Is the nursing diagnosis Disturbed though process psychosocial?

  1. Hi I was wondering if anyone knew if Disturbed thought process a psychosocial diagnosis?
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  2. 6 Comments

  3. by   PsychNurseWannaBe
    Yes, since a disturbed thought process affects the persons ability to interact with their environment.
  4. by   Daytonite
    NANDA classifies it as a physiological nursing diagnosis under the class of neurocognition where "mechanisms related to the nervous system and neurocognitive functioning, including memory, thinking and judgment" are at the basis of the diagnosis (page 286, NANDA-I Nursing Diagnoses: Definitions & Classification 2007-2008). I also looked at the listings they have for the psychosocial nursing diagnoses and Disturbed Thought Processes is not listed there. Read the definition of this nursing diagnosis: "disruption in cognitive operations and activities" (page 226, NANDA-I Nursing Diagnoses: Definitions & Classification 2007-2008). This specifically is referring to a physical problem in the brain, not a psychosocial problem. Related factors are organic brain changes, mental illness and changes in physical health. This refers to patients who are delusional and/or have dementia and need to be assessed for their level of consciousness, confusion and ability to communicate and understand communication and get their daily ADLs done based on their cognitive impairment. It does not involve their interaction with others per se.

    You need to get a nursing diagnosis reference and read the definitions, defining characteristics (signs and symptoms) as well as the related factors of any nursing diagnoses you are going to use. This is how you get to be a good diagnostician. This book that I use (NANDA-I Nursing Diagnoses: Definitions & Classification 2007-2008) only costs $24.95 and you can purchase it directly from NANDA if you don't already have a nursing diagnosis book that has this information in it.
  5. by   futurecnm
    Quote from lizzyberry
    Hi I was wondering if anyone knew if Disturbed thought process a psychosocial diagnosis?
    I don't have any book about nursing dx, but I know in our list from class, it is listed under psychosocial and it is accepted by our instructors for a psychosocial dx. We have to have one physical and one psych dx each care plan.
  6. by   Daytonite
    the op apparently did not have any guidance on this from her nursing instructors so i gave her nanda's stand on this. this particular nursing diagnosis is going to be removed from the official listing anyway next year. you should all classify this diagnosis as your instructors have advised you to do. if it differs from nanda, so be it.

    diagnosing should follow some kind of rules. i am not in school. when i answer questions about care planning and nursing diagnosis i use nanda rules because that is the universally accepted taxonomy that is used throughout most of the u.s. if your instructors are telling you different--ok. do what your instructors tell you because your grades depend on it. but, you also need to know the nursing process and how to apply the rules your instructors are giving you. what i find from most of the questions that are asked on these forums is that many don't understand the steps of the nursing process and what is supposed to be done in each step, how to put the information together and how it comes to be a care plan (problem solving). people get so-o-o-o hung up on these nursing diagnoses that it stalls them in the whole care plan process. it doesn't have to be that way. i doubt very much that medical students get all frustrated over picking medical diagnoses the way nursing students get frustrated at picking nursing diagnoses. the fact that many who post don't understand that patient signs and symptoms are at the heart of describing each nursing diagnosis is saddening. this is not rocket science. it is very rational thinking. but people see the word "nursing diagnosis" and rational thinking and what they've been taught about the nursing process seems to go out the window and suddenly chaos reigns.
  7. by   OnTheRoad
    I think for most of us, when we first start writing care plans there seems to be so much emphasis on the diagnosis part of things that many of us fail to simply start basic and look at what is going on with our patient and what we can do to improve their health, comfort, etc.
    When I started writing care plans I would look through my nanda list first, grab a DX I thought might fit, then look for symptoms and RT... you get the picture. Now I look at symptoms, lab values etc first, find the problems, decide what I need to do to treat the problem or help the situation, then find the dx that matches.
    I also do not start my care plan till I look up all abnormal labs, medical diagnosis, and medications as they will give me a much better idea of what I am looking at.
    I think all of this can be a difficult process of learning. Sure it isn't rocket science, but it is a foreign language one needs to learn on the road to RN. If it were as easy as pie (not adpie) then anyone could do it and anyone could be a nurse eh?
  8. by   Daytonite
    OnTheRoad. . .that's exactly how it is supposed to be done. Thank you for posting your wisdom and insight.

    Everyone, a care plan, the nursing process, is a problem solving method. We solve problems every day of our lives and we learned how to do it from the time we were little kids. Nursing school has just given us a very systematic way of doing it, and named it. Don't let all the fancy names and jargon get you side tracked. Think about how you logically go about solving problems that come up in your life. It is very much like the nursing process. A care plan is nothing more than utilizing specific sciences, following a set of rules and committing the thinking process behind the problem solving to paper. That's all it is. Don't beat yourselves up making it harder than that.

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