NANDA Nursing Diagnosis List 2018-2020

Domain 1: Health Promotion

Class 1. Health awareness

  • Deficient diversional activity
  • Sedentary lifestyle

Class 2. Health management

  • Frail elderly syndrome
  • Risk for frail elderly syndrome
  • Deficient community
  • Risk-prone health behavior
  • Ineffective health maintenance
  • Ineffective health management
  • Readiness for enhanced health management
  • Ineffective family health management
  • Noncompliance
  • Ineffective protection


 Domain 2: Nutrition

Class 1. Ingestion

  • Insufficient breast milk
  • Ineffective breastfeeding
  • Interrupted breastfeeding
  • Readiness for enhanced breastfeeding
  • Ineffective infant feeding pattern
  • Imbalanced nutrition: less than body requirements
  • Readiness for enhanced nutrition
  • Obesity
  • Overweight
  • Risk for overweight
  • Impaired swallowing

Class 2. Digestion

None at present time

Class 3. Absorption

None at present time

Class 4. Metabolism

  • Risk for unstable blood glucose level
  • Neonatal jaundice
  • Risk for neonatal jaundice
  • Risk for impaired liver function

Class 5. Hydration

  • Risk for electrolyte imbalance
  • Readiness for enhanced fluid balance
  • Deficient fluid volume
  • Risk for deficient fluid volume
  • Excess fluid volume
  • Risk for imbalanced fluid volume

Domain 3: Elimination and Exchange

Class 1. Urinary function

  • Impaired urinary elimination
  • Readiness for enhanced urinary elimination
  • Functional urinary incontinence
  • Overflow urinary incontinence
  • Reflex urinary incontinence
  • Stress urinary incontinence
  • Urge urinary incontinence
  • Risk for urge urinary incontinence
  • Urinary retention

Class 2. Gastrointestinal function

  • Constipation
  • Risk for constipation
  • Chronic functional constipation
  • Risk for chronic functional constipation
  • Perceived constipation
  • Diarrhea
  • Dysfunctional gastrointestinal motility
  • Risk for dysfunctional gastrointestinal motility
  • Bowel incontinence

Class 3. Integumentary function

None at this time

Class 4. Respiratory function

  • Impaired gas exchange

 Domain 4: Activity/Rest

Class 1. Sleep/rest

  • Insomnia
  • Sleep deprivation
  • Readiness for enhanced sleep
  • Disturbed sleep pattern

Class 2. Activity/exercise

  • Risk for disuse syndrome
  • Impaired bed mobility
  • Impaired physical mobility
  • Impaired wheelchair mobility
  • Impaired sitting
  • Impaired standing
  • Impaired transfer ability
  • Impaired walking

Class 3. Energy balance

  • Fatigue
  • Wandering

Class 4. Cardiovascular/pulmonary responses

  • Activity intolerance
  • Risk for activity intolerance
  • Ineffective breathing pattern
  • Decreased cardiac output
  • Risk for decreased cardiac output
  • Risk for impaired cardiovascular function
  • Risk for ineffective gastrointestinal perfusion
  • Risk for ineffective renal perfusion
  • Impaired spontaneous ventilation
  • Risk for decreased cardiac tissue perfusion
  • Risk for ineffective cerebral tissue perfusion
  • Ineffective peripheral tissue perfusion
  • Risk for ineffective peripheral tissue perfusion
  • Dysfunctional ventilatory weaning
response

Class 5. Self-care

  • Impaired home maintenance
  • Bathing self-care deficit
  • Dressing self-care deficit
  • Feeding self-care deficit
  • Toileting self-care deficit
  • Readiness for enhanced self-care
  • Self-neglect

 Domain 5: Perception/Cognition

Class 1. Attention

  • Unilateral neglect

Class 2. Orientation

None at this time

Class 3. Sensation/perception

None at this time

Class 4. Cognition

  • Acute confusion
  • Risk for acute confusion
  • Chronic confusion
  • Labile emotional control
  • Ineffective impulse control
  • Deficient knowledge
  • Readiness for enhanced knowledge
  • Impaired memory

Class 5. Communication

  • Readiness for enhanced communication
  • Impaired verbal communication

 Domain 6: Self-Perception

Class 1. Self-concept

  • Readiness for enhanced hope
  • Hopelessness
  • Risk for compromised human dignity
  • Disturbed personal identity
  • Risk for disturbed personal identity
  • Readiness for enhanced self-concept

Class 2. Self-esteem

  • Chronic low self-esteem
  • Risk for chronic low self-esteem
  • Situational low self-esteem
  • Risk for situational low self-esteem

Class 3. Body image

  • Disturbed body image

Domain 7: Role Relationships

Class 1. Caregiving roles

  • Caregiver role strain
  • Risk for caregiver role strain
  • Impaired parenting
  • Readiness for enhanced parenting
  • Risk for impaired parenting

Class 2. Family relationships

  • Risk for impaired attachment
  • Dysfunctional family processes
  • Interrupted family processes
  • Readiness for enhanced family processes

Class 3. Role performance

  • Ineffective relationship
  • Readiness for enhanced relationship
  • Risk for ineffective relationship
  • Parental role conflict
  • Ineffective role performance
  • Impaired social interaction

 Domain 8: Sexuality

Class 1. Sexual identity

None at present time

Class 2. Sexual function

  • Sexual dysfunction
  • Ineffective sexuality pattern


Class 3. Reproduction

  • Ineffective childbearing process
  • Readiness for enhanced childbearing process
  • Risk for ineffective childbearing process
  • Risk for disturbed maternal–fetal dyad

 Domain 9: Coping/Stress Tolerance

Class 1. Post-trauma responses Post-trauma syndrome

  • Risk for post-trauma syndrome
  • Rape-trauma syndrome
  • Relocation stress syndrome
  • Risk for relocation stress syndrome

Class 2. Coping responses

  • Ineffective activity planning
  • Risk for ineffective activity planning
  • Anxiety
  • Defensive coping
  • Ineffective coping
  • Readiness for enhanced coping
  • Ineffective community coping
  • Readiness for enhanced community coping
  • Compromised family coping
  • Disabled family coping
  • Readiness for enhanced family coping
  • Death anxiety
  • Ineffective denial
  • Fear
  • Grieving
  • Complicated grieving
  • Risk for complicated grieving
  • Impaired mood regulation
  • Readiness for enhanced power
  • Powerlessness
  • Risk for powerlessness
  • Impaired resilience
  • Readiness for enhanced resilience
  • Risk for impaired resilience
  • Chronic sorrow
  • Stress overload

Class 3. Neurobehavioral stress

  • Decreased intracranial adaptive capacity
  • Autonomic dysreflexia
  • Risk for autonomic dysreflexia
  • Disorganized infant behavior
  • Readiness for enhanced organized infant
 behavior
  • Risk for disorganized infant behavior

Domain 10: Life Principles

Class 1. Values

None at this time

Class 2. Beliefs

  • Readiness for enhanced spiritual well-being

Class 3. Value/belief/action congruence

  • Readiness for enhanced decision-making
  • Decisional conflict
  • Impaired emancipated decision-making
  • Readiness for enhanced emancipated
  • Decision-making
  • Risk for impaired emancipated decision-making
  • Moral distress
  • Impaired religiosity
  • Readiness for enhanced religiosity
  • Risk for impaired religiosity
  • Spiritual distress
  • Risk for spiritual distress

 Domain 11: Safety/Protection

Class 1. Infection

  • Risk for infection

Class 2. Physical injury

  • Ineffective airway clearance
  • Risk for aspiration
  • Risk for bleeding
  • Risk for dry eye
  • Risk for falls
  • Risk for injury
  • Risk for corneal injury
  • Risk for perioperative positioning injury
  • Risk for thermal injury
  • Risk for urinary tract injury
  • Impaired dentition
  • Impaired oral mucous membrane
  • Risk for impaired oral mucous membrane
  • Risk for peripheral neurovascular dysfunction
  • Risk for pressure ulcer
  • Risk for shock
  • Impaired skin integrity
  • Risk for impaired skin integrity
  • Risk for sudden infant death syndrome
  • Risk for suffocationDelayed surgical recovery
  • Risk for delayed surgical recovery
  • Impaired tissue integrity
  • Risk for impaired tissue integrity
  • Risk for trauma
  • Risk for vascular trauma

Class 3. Violence

  • Risk for other-directed violence
  • Risk for self-directed violence
  • Self-mutilation
  • Risk for self-mutilation
  • Risk for suicide

Class 4. Environmental hazards

  • Contamination
  • Risk for contamination
  • Risk for poisoning

Class 5. Defensive processes

  • Risk for adverse reaction to iodinated contrast media
  • Risk for allergy response
  • Latex allergy response
  • Risk for latex allergy response

Class 6. Thermoregulation

  • Risk for imbalanced body temperature
  • Hyperthermia
  • Hypothermia
  • Risk for hypothermia
  • Risk for perioperative hypothermia
  • Ineffective thermoregulation

Domain 12: Comfort

Class 1. Physical comfort

  • Impaired comfort
  • Readiness for enhanced comfort
  • Nausea
  • Acute pain
  • Chronic pain
  • Labor pain
  • Chronic pain syndrome

Class 2. Environmental comfort

  • Impaired comfort
  • Readiness for enhanced comfort

Class 3. Social comfort

  • Impaired comfort
  • Readiness for enhanced comfort
  • Risk for loneliness
  • Social isolation

 Domain 13: Growth/Development

Class 1. Growth

  • Risk for disproportionate growth

Class 2. Development

  • Risk for delayed development


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