Nursing Diagnoses · Definitions & Classification 2018-2020 by Herdman, Shigemi Kamitsuru T. Heather -- Read -- Imperial Library of Trantor

Index

Inside Front Cover Media Center Information Title Page Copyright Dedication Contents Preface Acknowledgments Part 1 The NANDA International Terminology – Organization and General Information

1 Introduction 2 What's New in the 2018–2020 Edition of Diagnoses and Classification 3 Changes and Revisions

3.1 Processes and Procedures for Diagnosis Submission and Review 3.2 Changes to Definitions of Health Promotion Diagnoses 3.3 New Nursing Diagnoses 3.4 Revised Nursing Diagnoses 3.5 Retired Nursing Diagnosis 3.6 Revisions to Nursing Diagnosis Labels 3.7 Standardization of Diagnostic Indicator Terms 3.8 Introduction of At-Risk Populations and Associated Conditions

4 Governance and Organization

4.1 International Considerations on the Use of the NANDA-I Nursing Diagnoses 4.2 NANDA International Position Statements 4.3 An Invitation to Join NANDA International

Part 2 The Theory Behind NANDA International Nursing Diagnoses

5 Nursing Diagnosis Basics

5.1 Introduction 5.2 How Does a Nurse (or Nursing Student) Diagnose? 5.3 Understanding Nursing Concepts 5.4 Assessment 5.5 Nursing Diagnosis 5.6 Planning/Intervention 5.7 Evaluation 5.8 Use of Nursing Diagnosis 5.9 Brief Chapter Summary 5.10 References

6 Clinical Reasoning: From Assessment to Diagnosis

6.1 Introduction 6.2 The Nursing Process 6.3 Data Analysis 6.4 Identifying Potential Nursing Diagnoses (Diagnostic Hypotheses) 6.5 In-Depth Assessment 6.6 Summary 6.7 References

7 Introduction to the NANDA International Taxonomy of Nursing Diagnoses

7.1 Introduction 7.2 Classification in Nursing 7.3 Using the NANDA-I Taxonomy 7.4 Structuring Nursing Curricula 7.5 Identifying a Nursing Diagnosis Outside Your Area of Expertise 7.6 The NANDA-I Nursing Diagnosis Taxonomy: A Short History 7.7 References

8 Specifications and Definitions Within the NANDA International Taxonomy of Nursing Diagnoses

8.1 Structure of Taxonomy II 8.2 A Multiaxial System for Constructing Diagnostic Concepts 8.3 Definitions of the Axes 8.4 Developing and Submitting a Nursing Diagnosis 8.5 Further Development 8.6 Recommended Reading 8.7 References

9 Frequently Asked Questions

9.1 Introduction 9.2 When Do We Need Nursing Diagnoses? 9.3 Basic Questions about Standardized Nursing Languages 9.4 Basic Questions about NANDA-I 9.5 Basic Questions about Nursing Diagnoses 9.6 Questions about Defining Characteristics 9.7 Questions about Related Factors 9.8 Questions about Risk Factors 9.9 Differentiating between Similar Nursing Diagnoses 9.10 Questions Regarding the Development of a Treatment Plan 9.11 Questions about Teaching/Learning Nursing Diagnoses 9.12 Questions about Using NANDA-I in Electronic Health Records 9.13 Questions about Diagnosis Development and Review 9.14 Questions about the NANDA-I Definitions and Classification Text 9.15 References

10 Glossary of Terms

10.1 Nursing Diagnosis 10.2 Diagnostic Axes 10.3 Components of a Nursing Diagnosis 10.4 Definitions for Classification of Nursing Diagnoses 10.5 References

Part 3 The NANDA International Nursing Diagnoses

Domain 1. Health promotion

Class 1. Health awareness

Decreased diversional activity engagement Readiness for enhanced health literacy Sedentary lifestyle

Class 2. Health management

Frail elderly syndrome Risk for frail elderly syndrome Deficient community health Risk-prone health behavior Ineffective health maintenance Ineffective health management Readiness for enhanced health management Ineffective family health management Ineffective protection

Domain 2. Nutrition

Class 1. Ingestion

Imbalanced nutrition: less than body requirements Readiness for enhanced nutrition Insufficient breast milk production Ineffective breastfeeding Interrupted breastfeeding Readiness for enhanced breastfeeding Ineffective adolescent eating dynamics Ineffective child eating dynamics Ineffective infant feeding dynamics Ineffective infant feeding pattern Obesity Overweight Risk for overweight Impaired swallowing

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 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 Risk for deficient fluid volume Excess fluid volume

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

Class 2. Gastrointestinal function

Constipation Risk for constipation Perceived constipation Chronic functional constipation Risk for chronic functional constipation Diarrhea Dysfunctional gastrointestinal motility Risk for dysfunctional gastrointestinal motility Bowel incontinence

Class 3. Integumentary function

This class does not currently contain any diagnoses

Class 4. Respiratory function

Impaired gas exchange

Domain 4. Activity/rest

Class 1. Sleep/rest

Insomnia 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

Domain 5. Perception/cognition

Class 1. Attention

Unilateral neglect

Class 2. Orientation

This class does not currently contain any diagnoses

Class 3. Sensation/perception

This class does not currently contain any diagnoses

Class 4. Cognition

Acute confusion Risk for acute confusion Chronic confusion Labile emotional control Ineffective impulse control Deficient knowledge Readiness for enhanced knowledge Impaired memory

Class 5. Communication

Readiness for enhanced communication Impaired verbal communication

Domain 6. Self-perception

Class 1. Self-concept

Hope lessness 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

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

Domain 8. Sexuality

Class 1. Sexual identity

This class does not currently contain any diagnoses

Class 2. Sexual function

Sexual dysfunction Ineffective sexuality pattern

Class 3. Reproduction

Ineffective childbearing process Risk for ineffective childbearing process Readiness for enhanced childbearing process Risk for disturbed maternal-fetal dyad

Domain 9. Coping/stress tolerance

Class 1. Post-trauma responses

Risk for complicated immigration transition Post-trauma syndrome Risk for post-trauma syndrome Rape-trauma syndrome Relocation stress syndrome Risk for relocation stress syndrome

Class 2. Coping responses

Ineffective activity planning Risk for ineffective activity planning Anxiety 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 behavior Risk for disorganized infant behavior Readiness for enhanced organized infant behavior

Domain 10. Life principles

Class 1. Values

This class does not currently contain any diagnoses

Class 2. Beliefs

Readiness for enhanced spiritual well-being

Class 3. Value/belief/action congruence

Readiness for enhanced decision-making Decisional conflict Impaired emancipated decision-making Risk for impaired emancipated decision-making Readiness for enhanced emancipated decision-making Moral distress Impaired religiosity Risk for impaired religiosity Readiness for enhanced religiosity Spiritual distress Risk for spiritual distress

Domain 11. Safety/protection

Class 1. Infection

Risk for infection Risk for surgical site infection

Class 2. Physical injury

Ineffective airway clearance Risk for aspiration Risk for bleeding 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 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 Risk for allergy reaction Latex allergy reaction Risk for latex allergy reaction

Class 6. Thermoregulation

Hyperthermia Hypothermia Risk for hypothermia Risk for perioperative hypothermia Ineffective thermoregulation Risk for ineffective thermoregulation

Domain 12. Comfort

Class 1. Physical comfort

Impaired comfort Readiness for enhanced comfort Nausea Acute pain Chronic pain Chronic pain syndrome Labor pain

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

Domain 13. Growth/development

Class 1. Growth

This class does not currently contain any diagnoses

Class 2. Development

Risk for delayed development

Index Concepts Inside Back Cover

← Prev
Back
Next →

← Prev
Back
Next →