Friday, December 10, 2010

NANDA Nursing Diagnosis

NANDA Nursing Diagnosis. A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable The general need or problem in Nursing diagnosis is stated without the distinct cause and signs and symptoms, which would be added to create a client diagnostic statement when specific client information is available. For example, when a client displays increased tension, apprehension, quivering voice, and focus on self, the nursing diagnosis of Anxiety might be stated: severe Anxiety related to unconscious conflict, threat to self-concept as evidenced by statements of increased tension, apprehension; observations of quivering voice focus on self. In addition, diagnoses identified within these guides for planning care as actual or risk can be changed or deleted and new diagnoses added, depending entirely on the specific client information. NANDA Nursing Diagnosis
Nursing diagnosis accepted for use and research for 2009–2011
NANDA Nursing Diagnosis:
Activity Intolerance [specify level]
Activity Intolerance, risk for
Activity Planning, ineffective
Airway Clearance, ineffective
Allergy Response, latex
Allergy Response, risk for latex
Anxiety [specify level]
Anxiety, death
Aspiration, risk for
Attachment, risk for impaired
Autonomic Dysreflexia
Autonomic Dysreflexia, risk for
Behavior, risk-prone health
Bleeding, risk for
Body Image, disturbed
Body Temperature, risk for imbalanced
Bowel Incontinence
Breastfeeding, effective
Breastfeeding, ineffective
Breastfeeding, interrupted
Breathing Pattern, ineffective
Cardiac Output, decreased
Caregiver Role Strain
Caregiver Role Strain, risk for
Childbearing Process, readiness for enhanced
Comfort, impaired
Comfort, readiness for enhanced
Communication, impaired verbal
Communication, readiness for enhanced
Conflict, decisional
Conflict, parental role
Confusion, acute
Confusion, risk for acute
Confusion, chronic
Constipation, perceived
Constipation, risk for
Contamination, risk for
Coping, 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
Death Syndrome, risk for sudden infant
Decision-Making, readiness for enhanced
Denial, ineffective
Dentition, impaired
Development, risk for delayed
Dignity, risk for compromised human
Distress, moral
Disuse Syndrome, risk for
Diversional Activity, deficient
Electrolyte Imbalance, risk for
Energy Field disturbed
Environmental Interpretation Syndrome, impaired
Failure to Thrive, adult
Falls, risk for
Family Processes, dysfunctional
Family Processes, interrupted
Family Processes, readiness for enhanced
Feeding Pattern, ineffective infant
Fluid Balance, readiness for enhanced
[Fluid Volume, deficient hyper/hypotonic]
Fluid Volume, deficient [isotonic]
Fluid Volume, excess
Fluid Volume, risk for deficient
Fluid Volume, risk for imbalanced
Gas Exchange, impaired
Glucose Level, risk for unstable blood
Grieving, complicated
Grieving, risk for complicated
Growth, risk for disproportionate
Growth and Development, delayed
Health Maintenance, ineffective
Health Management, ineffective self [formerly Therapeutic Regimen Management, ineffective]
Health Management, readiness for enhanced self [formerly Therapeutic Regimen Management, readiness for enhanced]
Home Maintenance, impaired
Hope, readiness for enhanced
Identity, disturbed personal
Immunization Status, readiness for enhanced
Infant Behavior, disorganized
Infant Behavior, readiness for enhanced organized
Infant Behavior, risk for disorganized
Infection, risk for
Injury, risk for
Injury, risk for perioperative positioning
Intracranial Adaptive Capacity, decreased
Jaundice, neonatal
Knowledge, deficient [Learning Need] [specify]
Knowledge [specify], readiness for enhanced
Lifestyle, sedentary
Liver Function, risk for impaired
Loneliness, risk for
Maternal/Fetal Dyad, risk for disturbed
Memory, impaired
Mobility, impaired bed
Mobility, impaired physical
Mobility, impaired wheelchair
Motility, dysfunctional gastointestinal
Motility, risk for dysfunctional gastointestinal
Neglect, self
Neglect, unilateral
Noncompliance [Adherence, ineffective] [specify]
Nutrition: less than body requirements, imbalanced
Nutrition: more than body requirements, imbalanced
Nutrition: more than body requirements, risk for imbalanced
Oral Mucous Membrane, impaired
Pain, acute
Pain, chronic
Parenting, impaired
Parenting, readiness for enhanced
Parenting, risk for impaired
Perfusion, ineffective peripheral tissue
Perfusion, risk for decreased cardiac tissue
Perfusion, risk for ineffective cerebral tissue
Perfusion, risk for ineffective gastrointestinal
Perfusion, risk for ineffective renal
Peripheral Neurovascular Dysfunction, risk for
Poisoning, risk for
Post-Trauma Syndrome [specify stage]
Post-Trauma Syndrome, risk for
Power, readiness for enhanced
Powerlessness [specify level]
Powerlessness, risk for
Protection, ineffective
Rape-Trauma Syndrome
(Rape-Trauma Syndrome: compound reaction retired 2009)
(Rape-Trauma Syndrome: silent reaction retired 2009)
Relationship, readiness for enhanced
Religiosity, impaired
Religiosity, risk for impaired
Religiosity, readiness for enhanced
Relocation Stress Syndrome
Relocation Stress Syndrome, risk for
Resilience, impaired individual
Resilience, readiness for enhanced
Resilience, risk for compromised
Role Performance, ineffective
Self-Care, readiness for enhanced
Self-Care Deficit: bathing
Self-Care Deficit: dressing
Self-Care Deficit: feeding
Self-Care Deficit: toileting
Self-Concept, readiness for enhanced
Self-Esteem, chronic low
Self-Esteem, situational low
Self-Esteem, risk for situational low
Self-Mutilation, risk for
Sensory Perception, disturbed (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)
Sexual Dysfunction
Sexuality Pattern, ineffective
Shock, risk for
Skin Integrity, impaired
Skin Integrity, risk for impaired
Sleep, readiness for enhanced
Sleep Deprivation
Sleep Pattern, disturbed
Social Interaction, impaired
Social Isolation
Sorrow, chronic
Spiritual Distress
Spiritual Distress, risk for
Spiritual Well-Being, readiness for enhanced
Stress Overload
Suffocation, risk for
Suicide, risk for
Surgical Recovery, delayed
Swallowing, impaired
(Therapeutic Regimen Management, effective retired 2009)
(Therapeutic Regimen Management, ineffective community retired 2009)
Therapeutic Regimen Management, ineffective family
Thermoregulation, ineffective
(Thought Processes, disturbed retired 2009)
Tissue Integrity, impaired
Transfer Ability, impaired
Trauma, risk for
Trauma, risk for vascular
Urinary Elimination, impaired
Urinary Elimination, readiness for enhanced
Urinary Incontinence, functional
Urinary Incontinence, overflow
Urinary Incontinence, reflex
Urinary Incontinence, stress
(Urinary Incontinence, total retired 2009)
Urinary Incontinence, urge
Urinary Incontinence, risk for urge
Urinary Retention [acute/chronic]
Ventilation, impaired spontaneous
Ventilatory Weaning Response, dysfunctional
Violence, [actual/]risk for other-directed
Violence, [actual/]risk for self-directed
Walking, impaired
Wandering [specify sporadic or continual]


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