00038 Risk for physical trauma

00038 Risk for physical trauma

Definition of the NANDA label

Risk for physical trauma is situation in which there is a risk of accidental tissue injuries such as fractures, wounds or burns.

Susceptible to physical injury of sudden onset and severity which require immediate attention.

Risk factors

External (environmental)

Child safety flaws

• Children who play with matches, lighters, candles, cigarettes.
• Children who play with sharp or pointed objects.
• Children who play in the proximity of stairs that do not have the proper protection (security door) or surveillance.

Security flaws in the environment

• Slippery floors (wet or very waxed).
• Dirt or liquids spilled on the floor or stairs.
• Poor lighting conditions in rooms and corridors.
• Presence of obstacles in the corridors.
• Floor mats not attached or improperly attached.
• Lack of protection in low-rise windows.
• Use of unstable stairs.
• Use of inadequate or defective seats.
• Absence of railings, or deficiencies in them.
• Snow or ice on sidewalks or stairs.
• Bathtubs without handles and non-slip floors.

Safety failures in electrical installations

• Electric cables without proper fixation.
• Inadequate electrical outlets, damaged cables, defective electrical appliances.
• Overload of electrical outputs, failure in the fuse box.

Fire and burn hazards

• Gas leaks.
• Failure to ignite stove burners, heaters or gas oven.
• Experiments with chemical or flammable products.
• Use of plastic clothing near flames.
• Highly flammable children’s toys or clothing.
• Improper storage of corrosive or combustible products (matches, oil-soaked rags, bleach).
• Play with pyrotechnic material, gunpowder.
• Smoking in bed or near an oxygen source.
• Bathing with water that is too hot (especially faults in the control of children’s toilets).
• Lack of protection or inadequate protection of fireplaces, stoves and heaters.
• Use of pots and pots with inadequate or worn handles.
• Handling of acidic or alkaline substances.

Failures in road safety

• Using an unsafe vehicle.
• Driving after alcohol or drug use.
• Driving at excessive speed.
• Driving without adequate vision correction.
• Not using the seat belt.
• Carry children in the front of the car.
• No use of child restraints in the car or use of items unsuitable for the age and size of the child.
• Not wearing a helmet when traveling in two-wheelers.
• Carrying children on adult bicycles.
• Poor safety conditions on roads or crossings.
• Play or work near the passing of vehicles.

Dangers for the bedridden or hospitalized patient

• Use of high beds.
• Use of inadequate or poorly fixed bedding.
• Problems with the means of fastening.
• Failures in the mechanisms for calling for help.

Other risk factors

• Store firearms or ammunition without the proper security measures.
• Store unprotected knives.
• Use of broken or defective dishes.
• Being in contact with fast moving machinery, conveyor belts or industrial pulleys.
• Exposure to dangerous machines.
• Exposure to intense cold.
• Excessive or undue exposure to the sun, UVA lamps, radiotherapy.

Internal (individual)

• Weakness.
• Bad vision.
• Balance problems.
• Decreased tactile and / or thermal sensitivity.
• Impaired neuromuscular coordination.
• Decreased hand-eye coordination.
• Failure to adopt precautions and security measures.
• Lack of financial resources to buy safety equipment or to carry out repairs.
• Emotional and cognitive disorders.
• History of trauma.

At risk population

• Economically disadvantaged
• Extremes of environmental temperature
• Gas leak
• High crime neighborhood
• History of trauma

Associated condition

• Alteration in cognitive functioning
• Alteration in sensation
• Decrease in eye-hand coordination
• Decrease in muscle coordination


• Risk Control.
• Safety: activities of daily living (ADL).
• Psychomotor energy.
• Self-care. Activities of Daily Living (ADL).


• Environmental management: safety.
• Contact.
• Surveillance: security.
• Health education.
• Physical restraint.
• Identification of risks.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.