Appendix A Nursing Diagnoses Arranged by Maslow’s Hierarchy of Needs Physiological Needs Activity Intolerance Activity Intolerance, Risk for Airway Clearance, Ineffective Aspiration, Risk for Breast-feeding, Effective Breast-feeding, Ineffective Breast-feeding, Interrupted Breathing Pattern, Ineffective Cardiac Output, Decreased Confusion, Acute Confusion, Chronic Constipation Constipation, Perceived Constipation, Risk of Dentition, Impaired Diarrhea Environmental Interpretation Syndrome, Impaired Fatigue Fluid Volume, Deficient Fluid Volume, Risk for Deficient Fluid Volume, Excessive Fluid Volume, Risk for Imbalance Gas Exchange, Impaired Hyperthermia Hypothermia Incontinence, Bowel Incontinence, Functional Incontinence, Reflex Incontinence, Risk for Urge Incontinence, Stress Incontinence, Total Incontinence, Urge Infant Behavior, Disorganized Infant Behavior, Readiness for Enhanced Organized Infant Behavior, Risk for Disorganized Infant Feeding Pattern, Ineffective Intracranial, Decreased Adaptive Capacity Memory, Impaired Mobility, Impaired Bed Mobility, Impaired Physical Mobility, Impaired Wheelchair Nausea Nutrition, Imbalanced: Less Than Body Requirements Nutrition, Imbalanced: More Than Body Requirements Nutrition, Imbalanced: Risk for More Than Body Requirements Oral Mucous Membranes, Impaired Pain, Acute Pain, Chronic Protection, Ineffective Self-Care Deficit, Bathing/Hygiene Self-Care Deficit, Dressing/Grooming Self-Care Deficit, Feeding Self-Care Deficit, Toileting Sensory Perception, Disturbed (Specify) (Visual, Auditory, Kinesthetic, Gustatory, Tactile, Olfactory) Sexual Dysfunction Sexuality Pattern, Ineffective Skin Integrity, Impaired Skin Integrity, Impaired, Risk for Sleep Deprivation Sleep Pattern, Disturbed Surgical Recovery, Delayed Swallowing, Impaired Temperature, Risk for Imbalanced Body Thermoregulation, Ineffective Thought Process, Disturbed Tissue Integrity, Impaired Tissue Perfusion, Ineffective (Specify) (Renal, Cerebral, Cardiopulmonary, Gastrointestinal, Peripheral) Transfer Ability, Impaired Urinary Elimination, Impaired Urinary Retention Ventilation, Impaired Spontaneous Ventilatory Weaning Response, Dysfunctional Walking, Impaired Safety and Security Needs Communication, Impaired Verbal Death Anxiety Disuse Syndrome, Risk for Dysreflexia Dysreflexia, Risk for Autonomic Falls, Risk for Fear Grieving, Anticipatory Grieving, Dysfunctional Growth, Risk for Disproportional Health Maintenance, Ineffective Home Maintenance Management, Impaired Infection, Risk for Injury, Risk for Knowledge, Deficient Latex Allergy Latex Allergy, Risk for Perioperative Positioning Injury, Risk for Peripheral Neurovascular Dysfunction, Risk for Poisoning, Risk for Sorrow, Chronic Suffocation, Risk for Therapeutic Regimen: Community, Ineffective Management of Therapeutic Regimen: Families, Ineffective Management of Therapeutic Regimen: Families, Ineffective Management of Therapeutic Regimen: Individual, Ineffective Management of Trauma, Risk for Unilateral Neglect Wandering Love and Belonging Needs Adult Failure to Thrive Anxiety Caregiver Role Strain Caregiver Role Strain, Risk for Family Coping: Compromised, Ineffective Family Coping: Disabling, Ineffective Family Coping: Readiness for Enhanced Family Processes, Interrupted Loneliness, Risk for Parent/Infant/Child Attachment, Risk for Impaired Parental Role Conflict Parenting Deficient Parenting, Deficient, Risk for Relocation Stress Syndrome Social Interaction, Impaired Social Isolation Self-Esteem Adjustment, Impaired Alcoholism, Altered Family Process Body Image Disturbance Community Coping, Ineffective Community Coping, Readiness for Enhanced Coping, Defensive Coping, Ineffective Individual Decisional Conflict Denial, Ineffective Diversional Activity Deficit Hopelessness Noncompliance Identity, Disturbed Post-Trauma Syndrome Post-Trauma Syndrome, Risk for Powerlessness Powerlessness, Risk for Rape-Trauma Syndrome Rape-Trauma Syndrome: Compound Reaction Rape-Trauma Syndrome: Silent Reaction Relocation Stress Syndrome: Risk for Role Performance, Ineffective Self-Esteem, Chronic Low Self-Esteem, Situational Low Self-Esteem: Situation Low (Risk for) Self-Esteem Disturbance Self-Mutilation Self-Mutilation, Risk for Suicide, Risk for Violence: Self-Directed or Directed at Others, Risk for Self-Actualization Needs Effective Management of Therapeutic Regimen: Individual Energy Field Disturbance Growth and Development, Delayed Delayed Development, Risk for Health-Seeking Behaviors Spiritual Well-Being, Readiness for Enhanced Spiritual Distress Spiritual Distress, Risk for Nursing Diagnoses Arranged by Gordon’s Functional Health Patterns* Health-Perception-Health-Management Wealth-Seeking Behaviors (Specify) Ineffective Health Maintenance Ineffective Management of Therapeutic Regimen Disturbed Energy Field Effective Management of Therapeutic Regimen: Individuals Ineffective, Management of Therapeutic Regimen: Families Ineffective Management of Therapeutic Regimen: Community Latex Allergy Noncompliance (Specify) Risk for Infection Risk for Injury Risk for Latex Allergy Risk for Trauma Risk for Perioperative Positioning Injury Risk for Poisoning Risk for Suffocation Altered Protection Nutritional-Metabolic Impaired Dentition Imbalanced Nutrition: More Than Body Requirements Imbalanced Nutrition: Risk for More Than Body Requirements Imbalanced Nutrition: Less Than Body Requirements Ineffective Breastfeeding Interrupted Breastfeeding Effective Breastfeeding Ineffective Infant Feeding Pattern Impaired Swallowing Nausea Risk for Aspiration Impaired Oral Mucous Membranes Deficient Fluid Volume Risk for Deficient Fluid Volume Excessive Fluid Volume Risk for Impaired Skin Integrity Impaired Skin Integrity Impaired Tissue Integrity Risk for Imbalanced Body Temperature Ineffective Thermoregulation Hyperthermia Hypothermia Elimination Constipation Constipation, Risk for Diarrhea Bowel Incontinence Functional Incontinence Impaired Urinary Elimination Perceived Constipation Reflex Incontinence Stress Incontinence Urge Incontinence Urge Incontinence, Risk for Total Incontinence Urinary Retention Activity- Exercise Activity Intolerance Risk for Activity Intolerance Adult Failure to Thrive Delayed Surgical Recovery Fatigue Impaired Bed Mobility Impaired Physical Mobility Impaired Transfer Ability Impaired Walking Impaired Wheelchair Mobility Risk for Disuse Syndrome Self-Care Deficit: Bathing/Hygiene Self-Care Deficit: Dressing/Grooming Self-Care Deficit: Feeding Self-Care Deficit: Toileting Diversional Activity Deficit Impaired Home Maintenance Management Dysfunctional Ventilatory Weaning Response Inability to Sustain Spontaneous Ventilation Ineffective Airway Clearance Ineffective Breathing Pattern Impaired Gas Exchange Decreased Cardiac Output Ineffective Tissue Perfusion (Specify Type) Dysreflexia Dysreflexia, Risk for Autonomic Disorganized Infant Behavior Risk for Disorganized Infant Behavior Readiness for Enhanced Organized Infant Behavior Risk for Peripheral Neurovascular Dysfunction Delayed Growth and Development Risk for Altered Growth Risk for Delayed Development Wandering, Risk for Falls Sleep-Rest Sleep Deprivation Sleep Pattern Disturbed Cognitive-Perceptual Brain Pain Chronic Pain Disturbed Sensory Perception (Specify) Unilateral Neglect Deficient Knowledge (Specify) Disturbed Thought Processes Acute Confusion Chronic Confusion Impaired Environmental Interpretation Syndrome Impaired Memory Decisional Conflict (Specify) Decreased Adaptive Capacity: Intracranial Self-Perception-Self-Concept Anxiety Body Image Disturbanc Chronic Low Self-Esteem Death Anxiety Fear Hopelessness Personal Identity Disturbance Powerlessness Risk for Powerlessness Risk for Loneliness Self-Mutilation Risk for Self-Mutilation Self-Esteem Disturbance Risk for Relocation Syndrome Situational Low Self-Esteem Risk for Suicide Role-Relationship Family Anticipatory Grieving Dysfunctional Grieving Chronic Sorrow Ineffective Role Performance Social Isolation or Social Rejection Social Isolation Impaired Social Interaction Relocation Stress Syndrome Interrupted Family Processes Interrupted Family Processes: Alcoholism Deficient Parenting Risk for Deficient Parenting Parental Role Conflict Risk for Altered Parent-Infant/Child Attachment Caregiver Role Strain Risk for Caregiver Role Strain Impaired Verbal Communication Risk for Violence: Self-Directed or Directed at Others Sexuality-Reproductive Ineffective Sexuality Patterns Sexual Dysfunction Rape-Trauma Syndrome Rape-Trauma Syndrome: Compound Reaction Rape-Trauma Syndrome: Silent Reaction Coping-Stress- Tolerance Ineffective Individual Coping Defensive Coping Ineffective Denial Impaired Adjustment Post-Trauma Response Family Coping: Readiness for Enhanced Ineffective Family Coping: Compromised Ineffective Family Coping: Disabling Ineffective Community Coping Readiness for Enhanced Community Coping Value-Belief Readiness for Enhanced Spiritual Well-Being Spiritual Distress (Distress of Human Spirit) Spiritual Distress, Risk for Nursing Diagnoses Through 14th NANDA Conference Activity Intolerance Insufficient energy for daily activities Activity Intolerance, Risk for Adjustment, Impaired Inability to modify lifestyle/behavior Airway Clearance, Ineffective Inability to clear secretions Allergy Response, Latex Allergy Response, Risk for Latex Anxiety Anxiety, Death Uneasy feeling of apprehension and an autonomic response, but the source of the apprehension is unknown Aspiration, Risk for Attachment, Risk for Impaired Parent/lnfan t/Child Body Image, Disturbed Body Temperature, Risk for Imbalanced Hypothermia, hyperthermia, or ineffective thermoregulation (fluctuation between hypothermia and hyperthermia) Bowel Incontinence Breastfeeding, Effective Breastfeeding, Ineffective Breastfeeding, Interrupted Breathing Pattern, Ineffective Inspiration/expiration is not adequate Cardiac Output, Decreased Inadequate cardiac output Caregiver Role Strain Caregiver Role Strain, Risk for Communication, Impaired Verbal Conflict, Decisional State of uncertainty about a course of action Conflict, Parental Role Confusion, Acute Confusion, Chronic Constipation Constipation, Perceived The patient believes that he or she is constipated and abuses laxatives, enemas, and suppositories to ensure a daily bowel movement Constipation, Risk for Coping, Ineffective Inability to appraise stressors or to use available stressors Coping, Ineffective Community Community activities are unsatisfactory for meeting needs of the community Coping, Readiness for Enhanced Community Coping Community activities to facilitate adaptation and problem solving to meet community needs Coping, Defensive The patient projects falsely positive selfevaluation to defend against perceived threats to self-esteem Coping, Compromised Family Behaviors of significant person to block the ability to adapt to the health challenge Coping, Disabled Family Behaviors of significant person to block the ability to adapt to the health challenge :j:Coping, Readiness for Enhanced Family Effective management of adaptive tasks by family members involved in patient care Denial, Ineffective Dentition, Impaired Development, Risk for Delayed Diarrhea Disuse Syndrome, Risk for Due to complications of immobility Diversional Activity, Deficient Dysreflexia, Autonomic Dysreflexia} Autonomic, Risk for Uninhibited sympathetic response of the nervous system to stressor with a spinal cord injury above T7 Energy Field, Disturbed Disrupted flow of energy around the individual with disharmony of body, mind} or spirit Environmental Interpretation Syndrome, Impaired Lack of orientation to person, place, and time over more than 3 to 6 months Failure to Thrive, Adult *Falls, Risk for Family Processes, Dysfunctional: Alcoholism Family Processes, Interrupted Fatigue Sense of exhaustion Fear Response to a recognized and realistic danger Fluid Volume, Deficient Fluid Volume, Excess Fluid Volume, Risk for Deficient Fluid Volume, Imbalanced, Risk for Gas Exchange, Impaired Oxygenation impaired at the alveolar capillary membrane Grieving, Anticipatory Emotional responses to potential loss Grieving, Dysfunctional Unsuccessful responses at working through the process of loss Growth and Development, Delayed Delayed norms for his or her age Growth, Risk for Disproportionate At risk for deviations in norms for his or her age Health Maintenance, Ineffective Inability to maintain health Health-Seeking Behaviors (Specify) Person is trying to alter habits to move toward a higher level of health Home Maintenance} Impaired Inability to maintaining safe home environment Hopelessness Hyperthermia Hypothermia Identity, Disturbed Personal Incontinence, Functional Urinary Incontinence} Reflex Urinary Incontinence} Stress Urinary Incontinence, Total Urinary Incontinence, Urge Urinary Incontinence, Risk for Urge Urinary Infant Behavior, Disorganized Infant Behavior, Risk for Disorganized Infant Behavior} Readiness for Enhanced Organized Infant Feeding Pattern, Ineffective Infection} Risk for Injury, Risk for Environment interacts negatively with patient's ability to adapt Injury, Risk for Perioperative-Positioning Intracranial Adaptive Capacity, Decreased The individual is experiencing increased intracranial pressure Knowledge} Deficient (Specify) Loneliness, Risk for Memory, Impaired Mobility, Impaired Bed Mobility} Impaired Physical Mobility, Impaired Wheelchair Nausea Neglect, Unilateral Neurovascular, Peripheral Dysfunction, Risk for Risk for experiencing lack of circulation, sensation, or motion in an extremity Noncompliance Failure to adhere to an agreed upon therapeutic plan Nutrition, Imbalanced, Less Than Body Requirements Insufficient intake of nutrients Nutrition, Imbalanced, More Than Body Requirements Excess intake of nutrients Nutrition, Imbalanced, Risk for More Than Body Requirements Oral Mucous Membrane, Impaired Pain, Acute Pain, Chronic Parenting, Impaired Parenting, Risk for Impaired Peripheral Neurovascular Dysfunction, Risk for Poisoning, Risk for Post -Trauma Syndrome Maladaptive response to trauma Post-Trauma Syndrome, Risk for Powerlessness Powerlessness, Risk for Protection, Ineffective Inability to protect self from internal or external threats to illness or injury such as with abnormal blood profiles or immunodeficiency Rape-Trauma Syndrome Rape-Trauma Syndrome: Compound Reaction Rape-Trauma Syndrome: Silent Reaction Relocation Stress Syndrome Disturbances resulting from transfer from one environment to another Relocation Stress Syndrome, Risk for Role Performance, Ineffective Self-Care Deficit, Bathing/Hygiene Self-Care Deficit, Dressing/Grooming Self-Care Deficit, Feeding Self-Care Deficit, Toileting Self-Esteem, Chronic Low Self-Esteem, Situational Low Self-Esteem, Risk for Situational Low *Self-Mutilation Self-Mutilation, Risk for Sensory Perception, Disturbed (Specify: Visual, Auditory, Kinesthetic, Gustatory, Tactile, Olfactory) Altered sensory perceptions with impaired response to stimuli Sexual Dysfunction Patient is experiencing a change in sexual function perceived as unsatisfying Sexuality Patterns, Ineffective Patient expresses concern about sexuality Skin Integrity, Impaired Skin Integrity, Risk for Impaired Sleep Deprivation Sleep Pattern, Disturbed Social Interaction, Impaired Insufficient, excessive, ineffective social exchanges Social Isolation Sorrow, Chronic Sorrow in response to continued loss such as throughout the trajectory of an illness Spiritual Distress Disruption in life principles that transcend nature Spiritual Distress, Risk for Spiritual Well-Being, Readiness for Enhanced Inner strength and harmony with self, others, and higher power and the environment Suffocation, Risk for Suicide, Risk for Surgical Recovery, Delayed Swallowing, Impaired Therapeutic Regimen: Effective Management Therapeutic Regimen: Ineffective Management Inability to integrate a treatment program into daily living Therapeutic Regimen: Community, Ineffective Management Therapeutic Regimen: Family, Ineffective Management Thermoregulation, Ineffective Thought Process, Disturbed Disrupted cognition Tissue Integrity, Impaired Altered body tissues due to any cause Tissue Perfusion, Ineffective (Specify Type: Renal, Cerebral, Cardiopulmonary, Gastrointestinal, Peripheral) Decreased tissue perfusion at capillary level Transfer Ability, Impaired Trauma, Risk for Urinary Elimination, Impaired Urinary Retention Ventilation, Impaired Spontaneous Ventilatory Weaning Response, Dysfunctional Violence, Risk for Other-Directed Violence, Risk for Self-Directed Walking, Impaired *Wandering .