| Component
|
Code
|
Concept
|
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
|
|
| 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
|
|
| 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 |
|
| 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
|
|
| 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
|
|
| 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
|
|
| 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
|
|