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Definitions and Classifications Errata Notes

This page lists corrections planned for the next printing of the English version of NANDA International: Definitions and Classification 2015-2017

The most recent revision to this list was made on September 15, 2015. If you have a suggestion for a correction not listed here, please click here to view the error submission form. Thank you!

CORRECTIONS / TYPOS: FIRST PRINTING, SEPTEMBER 2014
Preface xxii
Change 'The latest edition enhances the cultural applicability with 25 new nursing diagnoses and 13 revised diagnoses.' to ‘The latest edition enhances the cultural applicability with 26 new nursing diagnoses and 13 revised diagnoses.’

Page 6
Change 'Twenty-five new diagnoses were approved by the Diagnosis Development Committee, the NANDA-I Board of Directors, and the NANDA-I membership (Table I.1).' to ‘Twenty-six new diagnoses were approved by the Diagnosis Development Committee, the NANDA-I Board of Directors, and the NANDA-I membership (Table I.1).’

Page 6 & 7 Table I.1
•Add “Risk for chronic functional constipation” to the Approved diagnosis (New) column and “T. Heather Herdman, PhD, RN, FNI” to the Submitter(s) column under Domain 3. Elimination and Exchange.
•Add "Domain 5. Perception / Cognition" subheader to table.
•Add “Labile emotional control” to the Approved diagnosis (New) column and “Gülendam Hakverdioglu Yönt, PhD, RN; Esra Akin Korhan, PhD, RN; Leyla Khorshid, PhD, RN” to the Submitter(s) column under Domain 5. Perception / Cognition.
•Remove “Labile emotional control” from the Approved diagnosis (New) column and “Gülendam Hakverdioglu Yönt, PhD, RN; Esra Akin Korhan, PhD, RN; Leyla Khorshid, PhD, RN” from the Submitter(s) column under Domain 11. Safety / Protection; these should be under Domain 5. Perception / Cognition.

Page 7
Change 'Thirteen diagnoses were revised during this cycle; five were approved by the DDC through the expedited review process and eight were revised through the standard review process.' to ‘Fourteen diagnoses were revised during this cycle; five were approved by the DDC through the expedited review process and nine were revised through the standard review process.’

Page 9 Table I.2
Change 'Sílvia Caldeira PhD, RN; Emília Campos de Carvalho PhD, RN; Margarida Vieira PhD, RN' to ‘Sílvia Caldeira PhD, RN; Emília Campos de Carvalho PhD, RN; Margarita Vieira PhD, RN’

Page 11 Table I.2
Change 'Five nursing diagnoses were reslotted within the NANDA-I taxonomy; these are noted in Table I.3 with their previous and new places in the taxonomy noted.' to ‘Six nursing diagnoses were reslotted within the NANDA-I taxonomy; these are noted in Table I.3 with their previous and new places in the taxonomy noted.’

Page 22
Change 'Nurses deal with responses to health conditions/life responses among individuals, families, groups, and communities.' to ‘Nurses deal with responses to health conditions/life processes among individuals, families, groups, and communities.’

Page 22 Bulleted List
•Change 'Problem-focused diagnosis' to ‘Problem-focused nursing diagnosis’
•Change 'Risk diagnosis' to ‘Risk nursing diagnosis’
•Change 'Health promotion diagnosis' to ‘Health promotion nursing diagnosis’

Page 27
Change 'risk for unstable blood glucose (00179)' to ‘risk for unstable blood glucose level (00179)’

Page 30 Bulleted List
Change 'How many nursing diagnoses do I need for each patient? (p. 124)' to ‘How many nursing diagnoses do I need for each patient? (p. 115)’

Page 41
Change 'Imbalanced nutrition, less than body requirements (00002)' to ‘Imbalanced nutrition: less than body requirements (00002)’

Page 44
•Change 'As we look at Figure 2.4 and consider the potential diagnoses that Caroline's nurse identified, we can begin to eliminate some of these as valid diagnoses.' to ‘As we look at Figure 2.4 and consider the potential diagnoses that Caroline's nurse identified, we can begin to eliminate some of these as invalid diagnoses.’
•Change 'For example, after reflection, Caroline's nurse quickly eliminates from considation the diagnosis, situational low self-esteem.' to ‘For example, after reflection, Caroline's nurse quickly eliminates from consideration the diagnosis, situational low self-esteem.’

Page 45 & 46 Table 2.1
•Change 'Imbalanced nutrition, less than body requirements (00002)' to ‘Imbalanced nutrition: less than body requirements (00002)’
•Remove "Fear" under Cognitive subcategory in Anxiety (00146) column and Defining characteristics row.

Page 46 & 47 Table 2.2
Change 'Imbalanced nutrition, less than body requirements (00002)' to ‘Imbalanced nutrition: less than body requirements (00002)’

Page 49 Bulleted List
Change 'Imbalanced nutrition, less than body requirements (00002)' to ‘Imbalanced nutrition: less than body requirements (00002)’

Page 55 Figure 3.2
Move '*including cow, goat, sheep, soy' to footnote from figure under "cheese products" header in image.

Page 60 Figure 3.4
•Add "Noncompliance" under diagnoses of "(CLASS) Health Management" below "Ineffective family health management".
•Move "Ineffective protection" to bottom of "(CLASS) Health management" diagnoses below "Noncompliance".
•Under diagnoses "(CLASS) Health Management" change 'Deficient community health management' to ‘Deficient community health’

Page 64 Case Study
Change 'A review of this class leads to the identification of three potential diagnoses: decreased cardiac output, ineffective peripheral tissue perfusion, and risk for ineffective tissue perfusion.' to ‘A review of this class leads to the identification of three potential diagnoses: decreased cardiac output, ineffective peripheral tissue perfusion, and risk for ineffective peripheral tissue perfusion.’

Page 65 Figure 3.7
Change 'Risk for ineffective tissue perfusion' to ‘Risk for ineffective peripheral tissue perfusion’

Page 70
Change 'www.nanda.org/ADDLINKHERE' to ‘www.nanda.org’

Page 80 Figure 3.9
•Remove the Class "Behavior Regulation" from Mental Domain
•Under Safety Domain, change 'Contextual hazards' to ‘Milieu hazard’

Page 82-90 Table 3.2
•Remove "Risk for hyperthermia" and code "00253"
•Add "Risk for chronic functional constipation" and code "00236" below "Chronic functional constipation"
•Change "Frail elderly syndrome" code '00230' to ‘00257’
•Change 'Deficient community health management' to ‘Deficient community health’ for code “00215”

Page 100 Axis 6 Time
Change 'Time describes the duration of the nursing diagnosis (Axis 1).' to ‘Time describes the duration of the focus of the nursing diagnosis (Axis 1).’

Page 107
Change 'http://www.nanda.org/nanda-interntional-taxonomy-translation-licensees.html' to ‘http://www.nanda.org/nanda-international-taxonomy-translation-licensees.html’

Page 111
Change 'risk for caregiver role strain (00162)' to ‘risk for caregiver role strain (00062)’

Page 142 Risk Factors
•Change 'Constricted life space' to ‘Constricted living space’
•Change 'Endocrine regulatory dysfunction (e.g., glucose intolerance, increase in IGF-1, androgen, DHEA, and cortisol)' to ‘Endocrine regulatory dysfunction (e.g., glucose intolerance, increase in insulin-like growth factor 1 [IGF-1], androgen, dehydroepiandrosterone [DHEA], and cortisol)’

Page 143 Risk Factors
•Change 'Suppressed inflammatory response (e.g., IL-6, CRP)' to ‘Suppressed inflammatory response (e.g., interleukin 6 [IL-6], C-reactive protein [CRP])’
•Change 'Walking 15 feet requires > 6 seconds (4 meter > 5 seconds)' to ‘Walking 15 feet requires > 6 seconds (4 meters > 5 seconds)’

Page 146 Related Factors
Change 'Perceptual impairment' to ‘Perceptual disorders’

Page 149 Year
Change '1992' to ‘1992, 2013’

Page 150 Related Factors - Subcategory Heading
Change 'Healthcare plan' to ‘Healthcare Plan’

Page 151 Related Factor
Change 'Insufficient knowledge about the regimen' to ‘Insufficient knowledge of therapeutic regimen’

Page 152 Related Factor
Change 'Immune disorder (e.g., HIV-associated neuropathy, varicella-zoster virus)' to ‘Immune disorder (e.g., human immunodeficiency virus [HIV]-associated neuropathy, varicella-zoster virus)’

Page 156 Related Factor
Change 'Delayed lactogenesis II' to ‘Delayed lactogenesis stage II’

Page 160 Related Factor
Change 'Neurological impairment (e.g., positive EEG, head trauma, seizure disorders)' to ‘Neurological impairment (e.g., positive electroencephalogram [EEG], head trauma, seizure disorders)’

Page 162 Page Header
Change 'Class 4. Metabolism' to ‘Class 1. Ingestion’

Page 163 Defining Characteristics
•Change 'ADULT: BMI of > 30 kg/m2' to ‘ADULT: Body mass index (BMI) > 30 kg/m2’
•Change 'CHILD 2-18 years: BMI of 30 kg/m2 on > 95th percentile for age and gender' to ‘CHILD 2-18 years: Body mass index (BMI) > 95th percentile or 30 kg/m2 for age and gender’

Page 165 Defining Characteristics
•Change 'ADULT: BMI > 25 kg/m2' to ‘ADULT: Body mass index (BMI) > 25 kg/m2’
•Change 'CHILD 2-18 years: BMI > 85th but < 95th percentile, or 25 kg/m2 (whichever is smaller) ' to ‘CHILD 2-18 years: Body mass index (BMI) > 85th percentile or 25 kg/m2 but < 95th percentile or 30 kg/m2 for age and gender’

Page 167 Risk Factors
•Change 'ADULT: BMI approaching 25 kg/m2' to ‘ADULT: Body mass index (BMI) approaching 25 kg/m2’
•Change ' CHILD 2-18 years: BMI approaching 85th percentile, or 25 kg/m2 (whichever is smaller)' to ‘CHILD 2-18 years: Body mass index (BMI) approaching 85th percentile or 25 kg/m2’
•Change ' Children who are crossing BMI percentiles upward' to ‘Children who are crossing body mass index (BMI) percentiles upward’
•Change ' Children with high BMI percentiles' to ‘Children with high body mass index (BMI) percentiles’

Page 172 Related Factor
Change 'Age < 7 days' to ‘Age = 7 days’

Page 173 Risk Factor
Change 'Age < 7 days' to ‘Age = 7 days’

Page 174 Risk Factor
Change 'HIV coinfection' to ‘Human immunodeficiency virus (HIV) coinfection’

Page 175 Risk Factor
Change 'Endocrine regulatory dysfunction (e.g., glucose intolerance, increase in IGF-1, androgen, DHEA, and cortisol)' to ‘Endocrine regulatory dysfunction (e.g., glucose intolerance, increase in insulin-like growth factor 1 [IGF-1], androgen, dehydroepiandrosterone [DHEA], and cortisol)’

Page 180 Risk Factor
Change 'Burns' to ‘Burn injury’

Page 185 Defining Characteristic
Change 'Time between sensation of urge and ability to reach toilet is too short' to ‘Time required to reach toilet is too long after sensation of urge’

Page 187 Defining Characteristics
•Change 'Absence of sensation of bladder fullness' to ‘Sensations associated with full bladder’
•Remove 'Sensation of bladder fullness'

Page 189 Definition
Change 'Involuntary passage of urine occurring soon after a strong sense of urgency to void.' to ‘Involuntary passage of urine occurring soon after a strong sensation or urgency to void.’

Page 191 Defining Characteristic
Change 'Absent urinary output' to ‘Absence of urinary output’

Page 192 Related Factor
Change 'Habitual ignoring of urge to defecate' to ‘Habitually suppresses urge to defecate’

Page 193 Related Factor
•Change 'Neurological impairment (e.g., positive EEG, head trauma, seizure disorders)' to ‘Neurological impairment (e.g., positive electroencephalogram [EEG], head trauma, seizure disorders)’
•Change 'Insufficient dietary habits' to ‘Inadequate dietary habits’

Page 194 Risk Factor
•Change 'Habitual ignoring of urge to defecate' to ‘Habitually suppresses urge to defecate’
•Change 'Neurological impairment (e.g., positive EEG, head trauma, seizure disorders)' to ‘Neurological impairment (e.g., positive electroencephalogram [EEG], head trauma, seizure disorders)’

Page 195 Risk Factor
Change 'Insufficient dietary habits' to ‘Inadequate dietary habits’

Page 196 Defining Characteristics
•Change 'Abdominal distention' to ‘Distended abdomen’
•Change 'CHILD > 4 years: Presence of = 2 criteria on Roman III Pediatric classification system for = 2 months: * = 2 defecations per week; * = 1 episode of fecal incontinence per week; * Stool retentive posturing; * Painful or hard bowel movements; * Presence of large fecal mass in the rectum; * Large diameter stools that may obstruct the toilet' to ‘CHILD > 4 years: Presence of = 2 criteria on Rome III Pediatric classification system for = 2 months: * = 2 defecations per week; * = 1 episode of fecal incontinence per week; * Stool retentive posturing; * Painful or hard bowel movements; * Presence of large fecal mass in the rectum; * Large diameter stools that may obstruct the toilet’
•Change 'CHILD = 4 years of age: Presence of = 2 criteria on Roman III Pediatric classification system for = 1 month: * = 2 defecations per week; * = 1 episode of fecal incontinence per week; * Stool retentive posturing; * Painful or hard bowel movements; * Presence of large fecal mass in the rectum; * Large diameter stools that may obstruct the toilet' to ‘CHILD = 4 years of age: Presence of = 2 criteria on Rome III Pediatric classification system for = 1 month: * = 2 defecations per week; * = 1 episode of fecal incontinence per week; * Stool retentive posturing; * Painful or hard bowel movements; * Presence of large fecal mass in the rectum; * Large diameter stools that may obstruct the toilet’

Page 197 Related Factors
•Replace 'Diet disproportionally high in protein and fat' with ‘Diet proportionally high in fat’ and ‘Diet proportionally high in protein’
•Change 'Habitually ignores urge to defecate' to ‘Habitually suppresses urge to defecate’

Page 198 Definition
Change 'Vulnerable to infrequent or difficult evacuation of feces, which has been present nearly 3 of the prior 12 months, which may compromise health.' to ‘Vulnerable to infrequent or difficult evacuation of feces, which has been present nearly three of the prior 12 months, which may compromise health.’

Page 198 Risk Factors
•Remove 'Aluminum-containing antacids'
•Remove 'Anti-epileptics'
•Remove 'Antihypertensives'
•Remove 'Anti-Parkinsonian agents (anticholinergic or dopaminergic)'
•Remove 'Calcium-channel antagonists'
•Remove 'Diuretics'
•Remove 'Iron preparations'
•Remove 'Non-steroidal anti-inflammatories (NSAIDs)'
•Remove 'Opioids'
•Remove 'Tricyclic antidepressants'
•Change 'Decreased food intake' to ‘Decrease in food intake’
•Replace 'Diet proportionally high in protein and fat' with ‘Diet proportionally high in protein’ and ‘Diet proportionally high in fat’
•Change 'Habitual ignoring of urge to defecate' to ‘Habitually suppresses urge to defecate’
•Change 'Inactive lifestyle' to ‘Sedentary lifestyle’
•Add ‘Pharmaceutical agent’

Page 201 Defining Characteristic
Change 'Abdominal distention' to ‘Distended abdomen’

Page 202 Definition
Change 'Vulnerable to a decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool, which may compromise health.' to ‘Vulnerable to increased, decreased, ineffective, or lack of peristaltic activity within the gastrointestinal system, which may compromise health.’

Page 203 Related Factor
Change 'Deficient dietary habits' to ‘Inadequate dietary habits’

Page 204 Defining Characteristic
Remove 'Cyanosis'

Page 210 Defining Characteristic
Remove 'Listlessness'

Page 216 Related Factors
•Change 'Body mass index > 75th age-appropriate percentile' to ‘Body mass index (BMI) > 75th percentile appropriate for age and gender’
•Change 'Cultural belief regarding appropriate activity' to ‘Cultural belief regarding acceptable activity’

Page 219 Defining Characteristic
Remove 'Insufficient muscle strength'

Page 219 Related Factor
Add ‘Insufficient muscle strength’

Page 220 Defining Characteristic
Remove 'Insufficient muscle strength'

Page 220 Related Factor
Add ‘Insufficient muscle strength’

Page 223 Defining Characteristic
Change 'Listlessness' to ‘Apathy’

Page 225 Defining Characteristic
Change 'ECG change (e.g., arrhythmia, conduction abnormality, ischemia)' to ‘Electrocardiogram (ECG) change (e.g., arrhythmia, conduction abnormality, ischemia)’

Page 225 Related Factor
Remove 'Generalized weakness'

Page 227 Related Factor
Change 'Neurological impairment (e.g., positive EEG, head trauma, seizure disorders)' to ‘Neurological impairment (e.g., positive electroencephalogram [EEG], head trauma, seizure disorders)’

Page 228 Defining Characteristics
•Change 'ECG change (e.g., arrhythmia, conduction abnormality, ischemia)' to ‘Electrocardiogram (ECG) change (e.g., arrhythmia, conduction abnormality, ischemia)’
•Change 'Decreased central venous pressure (CVP)' to ‘Decrease in central venous pressure (CVP)’
•Change 'Decreased cardiac index' to ‘Decrease in cardiac index’

Page 229 Related Factors
•Change 'Altered afterload' to ‘Alteration in afterload’
•Change 'Altered contractility' to ‘Alteration in contractility’
•Change 'Altered preload' to ‘Alteration in preload’
•Change 'Altered stroke volume' to ‘Alteration in stroke volume’

Page 230 Risk Factors
•Change 'Altered afterload' to ‘Alteration in afterload’
•Change 'Altered contractility' to ‘Alteration in contractility’
•Change 'Altered preload' to ‘Alteration in preload’
•Change 'Altered stroke volume' to ‘Alteration in stroke volume’

Page 233 Risk Factors
•Change 'Burns' to ‘Burn injury’
•Change 'Polynephritis' to ‘Pyelonephritis’

Page 234 Defining Characteristics
Change 'Alteration in metabolism' to ‘Increase in metabolic rate’

Page 235 Risk Factor
Change 'Family history of cardivascular disease' to ‘Family history of cardiovascular disease’

Page 237 Definition
Change 'Decrease in blood circulation to the periphery that may compromise health.' to ‘Decrease in blood circulation to the periphery, which may compromise health.’

Page 239 Defining Characteristic
Change 'Warmth' to ‘Feeling warm’

Page 241 Related Factors
•Change 'Condition impacting ability to maintain home (e.g., disease, illness injury)' to ‘Impairment to ability to maintain home (e.g., disease, illness, injury)’
•Remove 'Illness impacting ability to maintain home'
•Remove 'Injury impacting ability to maintain home'
•Change 'Insufficient role model' to ‘Inadequate role model’

Page 242 Related Factor
Change ' Perceptual impairment' to ‘Perceptual disorders’

Page 243 Defining Characteristics
•Remove 'Decrease in motivation'
•Remove 'Discomfort'
•Remove 'Environmental barrier'
•Remove 'Fatigue'
•Remove 'Musculoskeletal impairment'
•Remove 'Neuromuscular impairment'
•Remove 'Pain'

Page 243 Related Factors
•Add ‘Decrease in motivation’
•Add ‘Discomfort’
•Add ‘Environmental barrier’
•Add ‘Fatigue’
•Add ‘Musculoskeletal impairment’
•Add ‘Neuromuscular impairment’
•Add ‘Pain’
•Change 'Perceptual impairment' to ‘Perceptual disorders’

Page 244 Related Factor
Change 'Perceptual impairment' to ‘Perceptual disorders’

Page 245 Related Factor
Change 'Perceptual impairment' to ‘Perceptual disorders’

Page 255 Defining Characteristic
Change 'Tearfulness' to ‘Crying’

Page 255 Related Factor
Change 'Alternation in self-esteem' to ‘Alteration in self-esteem’

Page 259 Related Factor
Change 'Neurological impairment (e.g., positive EEG, head trauma, seizure disorders)' to ‘Neurological impairment (e.g., positive electroencephalogram [EEG], head trauma, seizure disorders)’

Page 270 Defining Characteristics
•Change 'Confidence in abilities' to ‘Expresses confidence in abilities’
•Change 'Satisfaction with body image' to ‘Expresses satisfaction with body image’
•Change 'Satisfaction with personal identity' to ‘Expresses satisfaction with personal identity’
•Change 'Satisfaction with sense of worth' to ‘Expresses satisfaction with sense of worth’
•Change 'Satisfaction with thoughts about self' to ‘Expresses satisfaction with thoughts about self’

Page 271 Related Factors
•Change 'Insufficient group membership' to ‘Inadequate group membership’
•Change 'Receiving insufficient affection' to ‘Inadequate affection received’

Page 281 Related Factor
Change 'Insufficient physical environment for providing care' to ‘Inadequate physical environment for providing care’

Page 283 Defining Characteristic
Change 'Unsafe home environment' to ‘Failure to provide safe home environment’

Page 284-285 Related Factors
•Remove 'Compromised home environment'
•Change 'Father of child not involved' to ‘Father of child uninvolved’
•Change 'Mother of child not involved' to ‘Mother of child uninvolved’

Page 288 Risk Factors
•Change 'Father of child not involved' to ‘Father of child uninvolved’
•Change 'Mother of child not involved' to ‘Mother of child uninvolved’

Page 291 Defining Characteristics
•Change 'Disrupted family rituals' to ‘Disruption in family rituals’
•Change 'Disrupted family roles' to ‘Disruption in family roles’

Page 299 Related Factor
Change 'Insufficient role model' to ‘Inadequate role model’

Page 305 Defining Characteristic
Change 'Seeks confirmation of desirability' to ‘Seeking confirmation of desirability’

Page 311 Definition
Change 'Vulnerable to disruption of the symbiotic maternal-fetal dyad as a result of comorbid or pregnancy-related conditions, which may compromise health.' to ‘Vulnerable to disruption of the symbiotic maternal-fetal dyad as a result of comorbid or pregnancy-related conditions, which may compromise health of the fetus.’

Page 315 Defining Characteristics
•Change 'Anxiety' to ‘Anxiety (00146)’
•Change 'Fear' to ‘Fear (00148)’
•Change 'Grieving' to ‘Grieving (00136)’
•Change 'Hopelessness' to ‘Hopelessness (00124)’

Page 318 Defining Characteristics
•Change 'Anxiety' to ‘Anxiety (00146)’
•Change 'Fear' to ‘Fear (00148)’
•Change 'Powerlessness' to ‘Powerlessness (00125)’
•Change 'Sexual dysfunction' to ‘Sexual dysfunction (00059)’

Page 319 Defining Characteristics
•Change 'Anxiety' to ‘Anxiety (00146)’
•Change 'Fear' to ‘Fear (00148)’
•Change 'Worried' to ‘Preoccupation’

Page 320 Definition
Change 'Vulnerable to physiological and/or psychosocial disturbance following transfer from one environment to another that may compromise health.' to ‘Vulnerable to physiological and/or psychosocial disturbance following transfer from one environment to another, which may compromise health.’

Page 321 LOE (Level of Evidence)
Change '2.2' to ‘2.1’

Page 321 Related Factor
Change 'Insufficient information-processing ability' to ‘Insufficient information processing ability’

Page 323 Defining Characteristics
•Change 'Jitteriness' to ‘Nervousness’
•Remove 'Worried'
•Change 'Shakiness' to ‘Tremor’

Page 324 Defining Characteristics
•Change 'Decreased blood pressure' to ‘Decrease in blood pressure’
•Remove 'Fear' remove from "Cognitive" subcategory

Page 333 Definition
Change 'A pattern of management of adaptive tasks by primary person (family member, significant other, or close friend) involved with the client's health change, which can be strengthened.' to ‘A pattern of management of adaptive tasks by primary person (family member, significant other, or close friend) involved with the client's health challenge, which can be strengthened.’

Page 336 Defining Characteristics
•Change 'Feeling dread' to ‘Feeling of dread’
•Change 'Jitteriness' to ‘Fidgeting’
•Change 'Change in physiological response (e.g., blood pressure, heart rate, respiratory rate, oxygen saturation, and end-tital CO2)' to ‘Change in physiological response (e.g., blood pressure, heart rate, respiratory rate, oxygen saturation, and end-tital carbon dioxide [CO2])’
•Remove 'Increase in respiratory rate'

Page 338 Defining Characteristic
Change 'Suffering' to ‘Distress’

Page 339 Defining Characteristics
•Change 'Feelings of emptiness' to ‘Feeling of emptiness’
•Remove 'Yearning for deceased person'

Page 341 Defining Characteristic
Change 'Changes in verbal behavior' to ‘Change in verbal behavior’

Page 345 Year
Remove '2013'

Page 345 Defining Characteristics
•Change 'Decrease interest in academic activities' to ‘Decreased interest in academic activities’
•Change 'Decrease interest in vocational activities' to ‘Decreased interest in vocational activities’

Page 346 Defining Characteristics
•Change 'Demonstrates positive outlook' to ‘Expresses desire to enhance positive outlook’
•Remove 'Exposure to a crisis'

Page 348 Defining Characteristic
Change 'Feelings that interfere with well-being (e.g., personal, social)' to ‘Feeling that interferes with well-being (e.g., personal, social)’

Page 349 Related Factor
•Remove 'Excessive stress'

Page 350 Defining Characteristics
•Change 'Elevated P2 ICP waveform' to ‘Elevated tidal wave intracranial pressure (P2 ICP) waveform’
•Change 'Wide-amplitude ICP waveform' to ‘Wide-amplitude intracranial pressure (ICP) waveform’

Page 350 Related Factor
Change 'Decreased cerebral perfusion = 50-60 mmHg' to ‘Decrease in cerebral perfusion = 50-60 mmHg’

Page 351 Definition
Change 'Life-threatening, uninhibited sympathetic response of the nervous system to a noxious stimulus after a spinal cord injury at T7 or above.' to ‘Life-threatening, uninhibited sympathetic response of the nervous system to a noxious stimulus after a spinal cord injury at the 7th thoracic vertebra (T7) or above.’

Page 352 Definition
Change 'Vulnerable to life-threatening, uninhibited response of the sympathetic nervous system post-spinal shock, in an individual with spinal cord injury or lesion at T6 or above (has been demonstrated in patients with injuries at T7 and T8), which may compromise health.' to ‘Vulnerable to life-threatening, uninhibited response of the sympathetic nervous system post-spinal shock, in an individual with spinal cord injury or lesion at the 6th thoracic vertebra (T6) or above (has been demonstrated in patients with injuries at the 7th thoracic vertebra [T7] and the 8th thoracic vertebra [T8]), which may compromise health.’

Page 354 Defining Characteristics
•Change 'Jitteriness' to ‘Fidgeting’
•Change 'Desaturation' to ‘Oxygen desaturation’
•Change 'Diffuse alpha EEG activity with eyes closed' to ‘Diffuse alpha electroencephalogram (EEG) activity with eyes closed’

Page 356 Defining Characteristic
Add ‘Parent expresses desire to enhance environmental conditions’

Page 357 Risk Factor
Remove 'Parent expresses desire to enhance environmental conditions'

Page 367 Definition
Change 'Vulnerable to a process of choosing a healthcare decision that does not include personal knowledge and/or consideration of social norms, or does not occur in a flexible environment resulting in decisional dissatisfaction.' to ‘Vulnerable to a process of choosing a healthcare decision that does not include personal knowledge and/or consideration of social norms, or does not occur in a flexible environment, resulting in decisional dissatisfaction.’

Page 369 Defining Characteristic
Change 'Suffering' to ‘Distress’

Page 371 Risk Factor
Change 'Suffering' to ‘Distress’

Page 372 Diagnosis Label
The diagnosis label “Spiritual distress” should have the entire phrase 'Spiritual distress' in dark blue.

Page 372 Defining Characteristic
Change 'Feeling of being unloved' to ‘Feeling unloved’

Page 374 Diagnosis Label
The diagnosis label “Risk for spiritual distress” should have the phrase 'spiritual distress' in dark blue.

Page 379 Risk Factors
•Change 'Chronic Illness (e.g., Diabetes Mellitus)' to ‘Chronic illness (e.g., diabetes mellitus)’
•Remove 'Inadequate vaccination' from the uncategorized Risk Factors; it is listed twice.
•Change 'Suppressed inflammatory response (e.g., IL-6, CRP)' to ‘Suppressed inflammatory response (e.g., interleukin 6 [IL-6], C-reactive protein [CRP])’

Page 384 Risk Factor
Change 'Visual impairment' to ‘Impaired vision’

Page 387 Risk Factor
Change 'Use of supplemental oxygen' to ‘Oxygen therapy’

Page 390 Risk Factors Additions
•Add ‘Anatomical variation in the pelvic organs’
•Add ‘Confusion’
•Add ‘Deficient patient or caregiver knowledge regarding care of urinary catheter’
•Add ‘Detrusor-sphincter dyssynergia’
•Add ‘Extremes of age’
•Add ‘Impaired cognition’
•Add ‘Latex allergy’
•Add ‘Medullary injury’
•Add ‘Obesity’

Page 391 Related Factors
•Change 'Insufficient dietary habits' to ‘Inadequate dietary habits’
•Change 'Insufficient oral hygiene' to ‘Inadequate oral hygiene’

Page 393 Related Factors
•Change 'Insufficient oral hygiene' to ‘Inadequate oral hygiene’
•Change 'Mechanical factor (e.g., ill-fitting dentures, braces, endotracheal/nasogastric tube, oral surgery)' to ‘Mechanical factor (e.g., orthodontic appliance, device for ventilation or food, ill-fitting dentures)’

Page 394 Risk Factor
Change 'Insufficient oral hygiene' to ‘Inadequate oral hygiene’

Page 395 Risk Factor
Change 'Burns' to ‘Burn injury’

Page 396 Risk Factor
Remove 'Non-blanchable erythema'

Page 400 Risk Factor
Change 'Psychogenetic factor' to ‘Psychogenic factor’

Page 405 Defining Characteristic
Change 'Damaged tissue' to ‘Tissue damage’

Page 405 Related Factor
Change 'Radiation' to ‘Radiation therapy’

Page 410 Risk Factor
Change 'Neurological impairment (e.g., positive EEG, head trauma, seizure disorders)' to ‘Neurological impairment (e.g., positive electroencephalogram [EEG], head trauma, seizure disorders)’

Page 411 LOE (Level of Evidence)
Remove "LOE"

Page 412 Related Factor
Change 'Emotional disorder' to ‘Emotional disturbance’

Page 414 Risk Factors
•Change 'Emotional disorder' to ‘Emotional disturbance’
•Change 'Loss of significant relationship(s)' to ‘Loss of significant relationship’
•Change 'Negative feelings (e.g., depression, rejection, self-hatred, separation anxiety, guilt, depersonalization)' to ‘Negative feeling (e.g., depression, rejection, self-hatred, separation anxiety, guilt, depersonalization)’

Page 417 Risk Factor
Change 'Loss of important relationship' to ‘Loss of significant relationship’

Page 418 Subcategory Heading
Change 'Biologicals' to ‘Biologics’

Page 418 Defining Characteristics
•Change 'Dermatological effects of exposure to biologicals' to ‘Dermatological effects of biologic exposure’
•Change 'Gastrointestinal effects of biological exposure' to ‘Gastrointestinal effects of biologic exposure’
•Change 'Neurological effects of biological exposure' to ‘Neurological effects of biologic exposure’
•Change 'Pulmonary effects of biological exposure' to ‘Pulmonary effects of biologic exposure’
•Change 'Renal effects of biological exposure' to ‘Renal effects of biologic exposure’

Page 419 Related Factors
•Change 'Household hygiene practices' to ‘Inadequate household hygiene practices’
•Change 'Personal hygiene practices' to ‘Inadequate personal hygiene practices’

Page 422 Risk Factors
•Change 'Contrast media precipitates adverse event (e.g., iodine concentration, viscosity, high osmolality, ion toxicity)' to ‘Contrast media precipitates adverse event’
•Change 'Generalized debilitation' to ‘Generalized weakness’

Page 426 Risk Factor
Change 'Decreased sweat response' to ‘Decrease in sweat response’

Page 427 Defining Characteristic
Remove 'Convulsions'

Page 427 Related Factor
Change 'Decreased sweat response' to ‘Decrease in sweat response’

Page 428 Subcategory Headings
•Change 'Accidental Low Body Temperature in Children and Adults' to ‘Children and Adults: Accidental Low Body Temperature’
•Change 'Injured Adults and Children' to ‘Children and Adults: Injured Patients’

Page 429 Related Factors
•Change 'High risk out of hospital birth' to ‘High-risk out-of-hospital birth’
•Change 'Radiation' to ‘Radiation therapy’

Page 430 Risk Factor
Change 'Radiation' to ‘Radiation therapy’

Page 433 Defining Characteristic
Change 'Seizures' to ‘Seizure’

Page 437 Defining Characteristic
Change 'Feeling hot' to ‘Feeling warm’

Page 440 Defining Characteristic
Change 'Change in physiological parameter (e.g., blood pressure, heart rate, respiratory rate, oxygen saturation, and end-tital CO2)' to ‘Change in physiological parameter (e.g., blood pressure, heart rate, respiratory rate, oxygen saturation, and end-tital carbon dioxide [CO2])’

Page 443 Related Factor
Change 'Immune disorder (e.g., HIV-associated neuropathy, varicella-zoster virus)' to ‘Immune disorder (e.g., human immunodeficiency virus [HIV]-associated neuropathy, varicella-zoster virus)’

Page 445 Defining Characteristic
Change 'Deficient knowledge (000126)' to ‘Deficient knowledge (00126)’

Page 447 Defining Characteristic
Remove 'Developmentally inappropriate interests’

Page 451 Risk Factor
Change 'Deprivation' to ‘Environmental deprivation’

Page 452 Risk Factor
Change 'Visual impairment' to ‘Impaired vision’

Page 455
•Change 'One diagnosis, Disturbed energy field (00050), was reslotted to a new level of evidence: Theoretical Level (1.2).' to ‘One diagnosis, Disturbed energy field (00050), was reslotted to a new level of evidence: Theoretical Level (1.3).’
•Change 'At this stage, the label and its component parts are categorized as "Received for Development and Clinical Validation,” and identified as such on the NANDA-I website (www.nanda.org) and a separate section in the Definitions and Classification text.' to ‘At this stage, the label and its component parts are categorized as “Accepted for Development and Clinical Validation,” and identified as such on the NANDA-I website (www.nanda.org) and a separate section in the Definitions and Classification text.’
•Change 'Disturbed energy field (formerly held the code 00050) - Removed from the taxonomy, categorized as LOE 1.2 2013 (1994, 2004)' to ‘Disturbed energy field (formerly held the code 00050) - Removed from the taxonomy, categorized as LOE 1.3 2013 (1994, 2004)’

Page 467 Axis 6 Time – Bulleted List
•Change order (ref. list on p. 100) of 'Intermittent: stopping or starting again at intervals, periodic, cyclic Continuous: uninterrupted, going on without stop' to ‘Continuous: uninterrupted, going on without stop Intermittent: stopping or starting again at intervals, periodic, cyclic’
• Add "Situational: related to a set of circumstances in which one finds oneself" to end of list

Page 471 Our History
Change 'Japanese Society of Nursing Diagnoses (JSND)' to ‘Japan Society of Nursing Diagnosis (JSND)’

Cover Inside of Back
Change '(1986, 2010, LOE 2.1)' to ‘(1986, 2010, 2013, LOE 2.1)’

Cover Back
Change '25 brand new nursing diagnoses and 13 revised diagnoses' to ‘26 brand new nursing diagnoses and 14 revised diagnoses’