NANDA NIC NOC Nursing Diagnoses

Welcome to NANDA Diagnoses , this website has been created to make it easier for nurses to search for nursing diagnoses with their respective NIC and NOC . You will be able to carry out your clinical cases and PAE . You can also download each of the NANDA nursing diagnoses plus some examples, all in pdf format. We have updated each of the tags based on the NANDA 2018 2020 book, below you will find a list with all the labels  mentioned in the NANDA NIC NOC .

NANDA NIC NOC NURSING DIAGNOSES

 

00001 Nutritional imbalance due to excess
Definition of the NANDA label Nutritional imbalance due to excess is the state in which the individual consumes an amount of food that exceeds their metabolic demands. Defining characteristics Weight 10 to 20% higher than the ideal weight according to height and physical complexion. Cutaneous fold at the level of ...
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00002 Imbalanced nutrition
Definition of the NANDA label The Imbalanced nutrition is the state in which the individual consumes an insufficient amount of food to meet their metabolic demands. "Intake of nutrients insufficient to meet metabolic needs." Defining characteristics Weight loss with adequate intake. Weight 20% lower than the ideal weight according to ...
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00003 Risk of nutritional imbalance due to excess
Definition of the NANDA label The Risk of nutritional imbalance due to excess is the state in which the individual runs the risk of consuming an amount of food that is higher than her metabolic demands. Defining characteristics Presence of the following risk factors: Reference or observation of obesity in ...
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00004 Risk for infection
Definition of the NANDA label The Risk of infection is the state in which the individual has a high risk of being invaded by pathogenic infectious agents. Susceptible to invasion and multiplication of pathogenic organisms, which may compromise health. Risk factors Alteration of primary defenses: Skin continuity solution. Traumatized tissues ...
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00005 Risk for imbalanced body temperature
Risk for imbalanced body temperature (00005), Domain 11, Class 6 – replaced by new diagnosis, Risk for ineffective thermoregulation (00274). Revisions to this diagnosis led to the recognition that the concept of interest was thermoregulation, and the definition and risk factors were consistent with the current diagnosis, ineffective thermoregulation (00008) ...
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00006 Hypothermia
Definition of the NANDA label Hypothermia is the state in which the body temperature falls below normal limits. Core body temperature below the normal diurnal range due to failure of thermoregulation. Defining characteristics Reduction of body temperature below normal limits. Mild chills. Skin coldness. Moderate paleness. Slow capillary filling. Cyanosis ...
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00007 Hyperthermia
Definition of the NANDA label Hyperthermia is the state in which the body temperature rises above normal limits. Core body temperature above the normal diurnal range due to failure of thermoregulation. Defining characteristics Elevation of body temperature above normal limits. Red and hot skin. Tachycardia. Increased respiratory rate. Chills. Feeling ...
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00008 Ineffective thermoregulation
Definition of the NANDA label Ineffective Thermoregulation is the state in which fluctuations in body temperature occur between hypothermia and hyperthermia. Temperature fluctuation between hypothermia and hyperthermia. Defining characteristics Fluctuations in body temperature below and above normal limits. Coldness of the skin. Cyanosis of the nail beds. Reddened skin. Hypertension ...
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00009 Autonomic dysreflexia
Definition of the NANDA label Autonomic dysreflexia is the state in which a person with a spinal cord injury at the level of D7 or higher, when faced with a causal stimulus, experiences a disinhibition of the sympathetic nervous system that endangers your life. Life-threatening, uninhibited sympathetic response of the ...
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00010 Risk for autonomic dysreflexia
Definition of the NANDA label The Risk of Autonomic Dysreflexia is the state in which a person with spinal cord injury or disease at the level of D6 or higher, after spinal shock, runs the risk of disinhibition of the nervous system. nice that endangers his life. Susceptible to life-threatening, ...
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00011 Constipation
Definition of the NANDA label Constipation refers to a decrease in the normal frequency of bowel movements, accompanied by difficult or incomplete elimination of excessively hard or dry stools. Decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool and/or passage of excessively hard, dry stool ...
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00012 Perceived constipation
Definition of the NANDA label Subjective Constipation is the state in which the individual self-diagnoses constipation and abuse of laxatives, and ensures a daily intestinal elimination by resorting to the use of laxatives, enemas and suppositories. Self-diagnosis of constipation combined with abuse of laxatives, enemas, and/or suppositories to ensure a ...
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00013 Diarrhea
Definition of the NANDA label Diarrhea is the frequent elimination of loose, loose or liquid stools. Passage of loose, unformed stools. Defining characteristics A minimum of three liquid stools per day. Urgency of evacuation. Hyperactive bowel sounds. Intestinal cramps and abdominal pain. Related factors Psychological High degree of stress and ...
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00014 Bowel incontinence
Definition of the NANDA label Fecal incontinence is the inability to control bowel movements with involuntary passing of stool. Involuntary passage of stool. Defining characteristics Urgency to defecate and lack of response to this urgency. Constant dripping of loose stools. Fecal odor and fecal stains on clothing or bed. Inability ...
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00015 Risk for constipation
Definition of the NANDA label The risk for constipation is the probability of suffering a decrease in the normal frequency of defecation accompanied by difficult or incomplete elimination of stools or elimination of hard and dry stools. Susceptible to a decrease in normal frequency of defecation accompanied by difficult or ...
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00016 Impaired urinary elimination
Definition of the NANDA label Impaired urinary elimination is the state in which the individual experiences a disorder in the emission of urine. Dysfunction in urine elimination. Defining characteristics Urinary incontinence. Dysuria. Urgent need to urinate. Polish. Nocturia. Urinary retention. Difficulty starting the urine stream. Related factors Anatomical obstruction. Sensory ...
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00017 Stress urinary incontinence
Definition of the NANDA label Stress urinary incontinence is a state in which the individual presents an emission of urine in quantities of less than 50 ml, caused by an increase in intra-abdominal pressure. Sudden leakage of urine with activities that increase intra-abdominal pressure. Defining characteristics Urine dribbling as intra-abdominal ...
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00018 Reflex urinary incontinence
Definition of the NANDA label Reflex urinary incontinence is a state in which the individual presents an involuntary loss of urine, at intervals, to a certain predictable point, when a certain volume of bladder filling is reached. Involuntary loss of urine at somewhat predictable intervals when a specific bladder volume ...
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00019 Urge urinary incontinence
Definition of the NANDA label Urge urinary incontinence is a state in which the individual presents involuntary urine emission immediately after perceiving a sensation of urination urgency. Involuntary passage of urine occurring soon after a strong sensation or urgency to void. Defining characteristics Feeling of urinary urgency. Bladder contractions or ...
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00020 Functional urinary incontinence
Definition of the NANDA label Functional urinary incontinence is the inability of an individual, normally continent, to reach the toilet in time to avoid the involuntary emission of urine. Inability of a usually continent person to reach the toilet in time to avoid unintentional loss of urine. Defining characteristics Sometimes ...
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00021 Total urinary incontinence
Definition of the NANDA label Total urinary incontinence is the state in which the individual presents a continuous and unpredictable loss of urine. Defining characteristics Urinary flow that occurs at unpredictable intervals, without bladder distention or bladder contractions or spasms. Incontinence that does not respond to treatment. Nocturia. Failure in ...
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00022 Risk for urge urinary incontinence
Definition of the NANDA label The Risk of urge urinary incontinence is the probability of involuntary emission of urine associated with a sudden and intense sensation of urinary urgency. Susceptible to involuntary passage of urine occurring soon after a strong sensation or urgency to void, which may compromise health. Risk ...
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00023 Urinary retention
Definition of the NANDA label Urinary retention is the state in which the individual presents an incomplete emptying of the urinary bladder. Inability to empty bladder completely. Defining characteristics Bladder distention. Frequent urination, of little quantity or absence of diuresis. Urine dripping. Dysuria. Residual urine. Feeling of bladder fullness. Fill ...
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00024 Ineffective tissue perfusion
Definition of the NANDA label Ineffective tissue perfusion is the state in which an individual has a reduction in oxygen concentration and consequently in cellular metabolism, due to a deficit in capillary blood supply. * THE TYPE MUST BE SPECIFIED: RENAL, CEREBRAL, CARDIOPULMONARY, GASTROINTESTINAL, PERIPHERAL. Defining characteristics Impaired renal perfusion ...
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00025 Risk for imbalanced fluid volume
Definition of the NANDA label The Risk for imbalanced fluid volume refers to the susceptibility to decrease, increase or rapid change from one space to another of intravascular, interstitial or intracellular fluids. Susceptible to a decrease, increase, or rapid shift from one to the other of intravascular, interstitial and/or intracellular ...
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00026 Excess fluid volume
Definition of the NANDA label Excess fluid volume is the state in which there is increased retention of isotonic body fluids and edema. Surplus intake and/or retention of fluid. The risk factors, NOC and NIC of the NANDA diagnosis "Excess fluid volume" are detailed below. Defining characteristics Edema that can ...
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00027 Deficient fluid volume
Definition of the NANDA label Deficient fluid volume is the state in which there is a decrease in intravascular, interstitial or intracellular fluid, with dehydration or loss of water only and no change in sodium level. Decreased intravascular, interstitial, and/or intracellular fluid. This refers to dehydration, water loss alone without ...
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00028 Risk for deficient fluid volume
Definition of the NANDA label The risk of fluid volume deficit is the possibility of suffering from vascular, cellular or intracellular dehydration. Susceptible to experiencing decreased intravascular, interstitial, and/or intracellular fluid volumes, which may compromise health. The risk factors, NOC and NIC of the NANDA diagnosis "Risk of fluid volume ...
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00029 Decreased cardiac output
Definition of the NANDA label Decreased cardiac output is the state in which the amount of blood pumped by the heart is inadequate to meet the metabolic demands of the body. Inadequate blood pumped by the heart to meet the metabolic demands of the body. The defining characteristics, related factors, ...
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00030 Impaired gas exchange
Definition of the NANDA label Impaired gas exchange is the state in which there is an excess or deficit in oxygenation or in the elimination of carbon dioxide at the level of the alveolocapillary membrane. Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane. The defining ...
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00031 Ineffective airway clearance
Definition of the NANDA label Inability to clear secretions or obstructions from the respiratory tract to keep the airways clear. Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway. Defining characteristics Decrease in respiratory sounds. Changes in respiratory rate and rhythm. Dyspnea and orthopnea ...
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00032 Ineffective breathing pattern
Definition of the NANDA label Alteration of inspiration or expiration that makes adequate ventilation impossible. Inspiration and/or expiration that does not provide adequate ventilation. Defining characteristics Decrease in the inspiratory pressure / expiratory pressure ratio. Dyspnea and orthopnea. Short of breath. Decreased minute ventilation. Decreased vital capacity. Prolongation of expiratory ...
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00033 Impaired spontaneous ventilation
Definition of the NANDA label State characterized by a decrease in energy reserves that causes the individual to be unable to hold their breath properly to stay alive. Inability to initiate and/or maintain independent breathing that is adequate to support life. Defining characteristics • Dyspnea. • Increased metabolic expenditure. • ...
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00034 Dysfunctional ventilatory weaning response
Definition of the NANDA label State in which the individual cannot adapt to lower levels of assisted mechanical ventilatory support, which prevents the interruption of ventilation and prolongs the weaning period. Inability to adjust to lowered levels of mechanical ventilator support that interrupts and prolongs the weaning process. Defining characteristics ...
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00035 Risk for injury
Definition of the NANDA label Risk of injury as a consequence of the interaction of environmental conditions with the adaptive and defensive resources of the person. Susceptible to physical damage due to environmental conditions interacting with the individual's adaptive and defensive resources, which may compromise health. Risk factors External (environmental) ...
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00036 Risk for suffocation
Definition of the NANDA label State in which the individual is in clear danger of accidental suffocation (insufficient availability of air to inhale). Susceptible to inadequate air availability for inhalation, which may compromise health. Risk factors External (environmental) • Children's accessibility to plastic bags and small objects that can be ...
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00037 Risk for poisoning
Definition of the NANDA label Risk for poisoning is situation in which there is a high risk of exposure or accidental ingestion of dangerous drugs or products in sufficient doses to cause poisoning Susceptible to accidental exposure to, or ingestion of, drugs or dangerous products in sufficient doses, which may ...
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00038 Risk for physical trauma
Definition of the NANDA label Risk for physical trauma is situation in which there is a risk of accidental tissue injuries such as fractures, wounds or burns. Susceptible to physical injury of sudden onset and severity which require immediate attention. Risk factors External (environmental) Child safety flaws • Children who ...
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00039 Risk for aspiration
Definition of the NANDA label Situation in which the individual runs the risk of oropharyngeal or gastrointestinal secretions, solid or liquid foods, entering the tracheobronchial tract, due to a dysfunction or an absence of normal protection mechanisms. Susceptible to entry of gastrointestinal secretions, oropharyngeal secretions, solids, or fluids to the ...
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00040 Risk for disuse syndrome
Definition of the NANDA label Situation in which there is the obvious possibility of a deterioration of the body systems as a consequence of musculoskeletal inactivity or prescribed or unavoidable physical immobilization. Susceptible to deterioration of body systems as the result of prescribed or unavoidable musculoskeletal inactivity, which may compromise ...
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00041 Latex allergy reaction
Definition of the NANDA label Allergic response to natural latex rubber products. A hypersensitive reaction to natural latex rubber products. Defining characteristics Type I reactions • Immediate reactions (<1 hour) to latex proteins (can be life threatening). • Contact urticaria that progresses to generalization. • Edema of the lips, tongue, ...
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00042 Risk for latex allergy reaction
Definition of the NANDA label Risk of allergic response to natural latex rubber products. Susceptible to a hypersensitive reaction to natural latex rubber products, which may compromise health. Risk factors • Multiple surgical procedures, especially during childhood (eg, spina bifida). • Allergy to bananas, avocados, tropical fruits, kiwis, chestnuts. • ...
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00043 Ineffective protection
Definition of the NANDA label Situation in which the individual has a decreased ability to protect himself from internal and external threats, such as illness and injury. Decrease in the ability to guard self from internal or external threats such as illness or injury. Defining characteristics • Immunodeficiency status. • ...
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00044 Impaired tissue integrity
Definition of the NANDA label State in which the individual experiences a lesion of the mucous or corneal membranes, integumentary or subcutaneous tissue. It is a situation in which a body tissue is altered. Damage to the mucous membrane, cornea, integumentary system, muscular fascia, muscle, tendon, bone, cartilage, joint capsule, ...
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00045 Impaired oral mucous membrane integrity
Definition of the NANDA label State in which the individual presents alterations in the integrity of the lips and soft tissues of the oral cavity. Injury to the lips, soft tissue, buccal cavity, and/or oropharynx. Defining characteristics • Purulent drainage or exudate. • Gingival recession, pockets larger than 4 mm ...
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00046 Impaired skin integrity
Definition of the NANDA label State in which the individual presents alterations of the epidermis, the dermis or both. Altered epidermis and/or dermis. Defining characteristics • Alteration of the surface of the skin (epidermis). • Destruction of the layers of the skin (dermis). • Invasion of body structures. Related factors ...
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00047 Risk for impaired skin integrity
Definition of the NANDA label State in which the individual's skin is in danger of being altered. Susceptible to alteration in epidermis and/or dermis, which may compromise health. Risk factors External (environmental) • Irritating chemicals. • Body excretions or secretions. • Mechanical factors (pressure, shear, clamping). • Radiation. • Physical ...
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00048 Impaired dentition
Definition of the NANDA label Alteration of the eruption or development patterns of the teeth or the structural integrity of the teeth. Disruption in tooth development/eruption pattern or structural integrity of individual teeth. Defining characteristics • Halitosis. • Discoloration of tooth enamel. • Caries in the crown or roots. • ...
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00049 Decreased intracranial adaptive capacity
Definition of the NANDA label Compromise of the dynamics of the mechanisms that normally compensate for an increase in intracranial volume, resulting in repeated disproportionate increases in baseline intracranial pressure (ICP) in response to a variety of noxious and noxious stimuli. Compromise in intracranial fluid dynamic mechanisms that normally compensate ...
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00050 Energy field disturbance
Definition of the NANDA label Disruption of the flow of energy that surrounds a person, resulting in a disharmony of the body, mind and / or spirit. Defining characteristics • Perception of changes in energy flow patterns, such as: - Movement (wavy, jagged, flickering, dense, fluid). - Sounds (tone, words) ...
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00051 Impaired verbal communication
Definition of the NANDA label State in which the individual suffers a decrease, delay or lack of ability to receive, process, transmit and use a symbol system that has meaning. Decreased, delayed, or absent ability to receive, process, transmit, and/or use a system of symbols. Defining characteristics • Willful or ...
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00052 Impaired social interaction
Definition of the NANDA label State in which the individual participates in a social exchange in an insufficient or excessive way or of ineffective quality. Insufficient or excessive quantity or ineffective quality of social exchange. Defining characteristics • Verbal references or observation of a feeling of discomfort in social situations ...
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00053 Social isolation
Definition of the NANDA label State in which the individual experiences a feeling of loneliness imposed by others and that perceives it as a negative or threatening state. Aloneness experienced by the individual and perceived as imposed by others and as a negative or threatening state. Defining characteristics • Absence ...
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00054 Risk for loneliness
Definition of the NANDA label Subjective state in which a person runs the risk of experiencing unwanted loneliness or a vague feeling of emotional distress (dysphoria, depression, physical and mental discomfort, dissatisfaction with oneself). Susceptible to experiencing discomfort associated with a desire or need for more contact with others, which ...
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00055 Ineffective role performance
Definition of the NANDA label State in which the behavior patterns and expressions of the person do not agree with expectations, norms and the context in which they find themselves. A pattern of behavior and self-expression that does not match the environmental context, norms, and expectations. Defining characteristics • Change ...
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00056 Impaired parenting
Definition of the NANDA label Inability of the main caregiver to create an environment that favors the optimal growth and development of the child. Inability of primary caregiver to create, maintain or regain an environment that promotes the optimum growth and development of the child. Defining characteristics Infant or child ...
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00057 Risk for impaired parenting
Definition of the NANDA label Situation in which the main caregiver runs the risk of not being able to create, maintain or recover an environment that promotes optimal growth and development of the child. Susceptible to primary caregiver difficulty in creating, maintaining or regaining an environment that promotes the optimum ...
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00058 Risk for impaired attachment
Definition of the NANDA label Alteration of the interactive process between the parents or significant other and the infant / child that fosters the development of a protective and formative reciprocal relationship. Susceptible to disruption of the interactive process between parent or significant other and child that fosters the development ...
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00059 Sexual dysfunction
Definition of the NANDA label State in which the individual presents a change in their sexual function and considers it unsatisfactory, inadequate or not very rewarding. A state in which an individual experiences a change in sexual function during the sexual response phases of desire, arousal, and/or orgasm, which is ...
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00060 Interrupted family processes
Definition of the NANDA label Change in relationships or family functioning. Break in the continuity of family functioning which fails to support the wellbeing of its members. Defining characteristics • Changes in: - Alliances of power. - Assigned tasks. - The effectiveness in carrying out the assigned tasks. - Mutual ...
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00061 Caregiver role strain
Definition of the NANDA label Difficulty in playing the role of family caregiver. Difficulty in fulfilling care responsibilities, expectations and/or behaviors for family or significant others. Defining characteristics Caregiver activities • Difficulty completing or carrying out required tasks. • Preoccupation with usual care. • Concern about the future regarding the ...
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00062 Risk for caregiver role strain
Definition of the NANDA label Situation in which the caregiver is vulnerable to the perception of difficulty in carrying out their role as family caregiver. Susceptible to difficulty in fulfilling care responsibilities, expectations and/or behaviors for family or significant others, which may compromise health. Risk factors • Addiction or codependency ...
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00063 Dysfunctional family processes
Definition of the NANDA label A state in which the psychosocial, spiritual and physiological functions of the family unit are chronically disorganized, leading to conflict, denial and ineffective problem solving, resistance to change, and a series of self-perpetuating crises. Family functioning which fails to support the well-being of its members ...
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00064 Parental role conflict
Definition of the NANDA label State in which one of the parents experiences conflict or confusion regarding their functions in response to a crisis. Parental experience of role confusion and conflict in response to crisis. Defining characteristics • The father, mother, or both, express concern or feelings of helplessness in ...
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00065 Ineffective sexuality pattern
Definition of the NANDA label State in which the individual expresses concern in relation to their sexuality. Expressions of concern regarding own sexuality. Defining characteristics • Manifestation of difficulties, limitations or changes in sexual behaviors and activities. Related factors • Inefficiency or absence of role models. • Absence of a ...
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00066 Spiritual distress
Definition of the NANDA label Impaired ability to experience and interpret the meaning and purpose of life through connection with self, others, art, music, literature, nature, or a power greater than one's own self. A state of suffering related to the impaired ability to experience meaning in life through connections ...
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00067 Risk for spiritual distress
Definition of the NANDA label Risk of impaired ability to experience and integrate the meaning and purpose of life by connecting the person to the self, other people, art, music, literature, nature and / or a power greater than oneself. Susceptible to an impaired ability to experience and integrate meaning ...
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00068 Readiness for enhanced spiritual well-being
Definition of the NANDA label Ability to experience and integrate the meaning and purpose of life through connection with self, others, art, music, literature, nature, or a power greater than one's own self. A pattern of experiencing and integrating meaning and purpose in life through connectedness with self, others, art, ...
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00069 Ineffective coping
Definition of the NANDA label State in which the individual presents an inability to carry out a valid assessment of stressors, to choose adequately the usual responses or to use available resources. A pattern of invalid appraisal of stressors, with cognitive and/or behavioral efforts, that fails to manage demands related ...
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00070 Impaired adaptation
Definition of the NANDA label State in which the individual is unable to modify her lifestyle or behavior, in a coherent way, in relation to a change in her state of health. Defining characteristics • Denial of non-acceptance of the change in health status. • Failure to achieve an optimal ...
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00071 Defensive coping
Definition of the NANDA label Repeated projection of a falsely positive self-assessment based on a protective pattern that defends the person from what they perceive to be threats underlying their positive self-image. Repeated projection of falsely positive self-evaluation based on a selfprotective pattern that defends against underlying perceived threats to ...
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00072 Ineffective denial
Definition of the NANDA label Conscious or unconscious attempt by a person to ignore the knowledge or meaning of an event, in order to reduce their fear or anxiety to the detriment of their health. Conscious or unconscious attempt to disavow the knowledge or meaning of an event to reduce ...
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00073 Disabled family coping
Definition of the NANDA label State in which family members or other significant people for the sick person respond with behaviors that disable their own capacities and those of the sick person to effectively face the activities necessary for everyone to adapt to the health challenge. Behavior of primary person ...
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00074 Compromised family coping
Definition of the NANDA label State in which family members or other significant people who habitually give support to the sick person temporarily respond to a change in health with insufficient help or inappropriate behaviors for the adaptation needs of the situation. An usually supportive primary person (family member, significant ...
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00075 Readiness for enhanced family coping
Definition of the NANDA label Effective management of the adaptive tasks of the family member involved in the health challenge of the person, who now shows desires and availability to increase their own health and development and those of the person. A pattern of management of adaptive tasks by primary ...
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00076 Readiness for enhanced community coping
Definition of the NANDA label A pattern of community activities for adaptation and problem solving that is favorable to meeting the demands or needs of the community, although it can be improved for the management of current and future problems or stressors. A pattern of community activities for adaptation and ...
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00077 Ineffective community coping
Definition of the NANDA label Pattern of community activities (for adaptation and problem solving) that is inadequate to meet the demands or needs of the community. A pattern of community activities for adaptation and problem-solving that is unsatisfactory for meeting the demands or needs of the community. Defining characteristics • ...
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00078 Ineffective health management
Definition of the NANDA label Pattern of regulation and integration into daily life of a therapeutic program for disease or its sequelae that is unsatisfactory for the achievement of specific health goals. Pattern of regulating and integrating into daily living a therapeutic regimen for the treatment of illness and its ...
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00079 Breach of treatment
This diagnosis was quite old, with a last revision in 1998. It is no longer consistent with the majority of current research in the area, which has as its focus the concept of adherence rather than compliance. Definition of the NANDA label Degree to which the performance of a person ...
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00080 Ineffective family health management
Definition of the NANDA label Pattern of regulation and integration in the family processes of a program for the treatment of the disease and its sequelae that is unsatisfactory to achieve specific health objectives. A pattern of regulating and integrating into family processes a program for the treatment of illness ...
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00081 Ineffective management of the community therapeutic regimen
Definition of the NANDA label Pattern of regulation and integration in the community processes of a program for the treatment of the disease and its sequelae that is unsatisfactory to achieve the health objectives. Defining characteristics • Lack of people and programs responsible for group health care. • Deficit of ...
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00082 Effective management of the therapeutic regimen
Definition of the NANDA label Pattern of regulation and integration in the daily life of the person subjected to a program for the treatment of a disease and its sequelae satisfactory to achieve the specific intended health objectives. Defining characteristics • Choosing activities of daily living appropriate to achieve the ...
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00083 Decisional conflict
Definition of the NANDA label State of uncertainty about the choice of an alternative among various actions when such choice implies risk, loss or challenge of the person's vital values. (The area of ​​conflict must be specified: related to health, family, economy). Uncertainty about course of action to be taken ...
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00084 Health-generating behaviors
Definition of the NANDA label Situations in which an individual who enjoys stable health actively seeks a way to modify her personal habits or her environment in order to achieve a better or optimal state of health. Defining characteristics • Verbal references or observation of desire to achieve a higher ...
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00085 Impaired physical mobility
Definition of the NANDA label State in which there is a limitation of independent and intentional physical mobility. Limitation in independent, purposeful movement of the body or of one or more extremities. Defining characteristics • Postural instability while carrying out the usual activities of daily life. • Limitation of motor ...
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00086 Risk for peripheral neurovascular dysfunction
Definition of the NANDA label State in which the individual is in danger of presenting a disorder in the circulation, sensitivity or mobility of a limb. Susceptible to disruption in the circulation, sensation, and motion of an extremity, which may compromise health. Risk factors • Fractures. • Mechanical compression (tourniquet, ...
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00087 Risk for perioperative positioning injury
Definition of the NANDA label State in which the individual is at risk of injury as a result of the environmental conditions that occur in the perioperative environment. Susceptible to inadvertent anatomical and physical changes as a result of posture or positioning equipment used during an invasive/surgical procedure, which may ...
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00088 Impaired walking
Definition of the NANDA label Limitation of independent movement on foot in the environment. Limitation of independent movement within the environment on foot. Defining characteristics • Impaired ability to: - climbing stairs. - walk the required distances. - walking on an upward or downward incline. - walking on uneven surfaces ...
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00089 Impaired wheelchair mobility
Definition of the NANDA label Limitation of independent manipulation of the wheelchair in the environment. Limitation of independent operation of wheelchair within environment. Defining characteristics • Impaired ability to maneuver the manual or power wheelchair on smooth or uneven surfaces. • Impaired ability to maneuver the manual or electric wheelchair ...
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00090 Impaired transfer ability
Definition of the NANDA label Limitation of independent movement between two nearby surfaces. Limitation of independent movement between two nearby surfaces. Defining characteristics • Impaired ability to move: - From bed to chair and from chair to bed. - From or to the toilet. - From or to the bathtub ...
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00091 Impaired bed mobility
Definition of the NANDA label Limitation of independent movement to change position in bed. Limitation of independent movement from one bed position to another. Defining characteristics • Impaired ability to: - Go from right lateral decubitus to left lateral decubitus and vice versa. - Go from the supine position to ...
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00092 Activity intolerance
Definition of the NANDA label State in which the individual lacks enough physical or mental energy to develop or finish the daily activities that he requires or wants. Insufficient physiological or psychological energy to endure or complete required or desired daily activities. Defining characteristics • Verbal references of feeling fatigue ...
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00093 Fatigue
Definition of the NANDA label State in which the individual experiences an overwhelming and sustained feeling of exhaustion and a diminished capacity to carry out physical or intellectual work at the usual level. An overwhelming sustained sense of exhaustion and decreased capacity for physical and mental work at the usual ...
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00094 Risk for activity intolerance
Definition of the NANDA label State in which the individual is in danger of lacking enough physical or mental energy to develop or complete the daily activities that he requires or wants. Susceptible to experiencing insufficient physiological or psychological energy to endure or complete required or desired daily activities, which ...
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00095 Insomnia
Definition of the NANDA label State in which the person presents a disorganization of the quantity and quality of the hours of sleep that causes discomfort or interferes with the desired lifestyle. A disruption in amount and quality of sleep that impairs functioning. Defining characteristics • Verbal references of feelings ...
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00096 Sleep deprivation
Definition of the NANDA label Situation in which the individual spends prolonged periods without adequate sleep. Prolonged periods of time without sustained natural, periodic suspension of relative consciousness that provides rest. Defining characteristics • Daytime sleepiness. • Decreased ability to function. • Upset. • Fatigue. • Lethargy. • Agitation. • ...
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00097 Decreased diversional activity engagement
Definition of the NANDA label State in which the individual presents a decrease in stimuli, interest or commitment to participate in recreational activities. Reduced stimulation, interest, or participation in recreational or leisure activities. Defining characteristics • Verbal references to boredom. • Verbal references of wanting to do something, to read, ...
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00098 Impaired home maintenance
Definition of the NANDA label State in which there are difficulties in independently maintaining a safe environment that favors development (individual and / or other people). Inability to independently maintain a safe growth-promoting immediate environment. Defining characteristics Objectives • Messy home environment. • Bad smells. • Accumulation of dust, dirt, ...
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00099 Ineffective health maintenance
Definition of the NANDA label State in which the individual has an inability to promote or preserve health, or to request help for that purpose. Inability to identify, manage, and/or seek out help to maintain well-being. Defining characteristics • Information or observation of inability to take responsibility for facing basic ...
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00100 Delayed surgical recovery
Definition of the NANDA label Increase in the number of postoperative days required by a person to initiate and carry out activities for the maintenance of life, health and well-being for their own benefit. Extension of the number of postoperative days required to initiate and perform activities that maintain life, ...
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00101 Inability of the adult to maintain its development
Definition of the NANDA label Progressive functional impairment of a physical and cognitive nature. A marked decrease in a person's ability to live with a multisystem disease, cope with subsequent problems, and manage their own care. Defining characteristics • Lack of appetite: does not eat food when it is offered ...
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00102 Feeding self-care deficit
Definition of the NANDA label State in which the individual presents a deterioration in the ability to carry out or complete the activities necessary for feeding independently and effectively. Inability to eat independently. Defining characteristics • Inability to: - Swallow food. - Prepare them for ingestion. - Handle utensils. - ...
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00103 Impaired swallowing
Definition of the NANDA label State in which the individual presents an abnormal functioning of the swallowing mechanism associated with a deficit of the oral, pharyngeal or esophageal structure or function. Abnormal functioning of the swallowing mechanism associated with deficits in oral, pharyngeal, or esophageal structure or function. Defining characteristics ...
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00104 Ineffective breastfeeding
Definition of the NANDA label State in which the mother or the infant presents dissatisfaction or difficulties in the breastfeeding process. Difficulty feeding milk from the breasts, which may compromise nutritional status of the infant/child. Defining characteristics • Dissatisfaction with breastfeeding for the mother and / or the infant. • ...
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00105 Interrupted breastfeeding
Definition of the NANDA label Interruption of the breastfeeding process due to the child's inability to suckle or the inconvenience of doing so. Break in the continuity of feeding milk from the breasts, which may compromise breastfeeding success and/or nutritional status of the infant/child. Defining characteristics • The infant does ...
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00106 Readiness for enhanced breastfeeding
Definition of the NANDA label State in which the mother-child / family demonstrate adequate skill and satisfaction in the breastfeeding process. A pattern of feeding milk from the breasts to an infant or child, which may be strengthened. Defining characteristics • The mother is able to correctly position the infant ...
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00107 Ineffective infant feeding pattern
Definition of the NANDA label State in which the child shows difficulties in sucking or coordinating the sucking and swallowing reflexes. Impaired ability of an infant to suck or coordinate the suck-swallow response resulting in inadequate oral nutrition for metabolic needs. Defining characteristics • Inability to initiate or maintain effective ...
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00108 Bathing self-care deficit
Definition of the NANDA label State in which the individual manifests an inability to carry out or complete bathing and hygiene activities by himself. Inability to independently complete cleansing activities. Defining characteristics • Difficulty purchasing bathroom and cleaning supplies. • Inability to wash the whole or part of the body ...
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00109 Dressing self-care deficit
Definition of the NANDA label State in which the individual has an inability to perform or complete the activities of dressing and grooming himself. Inability to independently put on or remove clothing. Defining characteristics • Difficulty choosing clothes. • Inability to use assistive devices. • Inability to use zippers. • ...
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00110 Toileting self-care deficit
Definition of the NANDA label State in which the individual has an inability to carry out or complete the activities of using the urinal and the WC by himself. Inability to independently perform tasks associated with bowel and bladder elimination. Defining characteristics • Inability to reach the toilet or urinal ...
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00111 Delayed growth and development
Definition of the NANDA label State in which the individual presents deviations from their behavior patterns in relation to those of their age group. Defining characteristics • Impaired physical growth. • Delay or difficulty in performing skills (motor, social, expression) typical of their age group. • Inability to carry out ...
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00112 Risk for delayed development
Definition of the NANDA label Risk of experiencing a delay of 25% or more in one or more of the areas of social or self-regulatory behavior, cognitive, language, or gross or fine motor skills. Susceptible to delay of 25% or more in one or more of the areas of social ...
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00113 Disproportionate growth risk
Definition of the NANDA label Growth risk above the 97th percentile or below the 3rd percentile for age, crossing two percentile channels; disproportionate growth. Risk factors Prenatal • Congenital or genetic disorders. • Maternal nutrition. • Multiple gestation. • Exposure to teratogens. • Use or abuse of substances. • Maternal ...
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00114 Relocation stress syndrome
Definition of the NANDA label State in which the individual experiences a certain physiological or psychological disorder as a result of a change to a different environment. Physiological and/or psychosocial disturbance following transfer from one environment to another. Defining characteristics • Changes in environment or location. • Verbal references of ...
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00115 Risk for disorganized infant behavior
Definition of the NANDA label Risk of suffering an alteration in the integration and modulation of the physiological and behavioral functioning systems (that is, autonomic, motor, sleep / wake, organizational, self-regulatory and attention-interaction systems). Susceptible to disintegration in the pattern of modulation of the physiological and neurobehavioral systems of functioning, ...
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00116 Disorganized infant behavior
Definition of the NANDA label Disintegration of physiological and neurobehavioral responses to the environment. Disintegration of the physiological and neurobehavioral systems of functioning. Defining characteristics Regulatory issues • Inability to inhibit startle. • Irritability. Organizational system • Active-awake (worried look, nervous attitude). • Diffuse / unclear dream. • Oscillation of ...
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00117 Readiness for enhanced organized infant behavior
Definition of the NANDA label The pattern of integration of an infant's physiological and behavioral functioning systems (i.e. autonomic, motor, sleep / wake, organizational, self-regulatory, and attention-interaction systems) is satisfactory but can be improved, resulting in higher levels integration in response to environmental stimuli. An integrated pattern of modulation of ...
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00118 Disturbed body image
Definition of the NANDA label State in which the individual experiences an alteration in the perception of their own mental image of the physical self, a negative or distorted perception of their own body. Confusion in mental picture of one's physical self. Defining characteristics • Non-verbal response to real or ...
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00119 Chronic low self-esteem
Definition of the NANDA label State in which the individual experiences a prolonged negative self-evaluation or negative feelings towards herself or her abilities. Negative evaluation and/or feelings about one's own capabilities, lasting at least three months. Defining characteristics • Negative verbal references about himself. • Expression of shame or guilt ...
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00120 Situational low self-esteem
Definition of the NANDA label Development of a negative perception of self-worth in response to a current situation (specify). Development of a negative perception of self-worth in response to a current situation. Defining characteristics • Verbal reports that the current situation challenges your personal worth. • Self-negative verbalizations. • Indecisive, ...
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00121 Disturbed personal identity
Definition of the NANDA label State in which the individual has an inability to distinguish between himself and what he is not. Inability to maintain an integrated and complete perception of self. Defining characteristics • Ineffective coping. • Ineffective relationships. Related factors • Situational crises. • Discrimination. • Manic states ...
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00122 Sensory perception disturbance
Definition of the NANDA label State in which the individual presents a change in the amount or in the pattern of sensory stimuli that he perceives, accompanied by a modification of the response to said stimuli. Defining characteristics • Disorientation in time, space and with respect to other people. • ...
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00123 Unilateral neglect
Definition of the NANDA label State in which the individual is unaware of one side of her body and does not pay attention to it. 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 ...
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00124 Hopelessness
Definition of the NANDA label Subjective state in which the individual sees few or no alternatives or possible personal choices and feels unable to mobilize their energy for their own benefit. Subjective state in which an individual sees limited or no alternatives or personal choices available and is unable to ...
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00125 Power lessness
Definition of the NANDA label State in which the individual perceives that their actions will not significantly affect the results of a certain event, or that they have no control over some current situation or an immediate event. The lived experience of lack of control over a situation, including a ...
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00126 Deficient knowledge
Definition of the NANDA label State in which the individual and their environment lack the knowledge or specific cognitive information necessary for the maintenance or recovery of health. Absence of cognitive information related to a specific topic, or its acquisition. Defining characteristics • Verbal references to the health problem. • ...
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00127 Syndrome of deterioration in the interpretation of the environment
Definition of the NANDA label Constant lack of orientation regarding people, space, time or circumstances, for more than 3 to 6 months that requires a protective environment Defining characteristics • Constant disorientation in familiar and unfamiliar surroundings. • Loss of employment or social function due to memory loss. • Inability ...
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00128 Acute confusion
Definition of the NANDA label Abrupt onset of a set of transitory global changes and alterations in attention, knowledge, psychomotor activity, level of consciousness and the sleep / wake cycle. Reversible disturbances of consciousness, attention, cognition and perception that develop over a short period of time, and which last less ...
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00129 Chronic confusion
Definition of the NANDA label Irreversible, long-lasting or progressive deterioration of the intellect and personality, characterized by a decrease in the ability to interpret environmental stimuli; reduced capacity for intellectual thought processes, and manifested by memory, orientation and behavior disorders. Irreversible, progressive, insidious, and long-term alteration of intellect, behavior and ...
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00130 Thought process disorder
Definition of the NANDA label State in which the individual presents a disturbance in mental processes and thought activities (perception, orientation, memory, reasoning, judgment). Defining characteristics • Inaccurate interpretation of the environment. • Cognitive dissonance. • Hyper or hypovigilance. • Inappropriate thinking not based on reality. • Tendency to be ...
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00131 Impaired memory
Definition of the NANDA label Inability to recall or retrieve pieces of information or behavioral skills (Memory impairment can be attributed to pathophysiological or situational causes that may be temporary or permanent.) Persistent inability to remember or recall bits of information or skills Defining characteristics • Information or observation of ...
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00132 Acute pain
Definition of the NANDA label Unpleasant sensory and emotional experience caused by a real or potential tissue injury or described in such terms, of sudden or slow onset, of any intensity from mild to severe, with a predictable end and a duration of less than 6 months. Unpleasant sensory and ...
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00133 Chronic pain
Definition of the NANDA label Unpleasant sensory and emotional experience caused by a real or potential tissue injury or described in such terms, of sudden or slow onset, of any intensity from mild to severe, constant or recurrent, without a foreseeable end and a duration greater than 6 months. Unpleasant ...
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00134 Nausea
Definition of the NANDA label Unpleasant subjective feeling, such as waves, in the back of the throat, epigastrium or abdomen that can cause the urge or need to vomit. A subjective phenomenon of an unpleasant feeling in the back of the throat and stomach, which may or may not result ...
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00135 Complicated grieving
Definition of the NANDA label Failure or prolongation in the use of intellectual and emotional responses through which individuals, families and communities try to overcome the process of modification of the self-concept caused by the perception of loss. A disorder that occurs after the death of a significant other, in ...
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00136 Grieving
Definition of the NANDA label Responses and intellectual and emotional behaviors through which individuals, families and communities try to overcome the process of modifying their self-concept caused by the perception of potential loss. A normal, complex process that includes emotional, physical, spiritual, social, and intellectual responses and behaviors by which ...
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00137 Chronic sorrow
Definition of the NANDA label The person (family member, caregiver or individual with a chronic illness or disability) presents a cyclical, recurring and potentially progressive pattern of omnipresent sadness in response to a continuous loss, in the course of an illness or disability. Cyclical, recurring, and potentially progressive pattern of ...
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00138 Risk for other-directed violence
Definition of the NANDA label Situation in which there is a danger that the individual will adopt behaviors that may be physically, emotionally or sexually harmful to other people. Susceptible to behaviors in which an individual demonstrates that he or she can be physically, emotionally, and/or sexually harmful to others ...
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00139 Risk for self-mutilation
Definition of the NANDA label Situation in which there is a danger that the individual will engage in deliberately self-injurious behavior that, in order to relieve tension, may cause tissue damage in an attempt to cause a non-lethal injury. Susceptible to deliberate self-injurious behavior causing tissue damage with the intent ...
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00140 Risk for self-directed violence
Definition of the NANDA label Situation in which there is a danger that the individual will adopt behaviors that may be physically, emotionally or sexually harmful to himself. Susceptible to behaviors in which an individual demonstrates that he or she can be physically, emotionally, and/or sexually harmful to self. Risk ...
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00141 Post-trauma syndrome
Definition of the NANDA label State in which the individual experiences a prolonged painful response to an overwhelming traumatic event. Sustained maladaptive response to a traumatic, overwhelming event. Defining characteristics • The individual relives the traumatic event through: - Repetitive dreams or nightmares. - Memory of scenes. - Obsessive thoughts ...
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00142 Rape-trauma syndrome
Definition of the NANDA label Maladaptive and persistent response to forced, violent sexual penetration, against the will of the victim and that has a negative impact on their lifestyle. Sustained maladaptive response to a forced, violent, sexual penetration against the victim's will and consent. Defining characteristics • Disruption of the ...
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00143 Traumatic rape syndrome compound reaction
Definition of the NANDA label Maladaptive and persistent response to forced, violent sexual penetration, against their will and without their consent. The traumatic syndrome that develops from this attack or attempted attack includes an acute phase of disorganization of the victim's lifestyle and a long-term process of lifestyle reorganization. Defining ...
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00144 Traumatic rape syndrome silent reaction
Definition of the NANDA label Subcomponent of traumatic rape syndrome in which the affected person is unable to make verbal references or statements about the attack. Defining characteristics • Refusal to narrate the violation. • Sudden triggering of phobic reactions. • Sudden changes in relationships with the opposite sex. • ...
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00145 Risk for post-trauma syndrome
Definition of the NANDA label Risk of presenting a sustained maladaptive response to a traumatic or overwhelming event. Susceptible to sustained maladaptive response to a traumatic, overwhelming event, which may compromise health. Risk factors • Exaggerated sense of responsibility. • Perception of the event. • Decreased strength of the ego ...
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00146 Anxiety
Definition of the NANDA label State in which the individual has a vague feeling of discomfort or threat accompanied by a vegetative response; there is a feeling of apprehension caused by the anticipation of danger. It is a signal that warns of imminent danger and allows the individual to take ...
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00147 Death anxiety
Definition of the NANDA label Apprehension, worry or fear related to one's own death or agony. Vague, uneasy feeling of discomfort or dread generated by perceptions of a real or imagined threat to one's existence. Defining characteristics • Concern about the impact that one's own death may have on those ...
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00148 Fear
Definition of the NANDA label Stage in which the individual presents a response to the perception of a threat that he consciously recognizes as dangerous. Response to perceived threat that is consciously recognized as a danger. Defining characteristics • Reports of: - Apprehension. - Increased tension. - Reduced self-confidence. - ...
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00149 Risk for relocation stress syndrome
Definition of the NANDA label Situation in which there is a danger of suffering physiological or psychological alterations as a consequence of the transfer from one environment to another. Susceptible to physiological and/or psychosocial disturbance following transfer from one environment to another, which may compromise health. Risk factors • Moderate ...
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00150 Risk for suicide
Definition of the NANDA label Situation in which the individual is in danger of self-inflicting life-threatening injuries. Susceptible to self-inflicted, life-threatening injury. Risk factors Behavioral • History of previous suicide attempts. • Irreflection. • Purchase of a firearm. • Accumulation of medicines. • Make a will or change it. • ...
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00151 Self-mutilation
Definition of the NANDA label Deliberately self-injurious behavior that, to relieve stress, causes tissue damage in an attempt to cause a non-fatal injury. Deliberate self-injurious behavior causing tissue damage with the intent of causing nonfatal injury to attain relief of tension. Defining characteristics • Cuts or scratches on the body ...
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00152 Risk for power lessness
Definition of the NANDA label Situation in which there is a danger of perceiving a lack of control over the situation or one's own ability to influence the result in a significant way. Susceptible to the lived experience of lack of control over a situation, including apperception that one's actions ...
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00153 Risk for situational low self-esteem
Definition of the NANDA label Situation in which there is a danger of developing a negative perception of self-worth in response to a current situation (specify). Susceptible to developing a negative perception of self-worth in response to a current situation, which may compromise health. Risk factors • Developmental changes (specify) ...
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00154 Wandering
Definition of the NANDA label Wandering, repetitive or purposeless walking that makes the person susceptible to injury; it is often incongruous with boundaries, limits, or obstacles. Meandering, aimless, or repetitive locomotion that exposes the individual to harm; frequently incongruent with boundaries, limits, or obstacles. Defining characteristics • Frequent and continuous ...
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00155 Risk for falls
Definition of the NANDA label Increased susceptibility to falls that can cause physical harm. Susceptible to increased susceptibility to falling, which may cause physical harm and compromise health. Risk factors In adults • History of falls. • Use of a wheelchair. • Age equal to or greater than 65 years ...
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00156 Risk for sudden infant death
Definition of the NANDA label Presence of risk factors for the sudden death of a child under 1 year of age. Susceptible to unpredicted death of an infant. Risk factors Modifiable • Lay children in the prone or lateral decubitus position. • Pre or postnatal exposure of the child to ...
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00157 Readiness for enhanced communication
Definition of the NANDA label Pattern of exchanging information and ideas with others that is sufficient to meet the person's vital needs and goals and that can be reinforced. A pattern of exchanging information and ideas with others, which can be strengthened. Defining characteristics • Manifestation of wishes to improve ...
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00158 Readiness for enhanced coping
Definition of the NANDA label Pattern of cognitive and behavioral efforts to handle demands that is sufficient for well-being and can be reinforced. A pattern of valid appraisal of stressors with cognitive and/or behavioral efforts to manage demands related to well-being, which can be strengthened. Defining characteristics • Define stressors ...
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00159 Readiness for enhanced family processes
Definition of the NANDA label Family functioning pattern that is sufficient to support the well-being of family members and that can be reinforced. A pattern of family functioning to support the well-being of its members, which can be strengthened. Defining characteristics • Manifestation of wishes to improve family dynamics. • ...
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Definition of the NANDA label Balance pattern between fluid volume and the chemical composition of body fluids that is sufficient to meet physical needs and can be reinforced. Defining characteristics • Expresses desire to improve fluid balance. • Stable weight. • Moist mucous membranes. • Adequate food and liquid intake ...
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00161 Readiness for enhanced knowledge
Definition of the NANDA label The presence or acquisition of cognitive information on a specific topic is sufficient to achieve health-related goals and can be reinforced. A pattern of cognitive information related to a specific topic, or its acquisition, which can be strengthened. Defining characteristics • Shows interest in learning ...
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00162 Readiness for enhanced health management
Definition of the NANDA label Pattern of regulation and integration in the daily life of the person subjected to a program for the treatment of a disease and its consequences sufficient to achieve the intended health objectives and that can be reinforced. A pattern of regulating and integrating into daily ...
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00163 Readiness for enhanced nutrition
Definition of the NANDA label Nutrient supply pattern that is sufficient to meet metabolic needs and can be reinforced. A pattern of nutrient intake, which can be strengthened. Defining characteristics • Manifestation of wishes to improve nutrition. • Regular intakes. • Adequate supply of food. • Adequate fluid intake. • ...
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00164 Readiness for enhanced parenting
Definition of the NANDA label Pattern of providing an environment for children or other dependent persons that is sufficient to promote growth and development and that can be reinforced. A pattern of providing an environment for children to nurture growth and development, which can be strengthened. Defining characteristics • Expresses ...
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00165 Readiness for enhanced sleep
Definition of the NANDA label Pattern of hours of sleep that provides adequate rest, allowing the desired lifestyle, and that can be reinforced. A pattern of natural, periodic suspension of relative consciousness to provide rest and sustain a desired lifestyle, which can be strengthened. Defining characteristics • Expresses desire to ...
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00166 Willingness to improve urinary elimination
These diagnoses lacked sufficient evidence to support their continuation within the terminology. Definition of the NANDA label Pattern of urinary function that is sufficient to meet elimination needs and can be reinforced. Defining characteristics • Express your desire to strengthen urinary elimination. • Urine is straw colored with no bad ...
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00167 Readiness for enhanced self-concept
Definition of the NANDA label Pattern of perceptions or ideas about oneself that is sufficient for well-being and that can be reinforced. A pattern of perceptions or ideas about the self, which can be strengthened. Defining characteristics • Manifestation of wishes to reinforce self-concept. • Express satisfaction with thoughts about ...
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00168 Sedentary lifestyle
Definition of the NANDA label Reports on lifestyle habits characterized by a low level of physical activity. A habit of life that is characterized by a low physical activity level. Defining characteristics • Choosing a daily routine with low content in physical activity. • Shows lack of physical form. • ...
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00169 Impaired religiosity
Definition of the NANDA label Impaired ability to rely on trust in religious beliefs or participate in rites of a particular religious tradition. Impaired ability to exercise reliance on beliefs and/or participate in rituals of a particular faith tradition. Defining characteristics • Demonstrates or explains difficulty adhering to prescribed religious ...
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00170 Risk for impaired religiosity
Definition of the NANDA label Risk of impaired ability to rely on trust in religious beliefs or participate in rites of a particular religious tradition. Susceptible to an impaired ability to exercise reliance on religious beliefs and/or participate in rituals of a particular faith tradition, which may compromise health. Related ...
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00171 Readiness for enhanced religiosity
Definition of the NANDA label Ability to increase confidence in religious beliefs and / or participate in the rites of a particular religious tradition. A pattern of reliance on religious beliefs and/or participation in rituals of a particular faith tradition, which can be strengthened. Defining characteristics • Expresses wishes to ...
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00172 Risk for complicated grieving
Definition of the NANDA label Risk of failure or prolongation in the use of responses and intellectual and emotional behaviors of an individual, family or community after a death or the perception of a loss. Susceptible to a disorder that occurs after death of a significant other in which the ...
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00173 Risk for acute confusion
Definition of the NANDA label Risk of the appearance of reversible disorders of consciousness, attention, knowledge and perception that develop in a short period of time. Susceptible to reversible disturbances of consciousness, attention, cognition and perception that develop over a short period of time, which may compromise health. Risk factors ...
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00174 Risk for compromised human dignity
Definition of the NANDA label Risk of perceived loss of respect and honor. Susceptible for perceived loss of respect and honor, which may compromise health. Risk factors • Cultural inconsistency. • Disclosure of confidential information. • Body exposure. • Inadequate participation in decision-making. • Loss of control of bodily functions ...
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00175 Moral distress
Definition of the NANDA label Response to the inability to carry out the chosen ethical / moral decisions / actions. Response to the inability to carry out one's chosen ethical or moral decision and/or action. Defining characteristics • Expresses anguish (eg, helplessness, guilt, frustration, anxiety, uncertainty, fear) at the difficulty ...
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00176 Overflow urinary incontinence
Definition of the NANDA label Involuntary loss of urine associated with overdistention of the bladder. Defining characteristics • Bladder distention. • High residual volume after urination. • Nocturia. • Observation of involuntary loss of small amounts of urine. • Reports of involuntary loss. Related factors • Obstruction of bladder drainage ...
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Definition of the NANDA label Excessive amount and type of demands that require action. Defining characteristics • Shows increasing feelings of anger. • Shows growing feelings of impatience. • Expresses difficulty functioning. • Expresses a feeling of pressure. • Expresses a feeling of tension. • Expresses growing feelings of anger ...
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00178 Risk for impaired liver function
Definition of the NANDA label Risk of decreased liver function that can compromise health. Susceptible to a decrease in liver function, which may compromise health. Risk factors • Hepatotoxic drugs (eg, paracetamol, statins). • HIV coinfection. • Substance abuse (eg, alcohol, cocaine). • Viral infections (eg, hepatitis A, hepatitis B, ...
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00179 Risk for unstable blood glucose level
Definition of the NANDA label Risk of variation of the normal limits of blood glucose levels. Susceptible to variation in serum levels of glucose from the normal range, which may compromise health. Risk factors • Poor knowledge about managing diabetes. • Level of development. • Dietary contribution. • Inadequate monitoring ...
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00180 Risk for contamination
Definition of the NANDA label Increased risk of exposure to environmental pollutants in doses sufficient to cause adverse health effects. Susceptible to exposure to environmental contaminants, which may compromise health. Risk factors • Poor knowledge about managing diabetes. External • Chemical contamination of food. • Chemical contamination of water. • ...
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00181 Contamination
Definition of the NANDA label Exposure to environmental pollutants in doses sufficient to cause adverse health effects. Exposure to environmental contaminants in doses sufficient to cause adverse health effects. Defining characteristics (Defining characteristics depend on the causative agent. Agents can cause a variety of organic and systemic responses). Pesticides • ...
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00182 Readiness for enhanced self-care
Definition of the NANDA label Pattern of performance of activities by the person himself that helps him achieve health-related objectives and that can be reinforced. A pattern of performing activities for oneself to meet health-related goals, which can be strengthened. Defining characteristics • Expresses wishes to increase independence in maintaining ...
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00183 Readiness for enhanced comfort
Definition of the NANDA label Pattern of tranquility, relief and transcendence in the physical, psychospiritual, environmental and social dimensions that can be reinforced. A pattern of ease, relief, and transcendence in physical, psychospiritual, environmental, and/or social dimensions, which can be strengthened. Defining characteristics • Expresses a desire to increase comfort ...
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00184 Readiness for enhanced decision-making
Definition of the NANDA label Pattern of choice of course of actions that is sufficient to achieve short- and long-term health-related objectives and can be reinforced. A pattern of choosing a course of action for meeting short- and long-term health-related goals, which can be strengthened. Defining characteristics • Expresses wishes ...
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00185 Readiness for enhanced hope
Definition of the NANDA label Pattern of expectations and desires that is sufficient to mobilize energy for personal benefit and that can be reinforced. A pattern of expectations and desires for mobilizing energy on one's own behalf, which can be strengthened. Defining characteristics • Expresses desire to improve the ability ...
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00186 Willingness to improve immunization status
Definition of the NANDA label Monitoring pattern of local, national and / or international immunization standards to prevent infectious diseases, which is sufficient to protect the person, family or community and which can be reinforced. Defining characteristics • Expresses wishes to improve behavior to prevent infectious diseases. • Expresses wishes ...
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00187 Readiness for enhanced power
Definition of the NANDA label Informed (knowledge-based) participation pattern in change that is sufficient to achieve well-being and can be reinforced. A pattern of participating knowingly in change for well-being, which can be strengthened. Defining characteristics • Express willingness to improve awareness of possible changes to be made. • Express ...
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00188 Risk-prone health behavior
Definition of the NANDA label Impaired ability to modify lifestyle or behaviors in a way that improves health. Impaired ability to modify lifestyle and/or actions in a manner that improves the level of wellness. Defining characteristics • Demonstration of non-acceptance of the change in health status. • Failure to achieve ...
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00193 Self-neglect
Definition of the NANDA label Constellation of culturally framed behaviors that involve one or more self-care activities in which there is a failure to maintain socially acceptable standards of health and well-being. A constellation of culturally framed behaviors involving one or more self-care activities in which there is a failure ...
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00194 Neonatal hyperbilirubinemia
Definition of the NANDA label Yellow-orange coloration of the skin and mucous membranes of the neonate that appears at 24 hours of life as a result of the presence of unconjugated bilirubin in the blood. The accumulation of unconjugated bilirubin in the circulation (less than 15 ml/dl) that occurs after ...
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00195 Risk for electrolyte imbalance
Definition of the NANDA label Risk of change in serum electrolyte level that can compromise health. Susceptible to changes in serum electrolyte levels, which may compromise health. Risk factors • Diarrhea. • Endocrine dysfunction. • Fluid imbalance (eg, dehydration, water intoxication). • Impaired regulatory mechanisms (eg diabetes insipidus, syndrome of ...
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00196 Dysfunctional gastrointestinal motility
Definition of the NANDA label Increase, decrease, ineffectiveness or lack of peristaltic activity in the gastrointestinal system. Increased, decreased, ineffective, or lack of peristaltic activity within the gastrointestinal system. Defining characteristics • Absence of wind. • Abdominal cramps. • Abdominal distension. • Abdominal pain. • Accelerated gastric emptying. • Gastric ...
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00197 Risk for dysfunctional gastrointestinal motility
Definition of the NANDA label Risk of increase, decrease, ineffectiveness or lack of peristaltic activity in the gastrointestinal system. Susceptible to increased, decreased, ineffective, or lack of peristaltic activity within the gastrointestinal system, which may compromise health. Risk factors • Abdominal surgery. • Aging. • Anxiety. • Change of diet ...
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00198 Disturbed sleep pattern
Definition of the NANDA label Interruptions for a limited time in the quantity and quality of sleep due to external factors. Time-limited awakenings due to external factors. Defining characteristics • Change in normal sleep pattern. • Complaining from lack of rest. • Dissatisfaction with sleep. • Decreased ability to function ...
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00199 Ineffective activity planning
Definition of the NANDA label Inability to prepare for a set of actions fixed in time and under certain conditions. Defining characteristics • Verbalization of fear of the task to be performed. • Verbalization of concern about the task to be performed. • Excessive anxiety about the task to be ...
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00200 Ineffective activity planning
Definition of the NANDA label Risk of decreased cardiac (coronary) circulation. Inability to prepare for a set of actions fixed in time and under certain conditions. Related factors • Oral contraceptives. • Heart surgery. • Cardiac tamponade. • Spasm of the coronary artery. • Mellitus diabetes. • Drugs abuse. • ...
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00201 Risk of ineffective brain perfusion
Definition of the NANDA label Risk of decreased brain tissue circulation. Related factors • Abnormal partial thromboplastin time. • Abnormal prothrombin time. • Akinetic left ventricular segment. • Aortic atherosclerosis. • Arterial dissection. • Joint fibrillation. • Atrial myxoma. • Brain tumor. • Carotid stenosis. • Brain aneurysm. • Coagulopathy ...
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00202 Risk for ineffective gastrointestinal perfusion
This diagnosis lacked sufficient differentiation from other cardiovascular diagnoses within the terminology. Definition of the NANDA label Risk of decreased gastrointestinal circulation. Risk factors • Aorto-abdominal aneurysm. • Abdominal compartment syndrome. • Abnormal partial thromboplastin time. • Abnormal prothrombin time. • Acute gastrointestinal bleeding. • Acute gastrointestinal bleeding. • Age ...
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00203 Risk for ineffective renal perfusion
This diagnosis lacked sufficient differentiation from other cardiovascular diagnoses within the terminology. Definition of the NANDA label Risk of decreased renal blood circulation that can compromise health. Related factors • Abdominal compartment syndrome. • Advanced age. • Bilateral cortical necrosis. • Burns. • Heart surgery. • Cardiopulmonary bypass. • Mellitus ...
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00204 Ineffective peripheral tissue perfusion
Definition of the NANDA label Decreased peripheral blood circulation that can compromise health. Decrease in blood circulation to the periphery, which may compromise health. Defining characteristics • Absence of pulses. • Impaired motor function. • Alteration of skin characteristics (color, elasticity, hair, nail hydration, sensitivity, temperature). • Changes in blood ...
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00205 Risk for shock
Definition of the NANDA label Risk of inadequate blood supply to body tissues that can lead to life-threatening cellular dysfunction. Susceptible to an inadequate blood flow to the body's tissues that may lead to life-threatening cellular dysfunction, which may compromise health. Risk factors • Hypotension. • Hypovolemia. • Hypoxemia. • ...
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00206 Risk for bleeding
Definition of the NANDA label Risk of decreased blood volume that can compromise health. Susceptible to a decrease in blood volume, which may compromise health. Related factors • Aneurysm. • Gastrointestinal disorders (eg, gastric ulcer disease, polyps, varicose veins). • Impaired liver function (eg, cirrhosis). • Essential coagulopathies (eg, thrombocytopenia) ...
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00207 Readiness for enhanced relationship
Definition of the NANDA label Collaboration pattern that is sufficient to meet mutual needs and can be reinforced. A pattern of mutual partnership to provide for each other's needs, which can be strengthened. Defining characteristics • Expresses desire to strengthen communication between the couple. • Expresses satisfaction with the exchange ...
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00208 Readiness for enhanced childbearing process
Definition of the NANDA label Pattern of preparation, maintenance and reinforcement of a healthy pregnancy, delivery and care of the newborn. A pattern of preparing for and maintaining a healthy pregnancy, childbirth process and care of the newborn for ensuring well-being which can be strengthened. Defining characteristics During pregnancy • ...
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00209 Risk for disturbed maternal-fetal dyad
Definition of the NANDA label Risk of alteration of the maternal-fetal symbiotic dyad as a result of comorbidity or conditions related to pregnancy. Susceptible to a disruption of the symbiotic mother-fetal relationship as a result of comorbid or pregnancy-related conditions, which may compromise health. Risk factors • Pregnancy complications (eg, ...
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00210 Impaired resilience
Definition of the NANDA label Reduced ability to maintain a pattern of positive responses to an adverse situation or crisis. Decreased ability to recover from perceived adverse or changing situations, through a dynamic process of adaptation. Defining characteristics • Decreased interest in academic activities. • Decreased interest in vocational activities ...
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00211 Risk for impaired resilience
Definition of the NANDA label Risk of reduced ability to maintain a pattern of positive responses to an adverse situation or crisis. Susceptible to decreased ability to recover from perceived adverse or changing situations, through a dynamic process of adaptation, which may compromise health. Risk factors • Chronicity of existing ...
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00212 Readiness for enhanced resilience
Definition of the NANDA label Willingness to enhance personal resilience is the pattern of positive responses to an adverse situation or crisis that can be reinforced to optimize human potential. The defining characteristics, NIC and NOC of the NANDA Readiness for enhanced resilience diagnosis are detailed below. A pattern of ...
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00213 Risk for vascular trauma
Definition of the NANDA label The Risk of vascular trauma is the probability of suffering an injury to a vein and surrounding tissues related to the presence of a catheter and / or infusion of solutions. Below, risk factors, NIC and NOC of the NANDA diagnosis " Risk of vascular ...
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00214 Impaired comfort
Definition of the NANDA label Impaired comfort , is the perception of lack of tranquility, relief and transcendence of the physical, psychospiritual, environmental and social dimensions. The diagnosis impaired comfort could be applied to an individual with insufficient control of the situation, insufficient privacy and insufficient resources, all evidence of ...
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What is a nursing diagnosis?

It can be started from the general definition of the term diagnose, understood as the collection and analysis of data in order to evaluate problems of various kinds. If we take this definition to the nursing profession, we can reach the conclusion that it consists of identifying the characteristics of altered human responses to a health problem.

The most current and complete definition corresponds to the one given by the international NANDA : the nursing diagnosis is the clinical judgment that nurses formulate about the responses of the individual, the family, or the community to the vital conditions or processes. In accordance with this judgment, the nurse will be responsible for monitoring the patient’s responses, for making decisions that will culminate in a care plan and for the implementation of interventions including interdisciplinary collaboration and referral. of the patient if necessary.

Nursing diagnoses focus on the problems derived from human responses that occur after a particular health alteration, this means that it is necessary to assess each individual independently since the fact that two different patients suffer from the same clinical situation can cause different answers.

Human responses are the acts of adaptation that occur in a person to a specific clinical situation, taking into account this concept, it can be said that the object of nursing and its diagnoses is not the disease but the patient’s response to that disease .

Nursing diagnoses describe the responses of patients to clinical situations that can be treated or addressed by nurses.

The diagnosis is always the consequence of the assessment process and is the sum of already confirmed data and the knowledge and identification of needs or problems.

The diagnoses are organized into classification systems or diagnostic taxonomies.

Although we consider the NANDA ( Nort American Nursing Diagnosis Association ) taxonomy to be the most widely accepted, there are other taxonomies:

OMAHA: quite useful for community nurses.
CAMPBELL: contains nursing diagnoses, medical diagnoses and dual diagnoses.

For nursing professionals, the use of the NANDA taxonomy is essential in the regular practice of their profession.

Advantages of using tags

Among the advantages of using the NANDA Taxonomy are:

– The use of a common language, this facilitates communication with the patient and allows to deliver a better diagnosis.
– The implementation of the PAE (Nursing Care Process) as a working method.
– The dynamic participation within the different health teams.

The structuring of our activity following a scientific method , must represent for the Nursing Profession the definition of our own Area of ​​Responsibility with the increase of the motivation and prestige of the professionals themselves.

Diagnostic definition

There are several definitions of Nursing Diagnoses among which are:
“Nursing diagnoses are clinical diagnoses made by nursing professionals, they describe real or potential health problems that nurses by virtue of their education and experience are capable of treating and are authorized to do so. This definition therefore excludes health problems for which the accepted form of therapy is the prescription of drugs, surgery, radiation and other treatments that are legally defined as the practice of medicine ”.

“The nursing diagnosis is a clinical judgment about the individual, family or community that derives from a deliberate systematic process of data collection and analysis. It provides the basis of prescriptions for definitive therapy, for which the nurse is responsible ”. (NANDA 1990)

Real Nurse Diagnosis

A “Real Nurse Diagnosis” , describes real health problems of the patient, and is always validated by signs and symptoms.

The Real Diagnosis is composed of three parts:

– Health problems
– Etiological or related factors
– Defining characteristics

Diagnosis of Health Promotion

The “Diagnosis of Health Promotion” , is the critical judgment that the nurse makes about the motivation of the patient, family or community to increase their health status and values ​​their involvement in health care, these diagnoses are formulated in the labels as “Disposition for” , and to validate this diagnosis we rely on the defining characteristics.

Diagnosis of Well-being

The “Diagnosis of Well-being” is a critical judgment made by the nurse in situations or health problems that are well controlled, but that the patient verbally expresses that he wants to improve, he must to base the nurse on what the patient expresses rather than on the observation itself.

Potential nursing diagnosis

The “Potential nursing diagnosis” or risk, describes human responses to the processes that the patient, family or community may present.
A Potential Diagnosis is made up of two parts:
– Health problems
– Risk factor’s

Diagnosis of Syndrome

The “Diagnosis of Syndrome” , describes specific and complex situations.

These diagnoses are made up of a group of various real and potential diagnoses and have the characteristic that they always occur together.

Although a diagnosis of Syndrome includes potential and real diagnoses, this does not exclude that our patient presents other diagnoses.

Composition of a nursing diagnosis

Diagnostic Label: It is the name of the diagnosis that we use, it is a concrete and concise name and should not be modified since it is supported by references and bibliographic reviews.

Definition: It is the description of the diagnosis. It reinforces and clarifies the meaning of the diagnostic label and is also supported and validated in bibliographic references.

Related factors: These are the elements that are known to be associated with a specific health problem. They can be described as “antecedents to, associated with, related to, contributors to, and / or adjuncts to the diagnosis” .

Only real nursing diagnoses have related factors.

Risk factors: They are physical, genetic, physiological, etc. that increase the possibility that a problem will appear to the individual, family or community. It is suspected that it may be the cause or contribute to the appearance of a health problem.

Defining characteristics: They are observable and measurable references that are grouped as signs and symptoms of a real problem and that define and represent a health diagnosis.

Diagnostic code: It is a five-digit number assigned to each diagnosis and that identifies it.