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Download the NANDA nursing diagnosis list 2018-2020 in PDF format.
Please note that NANDA-I doesn’t advise on using NANDA Nursing Diagnosis labels without taking the nursing diagnosis in holistic approach. NANDA-I explained this in their website as follow:
There is no real use for simply providing a list of terms – to do so defeats the purpose of a standardized language. Unless the definition, defining characteristics, related and / or risk factors are known, the label itself is meaningless. Therefore, we do not believe it is in the interest of patient safety to produce simple lists of terms that could be misunderstood or used inappropriately in a clinical context.
Definition of a Nursing Diagnosis
A nursing diagnosis is defined by NANDA International (2013) as a clinical judgment concerning a human response to health conditions/life processes, or vulnerability for that response, by an individual, family, group, or community.
New NANDA Nursing Diagnoses
In this edition of NANDA nursing diagnosis list (2018-2020), seventeen new nursing diagnoses were approved and introduced. These new approved nursing diagnoses are:
Readiness for enhanced health literacy Ineffective adolescent eating dynamics Ineffective child eating dynamics Ineffective infant eating dynamics Risk for metabolic imbalance syndrome Imbalanced energy field Risk for unstable blood pressure
Risk for complicated immigration transition Neonatal abstinence syndrome Acute substance withdrawal syndrome Risk for acute substance withdrawal syndrome Risk for surgical site infection Risk for dry mouth Risk for venous thromboembolism Risk for female genital mutilation Risk for occupational injury Risk for ineffective thermoregulation Retired NANDA Nursing Diagnoses
In this latest edition of NANDA nursing diagnosis list (2018-2020), eight nursing diagnoses were removed from compared to the old nursing diagnosis list (2015-2017). These nursing diagnoses are :
Risk for disproportionate growth Noncompliance (Nursing Care Plan) Readiness for enhanced fluid balance Readiness for enhanced urinary elimination Risk for impaired cardiovascular function Risk for ineffective gastrointestinal perfusion Risk for ineffective renal perfusion Risk for imbalanced body temperature Approved NANDA Nursing Diagnosis List
NANDA Nursing Diagnosis Domain 1. Health promotion
Insufficient breast milk production Ineffective breastfeeding (Nursing care Plan) Interrupted breastfeeding (Nursing care Plan) Readiness for enhanced breastfeeding Ineffective adolescent eating dynamics Ineffective child eating dynamics Ineffective infant feeding dynamics Ineffective infant feeding pattern (Nursing care Plan) Obesity Overweight Risk for overweight Impaired swallowing (Nursing care Plan)
Class 2. Digestion
This class does not currently contain any diagnoses
Class 3. Absorption
This class does not currently contain any diagnoses
Class 4. Metabolism
Risk for unstable blood glucose level (Nursing care Plan) Neonatal hyperbilirubinemia
Risk for neonatal hyperbilirubinemia Risk for impaired liver function Risk for metabolic imbalance syndrome
Class 5. Hydration
Risk for electrolyte imbalance Risk for imbalanced fluid volume Deficient fluid volume (Nursing care Plan) Risk for deficient fluid volume Excess fluid volume (Nursing care Plan)
NANDA Nursing Diagnosis 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 Risk for urge urinary incontinence Urinary retention
Sleep deprivation Readiness for enhanced sleep 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
Imbalanced energy field Fatigue Wandering
Class 4. Cardiovascular/pulmonary responses
Activity intolerance Risk for activity intolerance
Ineffective breathing pattern Decreased cardiac output Risk for decreased cardiac output Impaired spontaneous ventilation Risk for unstable blood pressure Risk for decreased cardiac tissue perfusion Risk for ineffective cerebral tissue perfusion Ineffective peripheral tissue perfusion Risk for ineffective peripheral tissue perfusion Dysfunctional ventilatory weaning response
Class 5. Self-care
Impaired home maintenance Bathing self-care deficit Dressing self-care deficit Feeding self-care deficit Toileting self-care deficit Readiness for enhanced self-care Self-neglect
NANDA Nursing Diagnosis Domain 5. Perception/cognition
NANDA Nursing Diagnosis Class 1. Attention
NANDA Nursing Diagnosis Domain 6. Self-perception
Class 1. Self-concept
Hopelessness Readiness for enhanced hope Risk for compromised human dignity Disturbed personal identity Risk for disturbed personal identity Readiness for enhanced self-concept
Class 2. Self-esteem
Chronic low self-esteem Risk for chronic low self-esteem Situational low self-esteem Risk for situational low self-esteem
Class 3. Body image
Disturbed body image
NANDA Nursing Diagnosis Domain 7. Role relationship
Class 1. Caregiving roles
Caregiver role strain Risk for caregiver role strain Impaired parenting Risk for impaired parenting Readiness for enhanced parenting
Class 2. Family relationships
Risk for impaired attachment Dysfunctional family processes Interrupted family processes Readiness for enhanced family processes
Class 3. Role performance
Ineffective relationship Risk for ineffective relationship Readiness for enhanced relationship Parental role conflict Ineffective role performance Impaired social interaction
NANDA Nursing Diagnosis Domain 8. Sexuality
Relocation stress syndrome Risk for relocation stress syndrome
Class 2. Coping responses
Ineffective activity planning Risk for ineffective activity planning Anxiety (Nursing Care Plan) Defensive coping Ineffective coping Readiness for enhanced coping Ineffective community coping Readiness for enhanced community coping Compromised family coping Disabled family coping Readiness for enhanced family coping Death anxiety Ineffective denial Fear Grieving Complicated grieving Risk for complicated grieving Impaired mood regulation Powerlessness Risk for powerlessness
Readiness for enhanced power Impaired resilience Risk for impaired resilience Readiness for enhanced resilience Chronic sorrow Stress overload
Class 3. Neurobehavioral stress
Acute substance withdrawal syndrome Risk for acute substance withdrawal syndrome Autonomic dysreflexia Risk for autonomic dysreflexia Decreased intracranial adaptive capacity Neonatal abstinence syndrome Disorganized infant behaviour Risk for disorganized infant behaviour Readiness for enhanced organized infant behavior
NANDA Nursing Diagnosis Domain 10. Life principles
Class 1. Values
This class does not currently contain any diagnoses
Class 2. Physical injury
Ineffective airway clearance Risk for aspiration Risk for bleeding (Nursing Care plan) Impaired dentition Risk for dry eye Risk for dry mouth Risk for falls Risk for corneal injury Risk for injury Risk for urinary tract injury Risk for perioperative positioning injury Risk for thermal injury Impaired oral mucous membrane integrity Risk for impaired oral mucous membrane integrity Risk for peripheral neurovascular dysfunction Risk for physical trauma Risk for vascular trauma Risk for pressure ulcer Risk for shock Impaired skin integrity (Nursing Care Plan) Risk for impaired skin integrity Risk for sudden infant death Risk for suffocation
Delayed surgical recovery Risk for delayed surgical recovery Impaired tissue integrity Risk for impaired tissue integrity Risk for venous thromboembolism
Class 3. Violence
Risk for female genital mutilation Risk for other-directed violence Risk for self-directed violence Self-mutilation Risk for self-mutilation Risk for suicide
Class 4. Environmental hazards
Contamination Risk for contamination Risk for occupational injury Risk for poisoning
Class 5. Defensive processes
Risk for adverse reaction to iodinated contrast media
Class 2. Environmental comfort
Impaired comfort Readiness for enhanced comfort
Class 3. Social comfort
Impaired comfort Readiness for enhanced comfort Risk for loneliness Social isolation
NANDA Nursing Diagnosis Domain 13. Growth/development
Class 1. Growth
This class does not currently contain any diagnoses
Class 2. Development
Risk for delayed development
