Nursing Diagnosis (NANDA format)
I'm a first year nursing student and we have been asked to create 11 Nursing Diagnosis (actual, risk or wellness) for each functional health pattern data cluster using the NANDA format.
Can anyone help me out and let me know if i'm on the right track?
1 - Risk for falls related to physical capability as manifested by increased susceptibly to falling even with assistance of walker
2 - Risk for Imbalanced Nutrition: Less than body requirements related to...... (Cant think of this one)
3 - Constipation related to medication side effects as manifested by hard formed stools
4 - Impaired physical mobility related to pain in lower back as manifested by limited physical activity
5 - Disturbed sleep pattern related to medication side effects as manifested by nocturia
6 - Potential for Enhanced visual sensory perception
7 - Possible feelings of hopelessness related to unknown deteriorating physiologic condition.
8 - Social isolation related to absence of peers as manifested by loneliness
9 - Disturbed Body Image related to changes in physical appearance (aging) as manifested by poor eye contact
10 - Risk for Ineffective coping related to an inadequate support system
11 - Readiness for Enhanced spiritual well being
Any help would be greatly appreciated!
2May 12, '11 by Hygiene Queen, ADN, RN GuideI think you are on the right track, as far as starting out, is concerned.
These need work, but so does everyone's in the beginning.
#1 jumps out at me as being sort of wonky:
"Risk for falls related to physical capability as manifested by increased susceptibly to falling even with assistance of walker."
I would assume you mean "limited physical capacity". Why is it limited?
And what is its manifestation? What are you seeing? What is the evidence of this?
Is this based on an actual pt you have, or are you just working on the form from your diagnosis list/book?
How about, for example:
Risk for Fall r/t weakness aeb (manifested by) knees buckling, need for frequent rest periods, SOB and pt reports feeling of fatigue during ambulation.
You have to make it fit your pt... but, again, I don't know if you have an actual pt or just trying to get the generic form down.
They are a pest to learn in the beginning, but you will be sure to do enough of them that you will, eventually, be able to rattle them off in your sleep.
One thing I noticed, as I went along, is that by the time I had to do my huge care plan near the end of second year, was that my diagnoses were long, because you know what you are looking for to put into that diagnosis and you learn how so many more issues fit into that diagnoses.
You'll get it.
Try looking at some of the good care plan examples that are out there.
You'll get a better idea how the diagnosis is worded and how it all fits together.
2May 12, '11 by Samantha79If you have a "risk for" diagnosis there won't be an "as manifested by" for that statement since it hasn't happened. Does that make sense? This is kind of a strange assignment. How can you have an "as manifested by" without having a patient or scenerio to see the issue? I guess you can just pick one out of a hat? Anywho... here are my thoughts on what you have come up with so far.
1. Risk for falls r/t use of assistive devices for mobility.
2. Risk for Imbalanced Nutrition: Less than body requirements r/t knowledge deficit.
3. Good as is.
4. Impaired physical mobility r/t pain in lower back AMB decresed muscle strength.
5. Disturbed sleep pattern r/t medication AMB interruped sleep. (I wouldn't use nocturia. I think that would be it's own NDX.)
6. Disturbed sensory perception: visual r/t cataracts AMB gray opacities in the eyes. (I'm not sure where you were trying to go with this one. Enhanced visual perception, can they see through walls, or see infrared light?
7. Hopelessness r/t loss of social support AMB apathy. (I would never use "possible" in a NDX. It either is or is a risk for, and in this case I can't think of any reason you would be at risk for hopelessness.)
8. You are going to have to explain your thought process on this one... I don't even see that as being on the NANDA list in my book.
9. Disturbed body image r/t permanent alterations in function AMB verbaliztion about altered bladder function.
10. Ineffective coping r/t inadequate support system AMB inability to make decisions. ( I wouldn't use a risk for ineffective coping, once again it either is, or isn't.)
11. See #8 above.
Overall pretty good. I'm by no means an expert, but I have consistantly gotten excellent feedback from my NDX and ability to prioritize them.
* edited for poor spelling. I'm sure there are still more...
0Nov 7, '12 by kpossibleEvery nursing diagnosis needs "as evidenced by" aka aeb and "related to" aka r/t.
Here is one that I did for a class:
At risk for suicide related to hopelessness, increased anxiety, poor rapport from family as evidenced by suicidal ideation, statements of despair.
Hope this helps!