United States Health Information Knowledgebase

 

Nursing Diagnoses


Name:Nursing Diagnoses
Type:Data Element
Source:Sabacare, Inc.
Definition:Nursing Diagnoses.
Registration Authority:Sabacare, Inc.
Status:Recorded
Example:No example available for this data element
Administrative Attributes
Responsible Organization:Sabacare, Inc.
Submitting Organization:Sabacare, Inc.
Steward Organization:Sabacare, Inc.
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Value Domain:Nursing Diagnoses Generic_VD
Representational Form:ANN.N
Representational Layout:ANN.N
Minimum Size:5
Maximum Size:5
Unit of Measure:Not Provided
Unit of Measure Precision:0
Minimum Range:0
Maximum Range:0
Value Domain:Nursing Diagnoses_VD Representational Form:ANN.N Representational Layout:null Minimum Size:5 Maximum Size:5 Unit of Measure:Not Provided Unit of Measure Precision:0 Minimum Range:0 Maximum Range:0
Permissible Values for: Nursing Diagnoses
Code / Value Meaning Meaning Definition Text
A01.0 Activity Alteration Change in or modification of energy used by the body.
A01.1 Activity Intolerance Incapacity to carry out physiological or psychological daily activities.
A01.2 Activity Intolerance Risk Increased chance of an incapacity to carry out physiological or psychological daily activities.
A01.3 Diversional Activity Deficit Lack of interest or engagement in leisure activities.
A01.4 Fatigue Exhaustion that interferes with physical and mental activities.
A01.5 Physical Mobility Impairment Diminished ability to perform independent movement.
A01.6 Sleep Pattern Disturbance Imbalance in the normal sleep-wake cycle.
A01.7 Sleep Deprivation Lack of the normal sleep - wake cycle.
A02.0 Musculoskeletal Alteration Change in or modification of the muscles, bones or support structures.
B03.0 Bowel Elimination Alteration Change in or modification of the gastrointestinal system.
B03.1 Bowel Incontinence Involuntary defecation.
B03.2 Colonic Constipation Infrequent or difficult passage of hard, dry feces.
B03.3 Diarrhea Abnormal frequency and fluidity of feces.
B03.4 Fecal Impaction Feces wedged in intestine.
B03.5 Perceived Constipation Belief and treatment of infrequent or difficult passage of feces without cause.
B03.6 Unspecified Constipation Other forms of abnormal feces or difficult passage of feces.
B04.0 Gastrointestinal Alteration Change in or modification of the stomach or intestines.
B51.0 Nausea Distaste for food fluids and an urge to vomit.
C05.0 Cardiac Alteration Change in or modification of the pumping action of the heart.
C06.0 Cardiovascular Alteration Change in or modification of the heart or blood vessels.
C06.1 Blood Pressure Alteration Change in or modification of the systolic or diastolic pressure.
D07.0 Cerebral Alteration Change in or modification of thought processes or mentation.
D07.1 Confusion State of being disoriented (mixed-up).
D08.0 Knowledge Deficit Lack of information, understanding, or comprehension.
D08.1 Knowledge Deficit of Diagnostic Test Lack of information on tests to identify disease or assess health condition.
D08.2 Knowledge Deficit of Dietary Regimen Lack of information on the prescribed food or fluid intake
D08.3 Knowledge Deficit of Disease Process Lack of information on the morbidity, course, or treatment of the health
D08.4 Knowledge Deficit of Fluid Volume Lack of information on fluid volume intake requirements.
D08.5 Knowledge Deficit of Medication Regimen Lack of information on prescribed regulated course of medicinal.
D08.6 Knowledge Deficit of Safety Precautions Lack of information on measures to prevent injury, danger, or loss.
D08.7 Knowledge Deficit of Therapeutic Regimen Lack of information on regulated course of treating disease.
D09.0 Thought Processes Alteration Change in or modification of cognitive processes.
D09.1 Memory Impairment Diminished or inability to recall past events.
E10.0 Dying Process Physical and behavioral responses associated with death.
E11.0 Family Coping Impairment Inadequate family response to problems or difficulties.
E11.1 Compromised Family Coping Inability of family to function optimally.
E11.2 Disabled Family Coping Dysfunctional ability of family to function.
E12.0 Individual Coping Impairment Inadequate personal response to problems or difficulties.
E12.1 Adjustment Impairment Inadequate adaptation to condition or change in health status.
E12.2 Decisional Conflict Struggle related to determining a course of action.
E12.3 Defensive Coping Self-protective strategies to guard against threats to self.
E12.4 Denial Attempt to reduce anxiety by refusal to accept thoughts, feelings, or facts.
E13.0 Post-Trauma Response Sustained behavior related to a traumatic event.
E13.1 Rape Trauma Syndrome Group of symptoms related to a forced sexual act.
E14.0 Spiritual State Alteration Change in or modification of the spirit or soul.
E14.1 Spiritual Distress Anguish related to the spirit or soul.
E52.0 Community Coping Impairment Inadequate community response to problems or difficulties.
E53.0 Grieving Feeling of great sorrow.
E53.1 Anticipatory Grieving Feeling great sorrow before the event or loss.
E53.2 Dysfunctional Grieving Prolonged feeling of great sorrow.
F15.0 Fluid Volume Alteration Change in or modification of bodily fluid.
F15.1 Fluid Volume Deficit Dehydration
F15.2 Fluid Volume Deficit Risk Increased chance of dehydration.
F15.3 Fluid Volume Excess Fluid retention, overload, or edema
F15.4 Fluid Volume Excess Risk Increased chance of fluid retention, overload, or edema.
G17.0 Health Maintenance Alteration Change in or modification of ability to manage health related needs
G17.1 Failure to Thrive Inability to grow and develop normally.
G18.0 Health Seeking Behavior Alteration Change in or modification of actions needed to improve health state.
G19.0 Home Maintenance Alteration Inability to sustain a safe, healthy environment.
G20.0 Noncompliance Failure to follow therapeutic recommendations.
G20.1 Noncompliance of Diagnostic Test Failure to follow therapeutic recommendations on tests to identify disease or assess health condition.
G20.2 Noncompliance of Dietary Regimen Failure to follow the prescribed food or fluid intake.
G20.3 Noncompliance of Fluid Volume Failure to follow fluid volume intake requirements
G20.4 Noncompliance of Medication Regimen Failure to follow prescribed regulated course of medicinal substances.
G20.5 Noncompliance of Safety Precautions Failure to follow measures to prevent injury, danger, or loss.
G20.6 Noncompliance of Therapeutic Regimen Failure to follow regulated course of treating disease.
H21.0 Medication Risk Increased chance of negative response to medicinal substance.
H21.1 Polypharmacy Use of two or more drugs together.
I22.0 Endocrine Alteration Change in or modification of internal secretions or hormones.
I23.0 Immunologic Alteration Change in or modification of the immune system.
I23.1 Protection Alteration Change in or modification of the ability to guard against internal or external threats to the body.
J24.0 Nutrition Alteration Change in or modification of food or nutrients.
J24.1 Body Nutrition Deficit Less than adequate intake or absorption of food or nutrients.
J24.2 Body Nutrition Deficit Risk Increased chance of less than adequate intake or absorption of food or nutrients.
J24.3 Body Nutrition Excess More than adequate intake or absorption of food or nutrients.
J24.4 Body Nutrition Excess Risk Increased chance of more than adequate intake or absorption of food or nutrients
J24.5 Swallowing Impairment Inability to move food from mouth to stomach.
J54.0 Infant Feeding Pattern Impairment Imbalance in the normal feeding habits of an infant.
J55.0 Breast feeding Impairment Diminished ability to nourish infant at the breast.
K25.0 Physical Regulation Alteration Change in or modification of somatic control.
K25.1 Autonomic Dysreflexia Life threatening inhibited sympathetic response to a noxious stimuli in a person with a spinal cord injury at T7 or above.
K25.2 Hyperthermia Abnormal high body temperature.
K25.3 Hypothermia Subnormal low body temperature.
K25.4 Thermoregulation Impairment Fluctuation of temperature between hypothermia and hyperthermia.
K25.5 Infection Risk Increased change of contamination with disease-producing germs.
K25.6 Infection Unspecified Unknown contamination with disease-producing germs.
K25.7 Intracranial Adaptive Capacity Impairment Intracranial fluid volumes are compromised.
L26.0 Respiration Alteration Change in or modification of the breathing function.
L26.1 Airway Clearance Impairment Inability to clear secretions obstructions in airway.
L26.2 Breathing Pattern Impairment Inadequate inhalation or exhalation.
L26.3 Gas Exchange Impairment Imbalance of oxygen and carbon dioxide transfer between lung and
L56.0 Ventilatory Weaning Impairment Inability to tolerate decreased levels of ventilator support.
M27.0 Role Performance Alteration Change in or modification of carrying out responsibilities.
M27.1 Parental Role Conflict Struggle with parental position and responsibilities.
M27.2 Parenting Alteration Change in or modification of nurturing figures ability to promote growth and development of infant child.
M27.3 Sexual Dysfunction Deleterious change in sex response.
M27.4 Caregiver Role Strain Excessive tension of one who gives physical or emotional care and support to another person or patient.
M28.0 Communication Impairment Diminished ability to exchange thoughts, opinions, or information.
M28.1 Verbal Impairment Diminished ability to exchange thoughts, opinions, or information through speech.
M29.0 Family Process Alteration Change in or modification of usual functioning of a related group.
M31.0 Sexuality Patterns Alteration Change in or modification of persons sexual response.
M32.0 Socialization Alteration Change in or modification of personal identity.
M32.1 Social Interaction Alteration Inadequate quantity or quality of personal relations.
M32.2 Social Isolation State of aloneness, lack of interaction with others.
M32.3 Relocation Stress Syndrome Excessive tension from moving to a new location.
N33.0 Injury Risk Increased chance of danger or loss.
N33.1 Aspiration Risk Increased chance of material into trachea-bronchial passages.
N33.2 Disuse Syndrome Group of symptoms related to effects of immobility.
N33.3 Poisoning Risk Exposure to or ingestion of dangerous products
N33.4 Suffocation Risk Increase chance of inadequate air for breathing.
N33.5 Trauma Risk Increased chance of accidental tissue injury.
N34.0 Violence Risk Increased chance of harming self or others.
N34.1 Suicide Risk Increased chance of taking ones life intentionally.
N34.2 Self Mutilation Risk Increased chance of destroying a limb or essential part of the body.
N57.0 Perioperative Injury Risk Increased chance of injury during the operative processes
N57.1 Perioperative Positioning Injury Damages from operative process positioning.
N57.2 Surgical Recovery Delay Slow or delayed recovery from a surgical procedure
N58.0 Substance Abuse Excessive use of harmful bodily materials.
N58.1 Tobacco Abuse Excessive use of tobacco products.
N58.2 Alcohol Abuse Excessive use of distilled liquors.
N58.3 Drug Abuse Excessive use of habit forming medications.
O35.0 Bathing/Hygiene Deficit Hygiene Deficit Impaired ability to cleanse oneself.
O36.0 Dressing/Grooming Deficit Grooming Deficit Impaired ability to clothe and groom oneself.
O37.0 Feeding Deficit Impaired ability to feed oneself.
O38.0 Self Care Deficit Impaired ability to maintain oneself.
O38.1 Activities of Daily Living (ADLs) Alteration Change in modification of ability to maintain oneself.
O38.2 Instrumental Activities of Daily Living (IADLs) Alteration Change in or modification of more complex activities than those needed to maintain oneself.
O39.0 Tilting Deficit Impaired ability to urinate or defecate for oneself.
P40.0 Anxiety Feeling of distress or apprehension whose source is unknown.
P41.0 Fear Feeling of dread or distress whose cause can be identified.
P42.0 Meaningfulness Alteration Change in or modification of the ability to see the significance, purpose, or value in something.
P42.1 Hopelessness Feeling of despair or futility and passive abandonment.
P42.2 Powerlessness Feeling of helplessness, or inability to act.
P43.0 Self Concept Alteration Change in or modification of ability to maintain one's image of self.
P43.1 Body Image Distribution Imbalance in the perception of the way one's body looks.
P43.2 Personal Identity Disturbance Imbalance in the ability to distinguish between the self and the non-self.
P43.3 Chronic Low Self-Esteem Disturbance Persistent negative evaluation of oneself.
P43.4 Situational Self-Esteem Disturbance Negative evaluation of oneself in response to a loss or change.
Q44.0 Sensory Perceptual Alteration Change in or modification of the response to stimuli.
Q44.1 Auditory Alteration Diminished ability to hear.
Q44.2 Gustatory Alteration Diminished ability to taste
Q44.3 Kinesthetic Alteration Diminished ability to move
Q44.4 Olfactory Alteration Diminished ability to smell.
Q44.5 Tactile Alteration Diminished ability to feel.
Q44.6 Unilateral Neglect Lack of awareness of one side of the body.
Q44.7 Visual Alteration A diminished ability to see.
Q45.0 Comfort Alteration Change in or modification of sensation that is distressing.
Q45.1 Acute Pain Physical suffering or distress to hurt.
Q45.2 Chronic Pain Pain that continues for longer than expected.
Q45.3 Unspecified Pain Pain that is difficult to pinpoint.
R46.0 Tissue Integrity Alteration Change in or modification of the mucous membrane, corneal, integumentary, or subcutaneous structures.
R46.1 Oral Mucous Membranes Impairment Diminished ability to maintain the tissues of the oral cavity.
R46.2 Skin Integrity Impairment Diminished ability to maintain the integument.
R46.3 Skin Integrity Impairment Risk Increased chance of skin breakdown.
R46.4 Skin Incision Cutting of the integument.
R46.5 Latex Allergy Response Pathological reaction to latex products
R47.0 Peripheral Alteration Change in or modification of vascularization of the extremities.
S48.0 Tissue Perfusion Alteration Change in or modification of the oxygenation of tissues.
T49.0 Urinary Elimination Alteration Change in or modification of excretion of the waste matter of the kidneys.
T49.1 Functional Urinary Incontinence Involuntary unpredictable passage of urine.
T49.2 Reflex Urinary Incontinence Involuntary passage of urine occurring at predictable intervals.
T49.3 Stress Urinary Incontinence Loss of urine occurring with increased abdominal pressure.
T49.4 Total Urinary Incontinence Continuous and unpredictable loss of urine.
T49.5 Urge Urinary Incontinence Involuntary passage of urine following a sense of urgency to void.
T49.6 Urinary Retention Incomplete emptying of the bladder.
T50.0 Renal Alteration Change in or modification of the kidney function.
U59.0 Reproductive Risk Increased chance of harm in the process of replicating or giving rise to an offspring /child.
U59.1 Fertility Risk Increased chance of conception to develop an offspring/child.
U59.2 Infertility Risk Decreased chance of conception to develop an offspring/child.
U59.3 Contraceptive Risk Increased chance of harm by preventing the conception of an offspring/child.
U60.0 Perinatal Risk Increased chance of harm before, during, and immediately after the creation of an offspring child.
U60.1 Pregnancy Risk Increased chance of harm during the gestational period of the formation of an offspring child.
U60.2 Labor Risk Increased chance of harm during the period supporting the bringing forth of an offspring.
U60.3 Delivery Risk Increased chance of harm during the period supporting the expulsion of an offspring child at birth.
U60.4 Postpartum Risk Increased chance of harm during the time period immediately following the delivery of an offspring child.
U61.0 Growth & Development Alteration Change in or modification of the norms for an individual's age.
U61.1 Newborn Behavior Alteration Change in or modification of the normal standards of performing developmental skills and behavior of a typical newborn the first 30 days of life.
U61.2 Infant Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical infant from 31 days through 11 months of age
U61.3 Child Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical child from 1 year through 11 years of age.
U61.4 Adolescent Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical adolescent from 12 years through 20 years of age.
U61.5 Adult Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical adult from 21 years through64 years of age.
U61.6 Older Adult Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical older adult from 65 years of age and over.

There are no Conceptual Domains linked to Nursing Diagnoses.

Relationship Organization Item
is utilized by Sabacare Nursing Diagnoses   
Relationship Organization Item
utilizes Sabacare Nursing Diagnoses Generic_VD   
utilizes Sabacare Nursing Diagnoses_VD   
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