What Is Domain 1: Health Promotion?
In the NANDA-I taxonomy of nursing diagnoses, Domain 1 is called "Health Promotion." This domain covers the perceptions and strategies that individuals, families, and communities use to maintain or improve their well-being and ability to function. It includes health awareness and effective health management.
This domain reflects the importance of health promotion as an essential nursing role, aimed at preventing disease and empowering patients to adopt healthy habits and improve their quality of life.
Domain 1 includes two distinct classes:
Class 1: Health Awareness
This class focuses on the extent to which an individual, family, or community recognizes and understands their health status, the factors that affect it, and the actions needed to maintain or improve it.
Recognition of normal functioning and well-being.
(00097) β Decreased diversional activity engagement
(00448) β Risk for decreased diversional activity engagement
(00355) β Excessive sedentary behaviors
(00394) β Risk for excessive sedentary behaviors
(00273) β Imbalanced energy field
This class is essential for identifying gaps in patients' knowledge and encouraging an active understanding of their health.
Class 2: Health Management
Health management covers the actions a person takes to monitor and manage their health, from following treatment plans to adopting habits that prevent complications or improve overall health.
(00276) β Ineffective health self-management
(00369) β Risk for ineffective health self-management
(00293) β Readiness for enhanced health self-management
(00080) β Ineffective family health management
(00410) β Risk for ineffective family health management
(00356) β Ineffective community health management
(00413) β Risk for ineffective community health management
(00489) β Risk for ineffective blood glucose pattern self-management
(00277) β Ineffective dry eye self-management
(00352) β Ineffective dry mouth self-management
(00412) β Risk for ineffective dry mouth self-management
(00397) β Ineffective fatigue self-management
(00278) β Ineffective lymphedema self-management
(00281) β Risk for ineffective lymphedema self-management
(00384) β Ineffective nausea self-management
(00418) β Ineffective pain self-management
(00447) β Readiness for enhanced weight self-management
(00398) β Ineffective overweight self-management
(00487) β Risk for ineffective overweight self-management
(00485) β Ineffective underweight self-management
(00486) β Risk for ineffective underweight self-management
(00353) β Ineffective health maintenance behaviors
(00369) β Risk for ineffective health maintenance behaviors
(00354) β Ineffective home maintenance behaviors
(00370) β Risk for ineffective home maintenance behaviors
(00371) β Readiness for enhanced home maintenance behaviors
(00372) β Readiness for enhanced exercise engagement
(00373) β Inadequate health literacy
(00374) β Risk for inadequate health literacy
(00375) β Readiness for enhanced health literacy
(00376) β Readiness for enhanced healthy aging
(00377) β Elder frailty syndrome
(00378) β Risk for elder frailty syndrome
This class aims to empower patients to take an active role in their health, supporting their autonomy and ability to make informed decisions.
Relationship Between the Classes
Although the two classes have distinct goals, they are closely related. Health awareness is an essential foundation for effective health management. For example, following a treatment plan requires an understanding of the condition and the benefits of treatment.
The Importance of Domain 1 in Nursing Practice
A focus on health promotion is vital in a healthcare setting that values prevention and sustainability. Within this domain, nurses play an active role in patient education, promoting healthy lifestyles, and supporting the behavioral changes needed to achieve optimal health.
This domain reinforces the importance of a holistic approach that considers the physical, psychological, social, and environmental factors that influence well-being.
Including this domain in the NANDA-I taxonomy highlights health promotion as an essential nursing role, supporting disease prevention, healthy lifestyles, and people's ability to care for themselves.
About This Guide
NANDA Nursing Diagnoses are an essential tool in modern nursing practice. They provide a standardized language that improves the quality of care, supports communication between professionals, and promotes evidence-based care.
We hope this guide gives you a solid understanding of the key concepts, from domains and types of diagnosis to the practical use of the PES format. Explore the additional resources and keep learning to develop your skills!
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