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I'm sorry, but some nursing diagnoses are just ridiculous!



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  #1  
Old Feb 24, 2005, 12:39 AM
Registered User
Join Date: Apr 2003
I'm sorry, but some nursing diagnoses are just ridiculous!

Ineffective denial...as opposed to EFFECTIVE denial?
Disturbed energy field
Impaired environmental interpretation syndrome
Health-seeking behaviors (the horror!)
Impaired home maintenance (I'm guilty of that one! If only I could do a collaborative intervention with Merry Maids)
Ineffective protection
Noncompliance
Wandering

Some of these just made me chuckle, and made me wonder about the people who come up with them.

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  #2  
Old Feb 24, 2005, 01:14 AM
Registered User
Join Date: Aug 2004

Disturbed energy field

This one cracks me up! Like how often do we diagnose someone's aura?

Related Factors listed in my pocket guide? TO BE DEVELOPED (hehe!)

Definining Characteristics.... Disruption in field (wave/spike/tingling/flowing)

"Nursing Priority---Move hands slowly over the clien at level of 2 to 3 inches above skin to ASSESS STATE OF ENERGY FIELD AND FLOW OF ENERGY WITHIN THE SYSTEM"

Hmmm...........

"allow client's body to pull back/repattern energy as needed"

"Hold client's feet for a few moments at the end of the session to ASSIST IN GROUNDING THE BODY'S ENERGY"


I am all for homeopathic interventions, but I never thought I would see this in a nursing book... *shrug*

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  #3  
Old Feb 24, 2005, 10:07 AM
CarVsTree's Avatar
CarVsTree (Female)
Senior Member
Join Date: Sep 2003

I really thought you had some crackerjack book with some of those dxs. I HAD to look them up to believe it. I looked it up in Ackley/Ladwig and sure enough they were all there.



Can't see myself using the energy field one, but I should try it on one of my careplans...

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  #4  
Old Feb 24, 2005, 12:43 PM
Registered User
Join Date: Apr 2003

Originally Posted by suemom2kay
I really thought you had some crackerjack book with some of those dxs. I HAD to look them up to believe it. I looked it up in Ackley/Ladwig and sure enough they were all there.
That's the book I have!

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  #5  
Old Feb 24, 2005, 07:00 PM
Altra's Avatar
RN, CEN
Join Date: Sep 2003

My favorite instructor once promised to put any assessment/care plan containing "Disturbed Energy Field" through the paper shredder ...

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  #6  
Old Feb 24, 2005, 07:21 PM
Registered User
Join Date: Feb 2005

We used to have a nurse who would use that
one (disturbed energy field ) to get out of working
night shift.

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  #7  
Old Feb 24, 2005, 07:23 PM
Registered User
Join Date: Feb 2005

oops.

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  #8  
Old Feb 24, 2005, 08:15 PM
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Join Date: Oct 2004

Ineffective denial...as opposed to EFFECTIVE denial?
Disturbed energy field
Impaired environmental interpretation syndrome
Health-seeking behaviors (the horror!)
Impaired home maintenance (I'm guilty of that one! If only I could do a collaborative intervention with Merry Maids)
Ineffective protection
Noncompliance
Wandering
See, noncompliance is not ridiculous. Noncompliance is a big issue with many people. The complexities of many diseases, the difficult management of said disease (think diabetes, liver disease, etc), leads many patients to be noncompliant with their therapy, which has major implications for their health. I heard a nurse telling a pt about taking Lasix at home-twice a day (had CHF) Pt didn't want to take it twice a day, b/c she didn't want to get up to pee at night. THis could have lead to pulm edema at night if she had all that fluid in her from not taking her Lasix. If a nurse can do something to help "fix" the noncompliance issue(educate her on the importance, the risks, get her a bedside commode so she doesn't have to go far when she gets up), then this can improve the health of hte patient. Noncompliance is common, and important, certainly not ridiculous.

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  #9  
Old Feb 24, 2005, 08:51 PM
Registered User
Join Date: Jun 2004

Health seeking behaviors is not ridiculous either. It recognizes a patient's strength to build upon it. Not everything has to focus on what is wrong. Sometimes it is a good idea to build upon what is right. That is what separates nursing from medicine. Nurses use strengths to address weaknesses. Doctors focus on what is wrong (usually by throwing drugs at it or surgically removing it )

Noncompliance is also not ridiculous, as the poster before me pointed out. It is an important nursing consideration.

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  #10  
Old Feb 24, 2005, 09:07 PM
Registered User
Join Date: Apr 2003

Yes, I realize that ALL of them are legitimate when you actually look beneath the surface (okay, maybe not energy field). I figured someone would pick apart my post and say why I'm wrong. I was slappy, sleep deprived, and working on a 10-page clinical worksheet as I posted that last night. Just trying to bring a little levity to the board. Sorry, won't happen again.

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I'm sorry, but some nursing diagnoses are just ridiculous!

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