Nursing diagnosis is a critical component of the nursing process, serving as the foundation for personalized patient care. NANDA International (NANDA-I) provides a standardized language for nursing diagnoses, ensuring clear communication and effective care planning among healthcare professionals. This article provides a comprehensive Nanda List For Nursing Diagnosis, categorized by domains to facilitate understanding and application in various clinical settings.
Understanding the structure of NANDA-I is essential for nursing students and practicing nurses alike. NANDA-I diagnoses are organized into domains, which represent broad areas of human functioning. These domains are further divided into classes, which are more specific categories within each domain. This hierarchical structure helps nurses to systematically assess patients and select the most appropriate nursing diagnoses. This structured approach not only aids in accurate diagnosis but also aligns with frameworks like Gordon’s Functional Health Patterns, enhancing holistic patient assessment.
Below is a detailed NANDA list for nursing diagnosis, presented by domain and class, offering a quick reference to commonly used diagnoses in nursing practice. This list is designed to be a helpful resource for developing effective nursing care plans and improving patient outcomes.
Domains of NANDA-I Nursing Diagnoses
This section outlines the NANDA-I nursing diagnoses organized by domain and class, providing a structured overview for easy navigation and application.
Domain 1: Health Promotion
This domain focuses on diagnoses related to the patient’s awareness of well-being and their strategies to maintain or enhance control of their health practices.
- Class 1: Health Awareness
- Sedentary Lifestyle
- Class 2: Health Management
- Frail Elderly Syndrome
- Ineffective Health Maintenance
Domain 2: Nutrition
This domain addresses activities related to the intake and utilization of nutrients by the body.
- Class 1: Ingestion
- Imbalanced Nutrition: Less Than Body Requirements
- Readiness for Enhanced Nutrition
- Impaired Swallowing
- Class 5: Hydration
- Risk for Electrolyte Imbalance
- Deficient Fluid Volume
- Excess Fluid Volume
- Risk for Imbalanced Fluid Volume
- Class 2: Digestion (Note: Class numbering might not be consecutive in NANDA-I)
- Class 3: Absorption (Note: Class numbering might not be consecutive in NANDA-I)
- Class 4: Metabolism
- Risk for Unstable Blood Glucose Level
- Class 5: Hydration
- Risk for Electrolyte Imbalance
- Deficient Fluid Volume
- Excess Fluid Volume
- Risk for Imbalanced Fluid Volume
Domain 3: Elimination and Exchange
This domain includes diagnoses related to the secretion and excretion of waste products from the body.
- 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
- Class 4: Integumentary Function (Note: Class numbering might not be consecutive in NANDA-I)
- Class 5: Renal Function (Note: Class numbering might not be consecutive in NANDA-I)
- Class 6: Hepatic Function (Note: Class numbering might not be consecutive in NANDA-I)
Domain 4: Activity/Rest
This domain encompasses diagnoses related to activity, exercise, sleep, and 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
This domain involves diagnoses related to sensory perception and cognitive processes.
- 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
This domain pertains to diagnoses related to self-awareness, self-image, and self-esteem.
- 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
This domain focuses on diagnoses related to the connections and associations between people and the roles individuals assume.
- 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
This domain addresses diagnoses related to sexual identity, sexual function, and reproduction.
- Class 1: Sexual Function
- Sexual Dysfunction
- Class 2: Reproduction (Note: Class numbering might not be consecutive in NANDA-I)
Domain 9: Coping/Stress Tolerance
This domain includes diagnoses related to the ability to manage psychological stress and physiological responses.
- 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
This domain pertains to diagnoses related to values, beliefs, and spiritual or existential meaning.
- Class 1: Spiritual Well-Being
- Readiness for Enhanced Spiritual Well-Being
- Decisional Conflict
- Spiritual Distress
Domain 11: Safety/Protection
This domain addresses diagnoses related to being free from danger, physical injury, or immune system damage; protection from loss; and safety and security.
- 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
This domain includes diagnoses related to the sense of mental, physical, and social well-being or ease.
- Class 1: Physical Comfort
- Impaired Comfort
- Nausea
- Acute Pain
- Chronic Pain
- Class 2: Social Comfort
- Risk for Loneliness
Domain 13: Growth/Development
This domain addresses diagnoses related to age-appropriate increases in physical dimensions, maturation of organ systems, and progression through developmental milestones.
- Class 1: Growth
- Risk for Delayed Development
Conclusion
This NANDA list for nursing diagnosis provides a structured and categorized overview of common nursing diagnoses. Utilizing this list, alongside comprehensive patient assessment and clinical judgment, empowers nurses to formulate accurate diagnoses and develop effective, patient-centered care plans. For the most current and comprehensive information, always refer to the official NANDA-I resources and publications. This structured approach enhances the quality of nursing care and contributes to better patient outcomes.
Reference
[1] OPEN RN. (2021). Appendix A Sample NANDA-I Diagnoses by Domain. Nursing Fundamentals. https://wtcs.pressbooks.pub/nursingfundamentals/back-matter/appendix-a-sample-nanda-i-diagnoses/#footnote-131-1
