The Clinical Classification System - Evidence Based Coding
CCC Manual

Terminology Tables

Nursing Diagnosis: Sorted by Concept

The table below represents Nursing Diagnoses in the CCC System, sorted by Concept. Within this table, 59 Major Categories and 123 Subcategories (182 total) are represented. Note that the sort order may be changed by clicking on the column headings in the table. For more information, please visit the "Nursing Diagnoses" and "Framework" sections of this website.

Component Code Concept Sort arrow pointing down Definition
O (Self-Care) 38.1 Activities of Daily Living (ADLs) Alteration Change in modification of ability to maintain oneself
A (Activity) 01 Activity Alteration Change in or modification of energy used by the body
A (Activity) 01.1 Activity Intolerance Incapacity to carry out physiological or psychological daily activities
A (Activity) 01.2 Activity Intolerance Risk Increased chance of an incapacity to carry out physiological or psychological daily activities
Q (Sensory) 45.1 Acute Pain Physical suffering or distress; to hurt
E (Coping) 12.1 Adjustment Impairment Inadequate adaptation to condition or change in health status
U (Life Cycle) 61.4 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
U (Life Cycle) 61.5 Adult Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical adult from 21 years through 64 years of age
L (Respiratory) 26.1 Airway Clearance Impairment Inability to clear secretions/obstructions in airway
N (Safety) 58.2 Alcohol Abuse Excessive use of distilled liquors
E (Coping) 53.1 Anticipatory Grieving Feeling great sorrow before the event or loss
P (Self-Concept) 40 Anxiety Feeling of distress or apprehension whose source is unknown
N (Safety) 33.1 Aspiration Risk Increased chance of material into trachea-bronchial passages
Q (Sensory) 44.1 Auditory Alteration Diminished ability to hear
K (Physical Regulation) 25.1 Autonomic Dysreflexia Life threatening inhibited sympathetic response to a noxious stimuli in a person with a spinal cord injury at T7 or above
O (Self-Care) 35 Bathing/Hygiene Deficit Impaired ability to cleanse oneself
C (Cardiac) 06.1 Blood Pressure Alteration Change in or modification of the systolic or diastolic pressure
P (Self-Concept) 43.1 Body Image Disturbance Imbalance in the perception of the way one's body looks
J (Nutritional) 24.1 Body Nutrition Deficit Less than adequate intake or absorption of food or nutrients
J (Nutritional) 24.2 Body Nutrition Deficit Risk Increased chance of less than adequate intake or absorption of food or nutrients
J (Nutritional) 24.3 Body Nutrition Excess More than adequate intake or absorption of food or nutrients
J (Nutritional) 24.4 Body Nutrition Excess Risk Increased chance of more than adequate intake or absorption of food or,nutrients
B (Bowel/Gastric) 03 Bowel Elimination Alteration Change in or modification of the gastrointestinal system
B (Bowel/Gastric) 03.1 Bowel Incontinence Involuntary defecation
J (Nutritional) 55 Breastfeeding Impairment Diminished ability to nourish infant at the breast
Return to Top of Page
L (Respiratory) 26.2 Breathing Pattern Impairment Inadequate inhalation or exhalation
C (Cardiac) 05 Cardiac Output Alteration Change in or modification of the pumping action of the heart or blood vessels
C (Cardiac) 06 Cardiovascular Alteration Change in or modification of the heart or blood vessels
M (Role Relationship) 27.4 Caregiver Role Strain Excessive tension of one who gives physical or emotional care and support to another person or patient
D (Cognitive) 07 Cerebral Alteration Change in or modification of thought processes or mentation
U (Life Cycle) 61.3 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
P (Self-Concept) 43.3 Chronic Low Self-Esteem Disturbance Persistent negative evaluation of oneself
Q (Sensory) 45.2 Chronic Pain Pain that continues for longer than expected
B (Bowel/Gastric) 03.2 Colonic Constipation Infrequent or difficult passage of hard, dry feces
Q (Sensory) 45 Comfort Alteration Change in or modification of sensation that is distressing
M (Role Relationship) 28 Communication Impairment Diminished ability to exchange thoughts, opinions, or information
E (Coping) 52 Community Coping Impairment Inadequate community response to problems or difficulties
E (Coping) 11.1 Compromised Family Coping Inability of family to function optimally
D (Cognitive) 07.1 Confusion State of being disoriented (mixed-up)
U (Life Cycle) 59.3 Contraception Risk Increased chance of harm by preventing the conception of an offspring/child
E (Coping) 12.2 Decisional Conflict Struggle related to determining a course of action
E (Coping) 12.3 Defensive Coping Self-protective strategies to guard against threats to self
U (Life Cycle) 60.3 Delivery Risk Increased chance of harm during the period supporting the expulsion of an offspring / child at birth
E (Coping) 12.4 Denial Attempt to reduce anxiety by refusal to accept thoughts, feelings, or facts
B (Bowel/Gastric) 03.3 Diarrhea Abnormal frequency and fluidity of feces
E (Coping) 11.2 Disabled Family Coping Dysfunctional ability of family to function
N (Safety) 33.2 Disuse Syndrome Group of symptoms related to effects of immobility
A (Activity) 01.3 Diversional Activity Deficit Lack of interest or engagement in leisure activities
O (Self-Care) 36 Dressing/Grooming Deficit Impaired ability to clothe and groom oneself
N (Safety) 58.3 Drug Abuse Excessive use of habit forming medications
Return to Top of Page
E (Coping) 10 Dying Process Physical and behavioral responses associated with death
E (Coping) 53.2 Dysfunctional Grieving Prolonged feeling of great sorrow
I (Metabolic) 22 Endocrine Alteration Change in or modification of internal secretions or hormones
G (Health Behavioral) 17.1 Failure to Thrive Inability to grow and develop normally
E (Coping) 11 Family Coping Impairment Inadequate family response to problems or difficulties
M (Role Relationship) 29 Family Processes Alteration Change in or modification of usual functioning of a related group
A (Activity) 01.4 Fatigue Exhaustion that interferes with physical and mental activities
P (Self-Concept) 41 Fear Feeling of dread or distress whose cause can be identified
B (Bowel/Gastric) 03.4 Fecal Impaction Feces wedged in intestine
O (Self-Care) 37 Feeding Deficit Impaired ability to feed oneself
U (Life Cycle) 59.1 Fertility Risk Increased chance of conception to develop an offspring/child
F (Fluid Volume) 15 Fluid Volume Alteration Change in or modification of bodily fluid
F (Fluid Volume) 15.1 Fluid Volume Deficit Dehydration
F (Fluid Volume) 15.2 Fluid Volume Deficit Risk Increased chance of dehydration
F (Fluid Volume) 15.3 Fluid Volume Excess Fluid retention, overload, or edema
F (Fluid Volume) 15.4 Fluid Volume Excess Risk Increased chance of fluid retention, overload, or edema
T (Urinary Elimination) 49.1 Functional Urinary Incontinence Involuntary, unpredictable passage of urine
L (Respiratory) 26.3 Gas Exchange Impairment Imbalance of oxygen and carbon dioxide transfer between lung and vascular system
B (Bowel/Gastric) 04 Gastrointestinal Alteration Change in or modification of the stomach or intestines
E (Coping) 53 Grieving Feeling of great sorrow
U (Life Cycle) 61 Growth and Development Alteration Change in or modification of the norms for an individual's age
Q (Sensory) 44.2 Gustatory Alteration Diminished ability to taste
G (Health Behavioral) 17 Health Maintenance Alteration Change in or modification of ability to manage health-related needs
G (Health Behavioral) 18 Health Seeking Behavior Alteration Change in or modification of actions needed to improve health state
G (Health Behavioral) 19 Home Maintenance Alteration Inability to sustain a safe, healthy environment
Return to Top of Page
P (Self-Concept) 42.1 Hopelessness Feeling of despair or futility and passive abandonment
K (Physical Regulation) 25.2 Hyperthermia Abnormal high body temperature
K (Physical Regulation) 25.3 Hypothermia Abnormal low body temperature
I (Metabolic) 23 Immunologic Alteration Change in or modification of the immune system
E (Coping) 12 Individual Coping Impairment Inadequate personal response to problems or difficulties
U (Life Cycle) 61.2 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
J (Nutritional) 54 Infant Feeding Pattern Impairment Imbalance in the normal feeding habits of an infant
K (Physical Regulation) 25.5 Infection Risk Increased change of contamination with disease-producing germs
K (Physical Regulation) 25.6 Infection Unspecified Unknown contamination with disease-producing germs
U (Life Cycle) 59.2 Infertility Risk Decreased chance of conception to develop an offspring/child
N (Safety) 33 Injury Risk Increased chance of danger or loss
O (Self-Care) 38.2 Instrumental Activities of Daily Living (IADLs) Alteration Change in or modification of more complex activities than those needed to maintain oneself
K (Physical Regulation) 25.7 Intracranial Adaptive Capacity Impairment Intracranial fluid volumes are compromised
Q (Sensory) 44.3 Kinesthetic Alteration Diminished ability to move
D (Cognitive) 08 Knowledge Deficit Lack of information, understanding, or comprehension
D (Cognitive) 08.1 Knowledge Deficit of Diagnostic Test Lack of information on tests to identify disease or assess health condition
D (Cognitive) 08.2 Knowledge Deficit of Dietary Regimen Lack of information on the prescribed food or fluid intake
D (Cognitive) 08.3 Knowledge Deficit of Disease Process Lack of information on the morbidity, course, or treatment of the health,condition
D (Cognitive) 08.4 Knowledge Deficit of Fluid Volume Lack of information on fluid volume intake requirements
D (Cognitive) 08.5 Knowledge Deficit of Medication Regimen Lack of information on prescribed regulated course of medicinal,substances
D (Cognitive) 08.6 Knowledge Deficit of Safety Precautions Lack of information on measures to prevent injury, danger, or loss
D (Cognitive) 08.7 Knowledge Deficit of Therapeutic Regimen Lack of information on regulated course of treating disease
U (Life Cycle) 60.2 Labor Risk Increased chance of harm during the period supporting the bringing forth of an offspring / child
R (Skin Integrity) 46.5 Latex Allergy Response Pathological reaction to latex products
P (Self-Concept) 42 Meaningfulness Alteration Change in or modification of the ability to see the significance, purpose, or,value in something
Return to Top of Page
H (Medication) 21 Medication Risk Increased chance of negative response to medicinal substance
D (Cognitive) 09.1 Memory Impairment Diminished or inability to recall past events
A (Activity) 02 Musculoskeletal Alteration Change in or modification of the muscles, bones or support structures
B (Bowel/Gastric) 51 Nausea Distaste for food / fluids and an urge to vomit
U (Life Cycle) 61.1 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
G (Health Behavioral) 20 Noncompliance Failure to follow therapeutic recommendations
G (Health Behavioral) 20.1 Noncompliance of Diagnostic Test Failure to follow therapeutic recommendations on tests to identify disease or assess health condition.
G (Health Behavioral) 20.2 Noncompliance of Dietary Regimen Failure to follow the prescribed food or fluid intake
G (Health Behavioral) 20.3 Noncompliance of Fluid Volume Failure to follow fluid volume intake requirements
G (Health Behavioral) 20.4 Noncompliance of Medication Regimen Failure to follow prescribed regulated course of medicinal substances
G (Health Behavioral) 20.5 Noncompliance of Safety Precautions Failure to follow measures to prevent injury, danger, or loss
G (Health Behavioral) 20.6 Noncompliance of Therapeutic Regimen Failure to follow regulated course of treating disease
J (Nutritional) 24 Nutrition Alteration Change in or modification of food or nutrients
U (Life Cycle) 61.6 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
Q (Sensory) 44.4 Olfactory Alteration Diminished ability to smell
R (Skin Integrity) 46.1 Oral Mucous Membranes Impairment Diminished ability to maintain the tissues of the oral cavity
M (Role Relationship) 27.1 Parental Role Conflict Struggle with parental position and responsibilities
M (Role Relationship) 27.2 Parenting Alteration Change in or modification of nurturing figures ability to promote growth and development of infant/child
B (Bowel/Gastric) 03.5 Perceived Constipation Belief and treatment of infrequent or difficult passage of feces without cause
U (Life Cycle) 60 Perinatal Risk Increased chance of harm before, during, and immediately after the creation of an offspring / child
N (Safety) 57 Perioperative Injury Risk Increased chance of injury during the operative processes
N (Safety) 57.1 Perioperative Positioning Injury Damages from operative process positioning
R (Skin Integrity) 47 Peripheral Alteration Change in or modification of vascularization of the extremities
P (Self-Concept) 43.2 Personal Identity Disturbance Imbalance in the ability to distinguish between the self and the non-self
A (Activity) 01.5 Physical Mobility Impairment Diminished ability to perform independent movement
Return to Top of Page
K (Physical Regulation) 25 Physical Regulation Alteration Change in or modification of somatic control
N (Safety) 33.3 Poisoning Risk Exposure to or ingestion of dangerous products
H (Medication) 21.1 Polypharmacy Use of two or more drugs together
E (Coping) 13 Post-Trauma Response Sustained behavior related to a traumatic event
U (Life Cycle) 60.4 Postpartum Risk Increased chance of harm during the time period immediately following the delivery of an offspring / child
P (Self-Concept) 42.2 Powerlessness Feeling of helplessness, or inability to act
U (Life Cycle) 60.1 Pregnancy Risk Increased chance of harm during the gestational period of the formation of an offspring / child
I (Metabolic) 23.1 Protection Alteration Change in or modification of the ability to guard against internal or external threats to the body
E (Coping) 13.1 Rape Trauma Syndrome Group of symptoms related to a forced sexual act
T (Urinary Elimination) 49.2 Reflex Urinary Incontinence Involuntary passage of urine occurring at predictable intervals
M (Role Relationship) 32.3 Relocation Stress Syndrome Excessive tension from moving to a new location
T (Urinary Elimination) 50 Renal Alteration Change in or modification of the kidney function
U (Life Cycle) 59 Reproductive Risk Increased chance of harm in the process of replicating or giving rise to an offspring/child
L (Respiratory) 26 Respiration Alteration Change in or modification of the breathing function
M (Role Relationship) 27 Role Performance Alteration Change in or modification of carrying out responsibilities
O (Self-Care) 38 Self Care Deficit Impaired ability to maintain oneself
P (Self-Concept) 43 Self Concept Alteration Change in or modification of ability to maintain one's image of self
N (Safety) 34.2 Self mutilation Risk Increased chance of destroying a limb or essential part of the body
Q (Sensory) 44 Sensory Perceptual Alteration Change in or modification of the response to stimuli
M (Role Relationship) 27.3 Sexual Dysfunction Deleterious change in sex response
M (Role Relationship) 31 Sexuality Patterns Alteration Change in or modification of persons's sexual response
P (Self-Concept) 43.4 Situational Self-Esteem Disturbance Negative evaluation of oneself in response to a loss or change
R (Skin Integrity) 46.4 Skin Incision Cutting of the integument/skin
R (Skin Integrity) 46 Skin Integrity Alteration Change in or modification of skin conditions
R (Skin Integrity) 46.2 Skin Integrity Impairment Diminished ability to maintain the integument
Return to Top of Page
R (Skin Integrity) 46.3 Skin Integrity Impairment Risk Increased chance of skin breakdown
A (Activity) 01.7 Sleep Deprivation Lack of the normal sleep / wake cycle
A (Activity) 01.6 Sleep Pattern Disturbance Imbalance in the normal sleep/wake cycle
M (Role Relationship) 32.1 Social Interaction Alteration Inadequate quantity or quality of personal relations
M (Role Relationship) 32.2 Social Isolation State of aloneness; lack of interaction with others
M (Role Relationship) 32 Socialization Alteration Change in or modification of personal identity
E (Coping) 14.1 Spiritual Distress Anguish related to the spirit or soul
E (Coping) 14 Spiritual State Alteration Change in or modification of the spirit or soul
T (Urinary Elimination) 49.3 Stress Urinary Incontinence Loss of urine occurring with increased abdominal pressure
N (Safety) 58 Substance Abuse Excessive use of harmful bodily materials
N (Safety) 33.4 Suffocation Risk Increase chance of inadequate air for breathing
N (Safety) 34.1 Suicide Risk Increased chance of taking one's life intentionally
N (Safety) 57.2 Surgical Recovery Delay Slow or delayed recovery from a surgical procedure
J (Nutritional) 24.5 Swallowing Impairment Inability to move food from mouth to stomach
Q (Sensory) 44.5 Tactile Alteration Diminished ability to feel
K (Physical Regulation) 25.4 Thermoregulation Impairment Fluctuation of temperature between hypothermia and hyperthermia
D (Cognitive) 09 Thought Processes Alteration Change in or modification of cognitive processes
S (Tissue Perfusion) 48 Tissue Perfusion Alteration Change in or modification of the oxygenation of tissues
N (Safety) 58.1 Tobacco Abuse Excessive use of tobacco products
O (Self-Care) 39 Toileting Deficit Impaired ability to urinate or defecate for oneself
T (Urinary Elimination) 49.4 Total Urinary Incontinence Continuous and unpredictable loss of urine
N (Safety) 33.5 Trauma Risk Increased chance of accidental tissue injury
Q (Sensory) 44.6 Unilateral Neglect Lack of awareness of one side of the body
B (Bowel/Gastric) 03.6 Unspecified Constipation Other forms of abnormal feces or difficult passage of feces
Q (Sensory) 45.3 Unspecified Pain Pain that is difficult to pinpoint
T (Urinary Elimination) 49.5 Urge Urinary Incontinence Involuntary passage of urine following a sense of urgency to void
T (Urinary Elimination) 49 Urinary Elimination Alteration Change in or modification of excretion of the waste matter of the kidneys
T (Urinary Elimination) 49.6 Urinary Retention Incomplete emptying of the bladder
L (Respiratory) 56 Ventilatory Weaning Impairment Inability to tolerate decreased levels of ventilator support
M (Role Relationship) 28.1 Verbal Impairment Diminished ability to exchange thoughts, opinions, or information through, speech
N (Safety) 34 Violence Risk Increased chance of harming self or others
Q (Sensory) 44.7 Visual Alteration A diminished ability to see
Return to Top of Page