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NANDA nursing diagnosis

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NANDA nursing diagnosis

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NANDA NURSING DIAGNOSIS Last updated August 2009, *=new diagnosis 2009-2011
Activity/Rest-ability to engage in • Personal identity, disturbed • Nutrition: imbalanced, less than body Neurosensory- ability to perceive, integrate • Perioperative positioning injury, risk
necessary/desired activities of life (work and • Post trauma syndrome requirements and respond to internal and external cues for
leisure) and to obtain adequate sleep/rest • Post trauma syndrome, risk for • Nutrition: imbalanced, more than body • Autonomic dysreflexia • Poisoning, risk for
• Activity intolerance • Power, readiness for enhanced requirements • Autonomic dysreflexia, risk for • Protection, ineffective
• Activity intolerance, risk for • Powerlessness • Nutrition: imbalanced, risk for more • Communication, impaired verbal • Self mutilation
• Disuse syndrome, risk for • Powerlessness, risk for than body requirements • Communication, readiness for • Self mutilation, risk for
• Divisional activity, deficit • Rape-trauma syndrome • Nutrition, readiness for enhanced enhanced • Skin integrity, impaired
• Fatigue • Relocation stress syndrome • Oral mucous membrane, impaired • Confusion, acute • Skin integrity, impaired, risk for
• Insomnia • Relocation stress syndrome, risk for • Swallowing, impaired • Confusion, acute, risk for • Sudden infant death syndrome, risk for
• Mobility: bed, impaired • *Resilience, impaired individual • Confusion, chronic • Suffocation, risk for
• Mobility: physical, impaired • *Resilience, readiness for enhanced Gastro • Environmental interpretation • Suicide, risk for
• Mobility: wheelchair, impaired • *Resilience, risk for compromised • *Jaundice, neonatal syndrome, impaired • Surgical recovery, delayed
• Sedentary lifestyle • Self concept, readiness for enhanced • Liver function, impaired, risk for • Infant behavior, disorganized • Thermoregulation, ineffective
• Sleep deprivation • Self-esteem, chronic low • Nausea • Infant behavior, disorganized, risk for • Tissue integrity, impaired
• *Sleep pattern disturbed • Self-esteem, situational low • Infant behavior, organized, readiness • Trauma, risk for
• Sleep, readiness for enhanced • Self-esteem, risk for situational low Growth and development for enhanced • *Trauma, risk for vascular
• • Dentition, impaired •
Transfer ability, impaired • Sorrow, chronic

Intracranial adaptive capacity,
• Violence, self-directed risk for
• Walking, impaired •
Development delayed, risk for decreased
Stress, overload
• Growth, disproportionate, risk for • Memory, impaired • Violence, other-directed, risk for
Circulation- ability to transport oxygen and Endo • Growth and development, delayed • Neurovascular dysfunction, peripheral • Wandering
nutrients necessary to meet cellular needs • Blood glucose, risk for unstable risk for
• *Bleeding, risk for Health promotion/Education • Sensory perception disturbed Sexuality (component of ego integrity and
• Cardiac output, decreased Elimination- ability to excrete waste • Health maintenance, ineffective (specify):visual, auditory, kinesthetic, Social interaction)- Ability to meet
• *Tissue perfusion, decreased cardiac products • Health management, self, ineffective gustatory, tactile, olfactory requirements/characteristics of male/female
tissue, risk for • Bowel incontinence • Health-seeking behaviors (specify) • Unilateral neglect role
• • • *Childbearing process, readiness for
*Tissue perfusion, ineffective, • Constipation Immunization status, readiness for
enhanced Pain/discomfort- ability to control enhanced
cerebral, risk for • Constipation, risk for
• • Knowledge deficient (specify) internal/external environment to maintain • Sexual dysfunction
*Tissue perfusion, ineffective, renal, • Constipation, perceived
• Knowledge (specify), readiness for comfort • Sexuality patterns, ineffective
risk for • Diarrhoea
• enhanced • *Comfort, impaired
*Tissue perfusion, ineffective • *Motility, dysfunctional
gastrointestinal, risk for • Therapeutic regime management: • Comfort, readiness for enhanced Social Interaction- ability to establish and
gastrointestinal
• family ineffective • Pain, acute maintain relationships
Tissue perfusion, ineffective, • *Motility, risk for dysfunctional •
peripheral gastrointestinal • • Pain, chronic Attachment, parent/infant/child, risk
• Hygiene- ability to perform activities of for impaired
*Shock, risk for • Urinary elimination, readiness for • Care giver role strain
daily living Respiration- ability to provide and use
enhanced
Ego Integrity- ability to develop and use • *Neglect, self oxygen to meet physiological needs • Care giver role strain, risk for
• Urinary elimination, impaired
skills and behaviors to integrate and • Self care, readiness for enhanced • Airway clearance, ineffective • Family processes, dysfunctional
• Urinary incontinence, functional
manage life experiences • Self-care deficit, feeding • Aspiration, risk for • Family processes, interrupted
• Urinary incontinence, overflow
• Anxiety • Self-care deficit, bathing • Breathing pattern, ineffective • Family processes, readiness for
• Urinary incontinence, reflex
• Anxiety, death • Self-care deficit, dressing • Gas exchange, impaired enhanced
• Urinary incontinence, stress •
• Body image, disturbed • Self-care deficit, toileting • Spontaneous ventilation, impaired Loneliness, risk for
• Urinary incontinence, urge •
• Coping, community, ineffective • Ventilatory weaning response, Parenting, impaired
• Urinary incontinence, risk for urge •
• Coping, community, readiness for • Urinary retention
Life Principles dysfunctional (DVWR) Parenting, readiness for enhanced
enhanced • *Activity planning, ineffective • Patenting, risk for impaired
• Coping, defensive • Decisional conflict Safety- ability to provide safe, growth- • *Relationships, readiness for enhanced
Food/fluid- ability to maintain intake of and
• Coping, family, compromised • Decision making, readiness for promoting environment • Role conflict, parental
utilize nutrients and liquids to meet
• Coping, family, disabled enhanced • Body temperature, imbalanced, risk for • Role performance, ineffective
physiological needs
• • Moral distress • Contamination • Social interaction, impaired
Coping, family, readiness for enhanced • Breastfeeding, effective
• • Noncompliance (specify) • Contamination, risk for • Social isolation
Coping, (individual), readiness for • Breastfeeding, ineffective
enhanced • Hope, readiness for enhanced • Falls, risk for
• Breastfeeding, interrupted
• Coping, ineffective • Hopelessness • Home maintenance, ineffective
• *Electrolyte imbalance, risk for
• Denial, ineffective • Religiosity, impaired • Hyperthermia
• Failure to thrive, adult
• Energy field disturbance • Religiosity, readiness for enhanced • Hypothermia
• Fluid balance, readiness for enhanced
• Fear • Religiosity, risk for impaired • Infection, risk for
• Fluid volume, deficient
• Grieving • Spiritual distress • Injury, risk for
• Fluid volume, deficient risk for
• Grieving, complicated • Spiritual distress, risk of • *Maternal/fetal dyad, risk disturbed
• Fluid volume excess
• Grieving, risk for complicated • Spiritual well being, readiness for • Latex allergy response
• Fluid volume, imbalanced, risk for
• Health behavior, risk prone enhanced • Latex allergy response, risk for
• Infant feeding pattern, ineffective
• Human dignity, risk for compromised

, Activity/Rest Walking, impaired: limitation of Coping, community, readiness for Grieving: a normal complex process that Relocation stress syndrome: physiological
Activity intolerance: insufficient independent movement within the enhanced: pattern of community activities includes emotional, physical, spiritual, and/or psychological disturbances that result
physiological or psychological energy to environment on foot (or artificial limb) for adaptation and problem solving that is social and intellectual responses and from transfer from one environment to
endure or complete required or desired daily unsatisfactory for meeting the demands or behaviors by which individuals, families and another
activities Circulation needs of the community but that can also be communities incorporate an actual,
*Bleeding, risk for: at risk for a decrease in improved for management or current and anticipated or perceived loss into their daily Relocation stress syndrome, risk for: at
Activity intolerance, risk for: at risk for blood volume that may compromise health future problems/stressors lives risk for physiological and/or psychological
experiencing insufficient physiological or disturbances that result from transfer from
psychological energy to endure or complete Cardiac output, decreased: inadequate Coping, defensive: repeated projection of Grieving, complicated: a disorder that one environment to another
required or desired daily activities blood pumped by the heart to meet falsely positive self-evaluations based on occurs after the death of a significant other,
metabolic demands of the body self-protective pattern that defends against in which the experience of distress *Resilience, impaired individual:
Disuse syndrome, risk for: at risk for perceived threats to positive self regard accompanying bereavement fails to follow decreased ability to sustain a pattern of
deterioration of body systems as the result of *Tissue perfusion, decreased cardiac normative expectations and manifest in positive responses to an adverse situation or
prescribed or unavoidable musculoskeletal tissue, risk for: risk for a decrease in Coping, family, compromised: usually functional impairment crisis
inactivity cardiac (coronary) circulation supportive primary person (family member
or close friend) provides insufficient, Grieving, risk for complicated: a t risk for *Resilience, readiness for enhanced: a
Diversional activity, deficient: decreased *Tissue perfusion, ineffective, cerebral, ineffective, or compromised support, a disorder that occurs after the death of a pattern of positive responses to an adverse
stimulation from or interest or engagement risk for: risk for decrease cerebral tissue comfort, assistance, or encouragement that significant other, in which the experience of situation or crisis that can be strengthened to
in recreational or leisure activities circulation may be needed to manage or master distress accompanying bereavement fails to optimize human potential
adaptive tasks related to heath challenge follow normative expectations and manifest
Fatigue: an overwhelming, sustained sense *Tissue perfusion, ineffective, renal, risk in functional impairment *Resilience, risk for compromised: at risk
of exhaustion and decreased capacity for for: at risk for a decrease in blood Coping, family, disabled: behavior of for decreased ability to sustain a pattern of
physical mental work at usual level circulation to the kidney that may significant person (family member or other Health behavior, risk prone: impaired positive responses to an adverse situation or
compromise health primary person) that disables his or her ability to modify lifestyle/behaviors in a crisis
Insomnia: a disruption in amount and capacity to effectively address tasks manner consistent with a change in health
quality of sleep that impairs function *Tissue perfusion, ineffective, essential to either person’s adaptation to status Self-concept readiness for enhanced: a
gastrointestinal, risk for: at risk for health challenges pattern of perceptions or ideas about the self
Mobility: bed, impaired: limitation of decrease I gastrointestinal circulation Human dignity, risk for compromised: at that is sufficient for well-being and can be
independent movement from one bed Coping, family, readiness for enhanced: risk for perceived loss of respect and honor strengthened
position to another Tissue perfusion, ineffective, peripheral: effective management of adaptive tasks by
decrease in blood circulation to the family member involved with client’s health Personal identity, disturbed: inability to Self-esteem, chronic low: long-standing
Mobility: physical, impaired: limitation in peripheries that may compromise health challenge, who now exhibits desire and maintain an integrated and complete negative self-evaluations/feelings about self
independent, purposeful physical movement readiness for enhanced health and growth perception of self or self-capabilities
for the body or of one or more extremities *Shock, risk for: at risk fro an inadequate with regard to self in relation to client
blood flow to the body’s tissues which may Post trauma syndrome: sustained Self-esteem, situational low: development
Mobility: wheelchair, impaired: limitation lead to life-threatening cellular dysfunction Coping, (individual), readiness for maladaptive response to a traumatic, of a negative perception of self-worth in
of independent operation of wheelchair enhanced: pattern of cognitive and overwhelming event response to a current situation
within the environment Ego Integrity behavioral efforts to manage demands that is
Anxiety: vague, uneasy feeling of sufficient for wellbeing and can be Post trauma syndrome, risk for: at risk for Self-esteem, risk for situational low: at
Sedentary lifestyle: reports a habit of life discomfort or dread accompanied by an strengthened sustained maladaptive response to a risk for developing negative perception of
that is characterized by a low physical autonomic response, with the source often traumatic, overwhelming event self-worth in response to a current situation
activity level nonspecific or unknown to the individual; a Coping, ineffective: inability to form a
feeling of apprehension caused by valid appraisal of internal or external Power, readiness for enhanced: a pattern Sorrow, chronic: cyclical, recurring and
Sleep deprivation: prolonged periods anticipation of danger. It is an alerting signal stressors, inadequate choices of practical of participating knowingly in change that is potentially progressive pattern of pervasive
without sleep (sustained natural, periodic that warns of impending danger and enables responses, and/or to access or use available sufficient for well-being and can be sadness that is experienced (by parent, or
suspension of relative unconscious) the individual to take measures to deal with resources strengthened caregiver, or individual with chronic illness
threat. or disability) in response to continual loss
*Sleep pattern disturbed: time-limited Denial, ineffective: conscious or Powerlessness: perception that one’s own throughout the trajectory of an illness or
interruptions of sleep amount and quality Anxiety, death: vague uneasy feeling of unconscious attempt to disavow anxiety the actions will not significantly affect an disability
due to external factors discomfort or dread generated by knowledge or meaning of an event, to outcome, perceived lack of control over
perceptions of a real or imagined threat to reduce anxiety/fear, but leading to the current situation or immediate happening Stress, overload: excessive amounts and
Sleep, readiness for enhanced: a pattern of one’s existence detriment of health types of demands that require action
natural, periodic suspension of Powerlessness, risk for: at risk for
consciousness that provides adequate rest, Body image, disturbed: confusion in Energy field disturbed: a disruption of the perceived lack of control over a situation Endo
sustains a desired lifestyle, and can be mental picture of one’s physical self flow of energy surrounding a person’s and/or one’s ability to significantly affect an Blood glucose, risk for unstable: risk for
strengthened being, which results in a disharmony of outcome variation of blood glucose/sugar levels from
Coping, community, ineffective: pattern of mind and spirit the normal range
Transfer ability, impaired: limitation of community activities (for adaptation and Rape-trauma syndrome: sustained
independence movement between two problem solving) that is unsatisfactory for Fear: response to perceived threat that is maladaptive response to forced, violent
nearby surfaces meeting the demands or needs of the consciously recognized as a danger sexual act (penetration may not actually
community occur) against victim’s will and consent

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