00180 Pollution Risk

Domain 11: security/protection
Class 4: environment hazards
Diagnostic Code: 00180
Nanda label: pollution risk
Diagnostic focus: pollution
Approved 2006 • Revised 2013, 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « pollution risk » is defined as: likely to undergo exposure to environmental pollutants, which can compromise health.

Risk factors

External factors

  • Female soils
  • Chemical contamination of food
  • Chemical water pollution
  • Descamination, discharge of surfaces in the presence of young children
  • Inadequate decomposition of pollutants
  • Inadequate domestic hygiene practices
  • Inadequate municipal services
  • Inadequate personal hygiene practices
  • Inadequate protection clothes
  • Inappropriate use of protection clothes
  • People who have ingested contaminated material
  • Play in places where environmental pollutants are used
  • Exposure to unprotected chemicals
  • Exposure to unprotected heavy metals
  • Exposure to unprotected radioactive material
  • Use of environmental pollutants at home
  • Use of harmful material in an insufficiently ventilated area
  • Use of harmful material without effective protection

Internal factors

  • Concomitant exhibition
  • Malnutrition
  • smoking

Risk population

  • Child of age <5 years
  • People at economic disadvantage
  • Exposed people perinatally
  • People exposed to areas with high levels of pollution
  • People exposed to atmospheric pollution
  • People exposed to bioterrorism
  • People exposed to disaster
  • People with a history of exposure to pollutants
  • Older adults
  • Pregnant women
  • Women

Associated problems

  • Preexisting diseases
  • Radiation therapy

Suggestions of use

This diagnosis is more specific than the risk of injury and, therefore, is preferable when it is known that the lesion comes from an environmental pollutant. If the pollutant is latex, the diagnosis of allergic response to latex should be used. If the risk factor is exposure to microorganisms, then use the risk of infection.

Suggested alternative diagnostics

NOC Results

  • Safe at home: physical provisions to maximize environmental factors that could cause physical damage or home injuries
  • Personal security behavior: personal actions of an adult to control behaviors that can cause physical injuries
  • Knowledge: Health behaviors: Extension of knowledge about the promotion and protection of health
  • Risk control: Personal actions to prevent, eliminate or reduce the dangers modifiable for health
  • Immune status: Natural and acquired directed resistance against internal and external antigens
  • Community response to a disaster: response from a community after a natural or man disaster

Evaluation objectives and criteria

  • demonstrates a safe atmosphere in the home, which is manifested by the following indicators (specify from 1 to 5: nothing, slightly, moderately, substantially or totally adequate):
    • Storage and Insurance of Hazardous Materials
    • Correction of the risks associated with lead
    • Elimination of rodents and insects
    • Maintenance of the carbon monoxide detector
    • Placement of appropriate labels to warn of danger
  • Other examples

    The community will be able to:

    • Show evidence of measures for health protection, such as fluoration and sewerage networks
    • Comply with environmental health standards

    The patient will be able to:

    • Be aware of environmental risk factors
    • Avoid exposure to environmental pollutants
    • Modify your lifestyle to avoid exposure to environmental pollutants
    • Use protective clothes and devices when there is a possible exposure to pollutants (for example, use sunscreen)

    NIC Interventions

    • Health Education: Develop and provide instruction and learning experiences to facilitate voluntary adaptation of behavior to improve the health of individuals, families, groups or communities
    • Preparation against community disasters: prepare for an effective response to a large -scale disaster
    • Preparation against bioterrorism: prepare for an effective response to bioterrorist disasters or attacks
    • Protection against environmental risks: Prevent and detect diseases and injuries in populations at risk of environmental hazards
    • Surveillance: Collection, interpretation and synthesis of patient data, continuously and with an end, to make clinical decisions
    • Surveillance: Community: Collection, interpretation and continuous and determined synthesis of data, for decision making in a community

    Nursing Activities

    • In general, nursing activities for this diagnosis should focus on identifying and eliminating risk factors in the home and in the community.


    • Be familiar with local, state and national procedures and mechanisms, to report contagious diseases and another type of data
    • Identify the environmental pollutants present in the community
    • Work with community people and institutions to raise awareness about environmental pollutants present
    • Gather individuals and groups to discuss common interests and conflict

    Patient and family education

    • Ensure that the family takes into account any high levels of pollutants in its geographical zone
    • Instruct about the dangers of passive smoking
    • Provide information about the use of protective clothing, for example when wearing pesticides

    Collaboration activities

    • Communicate the presence of environmental pollutants to the organizations responsible for environmental protection
    • Consult with epidemiologists and professionals of infection control, if necessary


    • Know where to quickly locate the rules, procedures and protocols of decontamination
    • Be familiar with the specific environmental norms of your region or country w w w m ttgrnlihi ^^ roni

    At home

    • Consult the activities at home for the diagnosis of pollution.