I'm sorry, but some nursing diagnoses are just ridiculous! - page 5

Ineffective denial...as opposed to EFFECTIVE denial? Disturbed energy field Impaired environmental interpretation syndrome Health-seeking behaviors (the horror!) Impaired home maintenance (I'm... Read More

  1. by   PHTLS
    Quote from klone
    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.
    Whoa! you think "Wandering" is ridiculous?

    My hospital is notorious for residents going AWOL.

    You try writing an incident report on that and calling their families.
  2. by   RN4NICU
    Quote from klone
    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.
    Are we experiencing a little ineffective individual coping?
    or is it role strain?

    j/k :chuckle

    How's school going?
    Last edit by RN4NICU on Mar 8, '05
  3. by   klone
    Quote from PHTLS
    Whoa! you think "Wandering" is ridiculous?

    My hospital is notorious for residents going AWOL.

    You try writing an incident report on that and calling their families.
  4. by   twinmommy+2
    I almost used the one for disturbed energy field but since my client didn't express any feelings of an altered energy field I couldnt use it. She's bipolar and uses alot of homeopathic stuff to treat herself instead of the meds.
  5. by   mariedoreen
    Quote from DCCCRN2Bn05
    "High risk for Dead"
    I LOVE IT

    On one care plan I did the patient had an infectious process going on and darn if NANDA didn't have a dx for it. There's risk for infection, but no actual... What's that about? I ended up calling it Potential for Sepsis or something like that. My instructor writes on there "How about just calling it Infection..." I'm like, NANDA doesn't have one. They've got disturbed energy field but no infection. That's useful. And yes, I AM making fun of NANDA
  6. by   sis14rn
    Yeah, I went to nursing school way back when and learned all kinds of nursing diagnosis. Then I graduated, went out into the real world and realized what nursing is all about. When you're in this business long enough, you know the way things are, how to CYA and how to get your job done in the 8 hours you're there. There is a time for seriousness and a time when you've just got to laugh. I now write policies and procedures and frankly they are about as entertaining as a nursing diagnosis. I got so tired of researching a policy one day that I wrote a policy on how to write policies. I submitted it and received approval!!! LOL!
  7. by   ldkrn
    Quote from heron
    Ackshully...disturbed energy field refers to a nursing technique developed by Dolores Krieger in the early 70's, out of research she did on psychic healers. They have actually been able to measure significant changes in hematocrit and wound healing. It's called Therapeutic Touch ... there are quite a few practitioners ... might be worth googling.

    I'm sorry up front if I'm offending anyone, but Martha Rogers and her starry eyed protege Delores Kreiger are both crackpots, IMHO, and a significant reason nursing as a profession is dismissed by other healthcare providers and the public at large-this has made us the butt of an embarrassing joke. For a fascinating "outsider's" look at this you might want to go to this site:
    http://jef.raskincenter.org/home/index2.html and click on "Humbug Nursing Theory" on the right hand side.
  8. by   pediatriclpn
    I for one appreciated the humor!!!! I remember NCP's, hated them. Worked home care as field nurse, didn't have to write them. Yeah! I don't remember the negative energy field one, but boy would I have used it on every care plan I wrote!!!!

    NANDA started by a bunch of nurses who wanted to make nursing seem a more intellectual profession than a "grunt" job. I am all for making people realize that we have brains that work all day long, and after we get home, and do more than cowtoe to MD's. But someone needs to get real, rather than more ridiculous goobledygook. Just my opinion. :hatparty:
  9. by   angelnurse75951
    Quote from klone
    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.
    Actually energy field disturbance is a nod to Rogerian Nursing Science. Martha Rogers identifies persons as energy fields. Actually I think your attempt at levity was valiant. I agree that many nursing diagnoses look odd when first observed.
    Iused to tell my students that I had a permanent energy field disturbance.
  10. by   Havin' A Party!
    Quote from klone
    ... 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...
    Loved your post!

    P-L-E-A-S-E do not stop with the humor!

    Thanks.
  11. by   Havin' A Party!
    Quote from klone
    Risk for constipation d/t fear of self-flushing toilets (my 4-year-old)

    Impaired verbal communication as evidenced by door-slamming and temper-tantruming (my 7-year-old)

    Impaired orientation d/t wine volume excess (me, after my kids go to bed)

    Readiness for enhanced sleep as evidenced by the the hallucinations of small animals scurrying across my field of vision when I've been up too late.

    Uh oh, I'm starting to get punchy again.
    Hahahahaha!

    These are a riot, Klone!
  12. by   Havin' A Party!
    Quote from sun1shine1
    ... Top 3 Nursing Dx. For 355 Instructors
    Chronic Tinnitus r/t constant whining of 355 students
    Fear r/t having the same crazy students again next semester
    Fatigue r/t constantly having to repeat the same information
    Top 5 Nursing Dx. For 355 Students
    [indent]Pain, Acute (Glutteal): r/t 8 hr lectures
    Disturbed Body Image r/t frumpy white uniforms
    Ineffective Coping r/t failing unit test
    Fear r/t repeating 355 next semester
    Hypothermia r/t classroom of 50 degrees...
    Love it!
  13. by   LPNer
    Quote from RN4NICU
    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.
    We use that one as a polite way of saying "drug seeker" or one that just prefers to "be sick" than healthy and taking care of themselves.
    Chronic back pain is often the admitting Dx for these folks.

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