Guarded prognosis?Register Today!
- by lalopop86 Apr 18, '12Hi all, wondering if anyone could tell me what it means to have a guarded prognosis? I went to the hospital today to collect my pt assignment/information for clinical tomorrow and I read in the doctor's notes that the pt's "prognosis is guarded." My instructor wasn't there and the unit was busy so it wasn't a good time to ask the nurses. Thanks in advance
- 8,946 Views
- Apr 18, '12 by Esme12It just means they are pretty sick and have a long road ahead of them, they will probably get well but it will be a long haul.
- Apr 18, '12 by ScottE,RNThere is a 50% chance the patient will get better 50% chance they will get worse. The physician really doesn't have a clue at this point.
- Apr 18, '12 by lalopop86Thank you!
- Apr 18, '12 by Ashley, PICU RNFor example, in our ICU, the patient condition is listed as:
Fair, Poor, Guarded, or Critical
Think of it as an answer to a questionnaire:
How likely is this patient to recover with no complications?
Likely, Somewhat Likely, Unlikely, Very Unlikely
If your patient is unlikely to recover without complications, then his prognosis is guarded.
This is used only on admission (in my unit) to assess how unstable or sick the patient really is and how much care they are anticipated to need. It's also probably used for insurance purposes (i.e. justifying a transfer to the ICU), but I'm not sure. The patient's condition, and thus their prognosis may be constantly changing.