[DisturbedEnergy]

Originally Posted by imenid37

The vast majority of RN's don't posess the skills to assess this situation. Therefore, it should not be a "nursing diagnosis."

I get your point but how skilled are most nurses at assessing "impaired religiosity" or "spiritual distress"? There are a number of NANDA diagnoses that would not be used unless you are in a nursing specialty where it applies. Nurses outside of that specialty may not be skilled at assessing the patient in relation to those diagnoses (I'm thinking of things like "Impaired Child Attachment").

A nurse can always say "that's not my area of expertise but I'd be happy to find someone who can help." We can always refer to a chaplain, counselor, social worker, massage therapist, etc.

As for the usefulness of NANDA diagnoses, they are helpful as a student to help us wrap our heads around the difference between a medical diagnosis vs a nursing diagnosis and they guide our careplans. I can definitely understand where they would out-live the initial benefits though. Besides, don't most facilities have a standard careplan based on the norms for the unit? Ours does.

NANDA diagnoses, helpful learning tool - cumbersome and impractical in practice.

[Woodenpug]

Plenty of evidence shows that it does not work. http://www.quackwatch.com/01Quackery...Topics/tt.html has a simple article and a method for testing these energy field tx's.
One important factor in nursing is treating a patient in a culturally appropriate manner. So even though TT and the like are not actual treatments, in the sense that they have at best only a placebo effect, they should be included when culturally appropriate.

[suanna]

Is it no wonder that nursing is trivialized by the medical community. Can anyone honestly say we are a respectable, science based profession when they read that diagnosis? Nursing has a long way to go! When I read stuff like this I'm embarrassed to say I'm a nurse.

[zenman]

I wouldn't worry too much about losing your status. I decided to go back and study the original mind-body practitioners and you would be amazed at the health professionals who are doing the same. Lot's of nurses, psychologists, physicians...and even three physicists that I've studied with.

"Shamanic experiences are quite natural, only our culture has become so

removed from them that even our scientific observers do not possess the

appropriate concepts or experience to understand them." - Ian Prattis


"Many shamanic techniques make good

psychological and scientific sense."

- Roger Walsh, M.D., Ph.D.

[sylvieprince]

"I do feel & see energy fields. Say what you will, it is what it is."

They just don't exist.

[earle58]

of course we have energy fields!

life is energy.
man is energy.

but w/o a concrete foundation in which to apply it, there are many, MANY more dx's that could address disturbed energy, and put everything back in balance.

i think the dx is futile.
but that doesn't negate my beliefs about energy fields.

there's much to be said about western medicine.
not all of it is founded.

leslie

[holiday2525]

I've included it in one of my assignments. I put it in because the pt. was that type pf pt, i.e. hippi-ish, friut and granola, all natural cosmic balance type person.
While I don't think it belong in a nursing dx, I think this whole thing with nursing dx is garbage anyway - but I'm a student what do I know. Actually I'm a former behavoiral medicine phd student that ran out of time, we always worked of the med dx, and I guess I still do.

[LilgirlRN]

Ya know let people believe what they wanna believe. Everyone has a different opinion. If it works for them it works. Chinese medicine has been around for a long time, personally I don't see how a bear's gall bladder can help me in anyway, but they do. It's like taking sugar pills, works for some.... the placebo effect.

[suanna]

Thank you! I am now so much more thankful to be out of school and away from the "nursing diagnosis" fluff. As long as we allow nonsense like this to infiltrate our practice we will have trouble getting people to perceive the practice of nursing as a profession. How is the disturbance in the energy field measured? What factors improve the energy fields flow of make it worse? What was the patients baseling energy flow? Unless we can answer these questions it isn't science- it's just new-age techno-babble. This stuff belongs in the National Enquirer, not nursing education. When I read that stuff like this in our practice I am embarrassed to be a nurse.

[CitrusBeeRN]

This nursing dx. was my all-time fave in school!! Much to the chagrin of my clinical instructors, I included it in a few care plans. Someone has to be concerned about the patients' 'energy field,' right?!