Adapted from Ackley & Ladwig: Nursing Diagnosis Handbook: A Guide to Planning Care, 7th Edition TAXONOMY II:

NANDA-I'S DOMAINS, CLASSES, AND DIAGNOSES*

DOMAIN 1. Health promotion The awareness of well-being or normality of function and the strategies used to maintain control of and enhance that well-being or normality of function

CLASS 1. Health awareness Recognition of normal function and well-being 2. Health management Identifying, controlling, performing, and integrating activities to maintain health and well-being

APPROVED DIAGNOSES

2. Nutrition The activities of taking in, assimilating, and using nutrients for the purpose of tissue maintenance, tissue repair, and the production of energy

1. Ingestion Taking food or nutrients into the body

5. Hydration The taking in and absorption of fluids and electrolytes

Effective Therapeutic regimen management Ineffective Therapeutic regimen management Ineffective family Therapeutic regimen management Health-seeking behaviors (specify) Ineffective health maintenance Impaired home maintenance Imbalanced Nutrition: less than body requirements Imbalanced Nutrition: more than body requirements Risk for imbalanced Nutrition: more than body requirements Deficient Fluid volume Risk for deficient Fluid volume Excess Fluid volume Risk for imbalanced Fluid volume Readiness for enhanced Fluid balance Disturbed Sleep pattern Sleep deprivation Readiness for enhanced Sleep Risk for Disuse syndrome Dressing/grooming Selfcare deficit Bathing/hygiene Self-care deficit Feeding Self-care deficit Unilateral Neglect

4. Activity/Rest The production, conservation, expenditure, or balance of energy resources

1. Sleep/Rest Slumber, repose, ease, or inactivity

2. Activity/Exercise Moving parts of the body (mobility), doing work, or performing actions often (but not always) against resistance 5. Perception/Cognition The human information processing 1. Attention Mental readiness to notice or observe

Copyright 2006, Mosby, Inc. All Rights Reserved.

Adapted from Ackley & Ladwig: Nursing Diagnosis Handbook: A Guide to Planning Care, 7th Edition TAXONOMY II: NANDA-I'S DOMAINS, CLASSES, AND DIAGNOSES*

DOMAIN system including attention, orientation, sensation, perception, cognition, and communication

CLASS 2. Orientation Awareness of time, place, and person 3. Sensation/Perception Receiving information through the senses of touch, taste, smell, vision, hearing, and kinesthesia and the comprehension of sense data resulting in naming, associating, and/or pattern recognition 4. Cognition Use of memory, learning, thinking, problem solving, abstraction, judgment, insight, intellectual capacity, calculation, and language

APPROVED DIAGNOSES Impaired Environmental interpretation syndrome Wandering Disturbed Sensory perception (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)

5. Communication Sending and receiving verbal and nonverbal information 6. Self-perception Awareness about the self 1. Self-concept The perception(s) about the total self

Deficient Knowledge (specify) Readiness for enhanced Knowledge Acute Confusion Chronic Confusion Impaired Memory Disturbed Thought processes Impaired verbal Communication Readiness for enhanced Communication Disturbed personal Identity Powerlessness Risk for Powerlessness Hopelessness Risk for Loneliness Readiness for enhanced Self-concept Chronic low Self-esteem Situational low Selfesteem Risk for situational low Self-esteem Disturbed Body image Caregiver role strain Risk for Caregiver role strain Impaired Parenting Risk for impaired Parenting

2. Self-esteem Assessment of ones own worth, capability, significance, and success

7. Role relationships The positive and negative connections or associations between persons or groups of persons and the means by which those connections are demonstrated

3. Body image A mental image of ones own body 1. Caregiving roles Socially expected behavior patterns by persons providing care who are not health care professionals

Copyright 2006, Mosby, Inc. All Rights Reserved.

Adapted from Ackley & Ladwig: Nursing Diagnosis Handbook: A Guide to Planning Care, 7th Edition TAXONOMY II: NANDA-I'S DOMAINS, CLASSES, AND DIAGNOSES*

DOMAIN

CLASS 2. Family relationships Associations of people who are biologically related or related by choice

3. Role performance Quality of functioning in socially expected behavior patterns

APPROVED DIAGNOSES Interrupted Family processes Readiness for enhanced Family processes Dysfunctional Family processes: alcoholism Risk for impaired parent/infant/child Attachment Ineffective Role performance Parental Role conflict Impaired Social interaction Rape-trauma syndrome Rape-trauma syndrome: silent reaction Rape-trauma syndrome: compound reaction Post-trauma syndrome Risk for Post-trauma syndrome Fear Anxiety Death Anxiety Chronic Sorrow Ineffective Denial Anticipatory Grieving Dysfunctional Grieving Impaired Adjustment Ineffective Coping Disabled family Coping Compromised family Coping Defensive Coping Ineffective community Coping Readiness for enhanced Cping Readiness for enhanced family Coping Readiness for enhanced community Coping Risk for dysfunctional Grieving

9. Coping/Stress tolerance Contending with life events/life processes

1. Post-trauma responses Reactions occurring after physical or psychological trauma

2. Coping responses The process of managing environmental stress

Copyright 2006, Mosby, Inc. All Rights Reserved.

Adapted from Ackley & Ladwig: Nursing Diagnosis Handbook: A Guide to Planning Care, 7th Edition TAXONOMY II: NANDA-I'S DOMAINS, CLASSES, AND DIAGNOSES*

DOMAIN 11. Safety/Protection Freedom from danger, physical injury or immune system damage, preservation from loss, and protection, safety, and security

CLASS 2. Physical injury Bodily harm or hurt

APPROVED DIAGNOSES Risk for Injury Risk for Falls

3. Violence The exertion of excessive force or power so as to cause injury or abuse

12. Comfort Sense of mental, physical, or social well-being or ease

3. Social comfort Sense of well-being or ease with ones social situations

Risk for Self-mutilation Self-mutilation Risk for other-directed Violence Risk for self-directed Violence Risk for Suicide Social isolation

*From North American Nursing Diagnosis Association-International: Nursing diagnoses: definitions and classification 2005-2006, Philadelphia, 2005, The Association.

Copyright 2006, Mosby, Inc. All Rights Reserved.