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NANDA Nursing Diagnoses

  • 5 minutes, 49 seconds
  • Nursing Care Plans
  • 2021-09-23

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In the latest edition of NANDA nursing diagnosis list (2018-2020), NANDA International has made some changes to its approved nursing diagnoses compared to the previous edition of NANDA nursing diagnoses 2015-2017 (10th edition).

In this latest edition (11th edition), NANDA-I introduced seventeen new nursing diagnoses and removed eight nursing diagnoses. likewise, seventy-two nursing diagnoses have been revised.

Please note that NANDA-I doesn't advise on using NANDA Nursing Diagnosis labels without taking the nursing diagnosis in a holistic approach. NANDA-I explained this in their website as follow:
There is no real use for simply providing a list of terms – to do so defeats the purpose of a standardized language.

Unless the definition, defining characteristics, related and / or risk factors are known, the label itself is meaningless. Therefore, we do not believe it is in the interest of patient safety to produce simple lists of terms that could be misunderstood or used inappropriately in a clinical context.

Definition of a Nursing Diagnosis

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.

New NANDA Nursing Diagnoses

In this edition of NANDA nursing diagnosis list (2018-2020), seventeen new nursing diagnoses were approved and introduced. These new approved nursing diagnoses are:

Readiness for enhanced health literacy

Ineffective adolescent eating dynamics

Ineffective child eating dynamics

Ineffective infant eating dynamics

Risk for metabolic imbalance syndrome

Imbalanced energy field

Risk for unstable blood pressure

 Risk for complicated immigration transition

Neonatal abstinence syndrome

Acute substance withdrawal syndrome

Risk for acute substance withdrawal syndrome

Risk for surgical site infection

Risk for dry mouth

Risk for venous thromboembolism

Risk for female genital mutilation

Risk for occupational injury

Risk for ineffective thermoregulation

Retired NANDA Nursing Diagnoses

In this latest edition of NANDA nursing diagnosis list (2018-2020), eight nursing diagnoses were removed from compared to the old nursing diagnosis list (2015-2017).

These nursing diagnoses are :

Risk for disproportionate growth
Noncompliance (Nursing Care Plan)
Readiness for enhanced fluid balance
Readiness for enhanced urinary elimination
Risk for impaired cardiovascular function
Risk for ineffective gastrointestinal perfusion
Risk for ineffective renal perfusion
Risk for imbalanced body temperature

Approved NANDA Nursing Diagnosis List 2018-2020

NANDA Nursing Diagnosis Domain 1. Health promotion

Class 1. Health awareness

Decreased diversional activity engagement

Readiness for enhanced health literacy

Sedentary lifestyle

Class 2. Health management

Frail elderly syndrome

Risk for frail elderly syndrome

Deficient community health

Risk-prone health behaviour

Ineffective health maintenance (Nursing care Plan)

Ineffective health management

Readiness for enhanced health management

Ineffective family health management

Ineffective protection

NANDA Nursing Diagnosis Domain 2. Nutrition

Class 1. Ingestion

Imbalanced nutrition: less than body requirements

Readiness for enhanced nutrition

Insufficient breast milk production

Ineffective breastfeeding

Interrupted breastfeeding

Readiness for enhanced breastfeeding

Ineffective adolescent eating dynamics

Ineffective child eating dynamics

Ineffective infant feeding dynamics

Ineffective infant feeding pattern

Obesity

Overweight

Risk for overweight

Impaired swallowing

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

Risk for unstable blood glucose level

Neonatal hyperbilirubinemia

Risk for neonatal hyperbilirubinemia

Risk for impaired liver function

Risk for metabolic imbalance syndrome

Class 5. Hydration

Risk for electrolyte imbalance

Risk for imbalanced fluid volume

Deficient fluid volume

Risk for deficient fluid volume

Excess fluid volume

NANDA Nursing Diagnosis Domain 3. Elimination and exchange

Class 1. Urinary function

Impaired 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

Perceived constipation

Chronic functional constipation

Risk for chronic functional constipation

Diarrhoea

Dysfunctional gastrointestinal motility

Risk for dysfunctional gastrointestinal motility

Bowel incontinence

Class 3. Integumentary function

This class does not currently contain any diagnoses

Class 4. Respiratory function

Impaired gas exchange

NANDA Nursing Diagnosis 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

Imbalanced energy field

Fatigue

Wandering

Class 4. Cardiovascular/pulmonary responses

Activity intolerance

Risk for activity intolerance

Ineffective breathing pattern

Decreased cardiac output

Risk for decreased cardiac output

Impaired spontaneous ventilation

Risk for unstable blood pressure

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

NANDA Nursing Diagnosis Domain 5. Perception/cognition

Class 1. Attention

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

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

NANDA Nursing Diagnosis Domain 6. Self-perception

Class 1. Self-concept

Hopelessness

Readiness for enhanced hope

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

NANDA Nursing Diagnosis Domain 7. Role relationship

Class 1. Caregiving roles

Caregiver role strain

Risk for caregiver role strain

Impaired parenting

Risk for impaired parenting

Readiness for enhanced 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

Risk for ineffective relationship

Readiness for enhanced relationship

Parental role conflict

Ineffective role performance

Impaired social interaction

NANDA Nursing Diagnosis Domain 8. Sexuality

Class 1. Sexual identity

This class does not currently contain any diagnoses

Class 2. Sexual function

Sexual dysfunction

Ineffective sexuality pattern

Class 3. Reproduction

Ineffective childbearing process

Risk for ineffective childbearing process

Readiness for enhanced childbearing process

Risk for disturbed maternal-fetal dyad

NANDA Nursing Diagnosis Domain 9. Coping/stress tolerance

Class 1. Post-trauma responses

Risk for complicated immigration transition

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 (Nursing Care Plan)

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

Powerlessness

Risk for powerlessness

Readiness for enhanced power

Impaired resilience

Risk for impaired resilience

Readiness for enhanced resilience

Chronic sorrow

Stress overload

Class 3. Neurobehavioral stress

Acute substance withdrawal syndrome

Risk for acute substance withdrawal syndrome

Autonomic dysreflexia

Risk for autonomic dysreflexia

Decreased intracranial adaptive capacity

Neonatal abstinence syndrome

Disorganized infant behaviour

Risk for disorganized infant behaviour

Readiness for enhanced organized infant behavior

NANDA Nursing Diagnosis Domain 10. Life principles

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

Readiness for enhanced decision-making

Decisional conflict

Impaired emancipated decision-making

Risk for impaired emancipated decision-making

Readiness for enhanced emancipated decision-making

Moral distress

Impaired religiosity

Risk for impaired religiosity

Readiness for enhanced religiosity

Spiritual distress

Risk for spiritual distress

NANDA Nursing Diagnosis Domain 11. Safety/protection

Class 1. Infection

Risk for infection

Risk for surgical site infection

Class 2. Physical injury

Ineffective airway clearance

Risk for aspiration

Risk for bleeding

Impaired dentition

Risk for dry eye

Risk for dry mouth

Risk for falls

Risk for corneal injury

Risk for injury

Risk for urinary tract injury

Risk for perioperative positioning injury

Risk for thermal injury

Impaired oral mucous membrane integrity

Risk for impaired oral mucous membrane integrity

Risk for peripheral neurovascular dysfunction

Risk for physical trauma

Risk for vascular trauma

Risk for pressure ulcer

Risk for shock

Impaired skin integrity (Nursing Care Plan)

Risk for impaired skin integrity

Risk for sudden infant death

Risk for suffocation

Delayed surgical recovery

Risk for delayed surgical recovery

Impaired tissue integrity

Risk for impaired tissue integrity

Risk for venous thromboembolism

Class 3. Violence

Risk for female genital mutilation

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 occupational injury

Risk for poisoning

Class 5. Defensive processes

Risk for adverse reaction to iodinated contrast media

Risk for allergy reaction

Latex allergy reaction

Risk for latex allergy reaction

Class 6. Thermoregulation

Hyperthermia

Hypothermia

Risk for hypothermia

Risk for perioperative hypothermia

Ineffective thermoregulation

Risk for ineffective thermoregulation

NANDA Nursing Diagnosis Domain 12. Comfort

Class 1. Physical comfort

Impaired comfort

Readiness for enhanced comfort

Nausea

Acute pain

Chronic pain

Chronic pain syndrome

Labor pain

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

NANDA Nursing Diagnosis Domain 13. Growth/development

Class 1. Growth

This class does not currently contain any diagnoses

Class 2. Development

Risk for delayed development

References
    NANDA Nursing diagnoses, American Nurses Association, Nursing Council Of Kenya

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