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 b