Quote from soutthpaw
Why does NANDA insist on calling them Nursing Diagnoses? I asked professors and several nurses and none have ever told a HCP "well doc, my nursing diagnosis is __________" From day one, anyone in the medical profession is taught that only Health Care Practitioners/Providers diagnose. Unless you are an NP, you don't diagnose. I am pretty sure you will get the crazy look if you ever make that comment to a physician.
This also seems troublesome in court. So Nurse XYZ, you diagnosed the patient yet you are not a health care practitioner and diagnosing patients is not within your scope of practice??? Also NANDA gives suggested examples of interventions, no where does it appear to mandate that those must be done or that you cannot do an intervention that is not listed.
There is no mention of NANDA specifically in my state's Nursing Practice Act, the closest is this one statement under RN scope of practice, but it never references NANDA as the source or standard.
NAC 632.212 (a) The diagnosis and treatment of human responses to actual or potential health problems;
Why not nursing consideration, concerns, interventions, actions or priorities?
Sure, if you talked to a HCP that way you'd likely get looked at strangely though if your nursing Dx was correct, you wouldn't be wrong to do so. On one point you are correct... we don't do medical
diagnosis. Nursing diagnoses deal with different components of patient care than Medicine does.
Here's a quick example: You have a patient that's diagnosed with schizophrenia. When you approach the patient, you see him not making eye contact. You see him keeping his distance from the food tray you brought in earlier. You see this and more... leading you to the Nursing Dx of Ineffective coping. Because of all the time you spent doing NANDAs in school, you know to approach the patient in a friendly, open, and consistent manner, you know you need to build trust with this patient so he'll know you're not going to put poison in his food, so he'll trust that you're part of reality.
Medicine can do many things but you won't find (nor will you need) a physician's order to implement the things you'd do for him. You could write the Nursing Dx in the patient's chart and it's completely valid. You can (usually) get certain service referrals for the patient independently of the physician because you know the patient needs a visit from a social worker, even if only to provide him with community resources that SW has. You note that the patient is uncomfortable because he's feeling cold. His temp is still 37C so clearly the patient's OK, right? No... you instead go get a warm blanket and note the patient suddenly appears less stressed. You didn't need an order for the warm blanket...
Just because you don't have MD, DO, PA, or NP credentials, it doesn't mean you don't diagnose because you truly and actually do. It's just that your
diagnoses aren't medical
diagnoses. It would also be as inappropriate for the MD or PA to write nursing diagnoses as it would be for you to write medical diagnoses, and for the same reasons.