NANDA International- Formerly North American Nursing Diagnosis Association

A nursing diagnosis is defined by NANDA International (2013) as a clinical judgment concerning a human response to health conditions/life processes, or vulnerability for that response, by an individual, family, group, or community.

  1. Domain 1. Health Promotion
  2. Health Education

    Health Education

    Sedentary Life Style

    Sedentary life

    Class 1. Health awareness

    1. Decreased diversional activity engagement (Nursing Care Plan)
    2. Readiness for enhanced health literacy
    3. Sedentary lifestyle (Nursing care Plan)

    Class 2. Health management


    1. Frail elderly syndrome (Nursing care Plan)
    2. Risk for frail elderly syndrome
    3. Deficient community health
    4. Risk-prone health behaviour
    5. Ineffective health maintenance (Nursing care Plan)
    6. Ineffective health management
    7. Readiness for enhanced health management
    8. Ineffective family health management
    9. Ineffective protection

  3. Domain 2. Nutrition
  4. Oral Feeding

    Oral Feeding

    NGT Feeding

    PPE

    Total Parenteral Nutrition

    Glasgow

    Class 1. Ingestion

    1. Imbalanced nutrition: less than body requirements (Nursing care Plan)
    2. Readiness for enhanced nutrition
    3. Insufficient breast milk production
    4. Ineffective breastfeeding (Nursing care Plan)
    5. Interrupted breastfeeding (Nursing care Plan)
    6. Readiness for enhanced breastfeeding
    7. Ineffective adolescent eating dynamics
    8. Ineffective child eating dynamics
    9. Ineffective infant feeding dynamics
    10. Ineffective infant feeding pattern (Nursing care Plan)
    11. Obesity
    12. Overweight
    13. Risk for overweight
    14. Impaired swallowing (Nursing care Plan)

    Class 2. Digestion

    This class does not currently contain any diagnoses

    Class 3. Absorption

    This class does not currently contain any diagnoses

    Class 4. Metabolism

    1. Risk for unstable blood glucose level (Nursing care Plan)
    2. Neonatal hyperbilirubinemia
    3. Risk for neonatal hyperbilirubinemia
    4. Risk for impaired liver function
    5. Risk for metabolic imbalance syndrome

    Class 5. Hydration

    1. Risk for electrolyte imbalance
    2. Risk for imbalanced fluid volume
    3. Deficient fluid volume (Nursing care Plan)
    4. Risk for deficient fluid volume
    5. Excess fluid volume (Nursing care Plan)

  5. Domain 3. Elimination and Exchange
  6. Diarrhea

    Diarrhea

    - Chronic Versus Acute Diarrhea

    Catheter

    Chronic Versus Acute Diarrhea

    - Constipation

    Catheter

    Gaseous Exchange

    Transfusion

    Oxygen Supplimentation

    ngtube

    Asthma

    Asthma

    Class 1. Urinary function

    1. Impaired urinary elimination
    2. Functional urinary incontinence
    3. Overflow urinary incontinence
    4. Reflex urinary incontinence
    5. Stress urinary incontinence
    6. Urge urinary incontinence
    7. Risk for urge urinary incontinence
    8. Urinary retention

    Class 2. Gastrointestinal function

    1. Constipation (Nursing care Plan)
    2. Risk for constipation
    3. Perceived constipation
    4. Chronic functional constipation
    5. Risk for chronic functional constipation
    6. Diarrhoea
    7. Dysfunctional gastrointestinal motility
    8. Risk for dysfunctional gastrointestinal motility
    9. Bowel incontinence

    Class 3. Integumentary function

    This class does not currently contain any diagnoses

    Class 4. Respiratory function

    1. Impaired gas exchange

  7. Domain 4. Activity/Rest
  8. Sleep

    Sleep

    Insomia

    Insomnia

    Feeding Self-care Deficit

    Self-care deficit

    Self-care Deficit

    Self-care deficit

    Class 1. Sleep/rest

    1. Insomnia
    2. Sleep deprivation
    3. Readiness for enhanced sleep
    4. Disturbed sleep pattern

    Class 2. Activity/exercise

    1. Risk for disuse syndrome
    2. Impaired bed mobility
    3. Impaired physical mobility
    4. Impaired wheelchair mobility
    5. Impaired sitting
    6. Impaired standing
    7. Impaired transfer ability
    8. Impaired walking

    Class 3. Energy balance

    1. Imbalanced energy field
    2. Fatigue
    3. Wandering

    Class 4. Cardiovascular/pulmonary responses

    1. Activity intolerance
    2. Risk for activity intolerance
    3. Ineffective breathing pattern
    4. Decreased cardiac output
    5. Risk for decreased cardiac output
    6. Impaired spontaneous ventilation
    7. Risk for unstable blood pressure
    8. Risk for decreased cardiac tissue perfusion
    9. Risk for ineffective cerebral tissue perfusion
    10. Ineffective peripheral tissue perfusion
    11. Risk for ineffective peripheral tissue perfusion
    12. Dysfunctional ventilatory weaning response

    Class 5. Self-care

    1. Impaired home maintenance
    2. Bathing self-care deficit
    3. Dressing self-care deficit
    4. Feeding self-care deficit
    5. Toileting self-care deficit
    6. Readiness for enhanced self-care
    7. Self-neglect

  9. Domain 5.Perception/Cognition
  10. Acute Confusion

    Acute Confusion

    Alzheimers Disease

    Alzheimers Disease

    Alcohol Withdrawal

    Alcohol withdrawal

    Class 1. Attention

    1. Unilateral neglect

    Class 2. Orientation

    This class does not currently contain any diagnoses

    Class 3. Sensation/perception

    This class does not currently contain any diagnoses

    Class 4. Cognition

    1. Acute confusion
    2. Risk for acute confusion
    3. Chronic confusion
    4. Labile emotional control
    5. Ineffective impulse control
    6. Deficient knowledge
    7. Readiness for enhanced knowledge
    8. Impaired memory

    Class 5. Communication

    1. Readiness for enhanced communication
    2. Impaired verbal communication

  11. Domain 6. Self Perception
  12. Depression

    Depression

    Low Self Esteem

    Low Self Esteem

    Acne Vulgaris

     Acne Vulgaris

    Amputation

     Amputation

    Class 1. Self-concept

    1. Hopelessness
    2. Readiness for enhanced hope
    3. Risk for compromised human dignity
    4. Disturbed personal identity
    5. Risk for disturbed personal identity
    6. Readiness for enhanced self-concept

    Class 2. Self-esteem

    1. Chronic low self-esteem
    2. Risk for chronic low self-esteem
    3. Situational low self-esteem
    4. Risk for situational low self-esteem

    Class 3. Body image

    1. Disturbed body image

  13. Domain 7. Role relationship
  14. Child Abandonment

     Child Abandonment

    Wife battering

     Wife battering

    Rape

     Rape

    Class 1. Caregiving roles

    1. Caregiver role strain
    2. Risk for caregiver role strain
    3. Impaired parenting
    4. Risk for impaired parenting
    5. Readiness for enhanced parenting

    Class 2. Family relationships

    1. Risk for impaired attachment
    2. Dysfunctional family processes
    3. Interrupted family processes
    4. Readiness for enhanced family processes

    Class 3. Role performance

    1. Ineffective relationship
    2. Risk for ineffective relationship
    3. Readiness for enhanced relationship
    4. Parental role conflict
    5. Ineffective role performance
    6. Impaired social interaction

  15. Domain 8. Sexuality
  16. Female Sexual Dysfunction

     Female Sexual Dysfunction

    Male Sexual Dysfunction

     Male Sexual Dysfunction

    Male Sexual Dysfunction

    Male Sexual Dysfunction

    Fertilization

    Fertilization

    Conception Difficulties

    Fertilization

    Infertility

    Fertilization

    Class 1. Sexual identity

    This class does not currently contain any diagnoses

    Class 2. Sexual function

    1. Sexual dysfunction
    2. Ineffective sexuality pattern

    Class 3. Reproduction

    1. Ineffective childbearing process
    2. Risk for ineffective childbearing process
    3. Readiness for enhanced childbearing process
    4. Risk for disturbed maternal-fetal dyad

  17. Domain 9. Coping/Stress Tolerance
  18. Stress Management

    Stress Management

    PTSD

    PTSD

    Grief

    Grief

    Spiritual Distress

    Spiritual Distress

    Class 1. Post-trauma responses

    1. Risk for complicated immigration transition
    2. Post-trauma syndrome
    3. Risk for post-trauma syndrome
    4. Rape-trauma syndrome
    5. Relocation stress syndrome
    6. Risk for relocation stress syndrome

    Class 2. Coping responses

    1. Ineffective activity planning
    2. Risk for ineffective activity planning
    3. Anxiety (Nursing Care Plan)
    4. Defensive coping
    5. Ineffective coping
    6. Readiness for enhanced coping
    7. Ineffective community coping
    8. Readiness for enhanced community coping
    9. Compromised family coping
    10. Disabled family coping
    11. Readiness for enhanced family coping
    12. Death anxiety
    13. Ineffective denial
    14. Fear
    15. Grieving
    16. Complicated grieving
    17. Risk for complicated grieving
    18. Impaired mood regulation
    19. Powerlessness
    20. Risk for powerlessness
    21. Readiness for enhanced power
    22. Impaired resilience
    23. Risk for impaired resilience
    24. Readiness for enhanced resilience
    25. Chronic sorrow
    26. Stress overload

    Class 3. Neurobehavioral stress

    1. Acute substance withdrawal syndrome
    2. Risk for acute substance withdrawal syndrome
    3. Autonomic dysreflexia
    4. Risk for autonomic dysreflexia
    5. Decreased intracranial adaptive capacity
    6. Neonatal abstinence syndrome
    7. Disorganized infant behaviour
    8. Risk for disorganized infant behaviour
    9. Readiness for enhanced organized infant behavior

  19. Domain 10. Life Principles
  20. Decision Making

    Decision Making

    Human Psyche

    Human Psyche

    Class 1. Values

    This class does not currently contain any diagnoses

    Class 2. Beliefs

      Readiness for enhanced spiritual well-being

    Class 3. Value/belief/action congruence

    1. Readiness for enhanced decision-making
    2. Decisional conflict
    3. Impaired emancipated decision-making
    4. Risk for impaired emancipated decision-making
    5. Readiness for enhanced emancipated decision-making
    6. Moral distress
    7. Impaired religiosity
    8. Risk for impaired religiosity
    9. Readiness for enhanced religiosity
    10. Spiritual distress
    11. Risk for spiritual distress

  21. Domain 11. Safety/Protection
  22. Physical Environment Safety

    Physical Environment Safety

    Pressure Sores

    Pressure Sores

    Diabetic Foot

    Diabetic Foot

    Class 1. Infection

    1. Risk for infection
    2. Risk for surgical site infection

    Class 2. Physical injury

    1. Ineffective airway clearance
    2. Risk for aspiration
    3. Risk for bleeding (Nursing Care plan)
    4. Impaired dentition
    5. Risk for dry eye
    6. Risk for dry mouth
    7. Risk for falls
    8. Risk for corneal injury
    9. Risk for injury
    10. Risk for urinary tract injury
    11. Risk for perioperative positioning injury
    12. Risk for thermal injury
    13. Impaired oral mucous membrane integrity
    14. Risk for impaired oral mucous membrane integrity
    15. Risk for peripheral neurovascular dysfunction
    16. Risk for physical trauma
    17. Risk for vascular trauma
    18. Risk for pressure ulcer
    19. Risk for shock
    20. Impaired skin integrity (Nursing Care Plan)
    21. Risk for impaired skin integrity
    22. Risk for sudden infant death
    23. Risk for suffocation
    24. Delayed surgical recovery
    25. Risk for delayed surgical recovery
    26. Impaired tissue integrity
    27. Risk for impaired tissue integrity
    28. Risk for venous thromboembolism

    Class 3. Violence

    1. Risk for female genital mutilation
    2. Risk for other-directed violence
    3. Risk for self-directed violence
    4. Self-mutilation
    5. Risk for self-mutilation
    6. Risk for suicide

    Class 4. Environmental hazards

    1. Contamination
    2. Risk for contamination
    3. Risk for occupational injury
    4. Risk for poisoning

    Class 5. Defensive processes

    1. Risk for adverse reaction to iodinated contrast media
    2. Risk for allergy reaction
    3. Latex allergy reaction
    4. Risk for latex allergy reaction

    Class 6. Thermoregulation

    1. Hyperthermia
    2. Hypothermia
    3. Risk for hypothermia
    4. Risk for perioperative hypothermia
    5. Ineffective thermoregulation
    6. Risk for ineffective thermoregulation



  23. Domain 12. Comfort
  24. Acute Versus Chronic Pain

    Acute Versus Chronic Pain

    Labour Pain

    Labour Pain

    Joint Pain

    Joint Pain

    Class 1. Physical comfort

    1. Impaired comfort
    2. Readiness for enhanced comfort
    3. Nausea
    4. Acute pain
    5. Chronic pain
    6. Chronic pain syndrome
    7. Labor pain

    Class 2. Environmental comfort

    1. Impaired comfort
    2. Readiness for enhanced comfort

    Class 3. Social comfort

    1. Impaired comfort
    2. Readiness for enhanced comfort
    3. Risk for loneliness
    4. Social isolation

  25. Domain 13. Growth/Development
  26. Child Development

    Child Development

    Autism

    Autism

    Class 1. Growth

    This class does not currently contain any diagnoses

    Class 2. Development

    1. Risk for delayed development