Understanding and utilizing NANDA-I nursing diagnoses is fundamental in providing effective patient care. NANDA-I, or the International Nursing Diagnoses Association International, provides a standardized language to identify patient problems, facilitating clear communication and care planning amongst healthcare professionals. This guide presents a categorized overview of commonly used NANDA-I nursing diagnoses, organized by domain, serving as a valuable resource for nursing students and practicing nurses alike.
These diagnoses are structured around various domains of health, offering a holistic approach to patient assessment and care. Utilizing frameworks like Gordon’s Functional Health Patterns can further assist in clustering assessment data and selecting the most appropriate NANDA-I diagnoses for individual patient needs. For in-depth information and assistance in formulating comprehensive nursing care plans, consulting dedicated nursing care planning resources is highly recommended.
Below is a table summarizing sample NANDA-I diagnoses, categorized by NANDA-I domains, offering a quick reference to enhance your diagnostic skills.
| Domain | Class & Nursing Diagnosis |
|---|---|
| Health Promotion | Health Awareness – Sedentary lifestyle Health Management – Frail elderly syndrome – Ineffective health maintenance |
| Nutrition | Ingestion – Imbalanced nutrition: less than body requirements – Readiness for enhanced nutrition – Impaired swallowing Metabolism – Risk for unstable blood glucose level Hydration – Risk for electrolyte imbalance – Deficient fluid volume – Excess fluid volume – Risk for imbalanced fluid volume |
| Elimination and Exchange | Urinary function – Impaired urinary elimination – Functional urinary incontinence – Overflow urinary incontinence – Reflex urinary incontinence – Stress urinary incontinence – Urge urinary incontinence – Urinary retention Gastrointestinal function – Constipation – Risk for constipation – Diarrhea – Bowel incontinence Respiratory function – Impaired gas exchange |
| Activity/Rest | Sleep/Rest – Insomnia – Disturbed sleep pattern Activity/Rest – Risk for disuse syndrome – Impaired bed mobility – Impaired physical mobility – Impaired wheelchair mobility – Impaired sitting – Impaired standing – Impaired transfer ability – Impaired walking Energy balance – Fatigue – Wandering Cardiovascular/Pulmonary responses – Activity intolerance – Ineffective breathing pattern – Decreased cardiac output – Ineffective peripheral tissue perfusion Self-care – Bathing self-care deficit – Dressing self-care deficit – Feeding self-care deficit – Toileting self-care deficit |
| Perception/Cognition | Attention – Unilateral neglect Cognition – Acute confusion – Chronic confusion – Deficient knowledge – Readiness for enhanced knowledge – Impaired memory Communication – Readiness for enhanced communication – Impaired verbal communication |
| Self-Perception | Self-concept – Hopelessness – Readiness for enhanced self-concept Self-esteem – Chronic low self-esteem Body image – Disturbed body image |
| Role Relationship | Caregiving roles – Caregiver role strain – Risk for caregiver role strain Family relationships – Dysfunctional family processes Role performance – Impaired social interaction |
| Sexuality | Sexual function – Sexual dysfunction |
| Coping/Stress Tolerance | Post-trauma responses – Risk for relocation stress syndrome Coping responses – Anxiety – Ineffective coping – Death anxiety – Fear – Grieving – Complicated grieving – Powerlessness Neurobehavioral stress – Risk for autonomic dysreflexia |
| Life Principles | – Readiness for enhanced spiritual well-being – Decisional conflict – Spiritual distress |
| Safety/Protection | Infection – Risk for infection Physical injury – Ineffective airway clearance – Risk for aspiration – Risk for bleeding – Risk for falls – Risk for injury – Impaired dentition – Risk for pressure ulcer – Impaired skin integrity – Impaired tissue integrity Violence – Risk for suicide Environmental hazards – Risk for poisoning Defensive processes – Risk for allergy response Thermoregulation – Hyperthermia – Hypothermia |
| Comfort | Physical comfort – Impaired comfort – Nausea – Acute pain – Chronic pain Social comfort – Risk for loneliness |
| Growth/Development | – Risk for delayed development |
This table provides a foundational understanding of all NANDA nursing diagnoses within a domain-based framework. As you progress in your nursing career, continually referencing and expanding your knowledge of these diagnoses will be crucial for accurate patient assessment, effective care planning, and ultimately, improved patient outcomes. Remember to always consult comprehensive nursing diagnosis resources for detailed definitions, defining characteristics, and related factors for each diagnosis to ensure precise application in your clinical practice.
