Nursing Diagnosis.pptx

nursing

1. Nursing Diagnosis

2. Discuss abt.: Identification of client problem Nursing diagnosis statement Difference b/w medical and nursing diagnosis

3. Nursing diagnosis Actual or potential health problems that can be prevented or resolved by independent nursing intervention are termed as nursing diagnosis . NANDA-I North American Nursing Diagnosis Association- International

4. Purpose o diagnosing Identify how an individual, group, or community responds to actual or potential health and life processes, Identify factors ( etiologies ), and Identify resources or strength the individual, group or community can draw on to prevent or resolve problem

5. Diagnosis: Interpret and analyse patient data Identify patient strength Formulate and validate nursing diagnosis Develop a prioritized list of nursing diagnosis Detect and refer signs and symptoms that may indicate a problem beyond the nurses’ experience

6. Difference between the Medical and Nursing diagnosis MEDICAL DIAGNOSIS: Identification of disease condition based on a specific evaluation of physical signs and symptom, a patient’s medical history, and the result of diagnostic test and procedure A medical diagnosis stay constant as a condition remains. Physicians are licensed to treat disease and condition described in medical diagnostic statements. An advanced nursing practitioner can also perform medical diagnosis

7. Nursing Diagnosis It is clinical judgment concerning a human response to health conditions life processes or vulnerability for that response by an individual, family of community that a nurse is licensed and competent to treat. – Herdman and Kamitsuru , 2014 For example, acute pain is a response to an injury such as a surgical procedure or chemical burn. Nurses are licensed to treat acute pain .

8. Collaborative diagnosis It is an actual or potential physiological complication that nurses monitor to detect the onset of changes in a patient’s health status. When collaborative problem develops, nurses intervene in collaboration with personnel from other health care disciplines. Example: nurses manage the collaborative problems such as hemorrhage , infection and paralysis using medical, nursing and allied ( e.g : physical therapy) interventions

9. Medical Diagnosis Nursing Diagnosis Identify disease Focuses on unhealthy response to health and illness Describes problem for which the physician directs the primary treatment Describes problems treated by nurses within the scope of independent nursing practice Remains the same as long as the disease present May change from day to day Example: Myocardial infarction Same patient with MI the nursing diagnosis are: Fear Altered health maintenance Knowledge deficit Pain Altered tissue perfusion

10. Unique focus of Nursing Diagnosis In the diagnosing step of the nursing process, the nurse identification nursing’s unique concern for a patient Nursing diagnosis are written that nurse can treat patient independently Alfaro - LeFevre (2006) in her book describes the shift diagnosis and treat (DT) to predict, prevent, manage and promote (PPMP) It requires three main nurses activity

11. Nurses Role in N urse D iagnosis

12. Type of Nursing Diagnosis

13. A problem focused nursing diagnosis Describes a clinical judgment concerning an undesirable human response to a health condition/life process that exists in an individual, family or community

14. 1. Defining characteristics : observable assessment cues such as patient behaviour, physical signs that supports each problem-focused diagnostic judgment 2. Related factor: is an causative factor for the diagnosis Example : S/N. Tina assessed Mr. Rajeev having discomfort in the colectomy incision. He rated pain 7 out of 10 in pain scale and was grimacing. He guarded incision area that was tender. NURSING DIAGNOSIS: Acute pain related to trauma of incision site

15. Risk Nursing diagnosis It is a clinical judgment concerning the vulnerability of an individual, family, group or community for developing an undesirable human response to health condition/ life process There is no related factor or defining characters Instead it has risk factors (environmental, physiological, psychological, genetic or chemical)

16. Health promotion nursing diagnosis It is a clinical judgment concerning a patient motivation and desire to increase wellbeing and actualize human health potential Example: 1. Readiness for enhanced family coping 2. readiness for enhanced nutrition

17. Guidelines for writing nursing diagnosis 1.