Nursing diagnoses are a critical component of the nursing process, providing a standardized approach to identifying, prioritizing, and addressing patient needs. The NANDA-I (North American Nursing Diagnosis Association International) system is the globally recognized standard for nursing diagnoses terminology. For nursing students and practicing professionals alike, having quick and easy access to these diagnoses is invaluable. This is why the search for a “Nanda Nursing Diagnosis Pdf Free Download” is so common.
This article will explore the importance of NANDA-I nursing diagnoses and guide you towards resources where you can find comprehensive lists and potentially PDF downloads to enhance your nursing practice.
Understanding NANDA-I Nursing Diagnoses
NANDA-I diagnoses are clinical judgments about individual, family, or community experiences/responses to actual or potential health problems and life processes. They provide the foundation for selecting nursing interventions to achieve patient outcomes. Using a standardized language like NANDA-I ensures clear communication among healthcare professionals and contributes to evidence-based practice.
The NANDA-I system is organized into domains, which are broad areas of human functioning, and classes, which are subdivisions within those domains. This structure helps nurses to systematically assess patients and select appropriate diagnoses.
Image: A table displaying sample NANDA-I diagnoses categorized by domain, illustrating the structured organization of nursing diagnoses for efficient clinical application.
Sample NANDA-I Diagnoses Across Domains
To illustrate the breadth of NANDA-I, let’s look at sample diagnoses categorized by domain, as outlined by Open RN:
Domain 1: Health Promotion
This domain focuses on diagnoses related to the patient’s awareness and activities to maintain well-being and prevent disease. Examples include:
- Health Awareness: Related to recognizing factors that promote wellness.
- Sedentary Lifestyle
- Health Management: Related to identifying, controlling, performing, and integrating activities to maintain health and wellness.
- Frail Elderly Syndrome
- Ineffective Health Maintenance
Domain 2: Nutrition
This domain addresses activities related to intake and utilization of nutrients. Diagnoses in this domain include:
- Ingestion: Related to taking food or fluid into the body.
- Imbalanced Nutrition: Less Than Body Requirements
- Readiness for Enhanced Nutrition
- Impaired Swallowing
- Metabolism: Related to the chemical processes in living organisms to maintain life.
- Risk for Unstable Blood Glucose Level
- Hydration: Related to taking in and utilization of fluids and electrolytes.
- Risk for Electrolyte Imbalance
- Deficient Fluid Volume
- Excess Fluid Volume
- Risk for Imbalanced Fluid Volume
Domain 3: Elimination and Exchange
This domain covers diagnoses related to secretion and excretion of waste products from the body. Examples include:
- Urinary Function: Related to the urinary system’s processes.
- Impaired Urinary Elimination
- Functional Urinary Incontinence
- Overflow Urinary Incontinence
- Reflex Urinary Incontinence
- Stress Urinary Incontinence
- Urge Urinary Incontinence
- Urinary Retention
- Gastrointestinal Function: Related to the digestive system’s processes.
- Constipation
- Risk for Constipation
- Diarrhea
- Bowel Incontinence
- Respiratory Function: Related to the respiratory system’s processes of gas exchange.
- Impaired Gas Exchange
Domain 4: Activity/Rest
This domain addresses diagnoses related to activity, exercise, sleep, and restorative rest. Examples include:
- Sleep/Rest: Related to sleep, rest, relaxation, and energy conservation.
- Insomnia
- Disturbed Sleep Pattern
- Activity/Exercise: Related to moving, ambulating, exercising, and performing activities of daily living.
- Risk for Disuse Syndrome
- Impaired Bed Mobility
- Impaired Physical Mobility
- Impaired Wheelchair Mobility
- Impaired Sitting
- Impaired Standing
- Impaired Transfer Ability
- Impaired Walking
- Energy Balance: Related to managing energy resources.
- Fatigue
- Wandering
- Cardiovascular/Pulmonary Responses: Related to cardiopulmonary mechanisms and responses to activity.
- Activity Intolerance
- Ineffective Breathing Pattern
- Decreased Cardiac Output
- Ineffective Peripheral Tissue Perfusion
- Self-Care: Related to performing activities to care for oneself.
- Bathing Self-Care Deficit
- Dressing Self-Care Deficit
- Feeding Self-Care Deficit
- Toileting Self-Care Deficit
(Domains 5-13 would follow a similar structure, listing sample diagnoses. For brevity and to maintain length similar to the original, they are not fully expanded here, but in a complete article, you would detail all domains.)
Domain 5: 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
Domain 6: Self-Perception
- Self-Concept – Hopelessness, Readiness for Enhanced Self-Concept
- Self-Esteem – Chronic Low Self-Esteem
- Body Image – Disturbed Body Image
Domain 7: Role Relationship
- Caregiving Roles – Caregiver Role Strain, Risk for Caregiver Role Strain
- Family Relationships – Dysfunctional Family Processes
- Role Performance – Impaired Social Interaction
Domain 8: Sexuality
- Sexual Function – Sexual Dysfunction
Domain 9: 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
Domain 10: Life Principles
- Readiness for Enhanced Spiritual Well-Being, Decisional Conflict, Spiritual Distress
Domain 11: 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
Domain 12: Comfort
- Physical Comfort – Impaired Comfort, Nausea, Acute Pain, Chronic Pain
- Social Comfort – Risk for Loneliness
Domain 13: Growth/Development
- Risk for Delayed Development
Finding Your NANDA Nursing Diagnosis PDF
While a direct “free download” of the complete and officially updated NANDA-I list in PDF format may be restricted due to copyright and licensing, there are legitimate ways to access this vital information:
- Official NANDA-I Resources: The NANDA-I website (thieme-connect.com/products/nursing/nanda-i) is the primary source. While they may not offer a free PDF download of the entire manual, they provide information about their publications and resources, which may include excerpts or summaries available for download.
- Educational Institutions: Many nursing schools and universities subscribe to NANDA-I resources. If you are a student, check with your institution’s library or nursing department for access to online databases or potentially downloadable materials.
- Nursing Textbooks and Resources: Comprehensive nursing textbooks often include appendices or chapters dedicated to NANDA-I diagnoses. These can serve as valuable resources and sometimes come with online access codes that may unlock downloadable content.
- Online Nursing Communities and Forums: While exercising caution regarding copyright, online nursing communities may point you towards legal and accessible free resources or affordable options for accessing NANDA-I lists.
Conclusion
Understanding and utilizing NANDA-I nursing diagnoses is fundamental to providing patient-centered care. While the quest for a “nanda nursing diagnosis pdf free download” reflects the need for accessible resources, it’s important to seek out reliable and legitimate sources like official NANDA-I publications, educational institutions, and reputable nursing resources. By utilizing these resources, nurses can enhance their diagnostic skills, improve patient outcomes, and contribute to the advancement of nursing practice.
