Not all domains are equal in every patient. For a patient in septic shock, Domain 3 (Elimination/Exchange) and Domain 11 (Safety/Protection) will be your priority. For a patient with newly diagnosed cancer, Domain 6 (Self-Perception) and Domain 10 (Life Principles) may become critical later.
Se centra en el sistema nervioso humano y sus funciones. Incluye la atención, orientación, sensopercepción, pensamiento y comunicación.
The current 13-domain structure (introduced in NANDA-I 2015-2017) replaced a previous model with 9 domains. The change was made to:
As of the latest edition (NANDA-I 2024-2026), the 13 domains remain stable, though new diagnoses are added, and some are retired. Currently, there are over 240 nursing diagnoses distributed across these 13 domains.
Before diving into the list, it is important to understand the hierarchy of the NANDA taxonomy. The structure is as follows:
The 13 domains shift the focus from a simple alphabetical list of diagnoses to a functional health patterns approach. They help nurses answer the question: "What is the primary area of human function that is being affected?" 13 dominios de la taxonomia nanda
From a clinical perspective, using the domains allows for:
The following are the current domains accepted in the NANDA-I framework, which serve as the highest level of the classification hierarchy:
1. Domain 1: Health Promotion This domain focuses on the awareness and motivation to improve or maintain health. It includes diagnoses related to health management, nutrition, and physical fitness.
2. Domain 2: Nutrition This domain pertains to the intake, assimilation, and utilization of nutrients for tissue maintenance and repair. It includes diagnoses regarding swallowing, digestion, and metabolic function.
3. Domain 3: Elimination and Exchange This domain covers the secretion and excretion of body wastes, as well as the exchange of gases. Not all domains are equal in every patient
4. Domain 4: Activity/Rest This domain relates to the production, conservation, expenditure, or balance of energy resources. It covers sleep, exercise tolerance, and self-care abilities.
5. Domain 5: Perception/Cognition This domain focuses on the human information processing system, including attention, orientation, and cognition.
6. Domain 6: Self-Perception This domain encompasses the awareness and perception of self. It includes issues related to body image, self-esteem, and personal identity.
7. Domain 7: Role Relationships This domain focuses on the connection and association between people. It covers family dynamics, parenting, and social interactions.
8. Domain 8: Sexuality This domain pertains to sexual identity and sexual function. It addresses issues regarding reproductive health and sexual disorders. As of the latest edition (NANDA-I 2024-2026), the
9. Domain 9: Coping/Stress Tolerance This domain covers the ability to manage stress and conflict. It includes diagnoses related to resilience, coping strategies, and post-trauma responses.
10. Domain 10: Life Principles This domain focuses on the underlying motivations, values, and beliefs that guide life choices.
11. Domain 11: Safety/Protection This domain relates to the avoidance of harm and protection of the body. It includes infection control, injury prevention, and thermoregulation.
12. Domain 12: Comfort This domain encompasses the provision of physical and emotional relief. It addresses pain management and environmental comfort.
13. Domain 13: Growth/Development This domain covers the age-appropriate physical and psychological maturation of the individual.
14. Domain 14: Self-Management of Health (Emerging/Recent Addition) Note: In earlier editions (e.g., 2015-2017), Domain 13 was the final domain. Recent updates have seen the reorganization of "Health Promotion" concepts and the solidification of a distinct domain specifically focused on the self-management of chronic conditions and health behaviors, often categorized separately or as a significant expansion of Domain 1.