Well, the patient is cognizant, aware; the mental process is merely impaired.
If I remember correctly, dznjurse, the nursing diagnosis relates to the axis I or III or admitting diagnosis, right?
I don't get the "wellness" thing. Is that related to safety or well-being?
Lessee... on geriatric psych, we have patients admitted with a diagnosis of psychosis nos as a result of dementia; they're admitted for experiencing an altered mental status.
So we make out care plans
, for example, if they are found to be a high fall risk. Not falling is wellness, right?
A care plan could read "Patient will experience no falls leading to:
2. a lawsuit initiated by an estranged and absent family member or members
3. the big wigs blaming staff for the fall when we were understaffed in the first place
4. a new form to fill out that administration believes will fix everything or so they think."
How'd I do, dznurse?