NANDA-I Diagnoses, NIC Interventions and NOC Outcomes in the Child with Congenital Heart Disease

Abstract

This case report presents the nursing care of a 22 month old infant diagnosed with complete atrioventricular septal defect (CAVSD) and coexisting Down syndrome, guided by the Roper Logan Tierney Activities of Daily Living Model and the NANDA I, NIC, and NOC classification systems. Structured assessments covering 12 fundamental activities of daily living enabled identification of individualized NANDA I nursing diagnoses, with corresponding NIC interventions and NOC outcomes. The care plan addressed complex issues such as respiratory dysfunction, nutritional deficiencies, impaired physical mobility, and family coping challenges. Close collaboration within a multidisciplinary team and active family participation contributed to favorable clinical progress, while the use of standardized nursing languages ensured precise documentation and personalized care strategies. The experience underscores how integrating nursing models and classification systems into clinical practice can enhance care quality, promote patient safety, and strengthen interdisciplinary cooperation in managing children with congenital heart defects and Down syndrome.