Approved Nanda Nursing Diagnosis
Nursing diagnosis is the identification of a patient’s health condition, along with its signs and symptoms, by a registered nurse (RN). Nursing diagnoses are used to classify patients’ conditions and plan care. They can be recorded on an assessment form at the beginning or during a patient’s hospital stay. A list of nursing diagnoses are available in the official Nanda’s Nursing Diagnosis Handbook (also known as NANDA I), which is updated every year by the International Council of Nurses (ICN). This article will show you some of the most common nursing diagnoses approved by NANDA-I:
Approved Nanda Nursing Diagnosis
1 Impaired Comfort
Comfort is an individual’s subjective experience of well-being. Comfort is a state of being that is characterized by a feeling of physical and mental rest.
The individual is able to achieve comfort and balance in themselves, living their lives free from stress and complications.
2 Excessive Fluid Volume
Excessive fluid volume occurs when the body’s fluid balance is disrupted, leading to a dilution of plasma proteins and electrolytes. This is medically referred to as hypoalbuminemia, which can lead to edema (swelling) throughout the body if left untreated.
Excessive fluid volume can be caused by:
- Decreased urine output (decrease in filtered water)
- Increased intake of fluids/sodium (increased in total body water)
- Increased peripheral vasodilation (decreased vascular resistance)
Symptoms may include:
Edema – swelling in hands, feet or legs when standing up; fingers will turn white upon release from pressure due to pooling blood supply around extremities; pitting edema – indentation at site of application of pressure when released due to expansion of underlying tissue during elevation; loss of elasticity – skin becomes taut with overlying fat replaced by excessive subcutaneous tissue
- Hyperthermia is defined as an elevated body temperature caused by the inability of the body to dissipate heat.
- The most common cause of hyperthermia is fever, which occurs when the immune system attacks bacteria in the blood stream. Other causes include:
- Dehydration from excessive sweating or fluids loss due to illness (e.g., vomiting) or diuretics.
- Drugs that increase metabolic rate and/or decrease peripheral circulation (e.g., cocaine).
- Exposure to hot environments with poor ventilation or insufficient clothing (e.g., hot tubs).
- Signs and symptoms include:
- sweating profusely; dry mouth; increased thirst; headache; nausea; vomiting; muscle cramps; dizziness & confusion -rapid heartbeat, irregular heartbeat, fainting spells
4 Knowledge Deficit
- Knowledge Deficit is the inability to identify, recall or apply knowledge of the nursing process. In other words, it’s a lack of understanding about how to perform tasks or apply procedures correctly. You may also see this referred to as an “inability to learn.”
- Symptoms include:
- Poor self-evaluation
- Poor critical thinking skills
- Poor communication skills
5 Activity Intolerance
- Activity intolerance:
The patient is unable to perform activities of daily living due to pain and fatigue.
- Activity intolerance:
The patient is unable to perform activities of daily living due to weakness and fatigue.
6 Ineffective Denial
Denial is a defense mechanism that allows one to avoid or deny reality. The individual may persist in denying the truth or seriousness of their condition, despite evidence to the contrary. Denial can help protect you from the pain caused by reality.
7 Risk for Injury
In order to prevent injury, you should:
- Exercise regularly.
- Spend time with family and friends.
- Use safety equipment when appropriate (for example, helmets).
If an injury is suspected, you should:
- Seek medical attention immediately.
8 Risk for Infection
- Risk for infection
Infection control is a major part of nursing and is a concern for nurses. This diagnosis should be used when patients are at risk for an infectious disease or have been exposed to or have an active infectious process. The nurse’s role in the prevention and treatment of infections includes understanding basic concepts related to the spread of microorganisms, including pathogenic organisms such as viruses, fungi and parasites; understanding how these organisms can cause illness; knowing how to prevent infections by using proper hand hygiene techniques; knowing how to detect symptoms early so that treatment may begin before it becomes serious; knowing how/when to notify appropriate individuals regarding potential exposure/infection risks; following established protocols regarding isolation procedures; evaluating patient response (e.g., fever) after treatment has begun
Fatigue is a common symptom of many illnesses and medications, but it can also be caused by a lack of sleep and stress. Fatigue is defined as feeling tired even after adequate rest, as well as feeling more tired than usual. If you experience this symptom, please consult your doctor.
- Constipation is the difficulty in passing stool, accompanied by a sensation of incomplete evacuation.
- The frequency of bowel movements varies widely among individuals and often depends on dietetic habits or whether there is a medical condition affecting intestinal transit time. A normal frequency for adults is generally considered to be three per week, but this may vary from two to four times per week in some people.
- Symptoms include abdominal pain and cramping (especially during bowel movements), bloating, hard stools (with difficulty passing), nausea/vomiting, and infrequent bowel movements (less than twice weekly).
- Lack of physical activity or exercise – Lack of physical activity can lead to constipation; however excessive exercise can also cause constipation because it increases pressure on the stool when you stand up after exercise which makes it harder for the rectum muscles to relax so that your bowels move more easily.
- Hormonal changes – Hormonal changes such as those that occur during pregnancy or menopause can affect muscle tone in the digestive tract leading to difficulty with defecation especially when combined with low fluid intake from decreased thirstiness from nausea etcetera
11 Potential Incompetence
Potential Incompetence is a nursing diagnosis that can be used to describe a patient who is not able to perform the activities of daily living.
This diagnosis can be used for patients who have a history of stroke or other brain injury.
12 This list of nursing diagnosis can be used by students and practicing nurses so that they can improve their skills.
This list of nursing diagnosis can be used by students and practicing nurses so that they can improve their skills.
Nurses need to have a holistic view of the patient in order to effectively treat them, therefore it is important for nurses to understand their own kind of thinking process.
We hope that this list of nursing diagnoses will be helpful for you. We tried to include different types of nursing diagnoses so that there is something for everyone, from students to those who just want some more information on the topic.