Pain Management
5. Respiratory Status: Gas Exchange
5. Energy Management
6. Tissue Perfusion: Peripheral
6. Vital Signs Monitoring
7. Cardiopulmonary status
7. Respiratory Monitoring
8. Cardiac Disease Self-Management
8. Dysrhythmia Management
9. Vital Sign
9. Oxygen Therapy
10. Anxiety Level
10. medication management
11. Electrolyte and acid / base balance
11. Airway Management
12. Activity Tolerance
12. Hemodynamic regulation
13. Fluid Balance
13. Electrolyte management: hypernatremia

14. Fluid Overload Severity

15. Neurological Status: Peripheral
16. Blood Loss Severity
17. Energy conservation
18. Fatigue Level
19. Endurance
20.

14. Acid-Base Management

15. Acid Base Monitoring
16. Electrolyte management
17. Electrolyte monitoring
18. Fluid Management
19. Fluid Monitoring
20. Neurology Monitoring
21. Bleeding reduction
22. Positioning
23. Surveillance
24. nutrition management
25. Invasive Hemodynamic Monitoring
26. Cardiac care: Rehabilitative
27. Circulatory Care: Arterial Insufficiency
28. Nutrition Management
29.
PERFUSI JARINGAN SEREBRAL TIDAK EFEKTIF
NOC Label:
NIC Label:
1. Acute Confusion Level
1. Intracranial Pressure (ICP) Monitoring
2. Tissue Perfusion: Cerebral
2. Neurogical Monitoring
3.
3. Vital Sign Monitoring
PK ANEMIA
NOC Label:
NIC Label:
1. Blood Transfusion Reaction
1. Blood Products Administration
2.
2.
PK HIPERKALEMIA
NOC Label:
NIC Label:
1. Electrolyte And Acid/Base Balance
1. Electrolyte Management: Hyperkalemia
2.
RISIKO ASPIRASI
NOC Label:
NIC Label:
1. Aspiration Prevention
1. Aspiration Precautions
2. Swallowing Status
2.
3.
RISIKO CEDERA
NOC Label:
NIC Label:
1. Fall Prevention behavior
1. Environmental Management
2. neurologic status: consciousness
2. Neurologic monitoring
3. Risk Control
3. Fluid management
4. Risk Detection
4. Behavior Modification
5. Personal Safety Behavior
5. Risk Identification
6. Aspiration Prevention
6. Aspiration Precautions
7. Physical Injury Severity
7. Fall Prevention
8. Sensory function : vision
8. Infection Control: Intraoperative
9. Coordinated Movement
9. Thermoregulation : Intraoperative
10. Thermoregulation
10. Positioning : Intraoperative

11. Tissue perfusion : Peripheral

11. Surgical Precaution
12. Tissue perfusion: Cellular
12. circulatory precaution
13. Circulation Status
13. Environmental Management : Safety
14. Mobility
14.
15. Balance
16. NOC Label : Fall Occurence
RESIKO INFEKSI/PK INFEKSI
NOC Label:
NIC Label:
1. Risk control: Infectious Process
1. Infection control
2. Risk control
2. Infection Protection
3. Tissue Integrity: skin and mucous
3. Wound Care
membrane
4. Tube Care : Chest
4. Wound Healing : Primary Intension
5. Teaching: Disease Process
5. Knowledge: Infection Management
6. Medication Prescribing
6. Risk Detection
7. Infection Severity
8. Immune Status
9.
RESIKO KETIDAKSTABILAN GULA DARAH
NOC Label:
NIC Label:
1. Blood Glucose Level
1. Nutritional Management
2. Nutritional Status
2. Nutritional Monitoring
3. Knowledge : diet
3. Health education :
4.
RISIKO PERTUMBUHAN TIDAK PROPORSIONAL
NOC Label:
NIC Label:
1. Growth
1. Lactation Counseling
2. Appetite
2. Bottle Feeding
3.
RISIKO SYOK
NOC Label:
NIC Label:
1. Vital Sign
1. Shock Prevention
2. Circulation status
2.
3.
SINDROM DISUSE
NOC Label:
NIC Label:
1. Coordinated Movement
1. Exercise therapy Joint Mobility
2. Join Movement
RETENSI URINE
NOC Label:
NIC Label:
1. Urinary elimination
1. Urinary elimination management
2.
2. Urinary Retention Care
RISIKO JATUH
NOC Label:
NIC Label:
1. Fall Prevention Behavior
1. Fall Prevention

2.
RISIKO KETIDAKEFEKTIFAN PERFUSI JARINGAN OTAK
NOC Label:
NIC Label:
1. Tissue Perfusion: Cerebral
1. Cerebral Perfusion Promotion
2.
PK ASIDOSIS
NOC Label:
NIC Label:
1. Acid Base Monitoring
1. Electrolyte & Acid/Base Balance
2. ACID BASE MANAGEMENT
PK/RISIKO PERDARAHAN
NOC Label:
NIC Label:
1. Bleeding Reduction : Nasal
1. Blood coagulation
2. Bleeding Precaution
2. Blood Loss Severity
3.
PK UREMIA
NOC Label:
NIC Label:
1. Hemodialysis Therapy
1. Systemic Toxin Clearance : Dialysis
2. Electrolyte Management :
2. Kidney Function
Hyperkalemia
3. Electrolyte and Acid/Base Balance
3. Acid-Base Management Metabolic
4.
Acidosis
4. Peritoneal Dialysis Therapy
5.
KONTAMINASI
NOC Label:
NIC Label:
1. Communicable disease management
1. Risk Control: Infectious process
2. Infection Control