any diagnosis has to be based on the assessment information you have gathered about the patient. that is what makes their care structured to them. suicidal ideation is the medical diagnosis
. nursing diagnoses are based upon the patient's responses
to their medical problems and other things happening to them. medical diagnoses, as well, are always based upon the symptoms a patient is having. a doctor must go through the same process of examination and sorting through data before determining the person's problem (diagnosis) just as nurses do. for nursing diagnosing, the symptoms we look for are not only the same ones the doctors focus on, but also include patients responses
to their diseases and conditions as well as their ability to perform their adls. every nursing diagnosis has a list of signs and symptoms (nanda calls them defining characteristics) and before you assign any nursing diagnosis to a patient you should check to make sure that they have one of more of the symptoms listed under a nursing diagnosis. you should also double check the definition of the nursing diagnosis to make sure it is indeed the correct problem that the patient has.
you need to use the nursing process to guide you in this. first, go back and re-examine the assessment data you have on this patient. assessment consists of:
- a health history (review of systems)
- performing a physical exam
- assessing their adls (at minimum: bathing, dressing, mobility, eating, toileting, and grooming)
- reviewing the pathophysiology, signs and symptoms and complications of their medical condition
- reviewing the signs, symptoms and side effects of the medications/treatments that have been ordered and that the patient is taking
your next step is to sort out all the abnormal data. it is the abnormal data that are the signs and symptoms of the nursing problems (nursing diagnoses). determine what nursing diagnostic names to attach to them. the third step is to begin planning care by writing goals and nursing interventions.
on the nursing student forums of allnurses is a thread where there are examples showing how to do this: http://allnurses.com/general-nursing...ns-286986.html
- help with care plans.
if you still are having difficulty doing this first step, ask, or search allnurses as i am positive there has been a care plan question regarding suicide that i have answered in the past.