NANDA International, Inc. nursing diagnoses : definitions and classification 2018-2020

Inside Front Cover......Page 2
Media Center Information......Page 7
Title Page......Page 8
Copyright......Page 9
Dedication......Page 11
Contents......Page 12
Preface......Page 26
Acknowledgments......Page 29
Part 1 The NANDA International Terminology – Organization and General Information......Page 30
1 Introduction......Page 31
2 What's New in the 2018–2020 Edition of Diagnoses and Classification......Page 32
3.1 Processes and Procedures for Diagnosis Submission and Review......Page 33
3.3 New Nursing Diagnoses......Page 36
3.5 Retired Nursing Diagnosis......Page 37
3.6 Revisions to Nursing Diagnosis Labels......Page 39
3.7 Standardization of Diagnostic Indicator Terms......Page 43
3.8 Introduction of At-Risk Populations and Associated Conditions......Page 45
4.1 International Considerations on the Use of the NANDA-I Nursing Diagnoses......Page 47
4.2 NANDA International Position Statements......Page 49
4.3 An Invitation to Join NANDA International......Page 51
Part 2 The Theory Behind NANDA International Nursing Diagnoses......Page 56
5.1 Introduction......Page 57
5.2 How Does a Nurse (or Nursing Student) Diagnose?......Page 59
5.3 Understanding Nursing Concepts......Page 60
5.4 Assessment......Page 61
5.5 Nursing Diagnosis......Page 62
5.6 Planning/Intervention......Page 65
5.7 Evaluation......Page 66
5.8 Use of Nursing Diagnosis......Page 67
5.10 References......Page 68
6.1 Introduction......Page 70
6.2 The Nursing Process......Page 73
6.3 Data Analysis......Page 80
6.4 Identifying Potential Nursing Diagnoses (Diagnostic Hypotheses)......Page 84
6.5 In-Depth Assessment......Page 87
6.7 References......Page 96
7.1 Introduction......Page 98
7.2 Classification in Nursing......Page 102
7.4 Structuring Nursing Curricula......Page 106
7.5 Identifying a Nursing Diagnosis Outside Your Area of Expertise......Page 107
7.6 The NANDA-I Nursing Diagnosis Taxonomy: A Short History......Page 111
7.7 References......Page 122
8.1 Structure of Taxonomy II......Page 123
8.2 A Multiaxial System for Constructing Diagnostic Concepts......Page 124
8.3 Definitions of the Axes......Page 125
8.4 Developing and Submitting a Nursing Diagnosis......Page 132
8.5 Further Development......Page 133
8.7 References......Page 134
9.2 When Do We Need Nursing Diagnoses?......Page 135
9.3 Basic Questions about Standardized Nursing Languages......Page 136
9.4 Basic Questions about NANDA-I......Page 137
9.5 Basic Questions about Nursing Diagnoses......Page 141
9.6 Questions about Defining Characteristics......Page 148
9.8 Questions about Risk Factors......Page 149
9.9 Differentiating between Similar Nursing Diagnoses......Page 150
9.10 Questions Regarding the Development of a Treatment Plan......Page 152
9.11 Questions about Teaching/Learning Nursing Diagnoses......Page 154
9.12 Questions about Using NANDA-I in Electronic Health Records......Page 156
9.13 Questions about Diagnosis Development and Review......Page 157
9.14 Questions about the NANDA-I Definitions and Classification Text......Page 158
9.15 References......Page 159
10.1 Nursing Diagnosis......Page 161
10.2 Diagnostic Axes......Page 162
10.3 Components of a Nursing Diagnosis......Page 164
10.5 References......Page 166
Part 3 The NANDA International Nursing Diagnoses......Page 168
Domain 1. Health promotion......Page 169
Decreased diversional activity engagement......Page 170
Readiness for enhanced health literacy......Page 171
Sedentary lifestyle......Page 172
Frail elderly syndrome......Page 173
Risk for frail elderly syndrome......Page 175
Deficient community health......Page 177
Risk-prone health behavior......Page 178
Ineffective health maintenance......Page 179
Ineffective health management......Page 180
Readiness for enhanced health management......Page 181
Ineffective family health management......Page 182
Ineffective protection......Page 183
Domain 2. Nutrition......Page 185
Imbalanced nutrition: less than body requirements......Page 187
Readiness for enhanced nutrition......Page 189
Insufficient breast milk production......Page 190
Ineffective breastfeeding......Page 191
Interrupted breastfeeding......Page 193
Readiness for enhanced breastfeeding......Page 194
Ineffective adolescent eating dynamics......Page 195
Ineffective child eating dynamics......Page 197
Ineffective infant feeding dynamics......Page 199
Ineffective infant feeding pattern......Page 201
Obesity......Page 202
Overweight......Page 204
Risk for overweight......Page 206
Impaired swallowing......Page 208
This class does not currently contain any diagnoses......Page 210
This class does not currently contain any diagnoses......Page 211
Risk for unstable blood glucose level......Page 212
Neonatal hyperbilirubinemia......Page 213
Risk for neonatal hyperbilirubinemia......Page 215
Risk for impaired liver function......Page 216
Risk for metabolic imbalance syndrome......Page 217
Risk for electrolyte imbalance......Page 218
Risk for imbalanced fluid volume......Page 219
Deficient fluid volume......Page 220
Risk for deficient fluid volume......Page 222
Excess fluid volume......Page 223
Domain 3. Elimination and exchange......Page 224
Impaired urinary elimination......Page 226
Functional urinary incontinence......Page 227
Overflow urinary incontinence......Page 228
Reflex urinary incontinence......Page 229
Stress urinary incontinence......Page 230
Urge urinary incontinence......Page 231
Risk for urge urinary incontinence......Page 232
Urinary retention......Page 233
Constipation......Page 234
Risk for constipation......Page 236
Perceived constipation......Page 237
Chronic functional constipation......Page 238
Risk for chronic functional constipation......Page 240
Diarrhea......Page 242
Dysfunctional gastrointestinal motility......Page 243
Risk for dysfunctional gastrointestinal motility......Page 245
Bowel incontinence......Page 246
This class does not currently contain any diagnoses......Page 247
Impaired gas exchange......Page 248
Domain 4. Activity/rest......Page 249
Insomnia......Page 251
Sleep deprivation......Page 252
Readiness for enhanced sleep......Page 254
Disturbed sleep pattern......Page 255
Risk for disuse syndrome......Page 256
Impaired bed mobility......Page 257
Impaired physical mobility......Page 258
Impaired wheelchair mobility......Page 260
Impaired sitting......Page 261
Impaired standing......Page 262
Impaired transfer ability......Page 263
Impaired walking......Page 264
Imbalanced energy field......Page 265
Fatigue......Page 267
Wandering......Page 269
Activity intolerance......Page 271
Risk for activity intolerance......Page 272
Ineffective breathing pattern......Page 273
Decreased cardiac output......Page 274
Risk for decreased cardiac output......Page 276
Impaired spontaneous ventilation......Page 277
Risk for unstable blood pressure......Page 278
Risk for decreased cardiac tissue perfusion......Page 279
Risk for ineffective cerebral tissue perfusion......Page 280
Ineffective peripheral tissue perfusion......Page 281
Risk for ineffective peripheral tissue perfusion......Page 282
Dysfunctional ventilatory weaning response......Page 283
Impaired home maintenance......Page 285
Bathing self-care deficit......Page 287
Dressing self-care deficit......Page 288
Feeding self-care deficit......Page 289
Toileting self-care deficit......Page 290
Readiness for enhanced self-care......Page 291
Self-neglect......Page 292
Domain 5. Perception/cognition......Page 293
Unilateral neglect......Page 295
This class does not currently contain any diagnoses......Page 297
This class does not currently contain any diagnoses......Page 298
Acute confusion......Page 299
Risk for acute confusion......Page 301
Chronic confusion......Page 302
Labile emotional control......Page 303
Ineffective impulse control......Page 304
Deficient knowledge......Page 305
Readiness for enhanced knowledge......Page 306
Impaired memory......Page 307
Readiness for enhanced communication......Page 308
Impaired verbal communication......Page 309
Domain 6. Self-perception......Page 311
Hope lessness......Page 312
Readiness for enhanced hope......Page 313
Risk for compromised human dignity......Page 314
Disturbed personal identity......Page 315
Risk for disturbed personal identity......Page 317
Readiness for enhanced self-concept......Page 318
Chronic low self-esteem......Page 319
Risk for chronic low self-esteem......Page 321
Situational low self-esteem......Page 322
Risk for situational low self-esteem......Page 324
Disturbed body image......Page 325
Domain 7. Role relationship......Page 327
Caregiver role strain......Page 329
Risk for caregiver role strain......Page 332
Impaired parenting......Page 334
Risk for impaired parenting......Page 337
Readiness for enhanced parenting......Page 339
Risk for impaired attachment......Page 340
Dysfunctional family processes......Page 341
Interrupted family processes......Page 344
Readiness for enhanced family processes......Page 346
Ineffective relationship......Page 347
Risk for ineffective relationship......Page 349
Readiness for enhanced relationship......Page 350
Parental role conflict......Page 351
Ineffective role performance......Page 352
Impaired social interaction......Page 354
Domain 8. Sexuality......Page 355
This class does not currently contain any diagnoses......Page 356
Sexual dysfunction......Page 357
Ineffective sexuality pattern......Page 359
Ineffective childbearing process......Page 360
Risk for ineffective childbearing process......Page 362
Readiness for enhanced childbearing process......Page 363
Risk for disturbed maternal-fetal dyad......Page 364
Domain 9. Coping/stress tolerance......Page 365
Risk for complicated immigration transition......Page 367
Post-trauma syndrome......Page 368
Risk for post-trauma syndrome......Page 370
Rape-trauma syndrome......Page 371
Relocation stress syndrome......Page 373
Risk for relocation stress syndrome......Page 375
Ineffective activity planning......Page 376
Risk for ineffective activity planning......Page 377
Anxiety......Page 378
Defensive coping......Page 381
Ineffective coping......Page 382
Readiness for enhanced coping......Page 383
Ineffective community coping......Page 384
Readiness for enhanced community coping......Page 385
Compromised family coping......Page 386
Disabled family coping......Page 388
Readiness for enhanced family coping......Page 389
Death anxiety......Page 390
Ineffective denial......Page 392
Fear......Page 393
Grieving......Page 395
Complicated grieving......Page 396
Risk for complicated grieving......Page 398
Impaired mood regulation......Page 399
Powerlessness......Page 401
Risk for powerlessness......Page 403
Readiness for enhanced power......Page 404
Impaired resilience......Page 405
Risk for impaired resilience......Page 407
Readiness for enhanced resilience......Page 409
Chronic sorrow......Page 410
Stress overload......Page 411
Acute substance withdrawal syndrome......Page 412
Risk for acute substance withdrawal syndrome......Page 413
Autonomic dysreflexia......Page 414
Risk for autonomic dysreflexia......Page 416
Decreased intracranial adaptive capacity......Page 418
Neonatal abstinence syndrome......Page 420
Disorganized infant behavior......Page 421
Risk for disorganized infant behavior......Page 423
Readiness for enhanced organized infant behavior......Page 424
Domain 10. Life principles......Page 425
This class does not currently contain any diagnoses......Page 427
Readiness for enhanced spiritual well-being......Page 428
Readiness for enhanced decision-making......Page 429
Decisional conflict......Page 430
Impaired emancipated decision-making......Page 431
Risk for impaired emancipated decision-making......Page 432
Readiness for enhanced emancipated decision-making......Page 433
Moral distress......Page 434
Impaired religiosity......Page 435
Risk for impaired religiosity......Page 437
Readiness for enhanced religiosity......Page 438
Spiritual distress......Page 439
Risk for spiritual distress......Page 441
Domain 11. Safety/protection......Page 443
Risk for infection......Page 446
Risk for surgical site infection......Page 447
Ineffective airway clearance......Page 448
Risk for aspiration......Page 449
Risk for bleeding......Page 450
Impaired dentition......Page 451
Risk for dry eye......Page 453
Risk for dry mouth......Page 454
Risk for falls......Page 455
Risk for corneal injury......Page 457
Risk for injury......Page 458
Risk for urinary tract injury......Page 459
Risk for perioperative positioning injury......Page 460
Risk for thermal injury......Page 461
Impaired oral mucous membrane integrity......Page 462
Risk for impaired oral mucous membrane integrity......Page 464
Risk for peripheral neurovascular dysfunction......Page 466
Risk for physical trauma......Page 467
Risk for vascular trauma......Page 469
Risk for pressure ulcer......Page 470
Risk for shock......Page 472
Impaired skin integrity......Page 473
Risk for impaired skin integrity......Page 475
Risk for sudden infant death......Page 476
Risk for suffocation......Page 477
Delayed surgical recovery......Page 478
Risk for delayed surgical recovery......Page 480
Impaired tissue integrity......Page 481
Risk for impaired tissue integrity......Page 483
Risk for venous thromboembolism......Page 484
Risk for female genital mutilation......Page 485
Risk for other-directed violence......Page 486
Risk for self-directed violence......Page 487
Self-mutilation......Page 488
Risk for self-mutilation......Page 490
Risk for suicide......Page 492
Contamination......Page 494
Risk for contamination......Page 496
Risk for occupational injury......Page 498
Risk for poisoning......Page 499
Risk for adverse reaction to iodinated contrast media......Page 500
Risk for allergy reaction......Page 501
Latex allergy reaction......Page 502
Risk for latex allergy reaction......Page 504
Hyperthermia......Page 505
Hypothermia......Page 507
Risk for hypothermia......Page 509
Risk for perioperative hypothermia......Page 511
Ineffective thermoregulation......Page 512
Risk for ineffective thermoregulation......Page 514
Domain 12. Comfort......Page 515
Impaired comfort......Page 517
Readiness for enhanced comfort......Page 518
Nausea......Page 519
Acute pain......Page 520
Chronic pain......Page 521
Chronic pain syndrome......Page 523
Labor pain......Page 524
Impaired comfort......Page 525
Readiness for enhanced comfort......Page 526
Impaired comfort......Page 527
Readiness for enhanced comfort......Page 528
Risk for loneliness......Page 529
Social isolation......Page 530
Domain 13. Growth/development......Page 532
This class does not currently contain any diagnoses......Page 533
Risk for delayed development......Page 534
Index......Page 536
Concepts......Page 561
Inside Back Cover......Page 567