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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