Edition summary
| Domain | Current | New | Changed code | Retired |
|---|---|---|---|---|
| 1. Health promotion | 38 | 17 | 8 | 1 |
| 2. Nutrition | 24 | 7 | 10 | 5 |
| 3. Elimination and exchange | 16 | 3 | 3 | 5 |
| 4. Activity / rest | 38 | 10 | 16 | 8 |
| 5. Perception / cognition | 16 | 1 | 5 | 1 |
| 6. Self-perception | 12 | 2 | 9 | 2 |
| 7. Role relationship | 17 | 1 | 10 | 0 |
| 8. Sexuality | 2 | 0 | 2 | 1 |
| 9. Coping / stress tolerance | 27 | 1 | 10 | 15 |
| 10. Life principles | 7 | 0 | 2 | 0 |
| 11. Safety / protection | 56 | 4 | 18 | 6 |
| 12. Comfort | 14 | 8 | 2 | 2 |
| 13. Growth / development | 10 | 2 | 3 | 0 |
| Total | 277 | 56 | 98 | 46 |
The changes you will notice most
- More precise labels. Several diagnoses gained a qualifier: Anxiety became Excessive anxiety; Fear became Excessive fear; Risk for bleeding became Risk for excessive bleeding.
- Breastfeeding becomes chestfeeding. Ineffective breastfeeding is now Ineffective chestfeeding.
- Hypothermia is named by temperature. Hypothermia became Decreased body temperature.
- More self-management. Several diagnoses are framed around the person's ability to manage a symptom, such as self-management of nausea or of fatigue.
- Health promotion grows. Domain 1 gained the largest number of new diagnoses.
Old-to-new code table
Diagnoses that keep the same focus but changed label and, as a result, code.
| 2021-2023 code | 2024-2026 code and label | Domain |
|---|---|---|
| 00257 | 00353 Elder frailty syndrome | 1 |
| 00168 | 00355 Excessive sedentary behaviors | 1 |
| 00215 | 00356 Ineffective community health management | 1 |
| 00294 | 00080 Ineffective family health management | 1 |
| 00134 | 00384 Ineffective nausea self-management | 1 |
| 00231 | 00357 Risk for elder frailty syndrome | 1 |
| 00179 | 00489 Risk for ineffective blood glucose pattern self-management | 1 |
| 00261 | 00412 Risk for ineffective dry mouth self-management | 1 |
| 00105 | 00347 Disrupted exclusive chestfeeding | 2 |
| 00027 | 00421 Inadequate fluid volume | 2 |
| 00216 | 00333 Inadequate human milk production | 2 |
| 00002 | 00343 Inadequate nutritional intake | 2 |
| 00104 | 00371 Ineffective chestfeeding | 2 |
| 00106 | 00479 Readiness for enhanced chestfeeding | 2 |
| 00163 | 00419 Readiness for enhanced nutritional intake | 2 |
| 00025 | 00492 Risk for impaired fluid volume balance | 2 |
| 00195 | 00491 Risk for impaired water-electrolyte balance | 2 |
| 00028 | 00420 Risk for inadequate fluid volume | 2 |
| 00319 | 00424 Impaired fecal continence | 3 |
| 00196 | 00423 Impaired gastrointestinal motility | 3 |
| 00197 | 00422 Risk for impaired gastrointestinal motility | 3 |
| 00108 | 00326 Decreased bathing abilities | 4 |
| 00109 | 00327 Decreased dressing abilities | 4 |
| 00102 | 00328 Decreased feeding abilities | 4 |
| 00110 | 00329 Decreased toileting abilities | 4 |
| 00093 | 00477 Excessive fatigue burden | 4 |
| 00318 | 00430 Impaired adult ventilatory weaning response | 4 |
| 00034 | 00431 Impaired child ventilatory weaning response | 4 |
| 00237 | 00363 Impaired sitting ability | 4 |
| 00238 | 00364 Impaired standing ability | 4 |
| 00100 | 00465 Impaired surgical recovery | 4 |
| 00090 | 00367 Impaired transferring ability | 4 |
| 00088 | 00365 Impaired walking ability | 4 |
| 00182 | 00442 Readiness for enhanced self-care abilities | 4 |
| 00165 | 00417 Readiness for enhanced sleep pattern | 4 |
| 00267 | 00362 Risk for imbalanced blood pressure | 4 |
| 00246 | 00464 Risk for impaired surgical recovery | 4 |
| 00279 | 00493 Disrupted thought processes | 5 |
| 00083 | 00429 Impaired decision-making | 5 |
| 00126 | 00435 Inadequate health knowledge | 5 |
| 00161 | 00499 Readiness for enhanced health knowledge | 5 |
| 00157 | 00368 Readiness for enhanced verbal communication | 5 |
| 00119 | 00483 Chronic inadequate self-esteem | 6 |
| 00118 | 00497 Disrupted body image | 6 |
| 00283 | 00495 Disrupted family identity syndrome | 6 |
| 00121 | 00494 Disrupted personal identity | 6 |
| 00224 | 00480 Risk for chronic inadequate self-esteem | 6 |
| 00284 | 00496 Risk for disrupted family identity syndrome | 6 |
| 00174 | 00488 Risk for impaired human dignity | 6 |
| 00153 | 00482 Risk for situational inadequate self-esteem | 6 |
| 00120 | 00481 Situational inadequate self-esteem | 6 |
| 00060 | 00389 Disrupted family interaction patterns | 7 |
| 00064 | 00387 Excessive parental role conflict | 7 |
| 00063 | 00388 Impaired family processes | 7 |
| 00056 | 00436 Impaired parenting behaviors | 7 |
| 00223 | 00449 Ineffective intimate partner relationship | 7 |
| 00207 | 00446 Readiness for enhanced intimate partner relationship | 7 |
| 00164 | 00438 Readiness for enhanced parenting behaviors | 7 |
| 00058 | 00439 Risk for disrupted attachment behaviors | 7 |
| 00057 | 00437 Risk for impaired parenting behaviors | 7 |
| 00229 | 00445 Risk for ineffective intimate partner relationship | 7 |
| 00059 | 00386 Impaired sexual function | 8 |
| 00209 | 00349 Risk for impaired maternal-fetal dyad | 8 |
| 00146 | 00400 Excessive anxiety | 9 |
| 00061 | 00366 Excessive caregiving burden | 9 |
| 00147 | 00399 Excessive death anxiety | 9 |
| 00148 | 00390 Excessive fear | 9 |
| 00251 | 00372 Ineffective emotion regulation | 9 |
| 00077 | 00456 Maladaptive community coping | 9 |
| 00069 | 00405 Maladaptive coping | 9 |
| 00074 | 00373 Maladaptive family coping | 9 |
| 00260 | 00484 Risk for disrupted immigration transition | 9 |
| 00062 | 00401 Risk for excessive caregiving burden | 9 |
| 00066 | 00454 Impaired spiritual well-being | 10 |
| 00067 | 00460 Risk for impaired spiritual well-being | 10 |
| 00006 | 00472 Decreased body temperature | 11 |
| 00280 | 00474 Decreased neonatal body temperature | 11 |
| 00043 | 00361 Impaired immune response | 11 |
| 00320 | 00461 Impaired nipple-areolar complex integrity | 11 |
| 00151 | 00467 Non-suicidal self-injurious behavior | 11 |
| 00037 | 00469 Risk for accidental poisoning | 11 |
| 00036 | 00463 Risk for accidental suffocation | 11 |
| 00253 | 00473 Risk for decreased body temperature | 11 |
| 00282 | 00476 Risk for decreased neonatal body temperature | 11 |
| 00254 | 00490 Risk for decreased perioperative body temperature | 11 |
| 00206 | 00374 Risk for excessive bleeding | 11 |
| 00321 | 00462 Risk for impaired nipple-areolar complex integrity | 11 |
| 00086 | 00425 Risk for impaired peripheral neurovascular function | 11 |
| 00139 | 00468 Risk for non-suicidal self-injurious behavior | 11 |
| 00265 | 00402 Risk for occupational physical injury | 11 |
| 00035 | 00336 Risk for physical injury | 11 |
| 00289 | 00466 Risk for suicidal self-injurious behavior | 11 |
| 00266 | 00500 Risk for surgical wound infection | 11 |
| 00053 | 00383 Inadequate social connectedness | 12 |
| 00054 | 00335 Risk for excessive loneliness | 12 |
| 00116 | 00451 Impaired infant neurodevelopmental organization | 13 |
| 00117 | 00453 Readiness for enhanced infant neurodevelopmental organization | 13 |
| 00115 | 00452 Risk for impaired infant neurodevelopmental organization | 13 |
New diagnoses in 2024-2026
| Code | Diagnosis | Domain | Type |
|---|---|---|---|
| 00339 | Inadequate health literacy | 1 | Problem-focused |
| 00352 | Ineffective dry mouth self-management | 1 | Problem-focused |
| 00397 | Ineffective fatigue self-management | 1 | Problem-focused |
| 00398 | Ineffective overweight self-management | 1 | Problem-focused |
| 00418 | Ineffective pain self-management | 1 | Problem-focused |
| 00485 | Ineffective underweight self-management | 1 | Problem-focused |
| 00340 | Readiness for enhanced healthy aging | 1 | Health promotion |
| 00447 | Readiness for enhanced weight self-management | 1 | Health promotion |
| 00448 | Risk for decreased diversional activity engagement | 1 | Risk |
| 00394 | Risk for excessive sedentary behaviors | 1 | Risk |
| 00411 | Risk for inadequate health literacy | 1 | Risk |
| 00413 | Risk for ineffective community health management | 1 | Risk |
| 00410 | Risk for ineffective family health management | 1 | Risk |
| 00395 | Risk for ineffective health maintenance behaviors | 1 | Risk |
| 00369 | Risk for ineffective health self-management | 1 | Risk |
| 00487 | Risk for ineffective overweight self-management | 1 | Risk |
| 00486 | Risk for ineffective underweight self-management | 1 | Risk |
| 00359 | Inadequate protein energy nutritional intake | 2 | Problem-focused |
| 00382 | Risk for disrupted exclusive chestfeeding | 2 | Risk |
| 00370 | Risk for excessive fluid volume | 2 | Risk |
| 00334 | Risk for inadequate human milk production | 2 | Risk |
| 00409 | Risk for inadequate nutritional intake | 2 | Risk |
| 00360 | Risk for inadequate protein energy nutritional intake | 2 | Risk |
| 00406 | Risk for ineffective chestfeeding | 2 | Risk |
| 00344 | Impaired intestinal elimination | 3 | Problem-focused |
| 00345 | Risk for impaired fecal continence | 3 | Risk |
| 00346 | Risk for impaired intestinal elimination | 3 | Risk |
| 00330 | Decreased grooming abilities | 4 | Problem-focused |
| 00331 | Decreased self-care ability syndrome | 4 | Syndrome |
| 00375 | Ineffective oral hygiene behaviors | 4 | Problem-focused |
| 00323 | Ineffective sleep hygiene behaviors | 4 | Problem-focused |
| 00337 | Ineffective sleep pattern | 4 | Problem-focused |
| 00332 | Risk for decreased self-care ability syndrome | 4 | Syndrome |
| 00324 | Risk for impaired physical mobility | 4 | Risk |
| 00414 | Risk for ineffective oral hygiene behaviors | 4 | Risk |
| 00408 | Risk for ineffective sleep hygiene behaviors | 4 | Risk |
| 00407 | Risk for ineffective sleep pattern | 4 | Risk |
| 00434 | Risk for impaired verbal communication | 5 | Risk |
| 00338 | Inadequate health self-efficacy | 6 | Problem-focused |
| 00341 | Readiness for enhanced transgender social identity | 6 | Health promotion |
| 00440 | Risk for disrupted family interaction patterns | 7 | Risk |
| 00325 | Inadequate self-compassion | 9 | Problem-focused |
| 00350 | Risk for burn injury | 11 | Risk |
| 00351 | Risk for cold injury | 11 | Risk |
| 00471 | Risk for hyperthermia | 11 | Risk |
| 00404 | Risk for occupational illness | 11 | Risk |
| 00475 | Excessive loneliness | 12 | Problem-focused |
| 00342 | Impaired end-of-life comfort syndrome | 12 | Syndrome |
| 00380 | Impaired physical comfort | 12 | Problem-focused |
| 00379 | Impaired psychological comfort | 12 | Problem-focused |
| 00358 | Inadequate social support network | 12 | Problem-focused |
| 00378 | Readiness for enhanced physical comfort | 12 | Health promotion |
| 00377 | Readiness for enhanced psychological comfort | 12 | Health promotion |
| 00376 | Readiness for enhanced social comfort | 12 | Health promotion |
| 00348 | Delayed child growth | 13 | Problem-focused |
| 00478 | Risk for delayed child growth | 13 | Risk |
Retired diagnoses
These are no longer part of the current classification. You will still see them in 2021-2023 or older materials.
| Code | Diagnosis | Domain (former placement) |
|---|---|---|
| 00188 | Risk-prone health behavior | 1 |
| 00232 | Obesity | 2 |
| 00233 | Overweight | 2 |
| 00178 | Risk for impaired liver function | 2 |
| 00296 | Risk for metabolic syndrome | 2 |
| 00234 | Risk for overweight | 2 |
| 00011 | Constipation | 3 |
| 00013 | Diarrhea | 3 |
| 00012 | Perceived constipation | 3 |
| 00015 | Risk for constipation | 3 |
| 00023 | Urinary retention | 3 |
| 00029 | Decreased cardiac output | 4 |
| 00198 | Disturbed sleep pattern | 4 |
| 00095 | Insomnia | 4 |
| 00200 | Risk for decreased cardiac tissue perfusion | 4 |
| 00040 | Risk for disuse syndrome | 4 |
| 00193 | Self-neglect | 4 |
| 00096 | Sleep deprivation | 4 |
| 00154 | Wandering | 4 |
| 00123 | Unilateral neglect | 5 |
| 00124 | Hopelessness | 6 |
| 00225 | Risk for disturbed personal identity | 6 |
| 00065 | Ineffective sexuality pattern | 8 |
| 00009 | Autonomic dysreflexia | 9 |
| 00137 | Chronic sorrow | 9 |
| 00071 | Defensive coping | 9 |
| 00073 | Disabled family coping | 9 |
| 00199 | Ineffective activity planning | 9 |
| 00072 | Ineffective denial | 9 |
| 00264 | Neonatal abstinence syndrome | 9 |
| 00125 | Powerlessness | 9 |
| 00142 | Rape-trauma syndrome | 9 |
| 00187 | Readiness for enhanced power | 9 |
| 00114 | Relocation stress syndrome | 9 |
| 00226 | Risk for ineffective activity planning | 9 |
| 00152 | Risk for powerlessness | 9 |
| 00149 | Risk for relocation stress syndrome | 9 |
| 00177 | Stress overload | 9 |
| 00048 | Impaired dentition | 11 |
| 00218 | Risk for adverse reaction to iodinated contrast media | 11 |
| 00038 | Risk for physical trauma | 11 |
| 00140 | Risk for self-directed violence | 11 |
| 00220 | Risk for thermal injury | 11 |
| 00213 | Risk for vascular trauma | 11 |
| 00214 | Impaired comfort | 12 |
| 00183 | Readiness for enhanced comfort | 12 |
Labels follow the English edition of NANDA-I 2024-2026. Older course materials, care plan books and EHR templates may still use the 2021-2023 labels and codes.
Frequently asked questions
How many diagnoses are in NANDA-I 2024-2026?
277 current diagnoses. The previous edition (2021-2023) had 267.
How many new nursing diagnoses were added?
56, mostly in Domain 1, Health promotion.
Why did so many codes change?
When a label is modified, the diagnosis gets a new code. That is why 98 diagnoses have a different code than in 2021-2023 even though they address the same problem.
Can I still use the 2021-2023 edition?
It depends on your school or facility. If you are asked to use the current edition, use the 2024-2026 labels and codes.
Sources: NNN 2025 summary of changes (Elsevier, Spanish) · NANDA-I 2024-2026, Thieme supplement · NANDA-I, 2021-2023 edition. Reviewed November 2, 2026.