Time to call a duck a duck? - page 11

by eriksoln

79,159 Views | 547 Comments

I remember having this debate with other students while I was in school. I have seen nothing during my time practicing nursing to change my mind about the issue. Now, with the recession bringing out the true colors of nurses... Read More


  1. 6
    Quote from NocturneRN
    Once he realized that he was actually doing very well, his attitude did a 180 degree turnabout. Nursing diagnosis in action!---even though I don't recall having written it out as such.
    LOL ... "Energy field, disturbed." That was always one of my favorites!
    Chin up, Bella'sMyBaby, Hoozdo, and 3 others like this.
  2. 5
    Makes good sense.

    Actually, you brought something to mind that I recall an instructor telling me. This instructor was THE LONE teacher I ever shared my true feelings with.......my disdain for nursing diagnosis, process and care plans etc.

    She pointed out it was mostly for students, not really something we do in RL. Meaning, it wasnt like we are going to go to the hospital and spend our day writing nursing diagnosis. She said they were more...........teaching tools. They made sense when I looked at them that way.

    Then I got into the real world, and they were still there. When I was a travel nurse, I went to a couple places that made you write them out. And this whole business about writing out care plans.............such a waste of time. Takes us away from the bedside.

    I think a lot of my resentment about them stems from............I thought I'd never hear about them again once I was done with school but.........well. I could agree they are probably good teaching mechanisms. I wouldn't argue they should remain a part of the curriculum in schools. But, shouldn't we be past all that once we are in RL?
    CCL RN, Bella'sMyBaby, Hoozdo, and 2 others like this.
  3. 5
    Quote from LunahRN
    LOL ... "Energy field, disturbed." That was always one of my favorites!
    You mean that really is a diagnosis? Eh? Oh my.
    Me not pay enough attention to that part in school maybe? lol
    LPNnowRN, CCL RN, Bella'sMyBaby, and 2 others like this.
  4. 2
    Quote from eriksoln
    You mean that really is a diagnosis? Eh? Oh my.
    Me not pay enough attention to that part in school maybe? lol
    Truly. The recommended nursing intervention is therapeutic touch.
    candersonRN and wooh like this.
  5. 1
    Quote from LunahRN
    Truly. The recommended nursing intervention is therapeutic touch.

    Okay, okay, I admit it----THAT is a really hokey sounding nursing diagnosis, and I'm guessing that we could all manage to get through an entire lifetime of nursing without resorting to it. I know I have.
    wooh likes this.
  6. 3
    Quote from eriksoln
    Makes good sense.

    Actually, you brought something to mind that I recall an instructor telling me. This instructor was THE LONE teacher I ever shared my true feelings with.......my disdain for nursing diagnosis, process and care plans etc.

    She pointed out it was mostly for students, not really something we do in RL. Meaning, it wasnt like we are going to go to the hospital and spend our day writing nursing diagnosis. She said they were more...........teaching tools. They made sense when I looked at them that way.

    Then I got into the real world, and they were still there. When I was a travel nurse, I went to a couple places that made you write them out. And this whole business about writing out care plans.............such a waste of time. Takes us away from the bedside.

    I think a lot of my resentment about them stems from............I thought I'd never hear about them again once I was done with school but.........well. I could agree they are probably good teaching mechanisms. I wouldn't argue they should remain a part of the curriculum in schools. But, shouldn't we be past all that once we are in RL?

    Well, you have to document some sort of a care plan, if for no reason other than to show why this patient requires a nurse or nursing interventions. If you're doing that, then you ARE identifying and using nursing diagnoses, even if you're not expressing them in the pretentious wording that they teach in school.
    Chin up, oliviajolie, and tewdles like this.
  7. 2
    Quote from NocturneRN
    Okay, okay, I admit it----THAT is a really hokey sounding nursing diagnosis, and I'm guessing that we could all manage to get through an entire lifetime of nursing without resorting to it. I know I have.
    So I imagine you might choke on a mouthful of coffee if you got to the part in the interventions that said, "Assess by scanning a person's energy field for openness and symmetry"?



    Honestly, I'm not one to disparage other people's beliefs, etc. (and I say this as a [somewhat infrequent] practitioner of Reiki). But I have to agree about the hoke factor here. But I do feel that nursing as a profession (for I believe it is one!) is an art as well as a science, and is beautifully diverse.
    oliviajolie and wooh like this.
  8. 1
    Quote from LunahRN
    So I imagine you might choke on a mouthful of coffee if you got to the part in the interventions that said, "Assess by scanning a person's energy field for openness and symmetry"?



    Honestly, I'm not one to disparage other people's beliefs, etc. (and I say this as a [somewhat infrequent] practitioner of Reiki). But I have to agree about the hoke factor here. But I do feel that nursing as a profession (for I believe it is one!) is an art as well as a science, and is beautifully diverse.

    Okay, I've got to agree that some nursing diagnoses are more hokey than others. That one sounds as if it came right from some snake oil salesman's pitch. I'm defending the idea of nursing diagnosis, in that we use scientific method to determine the patient's needs....but ruminating about "energy fields" would do nothing, in my opinion, to enhance either our professional status, or clinicial competence.

    But maybe I'm missing something. Is there anyone here who would like to defend that diagnosis, or explain how identifiying it might help the patient?
    wooh likes this.
  9. 2
    I have an idea. We could make the nursing diagnosis easy to learn. Sorta..........use a mnemonic for them. That'd make them fun to learn too.

    Like...................for breathing issues we could make the mnemonic Darth Vadar. So, if someone is breathing heavy it would be:

    "Breathing, resembles Vadar."

    Now...............I don't care if they are useless if we do it that way. At least they'd be fun then.
    Bella'sMyBaby and wooh like this.
  10. 1
    Quote from NocturneRN
    But maybe I'm missing something. Is there anyone here who would like to defend that diagnosis, or explain how identifiying it might help the patient?
    Carpenito's does note that it is rather unique, and is included in the Handbook of Nursing Diagnosis because it corresponds to a specific theory (the human energy field theory). It's under the Spiritual Well-Being NOC. Whether or not I think it's valid, I agree with you -- this does nothing to enhance our image as a profession. But hey, if therapeutic touch helps a patient feel better, I won't knock it, either.
    wooh likes this.


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