This document lists over 200 nursing diagnoses approved by NANDA for 2003-2004. The diagnoses cover a wide range of issues including activity intolerance, anxiety, impaired mobility, nutrition imbalances, pain, risk for falls, therapeutic regimen management, urinary incontinence, and wound healing problems. The diagnoses address physical, psychological, social, and spiritual concerns that nurses assess and develop care plans to address.

1. 2003–2004 NANDA-Approved Nursing Diagnoses
Activity Intolerance Health Maintenance, Ineffective Self-Mutilation, Risk for
Activity Intolerance, Risk for Health-Seeking Behaviors (Specify) Sensory Perception, Disturbed (Specify: Visual,
Adaptive Capacity: Intracranial, Decreased Home Maintenance, Impaired Auditory, Kinesthetic, Gustatory, Tactile,
Adjustment, Impaired Hopelessness Olfactory)
Airway Clearance, Ineffective Hyperthermia Sexual Dysfunction
Anxiety Hypothermia Sexuality Patterns, Ineffective
Anxiety, Death Identity: Personal, Disturbed Skin Integrity, Impaired
Aspiration, Risk for Infant Behavior, Disorganized Skin Integrity, Risk for Impaired
Attachment, Parent/Infant/Child, Risk for Impaired Infant Behavior: Disorganized, Risk for Sleep Deprivation
Body Image, Disturbed Infant Behavior: Organized, Readiness for Sleep Pattern Disturbed
Body Temperature: Imbalanced, Risk for Enhanced Sleep, Readiness for Enhanced
Bowel Incontinence Infant Feeding Pattern, Ineffective Social Interaction, Impaired
Breastfeeding, Effective Infection, Risk for Social Isolation
Breastfeeding, Ineffective Injury, Risk for Sorrow, Chronic
Breastfeeding, Interrupted Knowledge, Deficient (Specify) Spiritual Distress
Breathing Pattern, Ineffective Knowledge (Specify), Readiness for Enhanced Spiritual Distress, Risk for
Cardiac Output, Decreased Latex Allergy Response Spiritual Well-Being, Readiness for Enhanced
Caregiver Role Strain Latex Allergy Response, Risk for Spontaneous Ventilation, Impaired
Caregiver Role Strain, Risk for Loneliness, Risk for Sudden Infant Death Syndrome, Risk for
Communication, Readiness for Enhanced Memory, Impaired Suffocation, Risk for
Communication: Verbal, Impaired Mobility: Bed, Impaired Suicide, Risk for
Confusion, Acute Mobility: Physical, Impaired Surgical Recovery, Delayed
Confusion, Chronic Mobility: Wheelchair, Impaired Swallowing, Impaired
Constipation Nausea Therapeutic Regimen Management: Community,
Constipation, Perceived Neurovascular Dysfunction: Peripheral, Risk for Ineffective
Constipation, Risk for Noncompliance (Specify) Therapeutic Regimen Management, Effective
Coping: Community, Ineffective Nutrition, Imbalanced: Less than Body Therapeutic Regimen Management: Family,
Coping: Community, Readiness for Enhanced Requirements Ineffective
Coping, Defensive Nutrition, Imbalanced: More than Body Therapeutic Regimen Management, Ineffective
Coping: Family, Compromised Requirements Therapeutic Regimen Management, Readiness for
Coping: Family, Disabled Nutrition, Imbalanced: More than Body Enhanced
Coping: Family, Readiness for Enhanced Requirements, Risk for Thermoregulation, Ineffective
Coping (Individual), Readiness for Enhanced Nutrition, Readiness for Enhanced Thought Processes, Disturbed
Coping, Ineffective Oral Mucous Membrane, Impaired Tissue Integrity, Impaired
Decisional Conflict (Specify) Pain, Acute Tissue Perfusion, Ineffective (Specify: Renal,
Denial, Ineffective Pain, Chronic Cerebral, Cardiopulmonary, Gastrointestinal,
Dentition, Impaired Parenting, Impaired Peripheral)
Development: Delayed, Risk for Parenting, Readiness for Enhanced Transfer Ability, Impaired
Diarrhea Parenting, Risk for Impaired Trauma, Risk for
Disuse Syndrome, Risk for Perioperative Positioning Injury, Risk for Unilateral Neglect
Diversional Activity, Deficient Poisoning, Risk for Urinary Elimination, Impaired
Dysreflexia, Autonomic Posttrauma Syndrome Urinary Elimination, Readiness for Enhanced
Dysreflexia, Autonomic, Risk for Posttrauma Syndrome, Risk for Urinary Incontinence, Functional
Energy Field, Disturbed Powerlessness Urinary Incontinence, Reflex
Environmental Interpretation Syndrome, Impaired Powerlessness, Risk for Urinary Incontinence, Stress
Failure to Thrive, Adult Protection, Ineffective Urinary Incontinence, Total
Falls, Risk for Rape-Trauma Syndrome Urinary Incontinence, Urge
Family Processes, Dysfunctional: Alcoholism Rape-Trauma Syndrome: Compound Reaction Urinary Incontinence, Risk for Urge
Family Processes, Interrupted Rape-Trauma Syndrome: Silent Reaction Urinary Retention
Family Processes, Readiness for Enhanced Relocation Stress Syndrome Ventilatory Weaning Response, Dysfunctional
Fatigue Relocation Stress Syndrome, Risk for Violence: Other-Directed, Risk for
Fear Role Conflict, Parental Violence: Self-Directed, Risk for
Fluid Balance, Readiness for Enhanced Role Performance, Ineffective Walking, Impaired
Fluid Volume, Deficient Self-Care Deficit: Bathing/Hygiene Wandering
Fluid Volume, Deficient, Risk for Self-Care Deficit: Dressing/Grooming
Fluid Volume, Excess Self-Care Deficit: Feeding
Fluid Volume, Imbalanced, Risk for Self-Care Deficit: Toileting
Gas Exchange, Impaired Self-Concept, Readiness for Enhanced
Grieving, Anticipatory Self-Esteem, Chronic Low Source. NANDA Nursing Diagnoses: Definitions
Grieving, Dysfunctional Self-Esteem, Situational Low and Classification, 2003–2004. Philadelphia:
Growth, Disproportionate, Risk for Self-Esteem, Risk for Situational Low North American Nursing Diagnosis Association.
Growth and Development, Delayed Self-Mutilation Used with permission.