Creating effective care plans is a cornerstone of nursing practice. Utilizing a standardized nursing language, such as NANDA-I (North American Nursing Diagnosis Association International), ensures clear communication and patient-centered care. This guide provides a comprehensive Care Plan Nursing Diagnosis List, categorized by domain, to assist nurses and nursing students in formulating accurate and effective care plans.
NANDA-I diagnoses offer a structured approach to identify patient problems, guide interventions, and evaluate outcomes. Organized by domains, these diagnoses cover various aspects of human health and functioning. Using frameworks like Gordon’s Functional Health Patterns can further streamline the assessment process, enabling nurses to cluster data and select appropriate diagnoses from this care plan nursing diagnosis list. This systematic approach ensures that all relevant patient needs are addressed in the care plan.
Below is a sample care plan nursing diagnosis list based on NANDA-I domains, designed to be a quick reference for developing patient care plans.
Sample NANDA-I Diagnoses for Care Plans by Domain
Health Promotion
- Sedentary Lifestyle: For patients with low physical activity levels.
- Frail Elderly Syndrome: Addressing vulnerability in older adults.
- Ineffective Health Maintenance: When patients struggle to manage their health.
Nutrition
- Imbalanced Nutrition: Less Than Body Requirements: For patients with inadequate nutritional intake.
- Readiness for Enhanced Nutrition: For patients motivated to improve their nutritional status.
- Impaired Swallowing: Addressing difficulties in swallowing safely.
- Risk for Unstable Blood Glucose Level: For patients at risk of blood sugar fluctuations.
- Risk for Electrolyte Imbalance: Identifying patients at risk of electrolyte abnormalities.
- Deficient Fluid Volume: Addressing dehydration and fluid loss.
- Excess Fluid Volume: Managing fluid overload in patients.
- Risk for Imbalanced Fluid Volume: For patients at risk of fluid balance issues.
Elimination and Exchange
- Impaired Urinary Elimination: General diagnosis for urinary issues.
- Functional Urinary Incontinence: Incontinence related to functional limitations.
- Overflow Urinary Incontinence: Incontinence due to bladder overdistension.
- Reflex Urinary Incontinence: Incontinence due to neurological conditions.
- Stress Urinary Incontinence: Incontinence with increased abdominal pressure.
- Urge Urinary Incontinence: Sudden urge to urinate with leakage.
- Urinary Retention: Inability to empty the bladder fully.
- Constipation: Infrequent or difficult bowel movements.
- Risk for Constipation: Identifying patients at risk of constipation.
- Diarrhea: Frequent and loose bowel movements.
- Bowel Incontinence: Loss of bowel control.
- Impaired Gas Exchange: Problems with oxygen and carbon dioxide exchange.
Activity/Rest
- Insomnia: Difficulty initiating or maintaining sleep.
- Disturbed Sleep Pattern: General diagnosis for sleep disturbances.
- Risk for Disuse Syndrome: Risk of complications from immobility.
- Impaired Bed Mobility: Difficulty moving in bed.
- Impaired Physical Mobility: Limitation in physical movement.
- Impaired Wheelchair Mobility: Difficulty maneuvering a wheelchair.
- Impaired Sitting: Difficulty maintaining a seated position.
- Impaired Standing: Difficulty maintaining a standing position.
- Impaired Transfer Ability: Difficulty moving between surfaces.
- Impaired Walking: Difficulty walking.
- Fatigue: Overwhelming and sustained exhaustion.
- Wandering: Aimless or repetitive locomotion.
- Activity Intolerance: Insufficient physiological or psychological energy to endure activities.
- Ineffective Breathing Pattern: Respiratory rate, depth, or timing alterations.
- Decreased Cardiac Output: Inadequate blood pumped by the heart.
- Ineffective Peripheral Tissue Perfusion: Reduced blood circulation to extremities.
- Bathing Self-Care Deficit: Difficulty bathing oneself.
- Dressing Self-Care Deficit: Difficulty dressing oneself.
- Feeding Self-Care Deficit: Difficulty feeding oneself.
- Toileting Self-Care Deficit: Difficulty using the toilet.
Perception/Cognition
- Unilateral Neglect: Inattention to one side of the body or environment.
- Acute Confusion: Sudden onset of confusion.
- Chronic Confusion: Long-term confusion.
- Deficient Knowledge: Lack of information related to health condition.
- Readiness for Enhanced Knowledge: Desire to learn more about a topic.
- Impaired Memory: Difficulty remembering information.
- Readiness for Enhanced Communication: Desire to improve communication skills.
- Impaired Verbal Communication: Difficulty expressing thoughts verbally.
Self-Perception
- Hopelessness: Subjective state of despair.
- Readiness for Enhanced Self-Concept: Desire to improve self-perception.
- Chronic Low Self-Esteem: Long-term negative self-evaluation.
- Disturbed Body Image: Negative perception of one’s body.
Role Relationship
- Caregiver Role Strain: Difficulties experienced in the caregiver role.
- Risk for Caregiver Role Strain: Risk of experiencing difficulties as a caregiver.
- Dysfunctional Family Processes: Unhealthy family dynamics.
- Impaired Social Interaction: Difficulty interacting with others.
Sexuality
- Sexual Dysfunction: Problems with sexual function.
Coping/Stress Tolerance
- Risk for Relocation Stress Syndrome: Stress related to moving to a new environment.
- Anxiety: Feelings of worry and unease.
- Ineffective Coping: Inability to manage stressors adequately.
- Death Anxiety: Fear and apprehension related to death.
- Fear: Response to perceived threat.
- Grieving: Emotional response to loss.
- Complicated Grieving: Prolonged and intense grief.
- Powerlessness: Perceived lack of control over a situation.
- Risk for Autonomic Dysreflexia: Risk of exaggerated autonomic responses.
Life Principles
- Readiness for Enhanced Spiritual Well-Being: Desire to improve spiritual health.
- Decisional Conflict: Uncertainty about which course of action to take.
- Spiritual Distress: Disruption in one’s belief or value system.
Safety/Protection
- Risk for Infection: Increased susceptibility to pathogens.
- Ineffective Airway Clearance: Inability to clear secretions or obstructions from the airway.
- Risk for Aspiration: Risk of inhaling substances into the airway.
- Risk for Bleeding: Risk of hemorrhage.
- Risk for Falls: Increased susceptibility to falling.
- Risk for Injury: Increased risk of harm.
- Impaired Dentition: Problems with teeth and gums.
- Risk for Pressure Ulcer: Risk of skin breakdown due to pressure.
- Impaired Skin Integrity: Damage to the epidermal and/or dermal layers.
- Impaired Tissue Integrity: Damage to mucous membrane, corneal, integumentary, or subcutaneous tissues.
- Risk for Suicide: Risk of self-harm.
- Risk for Poisoning: Risk of exposure to harmful substances.
- Risk for Allergy Response: Risk of adverse reaction to allergens.
- Hyperthermia: Elevated body temperature.
- Hypothermia: Decreased body temperature.
Comfort
- Impaired Comfort: General feeling of discomfort.
- Nausea: Feeling of sickness with an inclination to vomit.
- Acute Pain: Sudden onset of pain.
- Chronic Pain: Persistent pain lasting longer than 3 months.
- Risk for Loneliness: Risk of experiencing social isolation.
Growth/Development
- Risk for Delayed Development: Risk of not achieving developmental milestones.
This care plan nursing diagnosis list provides a starting point for developing comprehensive and individualized care plans. Remember to always refer to a complete NANDA-I resource and consider the unique needs of each patient when selecting diagnoses. Utilizing this nursing diagnosis list effectively will contribute to improved patient outcomes and enhance the quality of nursing care.
