International
Considerations on the Use of the NANDA-I 2012-2014
Taxonomy
of Nursing Diagnoses by T. Heather Herdman
Domain 1: Health Promotion
Class 1: Health Awareness
Deficient
Diversional Activity (00097)
Sedentary
Lifestyle (00168)
Class 2: Health Management
Deficient Community
Health (00215)
Risk-Prone
Health Behavior (00188)
Ineffective
Health Maintenance (00099)
Readiness for
Enhanced Immunization Status (00186)
Ineffective
Protection (00043)
Ineffective
Self-Health Management (00078)
Readiness for
Enhanced Self-Health Management (00162)
Ineffective
Family Therapeutic Regimen Management (00080)
Domain 2: Nutrition
Class 1: Ingestion
Insufficient
Breast Milk (00216)
Ineffective
Infant Feeding Pattern (00107)
Imbalanced
Nutrition: Less Than Body Requirements (00002)
Imbalanced
Nutrition: More Than Body Requirements (00001)
Readiness for
Enhanced Nutrition (00163)
Risk for
Imbalanced Nutrition: More Than Body Requirements (00003)
Impaired
Swallowing (00103)
Class 2: Digestion
Class 3: Absorption
Class 4: Metabolism
Risk for
Unstable Blood Glucose Level (00179)
Neonatal
Jaundice (00194)
Risk for
Neonatal Jaundice (00230)
Risk for
Impaired Liver Function (00178)
Class 5: Hydration
Risk for
Electrolyte Imbalance (00195)
Readiness for
Enhanced Fluid Balance (00160)
Defi cient Fluid
Volume (00027)
Excess Fluid
Volume (00026)
Risk for Deficient Fluid Volume (00028)
Risk for
Imbalanced Fluid Volume (00025)
Domain 3: Elimination and Exchange
Class 1: Urinary Function
Functional
Urinary Incontinence (00020)
Overflow
Urinary Incontinence (00176)
Reflex Urinary
Incontinence (00018)
Stress Urinary
Incontinence (00017)
Urge Urinary
Incontinence (00019)
Risk for Urge
Urinary Incontinence (00022)
Impaired Urinary
Elimination (00016)
Readiness for Enhanced
Urinary Elimination (00166)
Urinary
Retention (00023)
Class 2: Gastrointestinal Function
Constipation
(00011)
Perceived
Constipation (00012)
Risk for
Constipation (00015)
Diarrhea (00013)
Dysfunctional
Gastrointestinal Motility (00196)
Risk For
Dysfunctional Gastrointestinal Motility (00197)
Bowel
Incontinence (00014)
Class 3: Integumentary Function
Class 4: Respiratory Function
Impaired Gas
Exchange (00030)
Domain 4: Activity/Rest
Class 1: Sleep/Rest
Insomnia (00095)
Sleep Deprivation
(00096)
Readiness for
Enhanced Sleep (00165)
Disturbed Sleep
Pattern (00198)
Class 2: Activity/Exercise
Risk for Disuse
Syndrome (00040)
Impaired Bed
Mobility (00091)
Impaired
Physical Mobility (00085)
Impaired
Wheelchair Mobility (00089)
Impaired
Transfer Ability (00090)
Impaired Walking
(00088)
Class 3: Energy
Balance
Disturbed Energy
Field (00050)
Fatigue (00093)
Wandering
(00154)
Class 4:
Cardiovascular/Pulmonary Responses
Activity
Intolerance (00092)
Risk for
Activity Intolerance (00094)
Ineffective
Breathing Pattern (00032)
Decreased
Cardiac Output (00029)
Risk for
Ineffective Gastrointestinal Perfusion (00202)
Risk for
Ineffective Renal Perfusion (00203)
Impaired
Spontaneous Ventilation (00033)
Ineffective
Peripheral Tissue Perfusion (00204)
Risk for
Decreased Cardiac Tissue Perfusion (00200)
Risk for
Ineffective Cerebral Tissue Perfusion (00201)
Risk for
Ineffective Peripheral Tissue Perfusion (00228)
Dysfunctional
Ventilatory Weaning Response (00034)
Class 5: Self-Care
Impaired Home
Maintenance (00098)
Readiness for
Enhanced Self-Care (00182)
Bathing
Self-Care Defi cit (00108)
Dressing
Self-Care Deficit (00109)
Feeding
Self-Care Deficit (00102)
Toileting
Self-Care Deficit (00110)
Self-Neglect
(00193)
Domain 5: Perception/Cognition
Class 1: Attention
Unilateral
Neglect (00123)
Class 2: Orientation
Impaired
Environmental Interpretation Syndrome (00127)
Class 3: Sensation/Perception
Class 4: Cognition
Acute Confusion
(00128)
Chronic
Confusion (00129)
Risk for Acute
Confusion (00173)
Ineffective
Impulse Control (00222)
Deficient
Knowledge (00126)
Readiness for
Enhanced Knowledge (00161)
Impaired Memory
(00131)
Class 5: Communication
Readiness for
Enhanced Communication (00157)
Impaired Verbal
Communication (00051)
Domain 6: Self-Perception
Class 1: Self-Concept
Hopelessness
(00124)
Risk for
Compromised Human Dignity (00174)
Risk for
Loneliness (00054)
Disturbed
Personal Identity (00121)
Risk for
Disturbed Personal Identity (00225)
Readiness for
Enhanced Self-Concept (00167)
Class 2: Self-Esteem
Chronic Low
Self-Esteem (00119)
Situational Low
Self-Esteem (00120)
Risk for Chronic
Low Self-Esteem (00224)
Risk for
Situational Low Self-Esteem (00153)
Class 3: Body Image
Disturbed Body
Image (00118)
Domain 7: Role Relationships
Class 1: Caregiving Roles
Ineffective
Breastfeeding (00104)
Interrupted
Breastfeeding (00105)
Readiness for
Enhanced Breastfeeding (00106)
Caregiver Role
Strain (00061)
Risk for
Caregiver Role Strain (00062)
Impaired
Parenting (00056)
Readiness for
Enhanced Parenting (00164)
Risk for
Impaired Parenting (00057)
Class 2: Family Relationships
Risk for
Impaired Attachment (00058)
Dysfunctional
Family Processes (00063)
Interrupted
Family Processes (00060)
Readiness for
Enhanced Family Processes (00159)
Class 3: Role Performance
Ineffective
Relationship (00223)
Readiness for
Enhanced Relationship (00207)
Risk for
Ineffective Relationship (00229)
Parental Role
Conflict (00064)
Ineffective Role
Performance (00055)
Impaired Social
Interaction (00052)
Domain 8: Sexuality
Class 1: Sexual Identity
Class 2: Sexual Function
Sexual
Dysfunction (00059)
Ineffective
Sexuality Pattern (00065)
Class 3: Reproduction
Ineffective
Childbearing Process (00221)
Readiness for
Enhanced Childbearing Process (00208)
Risk for
Ineffective Childbearing Process (00227)
Risk for
Disturbed Maternal–Fetal Dyad (00209)
Domain 9: Coping/Stress Tolerance
Class 1: Post-Trauma Responses
Post-Trauma
Syndrome (00141)
Risk for Post-Trauma
Syndrome (00145)
Rape-Trauma
Syndrome (00142)
Relocation
Stress Syndrome (00114)
Risk for
Relocation Stress Syndrome (00149)
Class 2: Coping Responses
Ineffective
Activity Planning (00199)
Risk for
Ineffective Activity Planning (00226)
Anxiety (00146)
Defensive Coping
(00071)
Ineffective
Coping (00069)
Readiness for
Enhanced Coping (00158)
Ineffective
Community Coping (00077)
Readiness for
Enhanced Community Coping (00076)
Compromised
Family Coping (00074)
Disabled Family
Coping (00073)
Readiness for
Enhanced Family Coping (00075)
Death Anxiety
(00147)
Ineffective
Denial (00072)
Adult Failure to
Thrive (00101)
Fear (00148)
Grieving (00136)
Complicated
Grieving (00135)
Risk for
Complicated Grieving (00172)
Readiness for
Enhanced Power (00187)
Powerlessness
(00125)
Risk for
Powerlessness (00152)
Impaired
Individual Resilience (00210)
Readiness for
Enhanced Resilience (00212)
Risk for
Compromised Resilience (00211)
Chronic Sorrow
(00137)
Stress Overload
(00177)
Class 3: Neurobehavioral
Stress
Autonomic
Dysreflexia (00009)
Risk for
Autonomic Dysreflexia (00010)
Disorganized
Infant Behavior (00116)
Readiness for
Enhanced Organized Infant Behavior (00117)
Risk for
Disorganized Infant Behavior (00115)
Decreased
Intracranial Adaptive Capacity (00049)
Domain 10: Life Principles
Class 1: Values
Readiness for
Enhanced Hope (00185)
Class 2: Beliefs
Readiness for
Enhanced Spiritual Well-Being (00068)
Class 3:
Value/Belief/Action Congruence
Readiness for
Enhanced Decision-Making (00184)
Decisional Conflict (00083)
Moral Distress
(00175)
Noncompliance
(00079)
Impaired
Religiosity (00169)
Readiness for
Enhanced Religiosity (00171)
Risk for
Impaired Religiosity (00170)
Spiritual
Distress (00066)
Risk for
Spiritual Distress (00067)
Domain 11: Safety/Protection
Class 1: Infection
Risk for
Infection (00004)
Class 2: Physical Injury
Ineffective
Airway Clearance (00031)
Risk for
Aspiration (00039)
Risk for
Bleeding (00206)
Impaired
Dentition (00048)
Risk for Dry Eye
(00219)
Risk for Falls
(00155)
Risk for Injury
(00035)
Impaired Oral
Mucous Membrane (00045)
Risk for
Perioperative Positioning Injury (00087)
Risk for
Peripheral Neurovascular Dysfunction (00086)
Risk for Shock
(00205)
Impaired Skin
Integrity (00046)
Risk for
Impaired Skin Integrity (00047)
Risk for Sudden
Infant Death Syndrome (00156)
Risk for
Suffocation (00036)
Delayed Surgical
Recovery (00100)
Risk for Thermal
Injury (00220)
Impaired Tissue
Integrity (00044)
Risk for Trauma
(00038)
Risk for
Vascular Trauma (00213)
Class 3: Violence
Risk for
Other-Directed Violence (00138)
Risk for
Self-Directed Violence (00140)
Self-Mutilation
(00151)
Risk for
Self-Mutilation (00139) 451
Risk for Suicide
(00150)
Class 4: Environmental Hazards
Contamination
(00181)
Risk for
Contamination (00180)
Risk for
Poisoning (00037)
Class 5: Defensive Processes
Risk for Adverse
Reaction to Iodinated Contrast Media (000218)
Latex Allergy
Response (00041)
Risk for Allergy
Response (00217)
Risk for Latex
Allergy Response (00042)
Class 6:
Thermoregulation
Risk for
Imbalanced Body Temperature (00005)
Hyperthermia
(00007)
Hypothermia
(00006)
Ineffective
Thermoregulation (00008)
Domain 12: Comfort
Class 1: Physical Comfort
Class 2: Environmental Comfort
Class 3: Social Comfort
Impaired Comfort
(00214)
Readiness for
Enhanced Comfort (00183)
Nausea (00134)
Acute Pain
(00132)
Chronic Pain
(00133)
Social Isolation
(00053)
Domain 13: Growth/Development
Class 1: Growth
Risk for
Disproportionate Growth (00113)
Class 2: Development
Delayed Growth
and Development (00111)
Risk for Delayed
Development (00112)
Nursing Diagnoses Retired from the NANDA-I Taxonomy
2009–2014
Health-seeking
Behaviors (00084) – Retired 2009–2011
Disturbed
Sensory Perception (Specify: Visual, Auditory,
Kinesthetic,
Gustatory, Tactile, Olfactory) (00122) –Retired 2012–2014