[EarthChild1130]

I asked an instructor today exactly how one goes about gathering subjective data, implementing, and evaluating a care plan for somebody with a 'disturbed energy field', and the teacher accused me of 'making fun of NANDA'

Seriously, how in the WORLD does that fly in your focus notes??

[DCCCRN2Bn05]

A classmate and I, (now 8weeks from ADN) have made it our goal to one day earn our master's degree so we can write our book entitled "Nursing Diagnosis: for the real world" It won't have alot of those silly ones, but the ones you would really use on the floor. Our favorite is a quote by our best instructor "High risk for Dead"

[sun1shine1]

I've actually used disturbed energy field. We had to do this crazy case study our first semester, and we had to include 12 (TWELVE) nsg dx. After about 5 or 6 on my guy who was only in for an open reduction following a fx @ work, I was really grasping for straws. It was the last one I picked after readiness for enhanced fluid balance and readiness for enhanced nutrition.

Our class always comes up with T-shirts at the end of each semester, and last semester (Med-Surg 2 - NURS 355) we wrote nsg dx for us and our teachers.

Top 3 Nursing Dx. For 355 Instructors

Chronic Tinnitus r/t constant whining of 355 students
Fear r/t having the same crazy students again next semester
Fatigue r/t constantly having to repeat the same information

Top 5 Nursing Dx. For 355 Students

Pain, Acute (Glutteal): r/t 8 hr lectures
Disturbed Body Image r/t frumpy white uniforms
Ineffective Coping r/t failing unit test
Fear r/t repeating 355 next semester
Hypothermia r/t classroom of 50 degrees

Our teachers were so proud that we actually got the r/t's right!

Ash

[MedicalZebra]

I saw that word on a chart hanging next to the scale at my dialysis unit... I guess the ward secretary got tired of seeing 'noncomplaint' instead of 'noncompliant' on the paperwork!

Now if they could just come up with a different word for 'dialysis'... the first syllable in that word is DIE! That's pretty scary to hear three or four hundred times a week during treatment!

[Mission]

I work in a QM department at an MCO, noncompliant is the doc's favorite reason/excuse for failing quality audits. I know a lot of times it is true. The all-time best one I ever saw though was "Patient's mother stole medical chart". Score that NCQA!

[lilbiskit78]

Hi everyone! I agree that quite a few NANDAs are silly! No, I have never diagnosed anyone with a disturbed energy field, even though I probably could around test time! HA! I noticed that Ineffective Protection was on the list and thought I would mention that I used it for a careplan the other day. It has nothing to do with not having a bodyguard! HA, ha, okay, cheesy, I know! It is actually about the inability to protect the body from stuff invading or from bleeding, ie not enough WBCs (chemo, cancer) or not enough platelets, RBCs, ect. I was shocked to use it, but it fit for a pt.w/genetic disorder & missing a clotting factor! First time in 2 years I got to use that one; thank goodness, seems like I write the same 'ole careplans every week.

Lil

[BETSRN]

Originally Posted by lilbiskit78

Hi everyone! I agree that quite a few NANDAs are silly! No, I have never diagnosed anyone with a disturbed energy field, even though I probably could around test time! HA! I noticed that Ineffective Protection was on the list and thought I would mention that I used it for a careplan the other day. It has nothing to do with not having a bodyguard! HA, ha, okay, cheesy, I know! It is actually about the inability to protect the body from stuff invading or from bleeding, ie not enough WBCs (chemo, cancer) or not enough platelets, RBCs, ect. I was shocked to use it, but it fit for a pt.w/genetic disorder & missing a clotting factor! First time in 2 years I got to use that one; thank goodness, seems like I write the same 'ole careplans every week.

Lil

What happened to the old standby "Potential for Infection" ? The way I see it, nursing diagnoses are the things made up by those professors of nursing who haven't seen a bedside in 30 years! Some of these new ones I am hearing about are even more ridiculous than before.

[chimama]

I have always maintained that there is no such thing as a "nursing diagnosis" This entity was created by those who live in the land of NANDA, speak nursespeak,and will not accept the fact that a "nursing care plan" is just and always has been a silly little piece of paper work compliance!

[CarVsTree]

Originally Posted by Tony35NYC

Perhaps not as ridiculous as you think.

1. Denial, as a coping mechanism, is never effective.

Yeah, she knows that Tony. That's what makes it funn. The dx is not ineffective coping, denial... The dx is ineffective denial.

[JGo]

You are just right!
those dx were created for people that dont had anything better and ral to do!
I hate them all