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A nursing diagnosis is a clinical diagnosis made by a registered nurse which, unlike a MD's diagnosis, does not cover the patient's medical condition, but the patient's response to the medical condition.

Patients generally have multiple nursing diagnoses covering everything from their physical well-being through their psychosocial well-being to the well-being of their family and caregivers. These diagnoses must cover problems that the nurse can treat independently of the MD. A complete nursing diagnosis is written in the format problem related to cause of problem as evidenced by symptoms of problem. An example of such a nursing diagnosis would be Impaired gas exchange related to excessive secretions as evidenced by O2 saturation of 86%.

NANDA, the North American Nursing Diagnosis Association, has an approved list of nursing diagnoses which may be used in North America. There is also an international association attempting to create a list of nursing diagnoses which will hopefully become universal at some point in the future.

The current (2003-2004) North American list of approved nursing diagnoses is:

  • Activity alteration
  • Activity intolerance
  • Activity intolerance risk
  • Activities of Daily Living (ADLs) alteration
  • Acute pain
  • Adjustment impairment
  • Adolescent behavior alteration
  • Adult behavior alteration
  • Airway clearance impairment
  • Alcohol abuse
  • Anticipatory grieving
  • Anxiety
  • Aspiration risk
  • Auditory alteration
  • Autonomic dysreflexia

  • Bathing/hygiene deficit
  • Blood pressure alteration
  • Body image disturbance
  • Body nutrition deficit
  • Body nutrition deficit risk
  • Body nutrition excess
  • Body nutrition excess risk
  • Bowel elimination alteration
  • Bowel incontinence
  • Breast feeding impairment
  • Breathing pattern impairment

  • Cardiac alteration
  • Cardiovascular alteration
  • Caregiver role strain
  • Cerebral alteration
  • Child behavior alteration
  • Chronic low self-esteem disturbance
  • Chronic pain
  • Colonic constipation
  • Comfort alteration
  • Communication impairment
  • Community coping impairment
  • Compromised family coping
  • Confusion
  • Contraceptive risk

  • Failure to thrive
  • Family coping impairment
  • Family process alteration
  • Fatigue
  • Fear
  • Fecal impaction
  • Feeding deficit
  • Fertility risk
  • Fluid volume alteration
  • Fluid volume deficit
  • Fluid volume deficit risk
  • Fluid volume excess
  • Fluid volume excess risk
  • Functional urinary incontinence

  • Health maintenance alteration
  • Health seeking behavior alteration
  • Home maintenance alteration
  • Hopelessness
  • Hyperthermia
  • Hypothermia

  • Immunologic alteration
  • Individual coping impairment
  • Infant behavior alteration
  • Infant feeding pattern impairment
  • Infection risk
  • Infection unspecified
  • Infertility risk
  • Injury risk
  • Instrumental Activities of Daily Living (IADLs) alteration
  • Intracranial adaptive capacity impairment

  • Kinesthetic alteration
  • Knowledge deficit
  • Knowledge deficit of diagnostic test
  • Knowledge deficit of dietary regimen
  • Knowledge deficit of disease process
  • Knowledge deficit of fluid volume
  • Knowledge deficit of medication regimen
  • Knowledge deficit of safety precautions
  • Knowledge deficit of therapeutic regimen

  • Nausea
  • Newborn behavior alteration
  • Noncompliance
  • Noncompliance of diagnostic test
  • Noncompliance of dietary regimen
  • Noncompliance of fluid volume
  • Noncompliance of medication regimen
  • Noncompliance of safety precautions
  • Noncompliance of therapeutic regimen
  • Nutrition alteration

  • Older adult behavior alteration
  • Olfactory alteration
  • Oral mucous membranes impairment

  • Parental role conflict
  • Parenting alteration
  • Perceived constipation
  • Perinatal risk
  • Perioperative injury risk
  • Perioperative positioning injury
  • Peripheral alteration
  • Personal identity disturbance
  • Physical mobility impairment
  • Physical regulation alteration
  • Poisoning risk
  • Polypharmacy
  • Postpartum risk
  • Post-trauma response
  • Powerlessness
  • Pregnancy risk
  • Protection alteration

  • Self care deficit
  • Self concept alteration
  • Self mutilation risk
  • Sensory perceptual alteration
  • Sexual dysfunction
  • Sexuality patterns alteration
  • Situational self-esteem disturbance
  • Skin integrity impairment
  • Skin integrity impairment risk
  • Skin incision
  • Sleep deprivation
  • Sleep pattern disturbance
  • Social interaction alteration
  • Social isolation
  • Socialization alteration
  • Spiritual distress
  • Spiritual state alteration
  • Stress urinary incontinence
  • Substance abuse
  • Suffocation risk
  • Suicide risk
  • Surgical recovery delay
  • Swallowing impairment

  • Tactile alteration
  • Thermoregulation impairment
  • Tissue integrity alteration
  • Tissue perfusion alteration
  • Tobacco abuse
  • Tilting deficit
  • Total urinary incontinence
  • Thought processes alteration
  • Trauma risk

  • Unilateral neglect
  • Unspecified constipation
  • Unspecified pain
  • Urinary elimination alteration
  • Urinary retention
  • Urge urinary incontinence

  • Ventilatory weaning impairment
  • Verbal impairment
  • Violence risk
  • Visual alteration


www.sabacare.com
NANDA Nursing Diagnoses and Classification 2003-2004
Murray State University nursing classes

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