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What were the reasons for removing 'risk for venous thromboembolism' and how was it replaced?

Risk for venous thromboembolism was removed because reviewers found no sufficiently distinct risk factors for venous versus arterial thromboembolism that are modifiable by independent nursing interventions. It was replaced by the broader diagnosis risk for thrombosis (00291), which includes risk factors for both types of thromboses.

According to the edition's explanation of retired diagnoses, risk for venous thromboembolism was removed because content experts could not identify risk factors unique to venous thromboembolism as opposed to arterial thromboembolism that nurses could independently modify. Instead of retaining a narrower diagnosis, NANDA-I adopted risk for thrombosis (00291), a new diagnosis that encompasses risk factors for both venous and arterial thromboses. This change appears in the table of diagnoses removed from the 2021–2023 classification, with the rationale given in the text on retired nursing diagnoses.

Key points

  • No sufficiently distinct modifiable risk factors for venous versus arterial thromboembolism were found.
  • The original diagnosis was removed from the NANDA-I classification.
  • It was replaced by risk for thrombosis (00291).
  • The replacement includes risk factors for both venous and arterial thromboses.
Source:Nursing Diagnoses: Definitions and Classification· International Considerations on the Use of the NANDA-I Nursing Diagnoses· p. 37–43

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Nursing Diagnoses: Definitions and Classification

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Twelfth Edition 2021–2023 · Thieme Medical Publishers, Inc.

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