Domain 1. Health promotion

Class 1. Health awareness

• Decreased diversional activity engagement
• Risk for decreased diversional activity engagement
• Excessive sedentary behaviors
• Risk for excessive sedentary behaviors
• Imbalanced energy field

Class 2. Health management

• Inefective health self-management
• Risk for inefective health self-management
• Readiness for enhanced health self-management
• Inefective family health management
• Risk for inefective family health management
• Inefective community health management
• Risk for inefective community health management
• Risk for inefective blood glucose pattern self-management
• Inefective dry eye self-management
• Inefective dry mouth self-management
• Risk for inefective dry mouth self-management
• Inefective fatigue self-management
• Inefective lymphedema self-management
• Risk for inefective lymphedema self-management
• Inefective nausea self-management
• Inefective pain self-management
• Readiness for enhanced weight self-management
• Inefective overweight self-management
• Risk for inefective overweight self-management
• Inefective underweight self-management
• Risk for inefective underweight self-management
• Inefective health maintenance behaviors
• Risk for inefective health maintenance behaviors
• Inefective home maintenance behaviors
• Risk for inefective home maintenance behaviors
• Readiness for enhanced home maintenance behaviors
• Readiness for enhanced exercise engagement
• Inadequate health literacy
• Risk for inadequate health literacy
• Readiness for enhanced health literacy
• Readiness for enhanced healthy aging
• Elder frailty syndrome
• Risk for elder frailty syndrome

Domain 2. Nutrition

Class 1. Ingestion

• Inadequate nutritional intake
• Risk for inadequate nutritional intake
• Readiness for enhanced nutritional intake
• Inadequate protein energy nutritional intake
• Risk for inadequate protein energy nutritional intake
• Inefective chestfeeding
• Risk for inefective chestfeeding
• Disrupted exclusive chestfeeding
• Risk for disrupted exclusive chestfeeding
• Readiness for enhanced chestfeeding
• Inadequate human milk production
• Risk for inadequate human milk production
• Inefective infant feeding dynamics
• Inefective child eating dynamics
• Inefective adolescent eating dynamics
• Impaired swallowing

Class 2. Digestion

• This class does not currently contain any diagnoses

Class 3. Absorption

• This class does not currently contain any diagnoses

Class 4. Metabolism

• Neonatal hyperbilirubinemia
• Risk for neonatal hyperbilirubinemia

Class 5. Hydration

• Risk for impaired water-electrolyte balance
• Risk for impaired fluid volume balance
• Excessive fluid volume
• Risk for excessive fluid volume
• Inadequate fluid volume
• Risk for inadequate fluid volume

Domain 3. Elimination and exchange

Class 1. Urinary function

• Impaired urinary elimination
• Risk for urinary retention
• Disability-associated urinary incontinence
• Mixed urinary incontinence
• Stress urinary incontinence
• Urge urinary incontinence
• Risk for urge urinary incontinence

Class 2. Gastrointestinal function

• Impaired gastrointestinal motility
• Risk for impaired gastrointestinal motility
• Impaired intestinal elimination
• Risk for impaired intestinal elimination
• Chronic functional constipation
• Risk for chronic functional constipation
• Impaired fecal continence
• Risk for impaired fecal continence

Class 3. Integumentary function

• This class does not currently contain any diagnoses

Class 4. Respiratory function

• Impaired gas exchange

Domain 4. Activity / rest Class 1. Sleep / rest

• Inefective sleep pattern
• Risk for inefective sleep pattern
• Readiness for enhanced sleep pattern
• Inefective sleep hygiene behaviors
• Risk for inefective sleep hygiene behaviors

Class 2. Activity / exercise

• Impaired physical mobility
• Risk for impaired physical mobility
• Impaired bed mobility
• Impaired wheelchair mobility
• Impaired sitting ability
• Impaired standing ability
• Impaired transferring ability
• Impaired walking ability

Class 3. Energy balance

• Decreased activity tolerance
• Risk for decreased activity tolerance
• Excessive fatigue burden
• Impaired surgical recovery
• Risk for impaired surgical recovery

Class 4. Cardiovascular / pulmonary responses

• Risk for impaired cardiovascular function
• Risk for imbalanced blood pressure
• Risk for decreased cardiac output
• Risk for inefective cerebral tissue perfusion
• Inefective peripheral tissue perfusion
• Risk for inefective peripheral tissue perfusion
• Inefective breathing pattern
• Impaired spontaneous ventilation
• Impaired child ventilatory weaning response
• Impaired adult ventilatory weaning response

Class 5. Self-care

• Decreased self-care ability syndrome
• Risk for decreased self-care ability syndrome
• Readiness for enhanced self-care abilities
• Decreased bathing abilities
• Decreased dressing abilities
• Decreased feeding abilities
• Decreased grooming abilities
• Decreased toileting abilities
• Inefective oral hygiene behaviors
• Risk for inefective oral hygiene behaviors

Domain 5. Perception / cognition

Class 1. Attention

• This class does not currently contain any diagnoses

Class 2. Orientation

• This class does not currently contain any diagnoses

Class 3. Sensation / perception

 This class does not currently contain any diagnoses

Class 4. Cognition 

• Acute confusion
• Risk for acute confusion
• Chronic confusion
• Inefective impulse control
• Disrupted thought processes
• Inadequate health knowledge
• Readiness for enhanced health knowledge
• Impaired memory
• Impaired decision-making
• Readiness for enhanced decision-making
• Impaired emancipated decision-making
• Risk for impaired emancipated decision-making
• Readiness for enhanced emancipated decision-making

Class 5. Communication 

• Impaired verbal communication
• Risk for impaired verbal communication
• Readiness for enhanced verbal communication

Domain 6. Self-perception

Class 1. Self-concept

• Readiness for enhanced self-concept
• Disrupted personal identity
• Disrupted family identity syndrome
• Risk for disrupted family identity syndrome
• Risk for impaired human dignity
• Readiness for enhanced transgender social identity

Class 2. Self-esteem

•  Chronic inadequate self-esteem
• Risk for chronic inadequate self-esteem
• Situational inadequate self-esteem
• Risk for situational inadequate self-esteem
• Inadequate health self-eficacy

Class 3. Body image

•  Disrupted body image

Domain 7. Role relationship

Class 1. Caregiving roles

• Impaired parenting behaviors
• Risk for impaired parenting behaviors
• Readiness for enhanced parenting behaviors
• Excessive parental role conflict

Class 2. Family relationships 

• Disrupted family interaction patterns
• Risk for disrupted family interaction patterns
• Impaired family processes
• Readiness for enhanced family processes
• Risk for disrupted attachment behaviors

Class 3. Role performance 

• Inefective role performance
• Inefective intimate partner relationship
• Risk for inefective intimate partner relationship
• Readiness for enhanced intimate partner relationship
• Impaired social interaction
• Inefective childbearing process
• Risk for inefective childbearing process
• Readiness for enhanced childbearing process

Domain 8. Sexuality

Class 1. Sexual identity

• This class does not currently contain any diagnoses

Class 2. Sexual function

•  Impaired sexual function

Class 3. Reproduction

•  Risk for impaired maternal-fetal dyad

Domain 9. Coping / stress tolerance

Class 1. Post-trauma responses

• Post-trauma syndrome
• Risk for post-trauma syndrome
• Risk for disrupted immigration transition

Class 2. Coping responses

•  Maladaptive coping
• Readiness for enhanced coping
• Maladaptive family coping
• Readiness for enhanced family coping
• Maladaptive community coping
• Readiness for enhanced community coping
• Excessive caregiving burden
• Risk for excessive caregiving burden
• Maladaptive grieving
• Risk for maladaptive grieving
• Readiness for enhanced grieving
• Impaired resilience
• Risk for impaired resilience
• Readiness for enhanced resilience
• Readiness for enhanced hope
• Inadequate self-compassion
• Excessive anxiety
• Excessive death anxiety
• Excessive fear

Class 3. Neurobehavioral responses 

• Risk for autonomic dysreflexia
• Inefective emotion regulation
• Impaired mood regulation
• Acute substance withdrawal syndrome
• Risk for acute substance withdrawal syndrome
• Risk for impaired human connection
• Impaired human connection

Domain 10. Life principles

Class 1. Values

• Impaired personal identity
• Risk for impaired personal identity
• Impaired life principles
• Risk for impaired life principles
• Readiness for enhanced life principles

Class 2. Beliefs

•  Impaired religious coping
• Risk for impaired religious coping
• Readiness for enhanced religious coping

Class 3. Value / belief / action congruence 

• Inadequate value-belief-action congruence
• Risk for inadequate value-belief-action congruence

Domain 11. Safety / protection

Class 1. Infection

• Risk for infection
• Risk for perioperative positioning injury
• Risk for surgical site infection
• Risk for healthcare-associated infection
• Risk for communicable disease transmission
• Risk for multidrug-resistant organism transmission

Class 2. Physical injury

•  Risk for falls
• Risk for trauma
• Risk for injury
• Risk for adverse reaction to iodinated contrast media
• Risk for perioperative injury
• Risk for self-injury
• Risk for maternal injury
• Risk for neonatal injury
• Risk for poisoning
• Risk for violence
• Risk for female genital mutilation
• Risk for abusive behaviors

Class 3. Violence 

• Risk for sexual violence
• Risk for sexual assault
• Risk for human traficking victimization
• Risk for elder abuse

Class 4. Environmental hazards 

• Risk for environmental hazard exposure
• Risk for workplace injury
• Risk for community hazard exposure

Class 5. Defensive processes 

• Risk for impaired immune response
• Inefective immune response

Class 6. Thermoregulation

• Hypothermia
• Risk for hypothermia
• Hyperthermia
• Risk for hyperthermia
• Risk for neonatal thermoregulation imbalance

Domain 12. Comfort

Class 1. Physical comfort

• Acute pain
• Chronic pain
• Readiness for enhanced comfort
• Impaired comfort

Class 2. Environmental comfort

•  Impaired environmental comfort

Class 3. Social comfort

•  Impaired social comfort

Domain 13. Growth / development

Class 1. Growth

• Delayed growth
• Risk for delayed growth
• Readiness for enhanced growth

Class 2. Development

• Delayed child development
• Risk for delayed child development
• Delayed adolescent development
• Risk for delayed adolescent development
• Readiness for enhanced child development
• Readiness for enhanced adolescent development
• Delayed infant development
• Risk for delayed infant development
• Delayed motor development
• Risk for delayed motor development
• Impaired neurodevelopmental organization
• Risk for impaired neurodevelopmental organization
• Readiness for enhanced neurodevelopmental organization
• Inefective infant suck-swallow response
• Impaired infant attachment
• Risk for impaired infant attachment