Posted: May 22nd, 2023

NANDA Nursing Diagnosis

What is NANDA Nursing Diagnosis?

The NANDA Nursing Diagnosis, which is a standardized declaration of a client’s health issue that a nurse can independently recognize, prevent, or treat. It is one of the main products of NANDA International. Standardized nursing terminology is created, improved upon, and promoted by NANDA International.

NANDA Diagnosis List

NANDA Healthcare The division of diagnoses into classes, domains, and categories aids in determining the nature of the issue and its root causes. Domains include:

• Healthy living
• Nutrition
• Exchange and deletion
• Exercise and sleep
• Cognition and perception
• Self-concept and self-perception
• Role interactions
• Sexuality
• Resilience to stress and coping
• Life lessons
• Security and defense

There are many classes in each domain, and there are many categories in each class. For instance, the category of health-seeking behaviors falls under the realm of health promotion and includes subcategories like maintaining health and health improvement.

NANDA Nursing Diagnoses include:

1. Inadequate airway clearance brought on by a surplus of secretions
2. Skin integrity impairment brought on by immobility
3. Acute discomfort following a surgical incision
4. Social engagement is hampered by the language barrier.
5. Falls risk because to unstable gait

NANDA Healthcare Diagnoses are crucial because they enable nurses to pinpoint the client’s medical issues, choose the best nursing interventions, and assess the outcomes of those therapies.

 

What is NANDA In Nursing

The North American Nursing Diagnosis Association, often known as NANDA International, is known by the initials NANDA. It is a professional organization that creates and promotes internationally accepted nursing diagnosis and terminology.

Nursing diagnosis is a clinical assessment of a person’s, family’s, or community’s reactions to actual or potential health issues or life processes. It serves as the foundation for deciding which nursing interventions to use. This is so as to achieve the patient’s desired outcomes, for which the nurse is responsible. A list of standard nursing diagnoses, complete with definitions and distinguishing factors for each diagnosis, is created and published by NANDA International.

Nurses can utilize these diagnoses to determine real or probable health issues, plan care, and assess treatment results.

Ultimately, NANDA International serves to enhance patient care. Therefore, it results by giving nurses a standardized vocabulary and framework to characterize and communicate nursing diagnoses.

NANDA Nursing Diagnosis List

A group called NANDA International creates and revises nursing diagnoses. The NANDA International nursing diagnosis list’s most recent edition is for the years 2021–2023. The nursing diagnoses covered in this edition include the following:

• Sharp pain
• Intolerance to activity
• Anxiety \Constipation
• Inadequate knowledge
• Fatigue
• Skin integrity issues
• Improper airway clearance
• Inadequate coping
• Inadequate health preservation
• Inadequate management of the treatment regimen
• Improper tissue perfusion
• Infection danger
• Danger of falling
• Skin integrity is at risk.
• Threat of infection
• Potential for harm
• Possibility of insufficient airway clearance
• Possibility of an inefficient breathing pattern
• Possibility of insufficient cerebral tissue perfusion

It’s important to keep in mind that this is not a comprehensive list and that the NANDA International list has a large number of additional nursing diagnoses. Nursing diagnoses are used by nurses to assist in the planning and delivery of patient care. As a result, they are regularly updated to take into account advancements in nursing and healthcare practices.

NANDA Nursing Care Plans

Nursing diagnoses, which are statements that define the patient’s health status or issue, are created and standardized by NANDA International (formerly known as the North American Nursing Diagnostic Association).

To help direct nursing care and actions for patients with particular health issues, nursing care plans centered on NANDA care plans can be created. These plans frequently contain a list of nursing diagnoses, patient objectives, and particular nursing interventions to help the patient meet those objectives.

The nurse evaluates the patient’s state of health and identifies any health issues or potential dangers before creating a NANDA-based nursing care plan. The nurse then chooses from the NANDA list the most appropriate nursing diagnoses and creates patient-centered objectives and actions for each condition.

NANDA nursing diagnoses that are typical include:

1. Sharp pain
2. Reduced mobility
3. Danger of falling
4. Poor gas exchange, oral mucous membrane, and skin integrity
5. Impairing urine removal
6. Threat of infection
7. Inability to interact socially and cope

By ensuring that patients receive consistent, research-based care, nurses can enhance patient outcomes by using NANDA nursing care plans as a tool.

NANDA For Cancer

A professional nursing organization called NANDA International (formerly the North American Nursing Diagnosis Association) creates and maintains standardized nursing vocabulary, which includes a list of nursing diagnoses.

Many NANDA nursing diagnoses for cancer may be appropriate based on the circumstances and requirements of the patient. Several instances could be:

• Fatigue brought on by cancer treatment or the development of the illness
• Infection risk associated with immunosuppression brought on by cancer therapy
• Uncertainty about the prognosis for cancer and/or adverse consequences of the treatment-related anxiety
• Skin integrity compromised as a result of radiation therapy or surgical incisions
• Disturbed body image because of physical changes brought on by cancer and/or therapy
• Nutritional risk for cancer treatment adverse effects including nausea and vomiting or appetite loss: less than body requirements
• Cancer and/or treatment-related chronic pain, such as chemo induced peripheral neuropathy.

In order to create and carry out appropriate care plans, nurses must be able to recognize and express patients’ needs and issues. It is crucial to keep in mind that nursing interventions are not the same as medical diagnoses. Nursing diagnoses must always be tailored to each patient’s particular needs. In addition to that, it should be the result of a careful evaluation of their physical, psychological, and social requirements.

NANDA Nursing Interventions

North American Nursing Diagnosis Association is referred to as NANDA. The term “NANDA nursing interventions” refers to the steps taken by nurses to address a patient’s indicated nursing diagnostic or condition. The objectives or anticipated results of the nursing care plan are the focus of these actions.

Here are a few illustrations of NANDA nursing interventions:

As directed by the doctor or other healthcare professional, administer drugs.

Educate and counsel the patient on their disease, medication, and self-care, as well as their family members.

Vital signs, the patient’s physical and mental state, and their response to treatment should all be monitored and evaluated.

Help the patient with his or her everyday tasks, such as eating, dressing, and taking a bath.

Put safety precautions in place to avoid infections, falls, and other mishaps.

Support the sufferer and their family members on an emotional and spiritual level.

Work together to deliver complete care with other healthcare team members like doctors, therapists, and social workers.

To encourage good communication and establish a rapport with the patient, use therapeutic communication approaches.

Urge the patient to engage in activities that enhance their emotional, mental, and physical health.

The healthcare team should be informed on the patient’s progress, changes, and response to treatment.

 

NANDA Nursing Care Plan for Postpartum Normal Delivery

A NANDA nursing care plan for a postpartum normal delivery is provided below:

Analysis Information:

A healthy baby was born to the patient.

Minimal to moderate vaginal bleeding

Vital indicators are stable.

3/10 is the pain scale.

Patient is capable of walking without help.

Nursing Diagnosis: Episiotomy/laceration-related infection risk

Goal: The patient will avoid getting sick during the postpartum period.

Interventions:

Every four hours, check your temperature and vital signs.

Check the perineum for redness, edema, and infection indications (e.g. foul odor)

With each bowel movement and void, give your perineum some TLC.

Urge the patient to take daily showers and to maintain a dry and clean perineal area.

Teach the patient how to properly wash their hands.

As directed, administer preventive antibiotics

Evaluation:

Throughout the postpartum period, the patient remained infection-free.

Temperature and vital signs stayed steady and within normal ranges.

There were no redness, edema, or infection-related symptoms in the perineum.

 

NANDA Anxiety Nursing Diagnosis

The nursing diagnosis association NANDA International recognizes a number of nursing diagnoses associated with anxiety, including:

Anxiety is a nursing diagnosis that is distinguished by feelings of dread, unease, and uncertainty in relation to an unknown cause of danger. In addition to that, symptoms can include stomach trouble, palpitations, sweating, and restlessness.

Fear is a nursing diagnosis that is indicated by an emotional reaction to a recognized external source of threat. Increased heart rate, perspiration, and shaking are possible symptoms.

A failure to manage stressors, which can cause anxiety, characterizes this nursing diagnostic of ineffective coping. Feelings of overload, exhaustion, and social disengagement are possible symptoms.

Anxiety can disturb sleep patterns, including problems falling asleep, frequent nighttime awakenings, and early morning awakenings.

Decreased Social Interaction: Anxiety can make it difficult for a person to interact with others, which can leave them feeling alone and isolated.

It’s critical to remember that nursing diagnoses are not equivalent to diagnosing and should not be used in place of a doctor’s evaluation. Nursing diagnoses are used to determine which nursing actions will best help a patient manage their symptoms and enhance their general health.

NANDA Nursing Diagnosis for Pain

The following list of NANDA nursing diagnosis for pain includes:

Acute Pain Long-Term Pain

Ineffective Pain-related coping

Pain-related anxiety impairment Physical flexibility and pain

Falls Risk Associated with Pain

Impaired Sleep patterns affected by pain Pain-related comfort

Impaired the impact of pain on quality of life

Apprehension of pain

It is crucial to remember that a thorough evaluation of the patient’s pain is required in order to correctly identify the underlying cause and choose the best nursing interventions.

NANDA Nursing Care Plan Examples

Examples of NANDA nursing care plans are provided below:

Poor Gas Exchange: A COPD Patient’s Nursing Diagnosis

Findings from the assessment included wheezing, chest tightness, coughing, and an elevated respiratory rate.

Medical Interventions

Apply oxygen therapy as directed.

Urge the patient to sit up in bed or a chair and check their breathing every hour.

Instruct the patient to breathe through their mouths.

Promote coughing and deep breathing in the patient

As directed, administer nebulizer treatments.

Taking drugs as directed

Nursing Diagnosis for Older Patients at Risk for Falls

Findings from the assessment included a history of falls, a shaky stride, blurred eyesight, and bewilderment.

medical interventions

Use a fall risk evaluation tool to determine the patient’s fall risk.

Maintain a low bed with the side rails raised.

provide a toilet by the bed

Offer slip-resistant socks or robes.

Get the patient to use a cane or walker.

To create a secure atmosphere, remove trip hazards.

Regularly check the patient’s balance and gait

Nursing: Risk of Infection Postoperative Patient Diagnosis

Assessment results: Fever, drainage from an open surgical site, an elevated white blood cell count.

Medical interventions

Every four hours, check the patient’s vital signs.

Taking antibiotics as directed

Before and after care for the patient, make sure you wash your hands properly.

Remind the patient to practice deep breaths and coughing exercises.

When directed, replace the wound’s dressing.

Urge the patient to drink a lot of water to speed up recovery

Inform the patient of the symptoms and signs of an infection.

Skin Integrity Impairment: Nursing Pressure Ulcers Patients’ Diagnosis

Open wound, redness, warmth, and edema were identified during the assessment.

Medical Interventions

With a regular saline solution, clean the wound.

Put a clean bandage on the wound.

After two hours, move the patient to a new position to relieve pressure.

Utilize a mattress or cushion that relieves pressure.

Urge the patient to have a diet that is balanced.

Frequently check the patient’s skin

Inform the patient on the value of good skin care and hygiene.

Nursing as ineffective coping Depression in Patients: Diagnosis

Assessment results: A lack of enthusiasm in activities, trouble sleeping, poor appetite, and a sense of sadness.

Medical Interventions

Activate the patient’s emotional expression

Provide a calm, cozy setting and encourage the patient to engage in activities they enjoy as well as attend counseling or therapy sessions.

Give drugs as prescribed\Educate the patient on relaxation strategies such as deep breathing and meditation

Regularly check on the patient’s attitude and behavior.

NANDA Nursing Diagnosis Book

A reference book with a collection of nursing diagnoses, their definitions, and distinguishing characteristics is the NANDA nursing diagnosis book, also known as the NANDA-I Nursing Diagnoses: Definitions & Classification. The book is constantly updated and is issued by NANDA International.

In order to diagnose patient health conditions, organize patient care, and assess patient outcomes, nurses frequently refer to this book. It aids nurses in better patient safety, documentation of patient care, and communication with other healthcare providers.

Impaired gas exchange, impaired skin integrity, fall risk, ineffective coping, acute pain, and reduced mobility are a few examples of nursing diagnoses that may be found in the NANDA-I Nursing Diagnoses: Definitions & Classification book.

NANDA Nursing Diagnosis for Vision Impairment

Several NANDA nursing diagnoses that might be suitable for a person with vision impairment are listed below:

• Diminished visual acuity-related sensory perception
• Risk of falling due to reduced visual acuity and altered depth perception
• Injury risk associated with lowered perception of environmental dangers
• Anxiety brought on by a concern about harm or being unable to accomplish everyday tasks
• Impaired social interaction due to trouble interpreting others’ body language and facial emotions
• Ineffective coping brought on by diminished ability to carry out everyday tasks and loss of independence
• Decreased visual acuity and depth perception that affects movement
• Trouble with clothing, grooming, and other daily life chores as a result of poor self-care.

It is significant to note that this list of nursing diagnoses is not extensive and that the particular nursing diagnoses selected should be based on the evaluation and particular circumstances of each patient.

NANDA Nursing Diagnosis for Ventilator Patient

The following NANDA nursing diagnosis may be appropriate for a patient on a ventilator:

Abnormal blood gas results, a drop in oxygen levels, or changes in breathing depth and rate are signs of impaired gas exchange caused by mechanical ventilation.

Inadequate airway Increased secretions, a weak cough, or and libitum breath sounds are signs of clearance associated with endotracheal intubation and mechanical breathing.

Alterations in immune function, the presence of invasive equipment, or extended hospitalization are signs that there is a risk of infection associated with invasive mechanical breathing.

Skin breakdown, irritation or redness may be signs of impaired skin integrity caused by immobility and pressure from a ventilator or endotracheal tube.

Anxiety brought on by mechanical ventilation as shown by agitation, elevated heart rate, or trouble falling asleep.

It’s crucial to remember that nursing diagnoses ought to be tailored to the patient’s particular requirements and clinical presentation. These nursing diagnoses should be confirmed using clinical data and amended as appropriate before being utilized as a starting point for evaluation and planning of care.

NANDA Nursing Diagnosis for Ulcerative Colitis

For ulcerative colitis, NANDA nursing diagnosis could include

Impaired bowel elimination: This diagnostic can be applied when there is a disruption in the regular pattern of bowel elimination as a result of ulcerative colitis’s inflammation and colonic ulceration.

Acute pain: This diagnosis can be applied when a patient is hurting because of intestinal inflammation. The discomfort could be intense, cramping, and abdominal.

Nutritional imbalance: eating less than what the body needs This nursing diagnostic may be applied when a patient’s low appetite, dietary limitations, or malabsorption prevent them from getting enough nourishment.

Anxiety: Because the sickness is unexpected and the condition is chronic, this nursing diagnostic can be utilized when the patient exhibits anxiety.

Risk of infection: This nursing diagnostic can be applied when a patient’s immune system has been damaged and/or they are on immunosuppressive medicine, putting them at risk for infection.

It is significant to remember that these nursing interventions ought to be tailored to the patient’s particular symptoms, needs, and care objectives. To create a successful care plan, it is crucial to work together with the patient and the healthcare team.

NANDA Psychiatric Nursing Diagnosis

An association called NANDA International (NANDA-I) offers standardized nomenclature for nursing diagnoses. A variety of nursing diagnoses have been created by the organization expressly for mental nursing. NANDA psychiatric nursing diagnosis include, for instance:

1. Anxiety brought on by alterations in one’s circumstances, such as moving or illness.
2. Impaired social interaction brought on by personality problems or social anxiety.
3. Mental disturbances caused by schizophrenia or other psychotic conditions.
4. Coping strategies that are ineffective due to substance abuse or personality issues.
5. Depression and/or other mood disorders increase the risk of suicide
6. Self-harm potential associated with personality disorders or impulse control issues.
7. Verbal communication impairment brought on by dementia or another cognitive condition.

It’s vital to remember that NANDA diagnoses are nursing-specific issues that call for intervention rather than medical diagnoses. Moreover, for patients receiving psychiatric care, psychiatric nursing diagnoses can be used to direct care planning, rank therapies, and assess outcomes.

NANDA Psychosocial Nursing Diagnosis

The Nursing Diagnosis, now referred to as the Nursing Diagnosis Classification System, was previously known as NANDA (North American Nursing Diagnosis Association) (NDX).

Below are some examples of psychosocial nursing diagnosis utilizing the nursing diagnosis classification system:

1. Anxiety brought on by external stressors or changes in one’s life
2. Insufficient social support leading to ineffective coping
3. Danger of loneliness brought on by a lack of companionship or social interaction
4. Reduced social engagement as a result of mental or emotional illness
5. Ineffective role performance brought on by a lack of social skills or self-esteem
6. Danger of ineffective parenting due to ignorance or emotional distress
7. Persistent low self-esteem brought on by harmful self-talk or previous traumatic events
8. Suicide risk associated with depression or hopelessness
9. A compromised family’s ability to cope with a chronic condition or impairment
10. Impaired grieving caused by a loved one’s death or another major tragedy.

It is crucial to remember that a nursing diagnosis needs to be tailored to each patient’s particular circumstances and supported by information gathered during the nursing evaluation.

NANDA Nursing Diagnosis Risk for Falls

“Risk for Falls” is the NANDA nursing diagnostic for the risk of falling. When a patient is at risk for falling owing to a variety of reasons, including a history of falls, decreased mobility, cognitive problems, medications, and environmental variables, this diagnosis is used.

Nurses should evaluate the patient’s functional level, current medical problems, medication use, and history of falls when determining the risk for falls. The gait, balance, strength, and coordination of the patient should all be examined as part of the assessment.

Providing assistive equipment, altering the patient’s surroundings, counseling patients and caregivers on fall prevention, and closely monitoring the patient for indicators of instability or unsteadiness are all fall prevention strategies that nurses should put into practice. Finally, the patient’s fall risk must be regularly reevaluated in order to change measures as necessary.