NANDA-1 Nursing Diagnosis: Definitions & Classification 2007-2008

 

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ACTIVITY INTOLERANCE  
(1982)
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Definition Insufficient physiological or psychological energy to endure or complete required or desired daily activities

 

RISK FOR ACTIVITY INTOLERANCE
(1982)

Definition At risk for experiencing insufficient physiological or psychological energy to endure or complete required or desired daily activities

 

INEFFECTIVE AIRWAY CLEARANCE
(1980, 1996, 1998)

Definition Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway

 

LATEX ALLERGY RESPONSE
(1998, 2006, LOE 2.1)

Definition A hypersensitive reaction to natural latex rubber protein products

 

RISK FOR LATEX ALLERGY RESPONSE
(1998, 2006, LOE 2.1)

Definition Risk of hypersensitivity to natural latex rubber products

 

ANXIETY
(1973, 1982, 1998)

Definition Vague uneasy feeling of discomfort or dread accompanied by an autonomic response (the source often nonspecific or unknown to the individual); a feeling of apprehension caused by anticipation of danger. It is an alerting signal that warns of impending danger and enables the individual to take measures to deal with threat.

 

DEATH ANXIETY
(1998, 2006, LOE 2.1)

Definition Vague uneasy feeling of discomfort or dread generated by perceptions of a real or imagined threat to ones existence

 

RISK FOR ASPIRATION
(1988)

Definition At risk for entry of gastrointestinal secretions, oropharyngeal secretions, solids, or fluids into tracheobronchial passages

 

RISK FOR IMPAIRED PARENT/CHILD ATTACHMENT
(1994)

Definition Disruption of the interactive process between parent/significant other and child/infant that fosters the development of a protective and nurturing reciprocal relationship

 

AUTONOMIC DYSREFLEXIA
(1988)

Definition Life-threatening, uninhibited sympathetic response of the nervous system to a noxious stimulus after a spinal cord injury at T7 or above

 

RISK FOR AUTONOMIC DYSREFLEXIA
(1998, 2000)

Definition At risk for life-threatening, uninhibited response of the sympathetic nervous system, post spinal shock, in an individual with spinal cord injury or lesion at T6 or above (has been demonstrated in patients with injuries at T7 and T8)

 

RISK-PRONE HEALTH BEHAVIOR*  
(1986, 1998, 2006, LOE 2.1)
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Definition Inability to modify lifestyle/behaviors in a manner consistent with a change in health status
* Previously titled Impaired Adjustment

 

DISTURBED BODY IMAGE
(1973, 1998)

Definition Confusion in mental picture of one's physicial self

 

BOWEL INCONTINENCE
(1975, 1998)

Definition Change in normal bowel habits characterized by involuntary passage of stool

 

EFFECTIVE BREASTFEEDING
(1990)

Definition Mother-infant dyad/family exhibits adequate proficiency and satisfaction with breastfeeding process

 

INTERRUPTED BREASTFEEDING
(1992)

Definition Break in the continuity of the breastfeeding process as a result of inability or inadvisability to put baby to breast for feeding

 

INEFFECTIVE BREATHING PATTERN
(1980, 1996, 1998)

Definition Inspiration and/or expiration that does not provide adequate ventilation

 

DECREASED CARDIAC OUTPUT  
(1975, 1996, 2000)
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Definition Inadequate blood pumped by the heart to meet metabolic demands of the body

 

CAREGIVER ROLE STRAIN
(1992, 1998, 2000)

Definition Difficulty in performing family caregiver role

 

RISK FOR CAREGIVER ROLE STRAIN
(1992)

Definition Caregiver is vulnerable for felt difficulty in performing the family caregiver role

 

READINESS FOR ENHANCED COMFORT
(2006, LOE 2.1)

Definition A pattern of ease, relief, and transcendence in physical, psychospiritual, environmental, and/or social dimensions that can be strengthened

 

IMPAIRED VERBAL COMMUNICATION
(1983, 1996, 1998)

Definition Decreased, delayed, or absent ability to receive, process, transmit, and/or use a system of symbols

 

READINESS FOR ENHANCED COMMUNICATION
(2002, LOE 2.1)

Definition A pattern of exchanging information and ideas with others that is sufficient for meeting ones needs and lifes goals, and can be strengthened

 

DECISIONAL CONFLICT
(1988, 2006, LOE 2.1)

Definition Uncertainty about course of action to be taken when choice among competing actions involves risk, loss or, challenge to values and beliefs

 

PARENTAL ROLE CONFLICT
(1988)

Definition Parent experience of role confusion and conflict in response to crisis

 

ACUTE CONFUSION
(1994, 2006, LOE 2.1)

Definition Abrupt onset of reversible disturbances of consciousness, attention, cognition, and perception that develop over a short period of time

 

CHRONIC CONFUSION
(1994)

Definition Irreversible, long-standing, and/or progressive deterioration of intellect and personality characterized by decreased ability to interpret environmental stimuli; decreased capacity for intellectual though processes; and manifested by disturbances of memory, orientation, and behavior

 

RISK FOR ACUTE CONFUSION
(2006, LOE 2.2)

Definition At risk for reversible disturbances of consciousness, attention, cognition, and perception that develop over a short period of time

 

CONSTIPATION
(1975, 1998)

Definition Decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool and/or passage of exessively hard, dry stool

 

PERCEIVED CONSTIPATION
(1988)

Definition Self-diagnosis of constipation and abuse of laxatives, enemas, and suppositories to ensure a daily bowel movement

 

RISK FOR CONSTIPATION
(1998)

Definition At risk for a decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool and/or passage of exessively hard, dry stool

 

CONTAMINATION
(2006, LOE 2.1)

Definition Exposure to environmental contaminants in doses sufficient to cause adverse health effects

 

RISK FOR CONTAMINATION
(2006, LOE 2.1)

Definition Accentuated risk of exposure to environmental contaminants in doses sufficient to cause adverse health effects

 

COMPROMISED FAMILY COPING
(1980, 1996)

Definition Usually supportive primary person (family member or close friend) provides insufficient, ineffective, or compromised support, comfort, assistance, or encouragement that may be needed by the client to manage or master adaptive tasks related to his/her health challenge

 

DEFENSIVE COPING
(1988)

Definition Repeated projection of falsely positive self-evaluation based on a self-protective pattern that defends against underlying perceived threats to positive self-regard

 

DISABLED FAMILY COPING INEFFECTIVE COPING
(1980, 1996)

Definition Behavior of significant person (family member or other primary person) that disables his/her capacities and the clients capacities to effectively address tasks essential to either persons adaption to the health challenge

 

INEFFECTIVE COPING
(1978, 1998)

Definition Inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources

 

INEFFECTIVE COMMUNITY COPING
(1994, 1998)

Definition Pattern of community activities for adaptation and problem solving that is unsatisfactory for meeting the demands or needs of the community

 

READINESS FOR ENHANCED COPING
(2002, LOE 2.1)

Definition A pattern of cognitive and behavioral efforts to manage demands that is sufficient for well-being and can be strengthened

 

READINESS FOR ENHANCED COMMUNITY COPING
(1994)

Definition Pattern of community activities for adaptation and problem solving that is satisfactory for meeting the demands or needs of the community but can be improved for management of current and future problems/stressors

 

READINESS FOR ENHANCED FAMILY COPING
(1980)

Definition Effective management of adaptive tasks by family member involved with the clients health challenge, who now exhibits desire and readiness for enhanced health and growth in regard to self and in relation to the client

 

RISK FOR SUDDEN INFANT DEATH SYNDROME   
(2002, LOE 3.3)
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Definition Presence of risk factors for sudden death of an infant under 1 year of age

 

READINESS FOR ENHANCED DECISION MAKING
(2006, LOE 2.1)

Definition A pattern of choosing courses of action that is sufficient for meeting short and long term health-related goals and can be strengthened

 

INEFFECTIVE DENIAL
(1988, 2006, LOE 2.1) Definition Conscious or unconscious attempt to disavow the knowledge or meaning of an event to reduce anxiety/fear, but leading to the detriment of health

 

IMPAIRED DENTITION
(1998)

Definition Disruption in tooth development/eruption patterns or structural integrity of individual teeth

 

RISK FOR DELAYED DEVELOPMENT
(1998)

Definition At risk for delay of 25% or more in one or more of the areas of social or self-regulatory behavior, or in cognitive, language, gross or fine motor skills

 

DIARRHEA
(1975, 1998)

Definition Passage of loose, unformed stools

 

RISK FOR COMPROMISED HUMAN DIGNITY
(2006, LOE 2.1)

Definition At risk for perceived loss of respect and honor

 

MORAL DISTESS
(2006, LOE 2.1)

Definition Response to the inability to carry out ones chosen ethical/moral decision/action

 

RISK FOR DISUSE SYNDROME
(1988)

Definition At risk for deterioration of body systems as the result of prescribed or unavoidable musculoskeletal inactivity

 

DEFICIENT DIVERSIONAL ACTIVITY
(1980)

Definition Decreased stimulation from (or interest or engagement in) recreational or leisure activities

 

DISTURBED ENERGY FIELD   
(1994, 2004, LOE 2.1)
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Definition Disruption of the flow of energy surrounding a persons being results in disharmony of the body, mind, and/or spirit

 

IMPAIRED ENVIRONMENTAL INTERPRETATION SYNDROME
(1994)

Definition Consistent lack of orientation to person, place, time, or circumstances over more than 3 to 6 months necessitating a protective environment

 

ADULT FAILURE TO THRIVE   
(1998)
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Definition Progressive functional deterioration of a physical and cognitive nature. The individuals ability to live with multisystem diseases, cope with ensuing problems, and manage his/her care are remarkably diminished.

 

RISK FOR FALLS
(2000)

Definition Increased susceptibility to falling that may cause physical harm

 

DYSFUNCTIONAL FAMILY PROCESSES: ALCOHOLISM
(1994)

Definition Psychosocial, spiritual, and physiological functions of the family unit are chronically disorganized, which leads to conflict, denial of problems, resistance to change, ineffective problem solving, and a series of self-perpetuating crises

 

INTERRUPTED FAMILY PROCESSES
(1982, 1998)

Definition Change in family relationships and/or functioning

 

READINESS FOR ENHANCED FAMILY PROCESSES
(2002, LOE 2.1)

Definition A pattern of family functioning that is sufficient to support the well-being of family members and can be strengthened

 

FATIGUE
(1988, 1998)

Definition An overwhelming sustained sense of exhaustion and decreased capacity for physical and mental work at usual level

 

FEAR
(1980, 1996, 2000)

Definition Response to perceived threat that is consciously recognized as a danger

 

READINESS FOR ENHANCED FLUID BALANCE
(2002, LOE 2.1)

Definition A pattern of equilibrium between fluid volume and chemical composition of body fluids that is sufficient for meeting physical needs and can be strengthened

 

DEFICIENT FLUID VOLUME
(1978, 1996)

Definition Decreased intravascular, interstitial, and/or intra-Definition Increased isotonic fluid retention cellular fluid. This refers to dehydration, water loss alone without change in sodium.

 

EXCESS FLUID VOLUME
(1982, 1996)

Definition Increased isotonic fluid retention

 

RISK FOR DEFICIENT FLUID VOLUME
(1978)

Definition At risk for experiencing vacular, cellular, or intracellular dehydration

 

RISK FOR IMBALANCED FLUID VOLUME
(1998)

Definition At risk for a decrease, increase, or rapid shift from one to the other of intravascular, interstitial, and/or intracellular fluid. This refers to body fluid loss, gain, or both.

 

IMPAIRED GAS EXCHANGE   
(1980, 1996, 1998)
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Definition Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane

 

RISK FOR UNSTABLE BLOOD GLUCOSE
(2006, LOE 2.1)

Definition Risk for variation of blood glucose/sugar levels from the normal range

 

GRIEVING*
(1980, 1996, 2006, LOE 2.1)

Definition A normal complex process that includes emotional, physical, spiritual, social, and intellectual responses and behaviors by which individuals, families, and communities incorporate an actual, anticipated, or perceived loss into their daily lives
* Previously titled "Anticipatory Grieving

 

COMPLICATED GRIEVING*
(1980, 1986, 2004, 2006, LOE 2.1)

Definition A disorder that occurs after the death of a significant other, in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment
* Previously titled "Dysfunctional Grieving"

 

RISK FOR COMPLICATED GRIEVING*
(2004, 2006, LOE 2.1)

Definition At risk for a disorder that occurs after the death of a significant other, in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment
* Previously titled "Risk for Dysfunctional Grieving"

 

DELAYED GROWTH AND DEVELOPMENT
(1986)

Definition Deviations from age-group norms

 

RISK FOR DISPROPORTIONATE GROWTH
(1998)

Definition At risk for growth above the 97th percentile or below the 3rd percentile for age, crossing two percentile channels

 

INEFFECTIVE HEALTH MAINTENANCE   
(1982)
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Definition Inability to identify, manage, and/or seek out help to maintain health

 

HEALTH-SEEKING BEHAVIORS (Specify)
(1988)

Definition Active seeking (by a person in stable health) of ways to alter personal health habits and/or the environment in order to move toward a higher level of health

 

IMPAIRED HOME MAINTENANCE
(1980)

Definition Inability to independently maintain a safe growth-promoting immediate environment

 

READINESS FOR ENHANCED HOPE
(2006, LOE 2.1)

Definition A pattern of expectations and desires that is sufficient for mobilizing energy on one's own behalf and can be strengthened

 

HOPELESSNESS
(1986)

Definition Subjective state in which an individual sees limited or no alternatives or personal choices available and is unable to mobilize energy on own behalf

 

RISK FOR COMPROMISED HUMAN DIGNITY
(2006, LOE 2.1)

Definition At risk for perceived loss of respect and honor

 

HYPERTHERMIA
(1986)

Definition Body temperature elevated above normal range

 

HYPOTHERMIA
(1986, 1988)

Definition Body temperature below normal range

 

DISTURBED PERSONAL IDENTITY  
(1978)
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Definition Inability to distinguish between self and nonself

 

READINESS FOR ENHANCED IMMUNIZATION STATUS
(2006, LOE 2.1)

Definition A pattern of conforming to local, national, and/or international standards of immunization to prevent infectious disease(s) that is sufficient to protect a person, family, or community and can be strengthened

 

FUNCTIONAL URINARY INCONTINENCE
(1986, 1998)

Definition Inability of usually continent person to reach toilet in time to avoid unintentional loss of urine

 

OVERFLOW URINARY INCONTINENCE
(2006, LOE 2.1)

Definition Involuntary loss of urine associated with overdistention of the bladder

 

REFLEX URINARY INCONTINENCE
(1986, 1998)

Definition Involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached

 

STRESS URINARY INCONTINENCE
(1986, 2006, LOE 2.1)

Definition Sudden leakage of urine with activities that increase intra-abdominal pressure

 

TOTAL URINARY INCONTINENCE
(1986)

Definition Continuous and unpredictable loss of urine

 

URGE URINARY INCONTINENCE
(1986, 2006, LOE 2.1)

Definition Involuntary passage of urine occurring soon after a strong sense of urgency to void

 

RISK OR URGE URINARY INCONTINENCE
(1998)

Definition At risk for involuntary loss of urine associated with a sudden, strong sensation or urinary urgency

 

DISORGANIZED INFANT BEHAVIOR
(1994, 1998)

Definition Disintegrated physiological and neurobehavioral responses of infant to the environment

 

RISK FOR DISORGANIZED INFANT BEHAVIOR
(1994)

DefinitionRisk for alteration in integrating and modulation of the physiological and behavioral systems of functioning (i.e., autonomic, motor, state, organizational, self-regulatory, and attentional-interactional systems)

 

READINESS FOR ENHANCED ORGANIZED INFANT BEHAVIOR
(1994)

Definition A pattern of modulation of the physiologic and behavioral systems of functioning (i.e., autonomic, motor, state-organizational, self-regulatory, and attentional-interac-tional systems) in an infant that is satisfactory but that can be improved

 

INEFFECTIVE INFANT FEEDING PATTERN
(1992, 2006, LOE 2.1)

Definition Impaired ability of an infant to suck or coordinate the suck/swallow response resulting in inadequate oral nutrition for metabolic needs

 

RISK FOR INFECTION
(1986)

Definition At increased risk for being invaded by pathogenic organisms

 

RISK FOR INJURY
(1978)

Definition At risk of injury as a result of environmental conditions interacting with the individual's adaptive and defensive resources

 

RISK FOR PERIOPERATIVE-POSITIONING INJURY
(1994, 2006, LOE 2.1)

Definition At risk for inadvertent anatomical and physical changes as a result of posture or equipment used during an invasive/surgical procedure

 

INSOMNIA*
(2006, LOE 2.1)

Definition A disruption in amount and quality of sleep that impairs functioning
* Previously titled "Disturbed Sleep Pattern"

 

DECREASED INTRACRANIAL ADAPTIVE CAPACITY
(1994)

Definition Intracranial fluid dynamic mechanisms that normally compensate for increases in intracranial volumes are compromised, resulting in repeated disproportionate increases in intracranial pressure (ICP) in response to a variety of noxious and nonnoxious stimuli

 

DEFICIENT KNOWLEDGE (Specify)   
(1980)
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Definition Absence or deficiency of cognitive information related to a specific topic

 

READINESS FOR ENHANCED KNOWLEDGE
(2002, LOE 2.1)

Definition The presence or acquisition of cognitive information related to a specific topic is sufficient for meeting health-related goals and can be strengthened

 

SEDENTARY LIFESTYLE  
(2004, LOE 2.1)
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Definition Reports a habit of life that is characterized by a low physical activity level

 

RISK FOR IMPAIRED LIVER FUNCTION
(2006, LOE 2.1)

Definition At risk for liver dysfunction

 

RISK FOR LONELINESS
(1994, 2006, LOE 2.1)

Definition At risk for experiencing discomfort associated with a desire or need for more contact with others

 

IMPAIRED MEMORY   
(1994)
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Definition Inability to remember or recall bits of information or behavioral skills

 

IMPAIRED BED MOBILITY
(1998, 2006, LOE 2.1)

Definition Limitation of independent movement from one bed position to another

 

IMPAIRED PHYSICAL MOBILITY
(1973, 1998)

Definition Limitation in independent, purposeful physical movement of the body or of one or more extremities

 

IMPAIRED WHEELCHAIR MOBILITY
(1998, 2006, LOE 2.1)

Definition Limitation of independent operation of wheelchair within environment

 

NAUSEA   
(1998, 2002, LOE 2.1)
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Definition A subjective unpleasant, wavelike sensation in the back of the throat, epigastrium, or abdomen that may lead to the urge or need to vomit

 

UNILATERAL NEGLECT
(1986, 2006, LOE 2.1)

Definition Impairment in sensory and motor response, mental representation, and spatial attention of the body and the corresponding environment characterized by inattention to one side and overattention to the opposite side. Left side neglect is more severe and persistent than right side neglect.

 

NONCOMPLIANCE
(1973, 1996, 1998)

Definition Behavior of person and/or caregiver that fails to coincide with a health-promoting or therapeutic plan agreed on by the person (and/or family and/or community) and healthcare professional. In the presence of an agreed-on health-promoting or therapeutic plan, person's or caregiver's behavior is fully or partially nonadherent and may lead to clinically ineffective or partially ineffective outcomes.

 

IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS
(1975, 2000)

Definition Intake of nutrients insufficient to meet metabolic needs

 

IMBALANCED NUTRITION: MORE THAN BODY REQUIREMENTS
(1975, 2000)

Definition Intake of nutrients that exceeds metabolic needs

 

READINESS FOR ENHANCED NUTRITION
(2002, LOE 2.1)

Definition A pattern of nutrient intake that is sufficient for meeting metabolic needs and can be strengthened

 

RISK FOR IMBALANCED NUTRITION: MORE THAN BODY REQUIREMENTS
(1980, 2000)

Definition At risk for an intake of nutrients that exceeds metabolic needs

 

IMPAIRED ORAL MUCOUS MEMBRANE   
(1982, 1998)
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Definition Distruption of the lips and/or soft tissue of the oral cavity

 

ACUTE PAIN   
(1996)
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Definition Unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage (International Association for the Study of Pain); sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of less than 6 months

 

CHRONIC PAIN
(1986, 1996)

Definition Unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage (International Association for the Study of Pain); sudden or slow onset of any intensity from mild to severe, constant or recurring without an anticipated or predictable end and a duration of greater than 6 months

 

READINESS FOR ENHANCED PARENTING
(2002, LOE 2.1)

Definition A pattern of providing an environment for children or other dependent person(s) that is sufficient to nurture growth and development and can be strengthened

 

IMPAIRED PARENTING
(1978, 1998)

Definition Inability of the primary caretaker to create, maintain, or regain an environment that promotes the optimum growth and development of the child

 

RISK FOR IMPAIRED PARENTING
(1978, 1998)

Definition Risk for inability of the primary caretaker to create, maintain, or regain an environment that promotes the optimum growth and development of the child

 

RISK FOR PERIPHERAL NEUROVASCULAR DYSFUNCTION
(1992)

Definition At risk for disruption in circulation, sensation, or motion of an extremity

 

RISK FOR POISONING
(1980, 2006, LOE 2.1)

Definition Accentuated risk of accidental exposure to, or ingestion of, drugs or dangerous products in doses sufficient to cause poisoning

 

POST-TRAUMA SYNDROME
(1986, 1998)

Definition Sustained maladaptive response to a traumatic, overwhelming event

 

RISK FOR POST-TRAUMA SYNDROME
(1998)

Definition At risk for sustained maladaptive response to a traumatic, overwhelming event

 

READINESS FOR ENHANCED POWER
(2006, LOE 2.1)

Definition A pattern of participating knowingly in change that is sufficient for well-being and can be strengthened

 

POWERLESSNESS
(1982)

Definition Perception that ones own action will not significantly affect an outcome; a perceived lack of control over a current situation or immediate happening

 

RISK FOR POWERLESSNESS
(2000)

Definition At risk for perceived lack of control over a situation and/or ones ability to significantly affect an outcome

 

INEFFECTIVE PROTECTION
(1990)

Definition Decrease in the ability to guard self from internal or external threats such as illness or injury

 

RAPE-TRAUMA SYNDROME   
(1980, 1998)
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Definition Sustained maladaptive response to a forced, violent sexual penetration against the victims will and consent

 

RAPE-TRAUMA SYNDROME: COMPOUND REACTION
(1980)

Definition Forced violent sexual penetration against the vic-tims will and consent. The trauma syndrome that develops from this attack or attempted attack includes an acute phase of disorganization of the victims lifestyle and a long-term process of reorganization of lifestyle.

 

RAPE-TRAUMA SYNDROME: SILENT REACTION
(1980)

Definition Forced violent sexual penetration against the victims will and consent. The trauma syndrome that develops from this attack or attempted attack includes an acute phase of disorganization of the victims lifestyle and a long-term process of reorganization of lifestyle.

 

IMPAIRED RELIGIOSITY*
(2004, LOE 2.1)

Definition Impaired ability to exercise reliance on beliefs and/or participate in rituals of a particular faith tradition
* The DDC recognized that the term "religiosity" may be culture specific, however, the term is useful in the U.S. and is well-supported in the U.S. literature.

 

READINESS FOR ENHANCED RELIGIOSITY*
(2004, LOE 2.1)

Definition Ability to increase reliance on religious beliefs and/or participate in rituals of a particular faith tradition
* The DDC recognizes that the term religiosity may be culture specific; however, the term is useful in the U.S. and is well-supported in the U.S. literature.

 

RISK FOR IMPAIRED RELIGIOSITY*
(2004, LOE 2.1)

Definition At risk for an impaired ability to exercise reliance on religious beliefs and/or participate in rituals of a particular faith tradition
* The DDC recognizes that the term religiosity may be culture specific; however, the term is useful in the U.S. and is well-supported in the U.S. literature.

 

RELOCATION STRESS SYNDROME
(1992, 2000)

Definition Physiological and/or psychosocial disturbance following transfer from one environment to another

 

RISK FOR RELOCATION STRESS SYNDROME
(2000)

Definition At risk for physiological and/or psychosocial disturbance following transfer from one environment to another

 

INEFFECTIVE ROLE PERFORMANCE
(1978, 1996, 1998)

Definition Patterns of behavior and self-expression that do not match the environmental context, norms, and expectations

 

READINESS FOR ENHANCED SELF-CARE   
(2006, LOE 2.1)
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Definition A pattern of performing activities for oneself that helps to meet health-related goals and can be strengthened

 

BATHING/HYGIENE SELF-CARE DEFICIT
(1980, 1998)

Definition Impaired ability to perform or complete bathing/hygiene activities for oneself

 

DRESSING/GROOMING SELF-CARE DEFICIT
(1980, 1998)

Definition Impaired ability to perform or complete dressing and grooming activities for self

 

FEEDING SELF-CARE DEFICIT
(1980, 1998)

Definition Impaired ability to perform or complete feeding activities

 

TOILETING SELF-CARE DEFICIT
(1980, 1998)

Definition Impaired ability to perform or complete own toileting activities

 

READINESS FOR ENHANCED SELF-CONCEPT
(2002, LOE 2.1)

Definition A pattern of perceptions or ideas about the self that is sufficient for well-being and can be strengthened

 

CHRONIC LOW SELF-ESTEEM
(1988, 1996)

Definition Long-standing negative self-evaluation/feelings about self or self-capabilities

 

SITUATIONAL LOW SELF-ESTEEM
(1988, 1996, 2000)

Definition Development of a negative perception of self-about self or self-capabilities worth in response to a current situation (specify)

 

RISK FOR SITUATIONAL LOW SELF-ESTEEM
(2000)

Definition At risk for developing negative perception of self-worth in response to a current situation (specify)

 

SELF-MUTILATION
(2000)

Definition Deliberate self-injurious behavior causing tissue damage with the intent of causing nonfatal injury to attain relief of tension

 

RISK FOR SELF-MUTILATION
(1992, 2000)

Definition At risk for deliberate self-injurious behavior causing tissue damage with the intent of causing nonfatal injury to attain relief of tension

 

DISTURBED SENSORY PERCEPTION (Specify: Visual, Auditory, Kinesthetic, Gustatory, Tactile, Olfactory)
(1978, 1980, 1998)

Definition Change in the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli

 

SEXUAL DYSFUNCTION
(1980, 2006, LOE 2.1)

Definition The state in which an individual experiences a change in sexual function during the sexual response phases of desire, excitation, and/or orgasm, which is viewed as unsatisfying, unrewarding or inadequate

 

INEFFECTIVE SEXUALITY PATTERN
(1986, 2006, LOE 2.1)

Definition Expressions of concern regarding own sexuality

 

IMPAIRED SKIN INTEGRITY
(1975, 1998)

Definition Altered epidermis and/or dermis

 

RISK FOR IMPAIRED SKIN INTEGRITY
(1975, 1998)

Definition At risk for skin being adversely altered

 

SLEEP DEPRIVATION
(1998)

Definition Prolonged periods of time without sleep (sustained natural, periodic suspension of relative consciousness)

 

READINESS FOR ENHANCED SLEEP
(2002, LOE 2.1)

Definition A pattern of natural, periodic suspension of consciousness that provides adequate rest, sustains a desired lifestyle, and can be strengthened

 

IMPAIRED SOCIAL INTERACTION
(1986)

Definition Insufficient or excessive quantity or ineffective quality of social exchange

 

SOCIAL ISOLATION
(1982)

Definition Aloneness experienced by the individual and perceived as imposed by others and as a negative or threatening state

 

CHRONIC SORROW
(1998)

Definition Cyclical, recurring, and potentially progressive pattern of pervasive sadness experienced (by a parent, caregiver, individual with chronic illness or disability) in response to continual loss, throughout the trajectory of an illness or disability

 

SPIRITUAL DISTRESS
(1978, 2002, LOE 2.1)

Definition Impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a power greater than one-self

 

RISK FOR SPIRITUAL DISTRESS
(1998, 2004, LOE 2.1)

Definition At risk for an impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a power greater than oneself

 

READINESS FOR ENHANCED SPIRITUAL WELL-BEING
(1994, 2002, LOE 2.1)

Definition Ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a power greater than oneself that can be strengthened

 

STRESS OVERLOAD
(2006, LOE 3.2)

Definition Excessive amounts and types of demands that require action

 

RISK FOR SUFFOCATION
(1980)

Definition Accentuated risk of accidental suffocation (inadequate air available for inhalation)

 

RISK FOR SUICIDE
(2000)

Definition At risk for self-inflicted, life-threatening injury

 

DELAYED SURGICAL RECOVERY
(1998, 2006, LOE 2.1)

Definition Extension of the number of postoperative days required to initiate and perform activities that maintain life, health, and well-being

 

IMPAIRED SWALLOWING
(1986, 1998)

Definition Abnormal functioning of the swallowing mechanism associated with deficits in oral, pharyngeal, or esophageal structure or function

 

EFFECTIVE THERAPEUTIC REGIMEN MANAGEMENT   
(1994)
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Definition Pattern of regulating and integrating into daily living a program for treatment of illness and its sequelae that is satisfactory for meeting specific health goals

 

INEFFECTIVE THERAPEUTIC REGIMEN MANAGEMENT
(1992)

Definition Pattern of regulating and integrating into daily living a program for treatment of illness and the sequelae of illness that is unsatisfactory for meeting specific health goals

 

INEFFECTIVE COMMUNITY THERAPEUTIC REGIMEN MANAGEMENT
(1994)

Definition Pattern of regulating and integrating into com munity processes programs for treatment of illness and the sequelae of illness that are unsatisfactory for meeting health-related goals

 

INEFFECTIVE FAMILY THERAPEUTIC REGIMEN MANAGEMENT
(1994)

Definition Pattern of regulating and integrating into family processes a program for treatment of illness and the sequelae of illness that is unsatisfactory for meeting specific health goals

 

READINESS FOR ENHANCED THERAPEUTIC REGIMEN MANAGEMENT
(2002, LOE 2.1)

Definition A pattern of regulating and integrating into daily living a program for treatment of illness and its sequelae that is sufficient for meeting health-related goals and can be strengthened

 

INEFFECTIVE THERMOREGULATION
(1986)

Definition Temperature fluctuation between hypothermia and hyperthermia

 

DISTURBED THOUGHT PROCESSES
(1973, 1996)

Definition Disruption in cognitive operations and activities

 

IMPAIRED TISSUE INTEGRITY
(1986, 1998)

Definition Damage to mucous membrane, corneal, integumentary, or subcutaneous tissues

 

INEFFECTIVE TISSUE PERFUSION (Specify Type: Renal, Cerebral, Cardiopulmonary, Gastrointestinal, Peripheral)
(1980, 1998)

Definition Decrease in oxygen resulting in the failure to nourish the tissues at the capillary level

 

IMPAIRED TRANSFER ABILITY
(1998, 2006, LOE 2.1)

Definition Limitation of independent movement between two nearby surfaces

 

RISK FOR TRAUMA
(1980)

Definition Accentuated risk of accidental tissue injury (e.g., wound, burn, fracture)

 

IMPAIRED URINARY ELIMINATION   
(1973, 2006, LOE 2.1)
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Definition Dysfunction in urine elimination

 

READINESS FOR ENHANCED URINARY ELIMINATION
(2002, LOE 2.1)

Definition A pattern of urinary functions that is sufficient for meeting elimninatory needs and can be strengthened

 

URINARY RETENTION
(1986)

Definition Incomplete emptying of the bladder

 

IMPAIRED SPONTANEOUS VENTILATION   
(1992)
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Definition Decreased energy reserves result in an individuals inability to maintain breathing adequate to support life

 

DYSFUNCTIONAL VENTILATORY WEANING
(1992)

Definition Inability to adjust to lowered levels of mechanical ventilator support that interrupts and prolongs the weaning process

 

RISK FOR OTHER-DIRECTED VIOLENCE
(1980, 1996)

Definition At risk for behaviors in which an individual demonstrates that he/she can be physically, emotionally, and/or sexually harmful to others

 

RISK FOR SELF-DIRECTED VIOLENCE
(1994)

Definition At risk for behaviors in which an individual demonstrates that he/she can be physically, emotionally and/or sexually harmful to self

 

IMPAIRED WALKING   
(1998, 2006, LOE 2.1)
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Definition Limitation of independent movement within the environment on foot

 

WANDERING
(2000)

Definition Meandering, aimless or repetitive locomotion that exposes the individual to harm; frequently incongruent with boundaries, limits, or obstacles

 

Source: Neal, Margo C., Managing Editor. NANDA-1 Nursing Diagnosis: Definitions & Classification 2007-2008. Philadelphia, PA: NANDA International, 2007.

 

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