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Proposed Taxonomy III

Below is the most current structure of the proposed Taxonomy III. The charts below show the proposed domains and classes and the difference in how the nursing diagnoses would be slotted, as compared to our current structure. Over the next few years, discussion and work will be ongoing to examine the proposed taxonomy's appropriateness as a taxonomic structure for nursing diagnoses.

Figure 3.8 Seven Domains of the Proposed Taxonomy III

Seven Domains of Taxonomy III












Figure 3.9 Proposed Taxonomy III Domains and Classes (von Krogh, 2011)


3.9 Taxonomy III Domains and Classes

























Table 3.2 Proposed Taxonomy II Domains, Classes and Nursing Diagnoses

PHYSIOLOGICAL DOMAIN

Anatomical structures and physiological processes essential to human health

Class: Circulation

Anatomical structures and physiological processes involved in vital and peripheral circulation

Nursing Diagnosis Code

Decreased cardiac output

00029

Risk for decreased cardiac output

00240

Risk for decreased cardiac tissue perfusion

00200

Risk for impaired cardiovascular function

00239

Risk for ineffective cerebral tissue perfusion

00201

Risk for ineffective gastrointestinal perfusion

00202

Risk for ineffective renal perfusion

00203

Ineffective peripheral tissue perfusion

00204

Risk for ineffective peripheral tissue perfusion

00228

Class: Respiration

Anatomical structures and physiological processes involved in ventilation and gas exchange

Nursing Diagnosis Code

Ineffective airway clearance

00031

Ineffective breathing pattern

00032

Impaired gas exchange

00030

Impaired spontaneous ventilation

00033

Dysfunctional ventilatory weaning response

00034

Class: Physical Regulation

Anatomical structures and physiological processes involved in hematological, immunological, and metabolic regulatory mechanisms

Nursing Diagnosis Code

Risk for adverse reaction to iodinated contrast media

00218

Risk for allergy response

00217

Risk for unstable blood glucose level

00179

Risk for imbalanced body temperature

00005

Risk for electrolyte imbalance

00195

Readiness for enhanced fluid balance

00160

Deficient fluid volume

00027

Risk for deficient fluid volume

00028

Excess fluid volume

00026

Risk for imbalanced fluid volume

00025

Hyperthermia

00007

Hypothermia

00006

Risk for hypothermia

00253

Risk for perioperative hypothermia

00254

Neonatal jaundice

00194

Risk for neonatal jaundice

00230

Latex allergy response

00041

Risk for latex allergy response

00042

Risk for impaired liver function

00178

Ineffective thermoregulation

00008

Class: Nutrition

Anatomical structures and physiological processes involved in the ingestion, digestion, and absorption of nutrients

Nursing Diagnosis Code

Insufficient breast milk

00216

Ineffective breastfeeding

00104

Interrupted breastfeeding

00105

Readiness for enhanced breastfeeding

00106

Ineffective infant feeding pattern

00107

Imbalanced nutrition: less than body requirements

00002

Readiness for enhanced nutrition

00163

Obesity

00232

Overweight

00233

Risk for overweight

00234

Class: Elimination

Anatomical structures and physiological processes involved in discharge of body waste

Nursing Diagnosis Code

Bowel incontinence

00014

Constipation

00011

Risk for constipation

00015

Perceived constipation

00012

Chronic functional constipation

00235

Risk for chronic functional constipation

00236

Diarrhea

00013

Dysfunctional gastrointestinal motility

00196

Risk for dysfunctional gastrointestinal motility

00197

Impaired urinary elimination

00016

Readiness for enhanced urinary elimination

00166

Functional urinary incontinence

00020

Overflow urinary incontinence

00176

Reflex urinary incontinence

00018

Stress urinary incontinence

00017

Urge urinary incontinence

00019

Risk for urge urinary incontinence

00022

Urinary retention

00023

Risk for urinary tract injury

00250

Class: Skin/Tissue

Anatomical structures and physiological processes of skin and body tissues involved in structural integrity

Nursing Diagnosis Code

Risk for corneal injury

00245

Impaired dentition

00048

Risk for dry eye

00219

Impaired oral mucous membrane

00045

Risk for impaired oral mucous membrane

00247

Risk for pressure ulcer

00249

Impaired skin integrity

00046

Risk for impaired skin integrity

00047

Risk for thermal injury

00220

Impaired tissue integrity

00044

Risk for impaired tissue integrity

00248

Risk for vascular trauma

00213

Class: Neurological Response

Anatomical structures and physiological processes involved in the transmission of nerve impulses

Nursing Diagnosis Code

Decreased intracranial adaptive capacity

00049

Autonomic dysreflexia

00009

Risk for autonomic dysreflexia

00010

Disorganized infant behavior

00116

Readiness for enhanced organized infant behavior

00117

Risk for disorganized infant behavior

00115

Risk for peripheral neurovascular dysfunction

00086

Unilateral neglect

00123

MENTAL DOMAIN

Mental processes and mental patterns essential to human health

Class: Cognition

Neuropsychological processes involved in orientation, information processing, and memory

Nursing Diagnosis Code

Acute confusion

00128

Risk for acute confusion

00173

Chronic confusion

00129

Impaired memory

00131

Class: Self-Concept

Psychological patterns involved in self­perception, identity, and self­regulation

Nursing Diagnosis Code

Disturbed body image

00118

Ineffective denial

00072

Labile emotional control

00251

Ineffective impulse control

00222

Chronic low self­esteem

00119

Risk for chronic low self­esteem

00224

Situational low self­esteem

00120

Risk for situational low self­esteem

00153

Disturbed personal identity

00121

Risk for disturbed personal identity

00225

Readiness for enhanced self­concept

00167

Sexual dysfunction

00059

Ineffective sexuality pattern

00065

Class: Mood Regulation

Biophysical and emotional interaction processes involved in mood regulation

Nursing Diagnosis Code

Impaired mood regulation

00241

EXISTENTIAL DOMAIN

Experiences and life perceptions essential to human health

Class: Comfort

Perceptions of symptoms and experience of suffering

Nursing Diagnosis Code

Anxiety

00146

Impaired comfort

00214

Readiness for enhanced comfort

00183

Death anxiety

00147

Fear

00148

Acute pain

00132

Chronic pain

00133

Labor pain

00256

Chronic pain syndrome

00255

Nausea

00134

Chronic sorrow

00137

Class: Well-Being

Perceptions of life qualities and experience of existential needs satisfaction

Nursing Diagnosis Code

Grieving

00136

Complicated grieving

00135

Risk for complicated grieving

00172

Readiness for enhanced hope

00185

Hopelessness

00124

Risk for compromised human dignity

00174

Readiness for enhanced power

00187

Powerlessness

00125

Risk for powerlessness

00152

Spiritual distress

00066

Risk for spiritual distress

00067

Readiness for enhanced spiritual well­being

00068

Class: Life Principles

Personal values, beliefs, and religiosity

Nursing Diagnosis Code

Decisional conflict

00083

Moral distress

00175

Noncompliance

00079

Impaired religiosity

00169

Readiness for enhanced religiosity

00171

Risk for impaired religiosity

00170

Class: Coping

Perceptions of coping, coping experiences, and coping strategies

Nursing Diagnosis Code

Ineffective activity planning

00199

Risk for ineffective activity planning

00226

Defensive coping

00071

Ineffective coping

00069

Readiness for enhanced coping

00158

Readiness for enhanced decision­making

00184

Impaired emancipated decision­making

00242

Readiness for enhanced emancipated decision­making

00243

Risk for impaired emancipated decision­making

00244

Post­trauma syndrome

00141

Risk for post­trauma syndrome

00145

Rape­trauma syndrome

00142

Relocation stress syndrome

00114

Risk for relocation stress syndrome

00149

Impaired resilience

00210

Readiness for enhanced resilience

00212

Risk for impaired resilience

00211

Stress overload

00177

FUNCTIONAL DOMAIN

Life-span processes, basic functions, and skills essential to human health

Class: Lifespan Processes

The processes of growth, mental development, physical maturation, and aging

Nursing Diagnosis Code

Risk for delayed development

00112

Risk for disproportionate growth

00113

Class: Physical Ability

Audiovisual abilities, sexual function, and mobility

Nursing Diagnosis Code

Impaired bed mobility

00091

Impaired physical mobility

00085

Impaired wheelchair mobility

00089

Impaired sitting

00237

Impaired standing

00238

Impaired transfer ability

00090

Impaired walking

00088

Class: Energy Balance

Energy usage and energy regulation pattern

Nursing Diagnosis Code

Activity intolerance

00092

Risk for activity intolerance

00094

Deficient diversional activity

00097

Fatigue

00093

Insomnia

00095

Sedentary lifestyle

00168

Readiness for enhanced sleep

00165

Sleep deprivation

00096

Disturbed sleep pattern

00198

Wandering

00154

Class: Communication

Communication abilities and communication skills

Nursing Diagnosis Code

Readiness for enhanced communication

00157

Impaired verbal communication

00051

Class: Social Function

Social network, social roles, social skills, and social interaction

Nursing Diagnosis Code

Risk for loneliness

00054

Readiness for enhanced relationship

00207

Ineffective relationship

00223

Risk for ineffective relationship

00229

Ineffective role performance

00055

Impaired social interaction

00052

Social isolation

00053

Class: Self Care

Self­care abilities and home maintenance skills

Nursing Diagnosis Code

Impaired home maintenance

00098

Bathing self­care deficit

00108

Dressing self­care deficit

00109

Feeding self­care deficit

00102

Toileting self­care deficit

00110

Readiness for enhanced self­care

00182

Self­neglect

00193

Class: Health Promotion

Health literacy and health maintenance skills

Nursing Diagnosis Code

Ineffective health maintenance

00099

Ineffective health management

00078

Readiness for enhanced health management

00162

Frail elderly syndrome

00257

Risk for frail elderly syndrome

00231

Ineffective protection

00043

Risk­prone health behavior

00188

Deficient knowledge

00126

Readiness for enhanced knowledge

00161

SAFETY DOMAIN

The characteristics of risk behavior, health hazards, and milieu hazards essential to human health

Class: Self-Harm

Self­directed risk behavior and suicidal behavior

Nursing Diagnosis Code

Self­mutilation

00151

Risk for self­mutilation

00139

Risk for self­directed violence

00140

Risk for suicide

00150

Class: Violence

Other­directed risk behavior and violent behavior

Nursing Diagnosis Code

Risk for other­directed violence

00138

Class: Health Hazard

Health hazards associated with healthcare processes and social processes

Nursing Diagnosis Code

Risk for aspiration

00039

Risk for bleeding

00206

Risk for disuse syndrome

00040

Risk for falls

00155

Risk for infection

00004

Risk for injury

00035

Risk for perioperative positioning injury

00087

Risk for shock

00205

Risk for sudden infant death syndrome

00156

Risk for suffocation

00036

Delayed surgical recovery

00100

Risk for delayed surgical recovery

00246

Impaired swallowing

00103

Risk for trauma

00038

Class: Milieu Hazard

Health impacts of economy, housing standard, and working environment

Nursing Diagnosis Code

Contamination

00181

Risk for contamination

00180

Risk for poisoning

00037

FAMILY

Reproductive processes, family processes, and family roles essential to human health

Class: Reproduction

Biophysical and psychological processes involved in fertility and conception, and the delivery and postpartum phase of childbirth

Nursing Diagnosis Code

Ineffective childbearing process

00221

Readiness for enhanced childbearing process

00208

Risk for ineffective childbearing process

00227

Risk for disturbed maternal–fetal dyad

00209

Class: Caregiving Roles

Caregiving and caregiver functions

Nursing Diagnosis Code

Risk for impaired attachment

00058

Caregiver role strain

00061

Risk for caregiver role strain

00062

Parental role conflict

00064

Impaired parenting

00056

Risk for impaired parenting

00057

Readiness for enhanced parenting

00164

Class: Family Unit

Family coping, family functionality, and family integrity

Nursing Diagnosis Code

Compromised family coping

00074

Disabled family coping

00073

Readiness for enhanced family coping

00075

Ineffective family health management

00080

Dysfunctional family processes

00063

Interrupted family processes

00060

Readiness for enhanced family processes

00159

ENVIRONMENTAL DOMAIN

Healthcare system and healthcare processes essential to human health

Class: Community Health

Community health needs, risk populations, and healthcare programs

Nursing Diagnosis Code

Deficient community health

00215

Ineffective community coping

00077

Readiness for enhanced community coping

00076

Class: Healthcare System

Healthcare system, healthcare legislations, hospitals treatment, and care processes

Nursing Diagnosis Code

None at present time