NANDA
1. Chronic Pain
related to:
muscle spasm,
surgical procedures
chronic joint disease,
age,
SD: A client with cognitive ability
who can speak or point should use a
pain rating scale
OD : Clients may show guarding,
self-protective behavior, self-
focusing or narrowed
focus, distraction behavior ranging 
from crying to laughing, and muscle
tension or rigidity.
2. Anxiety
relate to:
operative procedures
NOC NIC
Suggested NOC Labels Suggested NIC Labels
 Pain Level, Pain Control, Comfort Level  Conscious Sedation
 Pain: Disruptive Effects  Patient-Controlled Analgesia (PCA)
Assistance
Client Outcomes
 Uses a pain rating scale to identify current
level of pain intensity and determines a
comfort/function goal (if client
has cognitive abilities)
 Describes how unrelieved pain will be
managed
Reports that the pain management regimen
relieves pain to a satisfactory level with
acceptable or manageable side effects
 Performs activities of recovery with a
reported acceptable level of pain (if pain is
above the comfort/function goal, takes
action that decreases pain or notifies a
member of the health care team)
 States an ability to obtain sufficient
amounts of rest and sleep
 Describes a non pharmacological method
that can be used to control pain
Suggested NOC Labels Suggested NIC Labels
 Anxiety Control
 Aggression Control  Anxiety Reduction
 Coping
  Impulse Control
OD:Trembling/hand tremors; insomnia Client Outcomes

OS :Shakiness; worried; regretful  Identifies and verbalizes symptoms of

anxiety
 Identifies, verbalizes, and demonstrates
techniques to control anxiety
 Verbalizes absence of or decrease in
subjective distress
 Has vital signs that reflect baseline or
decreased sympathetic stimulation
 Has posture, facial expressions, gestures,
and activity levels that reflect decreased
distress
 Demonstrates improved concentration and
accuracy of thoughts
 Identifies and verbalizes anxiety
precipitants, conflicts, and threats
 Demonstrates return of basic problem-
solving skills
 Demonstrates increased external focus
 Demonstrates some ability to reassure self

3. Risk for Injury Suggested NOC Labels Suggested NIC Labels

related to:
mobility changes secondary to  Health Education
osteoarthritis  Risk Control  Behavior Modification
 Parenting: Social Safety  Patient Contracting
 Immune Status  Self-Modification Assistance
 Safety Behavior: Home Physical
Environment
 Safety Behavior: Personal: Safety Status:
Falls Occurrence
 Safety Status: Physical Injury
Client Outcomes

 Remains free of injuries

 Explains methods to prevent injury