What is the issue with the diagnosis 'risk for falls' (00155) in terms of translation?

The issue is that the diagnosis label "risk for falls" (00155) uses a single English term "fall" to cover distinct types of falls, such as falling down the stairs, falling out of bed, or falling while walking. In some languages, these are separate concepts with different terms, so nurses take different precautions and report them separately. Combining them into one diagnosis may inaccurately merge different nursing problems and be dangerous.

The NANDA-I text explains that diagnosis granularity is important for translation. For "risk for falls," the English word "fall" broadly describes any unintended drop from a higher surface to a lower one or from standing to a lower position on the same surface. But in other languages, these scenarios are distinct concepts with their own terms. Because nurses need to address each type of fall with different precautions and record these incidents separately, a single translated diagnosis does not fit well. The text suggests that some languages might be better served by having separate nursing diagnoses for these phenomena rather than trying to capture them under one English-derived term, as combining them could be dangerous.