Although the fifth edition of this book has seen many author changes, our commitment and direction was clearly stated by, Dr. Helen Cox, in the preface to the fourth edition. We continue our commitment to providing a nursing focus to the process of nursing care. The fifth edition reflects seventeen new and six revised diagnoses accepted by NANDA in 2003 and 2005 and updated information in each chapter. The chapter formats remain the same. We have revised the integration of NANDA, NIC, and NOC terminology to assist with understanding their integration. NANDA, NIC, and NOC concepts are placed in charts which identify the linkages that can be.