Nursing diagnoses are a critical component of patient care, providing a standardized language for nurses to identify patient problems and plan effective interventions. NANDA International (NANDA-I) is the leading organization in defining, standardizing, and refining nursing diagnoses. For nursing students and healthcare professionals, having access to the latest NANDA nursing diagnosis list is essential for accurate assessment and care planning.
This article provides a sample of commonly used NANDA-I nursing diagnoses, categorized by domain, to enhance your understanding and application in practice. This resource is designed to be a helpful starting point, and while a downloadable PDF isn’t directly provided here, the information below, adapted from open educational resources, offers a clear and accessible overview.
Sample NANDA-I Diagnoses by Domain
The following table outlines sample NANDA-I diagnoses, organized by NANDA-I domains and classes. Using frameworks like Gordon’s Functional Health Patterns can assist in clustering assessment data by domain, facilitating the selection of appropriate nursing diagnoses. For comprehensive nursing care planning, always consult a dedicated nursing care planning resource and the most current NANDA-I publications.
| Domain | Class & Nursing Diagnosis |
|---|---|
| Domain 1: Health Promotion | Class 1: Health Awareness – Sedentary lifestyle |
| Class 2: Health Management – Frail elderly syndrome – Ineffective health maintenance | |
| Domain 2: Nutrition | Class 1: Ingestion – Imbalanced nutrition: less than body requirements – Readiness for enhanced nutrition – Impaired swallowing |
| Class 2: Metabolism – Risk for unstable blood glucose level | |
| Class 3: Hydration – Risk for electrolyte imbalance – Deficient fluid volume – Excess fluid volume – Risk for imbalanced fluid volume | |
| 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 – Urinary retention |
| Class 2: Gastrointestinal function – Constipation – Risk for constipation – Diarrhea – Bowel incontinence | |
| Class 3: Respiratory function – Impaired gas exchange | |
| Domain 4: Activity/Rest | Class 1: Sleep/Rest – Insomnia – 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 – Fatigue – Wandering | |
| Class 4: Cardiovascular/Pulmonary responses – Activity intolerance – Ineffective breathing pattern – Decreased cardiac output – Ineffective peripheral tissue perfusion | |
| Class 5: Self-care – Bathing self-care deficit – Dressing self-care deficit – Feeding self-care deficit – Toileting self-care deficit | |
| Domain 5: Perception/Cognition | Class 1: Attention – Unilateral neglect |
| Class 2: Cognition – Acute confusion – Chronic confusion – Deficient knowledge – Readiness for enhanced knowledge – Impaired memory | |
| Class 3: Communication – Readiness for enhanced communication – Impaired verbal communication | |
| Domain 6: Self-Perception | Class 1: Self-concept – Hopelessness – Readiness for enhanced self-concept |
| Class 2: Self-esteem – Chronic low self-esteem | |
| Class 3: Body image – Disturbed body image | |
| Domain 7: Role Relationship | Class 1: Caregiving roles – Caregiver role strain – Risk for caregiver role strain |
| Class 2: Family relationships – Dysfunctional family processes | |
| Class 3: Role performance – Impaired social interaction | |
| Domain 8: Sexuality | Class 1: Sexual function – Sexual dysfunction |
| Domain 9: Coping/Stress Tolerance | Class 1: Post-trauma responses – Risk for relocation stress syndrome |
| Class 2: Coping responses – Anxiety – Ineffective coping – Death anxiety – Fear – Grieving – Complicated grieving – Powerlessness | |
| Class 3: Neurobehavioral stress – Risk for autonomic dysreflexia | |
| Domain 10: Life Principles | Class 1: Values/Beliefs/Value – Readiness for enhanced spiritual well-being – Decisional conflict – Spiritual distress |
| Domain 11: Safety/Protection | Class 1: Infection – Risk for infection |
| Class 2: 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 | |
| Class 3: Violence – Risk for suicide | |
| Class 4: Environmental hazards – Risk for poisoning | |
| Class 5: Defensive processes – Risk for allergy response | |
| Class 6: Thermoregulation – Hyperthermia – Hypothermia | |
| Domain 12: Comfort | Class 1: Physical comfort – Impaired comfort – Nausea – Acute pain – Chronic pain |
| Class 2: Social comfort – Risk for loneliness | |
| Domain 13: Growth/Development | Class 1: Growth – Risk for delayed development |
Conclusion
Understanding and utilizing the latest NANDA-I nursing diagnoses is fundamental for providing patient-centered and evidence-based nursing care. This sample list provides a valuable overview, categorized for easy navigation and application. While this article serves as an informative resource, remember to always refer to the official NANDA-I publications and comprehensive nursing care planning guides for the most up-to-date and complete information. By staying current with NANDA-I, nurses can ensure they are using the most effective and recognized language to communicate patient needs and contribute to optimal health outcomes.
