The CCC System of nursing diagnoses (version 2.5) consists of 176 nursing diagnoses (60 major and 116 subcategories). The major categories represent concrete patient problems and the subcategories represent more precise related concepts. Each depicts patient problems/diagnoses and/or healthcare conditions requiring clinical care by nurses and other healthcare providers. The nursing diagnoses and/or patient problems were collected from the original live research data that represented unique diagnostic concepts structured as a noun clause.
Definition
A nursing diagnosis is defined as “a clinical judgement about the healthcare consumer’s response to actual or potential health conditions or needs. The diagnosis provided the basis for determination of a plan to achieve expected outcomes. Registered nurses utilize nursing and medical diagnoses depending upon education and clinical preparation and legal authority” (ANA, 2010, p.64).
Description
The CCC of nursing diagnoses were derived from the 40,361 patient problems and/or nursing diagnosis narrative statements collected from the research study patients during an entire episode of care requiring nursing services including the actual outcome of the care on discharge. The diagnostic narrative statements analyzed using “keyword” sorts as well as other statistical analyses resulting in the development of the major categories and subcategories for the varying concept scopes, which were structured as noun clauses. As described, the statements were coded with the preliminary vocabulary and then categorized by the original 20 care component classes. The diagnoses were also linked to the most appropriate interventions that were considered the key activities to treat them. You can explore them in the table below:
| Component | Code | Name / Description |
|---|---|---|
| A | 01.0 | Activity Alteration Change in or modification of energy used by the body |
| 01.1 | Activity Intolerance Incapacity to carry out physiological or psychological daily activities |
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| 01.2 | Activity Intolerance Risk Increased chance of an incapacity to carry out physiological or psychological daily activities |
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| 01.3 | Diversional Activity Deficit Lack of interest or engagement in leisure activities |
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| 01.4 | Fatigue Exhaustion that interferes with physical and mental activities |
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| 01.5 | Physical Mobility Impairment Diminished ability to perform independent movement |
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| 01.6 | Sleep Pattern Disturbance Imbalance in the normal sleep/wake cycle |
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| 01.7 | Sleep Deprivation Lack of the normal sleep / wake cycle |
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| 02.0 | Musculoskeletal Alteration Change in or modification of the muscles, bones or support structures |
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| B | 03.0 | Bowel Elimination Alteration Change in or modification of the gastrointestinal system |
| 03.1 | Bowel Incontinence Involuntary defecation |
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| 03.3 | Diarrhea Abnormal frequency and fluidity of feces |
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| 03.4 | Fecal Impaction Feces wedged in intestine |
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| 03.5 | Perceived Constipation Impression of infrequent or difficult passage of hard, dry feces without cause. |
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| 03.6 | Constipation Difficult passage of hard, dry, feces |
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| 04.0 | Gastrointestinal Alteration Change in or modification of the stomach or intestines |
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| 04.1 | Nausea Distaste for food/fluid and an urge to vomit |
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| 04.2 | Vomiting Expulsion of stomach contents through the mouth. |
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| C | 05.0 | Cardiac Output Alteration Change in or modification of the pumping action of the heart or blood vessels |
| 06.0 | Cardiovascular Alteration Change in or modification of the heart or blood vessels |
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| 06.1 | Blood Pressure Alteration Change in or modification of the systolic or diastolic pressure |
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| 06.2 | Bleeding Risk Increased chance of loss of blood volume |
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| D | 07.0 | Cerebral Alteration Change in or modification of mental processes |
| 07.1 | Confusion State of being disoriented (mixed-up) |
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| 08.0 | Knowledge Deficit Lack of information, understanding, or comprehension |
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| 08.1 | Knowledge Deficit of Diagnostic Test Lack of information on tests to identify disease or assess health condition |
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| 08.2 | Knowledge Deficit of Dietary Regimen Lack of information on the prescribed diet/food intake |
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| 08.3 | Knowledge Deficit of Disease Process Lack of information on the morbidity, course, or treatment of the health,condition |
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| 08.4 | Knowledge Deficit of Fluid Volume Lack of information on fluid volume intake requirements |
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| 08.5 | Knowledge Deficit of Medication Regimen Lack of information on prescribed regulated course of medicinal,substances |
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| 08.6 | Knowledge Deficit of Safety Precautions Lack of information on measures to prevent injury, danger, or loss |
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| 08.7 | Knowledge Deficit of Therapeutic Regimen Lack of information on regulated course of treating disease |
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| 09.0 | Thought Processes Alteration Change in or modification of thought and cognitive processes |
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| 09.1 | Memory Impairment Diminished or inability to recall past events |
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| E | 10.0 | Dying Process Physical and behavioral responses associated with death |
| 11.0 | Family Coping Impairment Inadequate family response to problems or difficulties |
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| 11.2 | Disabled Family Coping Inability of family to function optimally |
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| 12.0 | Individual Coping Impairment Inadequate personal response to problems or difficulties |
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| 12.1 | Adjustment Impairment Inadequate adaptation to condition or change in health status |
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| 12.2 | Decisional Conflict Struggle related to determining a course of action |
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| 12.3 | Defensive Coping Self-protective strategies to guard against threats to self |
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| 12.4 | Denial Attempt to reduce anxiety by refusal to accept thoughts, feelings, or facts |
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| 13.0 | Post-Trauma Response Sustained behavior related to a traumatic event |
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| 13.1 | Rape Trauma Syndrome Group of symptoms related to a forced sexual act |
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| 14.0 | Spiritual State Alteration Change in or modification of the spirit or soul |
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| 14.1 | Spiritual Distress Anguish related to the spirit or soul |
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| 52.0 | Community Coping Impairment Inadequate community response to problems or difficulties |
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| 53.0 | Grieving Feeling of great sorrow |
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| 53.1 | Anticipatory Grieving Feeling great sorrow before the event or loss |
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| 53.2 | Dysfunctional Grieving Prolonged feeling of great sorrow |
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| F | 15.0 | Fluid Volume Alteration Change in or modification of bodily fluid |
| 15.1 | Fluid Volume Deficit Dehydration or fluid loss |
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| 15.2 | Fluid Volume Deficit Risk Increased chance of dehydration or fluid loss. |
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| 15.3 | Fluid Volume Excess Fluid retention, overload, or edema |
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| 15.4 | Fluid Volume Excess Risk Increased chance of fluid retention, overload, or edema |
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| 62.0 | Electrolyte Imbalance Higher or lower body electrolyte levels |
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| G | 17.0 | Health Maintenance Alteration Change in or modification of ability to manage health-related needs |
| 17.1 | Failure to Thrive Inability to grow and develop normally |
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| 18.0 | Health Seeking Behavior Alteration Change in or modification of actions needed to improve health state |
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| 19.0 | Home Maintenance Alteration Inability to sustain a safe, healthy environment |
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| 20.0 | Noncompliance Failure to follow therapeutic recommendations |
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| 20.1 | Noncompliance of Diagnostic Test Failure to follow therapeutic recommendations on tests to identify disease or assess health condition. |
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| 20.2 | Noncompliance of Dietary Regimen Failure to follow the prescribed diet/food intake. |
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| 20.3 | Noncompliance of Fluid Volume Failure to follow fluid volume intake requirements |
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| 20.4 | Noncompliance of Medication Regimen Failure to follow prescribed regulated course of medicinal substances |
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| 20.5 | Noncompliance of Safety Precautions Failure to follow measures to prevent injury, danger, or loss |
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| 20.6 | Noncompliance of Therapeutic Regimen Failure to follow regulated course of treating disease |
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| H | 21.0 | Medication Risk Increased chance of negative response to medicinal substance |
| 21.1 | Polypharmacy Use of two or more drugs together |
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| I | 22.0 | Endocrine Alteration Change in or modification of internal secretions or hormones |
| 23.0 | Immunologic Alteration Change in or modification of the immune system |
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| J | 24.0 | Nutrition Alteration Change in or modification of food or nutrients |
| 24.1 | Body Nutrition Deficit Less than adequate intake or absorption of food or nutrients |
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| 24.2 | Body Nutrition Deficit Risk Increased chance of less than adequate intake or absorption of food or nutrients |
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| 24.3 | Body Nutrition Excess More than adequate intake or absorption of food or nutrients |
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| 24.4 | Body Nutrition Excess Risk Increased chance of more than adequate intake or absorption of food or,nutrients |
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| 24.5 | Swallowing Impairment Inability to move food from mouth to stomach |
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| 54.0 | Infant Feeding Pattern Impairment Imbalance in the normal feeding habits of an infant |
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| 55.0 | Breastfeeding Impairment Diminished ability to nourish infant at the breast |
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| K | 25.0 | Physical Regulation Alteration Change in or modification of somatic control |
| 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 |
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| 25.2 | Hyperthermia Abnormal high body temperature |
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| 25.3 | Hypothermia Abnormal low body temperature |
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| 25.4 | Thermoregulation Impairment Fluctuation of temperature between hypothermia and hyperthermia |
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| 25.5 | Infection Risk Increased change of contamination with disease-producing germs |
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| 25.6 | Infection Contamination with disease-producing germs |
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| 25.7 | Intracranial Adaptive Capacity Impairment Intracranial fluid volumes are compromised |
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| L | 26.0 | Respiration Alteration Change in or modification of the breathing function |
| 26.1 | Airway Clearance Impairment Inability to clear secretions/obstructions in airway |
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| 26.2 | Breathing Pattern Impairment Inadequate inhalation or exhalation |
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| 26.3 | Gas Exchange Impairment Imbalance of oxygen and carbon dioxide transfer between lung and vascular system |
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| 56.0 | Ventilatory Weaning Impairment Inability to tolerate decreased levels of ventilator support |
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| M | 27.0 | Role Performance Alteration Change in or modification of carrying out responsibilities |
| 27.1 | Parental Role Conflict Struggle with parental position and responsibilities |
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| 27.2 | Parenting Alteration Change in or modification of nurturing figures ability to promote growth and development of infant/child |
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| 27.3 | Sexual Dysfunction Deleterious change in sex response |
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| 27.4 | Caregiver Role Strain Excessive tension of one who gives physical or emotional care and support to another person or patient |
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| 28.0 | Communication Impairment Diminished ability to exchange thoughts, opinions, or information |
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| 28.1 | Verbal Impairment Diminished ability to exchange thoughts, opinions, or information through, speech |
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| 29.0 | Family Processes Alteration Change in or modification of usual functioning of a related group |
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| 31.0 | Sexuality Patterns Alteration Change in or modification of persons's sexual response |
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| 32.0 | Socialization Alteration Change in or modification of personal identity |
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| 32.1 | Social Interaction Alteration Inadequate quantity or quality of personal relations |
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| 32.2 | Social Isolation State of aloneness; lack of interaction with others |
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| 32.3 | Relocation Stress Syndrome Excessive tension from moving to a new location |
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| N | 33.0 | Injury Risk Increased chance of danger or loss |
| 33.1 | Aspiration Risk Increased chance of material into trachea-bronchial passages |
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| 33.2 | Disuse Syndrome Group of symptoms related to effects of immobility |
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| 33.3 | Poisoning Risk Exposure to or ingestion of dangerous products |
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| 33.4 | Suffocation Risk Increase chance of inadequate air for breathing |
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| 33.5 | Trauma Risk Increased chance of accidental tissue injury |
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| 33.6 | Fall Risk Increased chance of conditions that results in falls |
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| 34.0 | Violence Risk Increased chance of harming self or others |
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| 34.1 | Suicide Risk Increased chance of taking one's life intentionally |
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| 34.2 | Self mutilation Risk Increased chance of destroying a limb or essential part of the body |
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| 57.0 | Perioperative Injury Risk Increased chance of injury during the operative processes |
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| 57.1 | Perioperative Positioning Injury Damages from operative process positioning |
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| 57.2 | Surgical Recovery Delay Slow or delayed recovery from a surgical procedure |
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| 58.0 | Substance Abuse Excessive use of harmful bodily materials |
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| 58.1 | Tobacco Abuse Excessive use of tobacco products |
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| 58.2 | Alcohol Abuse Excessive use of distilled liquors |
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| 58.3 | Drug Abuse Excessive use of habit forming medications |
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| O | 35.0 | Bathing/Hygiene Deficit Impaired ability to cleanse oneself |
| 36.0 | Dressing/Grooming Deficit Impaired ability to clothe and groom oneself |
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| 37.0 | Feeding Deficit Impaired ability to feed oneself |
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| 38.0 | Self Care Deficit Impaired ability to maintain oneself |
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| 38.1 | Activities of Daily Living (ADLs) Alteration Change in modification of ability to maintain oneself |
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| 38.2 | Instrumental Activities of Daily Living (IADLs) Alteration Change in or modification of more complex activities than those needed to maintain oneself |
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| 39.0 | Toileting Deficit Impaired ability to urinate or defecate for oneself |
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| P | 40.0 | Anxiety Feeling of distress or apprehension whose source is unknown |
| 41.0 | Fear Feeling of dread or distress whose cause can be identified |
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| 42.0 | Meaningfulness Alteration Change in or modification of the ability to see the significance, purpose, or,value in something |
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| 42.1 | Hopelessness Feeling of despair or futility and passive abandonment |
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| 42.2 | Powerlessness Feeling of helplessness, or inability to act |
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| 43.0 | Self Concept Alteration Change in or modification of ability to maintain one's image of self |
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| 43.1 | Body Image Disturbance Imbalance in the perception of the way one's body looks |
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| 43.2 | Personal Identity Disturbance Imbalance in the ability to distinguish between the self and the non-self |
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| 43.3 | Chronic Low Self-Esteem Disturbance Persistent negative evaluation of oneself |
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| 43.4 | Situational Self-Esteem Disturbance Negative evaluation of oneself in response to a loss or change |
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| Q | 44.0 | Sensory Perceptual Alteration Change in or modification of the response to stimuli |
| 44.1 | Auditory Alteration Change in or modification of diminished ability to hear |
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| 44.2 | Gustatory Alteration Change in or modification of diminished ability to taste |
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| 44.3 | Kinesthetic Alteration Change in or modification of diminished balance |
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| 44.4 | Olfactory Alteration Change in or modification of diminished ability to smell |
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| 44.5 | Tactile Alteration Change in or modification of diminished ability to feel |
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| 44.6 | Unilateral Neglect Lack of awareness of one side of the body |
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| 44.7 | Visual Alteration Change in or modification of diminished ability to see |
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| 45.0 | Comfort Alteration Change in or modification of sensation that is distressing |
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| 63.0 | Pain Physical suffering or distress, to hurt |
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| 63.1 | Acute Pain Severe pain of limited duration |
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| 63.2 | Chronic Pain Pain that persists over time |
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| R | 46.0 | Skin Integrity Alteration Change in or modification of skin conditions |
| 46.1 | Oral Mucous Membranes Impairment Diminished ability to maintain the tissues of the oral cavity |
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| 46.2 | Skin Integrity Impairment Diminished ability to maintain the integument |
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| 46.3 | Skin Integrity Impairment Risk Increased chance of skin breakdown |
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| 46.4 | Skin Incision Cutting of the integument/skin |
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| 46.5 | Latex Allergy Response Pathological reaction to latex products |
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| 47.0 | Peripheral Alteration Change in or modification of neurovascularization of the extremities |
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| S | 48.0 | Tissue Perfusion Alteration Change in or modification of the oxygenation of tissues |
| T | 49.0 | Urinary Elimination Alteration Change in or modification of excretion of the waste matter of the kidneys |
| 49.1 | Functional Urinary Incontinence Involuntary, unpredictable passage of urine |
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| 49.2 | Reflex Urinary Incontinence Involuntary passage of urine occurring at predictable intervals |
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| 49.3 | Stress Urinary Incontinence Loss of urine occurring with increased abdominal pressure |
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| 49.5 | Urge Urinary Incontinence Involuntary passage of urine following a sense of urgency to void |
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| 49.6 | Urinary Retention Incomplete emptying of the bladder |
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| 50.0 | Renal Alteration Change in or modification of the kidney function |
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| U | 59.0 | Reproductive Risk Increased chance of harm in the process of replicating or giving rise to an offspring/child |
| 59.1 | Fertility Risk Increased chance of conception to develop an offspring/child |
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| 59.2 | Infertility Risk Decreased chance of conception to develop an offspring/child |
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| 59.3 | Contraception Risk Increased chance of harm by preventing the conception of an offspring/child |
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| 60.0 | Perinatal Risk Increased chance of harm before, during, and immediately after the creation of an offspring / child |
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| 60.1 | Pregnancy Risk Increased chance of harm during the gestational period of the formation of an offspring / child |
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| 60.2 | Labor Risk Increased chance of harm during the period supporting the bringing forth of an offspring / child |
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| 60.3 | Delivery Risk Increased chance of harm during the period supporting the expulsion of an offspring / child at birth |
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| 60.4 | Postpartum Risk Increased chance of harm during the time period immediately following the delivery of an offspring / child |
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| 61.0 | Growth and Development Alteration Change in or modification of age specific normal growth standards and/or developmental skills. |