Taber's<sup>®</sup> Cyclopedic Medical Dictionary, 23e

Appendix N1: Doenges, Murr, and Moorhouse's Diagnostic Divisions

Doenges, Murr, and Moorhouse's Diagnostic Divisions

ACTIVITY/REST—Ability to engage in necessary or desired activities of life (work and leisure) and to obtain adequate sleep or rest

Activity Intolerance

Activity Intolerance, risk for

Activity Planning, ineffective

Activity Planning, risk for ineffective

Disuse Syndrome, risk for

Diversional Activity, deficient

Fatigue

Insomnia

Lifestyle, sedentary

Mobility, impaired wheelchair

Sleep, readiness for enhanced

Sleep Deprivation

Sleep Pattern, disturbed

Transfer Ability, impaired

Walking, impaired

CIRCULATION—Ability to transport oxygen and nutrients necessary to meet cellular needs

Adaptive Capacity, decreased intracranial

Autonomic Dysreflexia

Autonomic Dysreflexia, risk for

Bleeding, risk for

Cardiac Output, decreased

Cardiac Output, risk for decreased

Cardiovascular Function, risk for impaired

Gastrointestinal Perfusion, risk for ineffective

Renal Perfusion, risk for ineffective

Shock, risk for

Tissue Perfusion, ineffective peripheral

Tissue Perfusion, risk for decreased cardiac

Tissue Perfusion, risk for ineffective cerebral

Tissue Perfusion, risk for ineffective peripheral

EGO INTEGRITY—Ability to develop and use skills and behaviors to integrate and manage life experiences

Anxiety [specify level]

Body Image, disturbed

Coping, defensive

Coping, ineffective

Coping, readiness for enhanced

Death Anxiety

Decisional Conflict

Decision-Making, readiness for enhanced

Denial, ineffective

Emancipated Decision-Making, impaired

Emancipated Decision-Making, readiness for enhanced

Emancipated Decision-Making, risk for impaired

Emotional Control, labile

Fear

Grieving

Grieving, complicated

Grieving, risk for complicated

Hope, readiness for enhanced

Hopelessness

Human Dignity, risk for compromised

Impulse Control, ineffective

Mood Regulation, impaired

Moral Distress

Personal Identity, disturbed

Personal Identity, risk for disturbed

Post-Trauma Syndrome [specify stage]

Post-Trauma Syndrome, risk for

Power, readiness for enhanced

Powerlessness

Powerlessness, risk for

Rape-Trauma Syndrome

Relationship, ineffective

Relationship, readiness for enhanced

Relationship, risk for ineffective

Religiosity, impaired

Religiosity, readiness for enhanced

Religiosity, risk for impaired

Relocation Stress Syndrome

Relocation Stress Syndrome, risk for

Resilience, impaired

Resilience, readiness for enhanced

Resilience, risk for impaired

Self-Concept, readiness for enhanced

Self-Esteem, chronic low

Self-Esteem, risk for chronic low

Self-Esteem, risk for situational low

Self-Esteem, situational low

Sorrow, Chronic

Spiritual Distress

Spiritual Distress, risk for

Spiritual Well-Being, readiness for enhanced

ELIMINATION—Ability to excrete waste products

Constipation

Constipation, chronic functional

Constipation, perceived

Constipation, risk for

Constipation, risk for chronic functional

Diarrhea

Elimination, impaired urinary

Elimination, readiness for enhanced urinary

Gastrointestinal Motility, dysfunctional

Gastrointestinal Motility, risk for dysfunctional

Incontinence, bowel

Incontinence, functional urinary

Incontinence, overflow urinary

Incontinence, reflex urinary

Incontinence, risk for urge urinary

Incontinence, stress urinary

Incontinence, urge urinary

Urinary Retention [acute/chronic]

FOOD/FLUID—Ability to maintain intake of and utilize nutrients and liquids to meet physiological needs

Blood Glucose Level, risk for unstable

Breast Milk, insufficient

Breastfeeding, ineffective

Breastfeeding, interrupted

Breastfeeding, readiness for enhanced

Dentition, impaired

Electrolyte Imbalance, risk for

Feeding Pattern, ineffective infant

Fluid Balance, readiness for enhanced

[Fluid Volume, deficient (hyper/hypotonic)]

Fluid Volume, deficient [isotonic]

Fluid Volume, excess

Fluid Volume, risk for deficient

Fluid Volume, risk for imbalanced

Liver Function, risk for impaired

Mucous Membrane, impaired oral

Mucous Membrane, impaired oral, risk for

Nausea

Nutrition: less than body requirements, imbalanced

Nutrition, readiness for enhanced

Obesity

Overweight

Overweight, risk for

Swallowing, impaired

HYGIENE—Ability to perform activities of daily living

Self-Care, readiness for enhanced

Self-Care Deficit, bathing

Self-Care Deficit, dressing

Self-Care Deficit, feeding

Self-Care Deficit, toileting

Self-Neglect

NEUROSENSORY—Ability to perceive, integrate, and respond to internal and external cues

Behavior, disorganized infant

Behavior, readiness for enhanced organized infant

Behavior, risk for disorganized infant

Confusion, acute

Confusion, chronic

Confusion, risk for acute

Dysfunction, risk for peripheral neurovascular

Memory, impaired

Sensory/Perception, disturbed (specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory)

Stress Overload

Unilateral Neglect

PAIN/DISCOMFORT—Ability to control internal and external environment to maintain comfort

Comfort, impaired

Comfort, readiness for enhanced

Pain, acute

Pain, chronic

Pain, labor

Pain Syndrome, chronic

RESPIRATION—Ability to provide and use oxygen to meet physiological needs

Airway Clearance, ineffective

Aspiration, risk for

Breathing Pattern, ineffective

Gas Exchange, impaired

Ventilation, impaired spontaneous

Ventilatory Weaning Response, dysfunctional

SAFETY—Ability to provide safe, growth-promoting environment

Allergy Response, risk for

Body Temperature, risk for imbalanced

Childbearing Process, readiness for enhanced

Contamination

Contamination, risk for

Dry Eye, risk for

Falls, risk for

Frail Elderly Syndrome

Frail Elderly Syndrome, risk for

Health Maintenance, ineffective

Home Maintenance, impaired

Hyperthermia

Hypothermia

Hypothermia, risk for

Hypothermia, risk for perioperative

Infection, risk for

Injury, risk for

Injury, risk for corneal

Injury, risk for urinary tract

Jaundice, neonatal

Jaundice, risk for neonatal

Latex Allergy Response

Latex Allergy Response, risk for

Maternal-Fetal Dyad, risk for disturbed

Mobility, impaired bed

Mobility, impaired physical

Poisoning, risk for

Positioning Injury, risk for perioperative

Pressure Ulcer, risk for

Protection, ineffective

Reaction to Iodinated Contrast Media, risk for adverse

Self-Mutilation

Self-Mutilation, risk for

Sitting, impaired

Skin Integrity, impaired

Skin Integrity, impaired, risk for

Standing, impaired

Sudden Infant Death Syndrome, risk for

Suffocation, risk for

Suicide, risk for

Surgical Recovery, delayed

Surgical Recovery, risk for delayed

Thermal Injury, risk for

Thermoregulation, ineffective

Tissue Integrity, impaired

Tissue Integrity, risk for impaired

Trauma, risk for

Trauma, risk for vascular

Violence, risk for other-directed

Violence, risk for self-directed

Wandering [specify sporadic or continual]

SEXUALITY—[Component of Ego Integrity and Social Interaction] Ability to meet requirements/characteristics of male/female roles

Childbearing Process, ineffective

Childbearing Process, readiness for enhanced

Childbearing Process, risk for ineffective

Sexual Dysfunction

Sexuality Pattern, ineffective

SOCIAL INTERACTION—Ability to establish and maintain relationships

Attachment, risk for impaired parent/child

Communication, impaired, verbal

Communication, readiness for enhanced

Coping, compromised family

Coping, disabled family

Coping, ineffective community

Coping, readiness for enhanced community

Coping, readiness for enhanced family

Family Processes, dysfunctional

Family Processes, interrupted

Family Processes, readiness for enhanced

Loneliness, risk for

Parenting, impaired

Parenting, readiness for enhanced

Parenting, risk for impaired

Role Conflict, parental

Role Performance, ineffective

Role Strain, caregiver

Role Strain, risk for caregiver

Social Interaction, impaired

Social Isolation

TEACHING/LEARNING—Ability to incorporate and use information to achieve healthy lifestyle/optimal wellness

Development, risk for delayed

Growth, risk for disproportionate

Health, deficient community

Health Management, ineffective

Health Management, ineffective family

Health Management, readiness for enhanced

Knowledge, deficient [Learning Need (specify)]

Knowledge, readiness for enhanced

Noncompliance

NOTE: Information that appears in brackets has been added by the authors to clarify and enhance the use of nursing diagnoses.

SOURCE: Adapted from Doenges, M.E., Moorhouse, M.F., and Geissler-Murr, A.C.: Nurse's Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales, ed. 14, F.A. Davis, Philadelphia, 2016, with permission.

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Appendix N1: Doenges, Murr, and Moorhouse's Diagnostic Divisions

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