Time to call a duck a duck? - page 12

by eriksoln

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. 12
    This is an idea here. Yes. I propose we make all nursing diagnosis Star Wars related.

    Activity intolerance is now: Jabba the Hut movement.
    Impaired communication is now: Chewbacca speaking.

    Hmmm............need to think up one for R2D2.
    LPNnowRN, ohiostudent'RN, CCL RN, and 9 others like this.
  2. 6
    Therapeutic communication now is: Jedi Mind Trick
    LPNnowRN, ohiostudent'RN, CCL RN, and 3 others like this.
  3. 5
    Quote from eriksoln
    Hmmm............need to think up one for R2D2.

    Risk for Disproportionate Growth? Or perhaps that's Yoda.
  4. 2
    Quote from LunahRN
    Risk for Disproportionate Growth? Or perhaps that's Yoda.
    Most definitely Yoda there.

    Any ideas for Han Solo?
    Have I lost all credibility with this? Not that I had any to begin with.
    Bella'sMyBaby and wooh like this.
  5. 9
    Hey, it's your thread. You can do what you want with it!

    Han Solo: risk for impaired mobility r/t carbonite application AEB lack of movement! This does make nursing diagnosis much more fun. Princess Leia's should have something to do with hearing loss related to huge bilateral hair buns ...
  6. 2
    Quote from LunahRN
    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.


    I won't, either. But I'd just as soon leave the energy field assessment to someone else, who's schooled in that theory. I'll stick with a handful of more traditional nursing diagnoses, which are quite adequate, I think, in 99.9% of cases.
    wooh and tewdles like this.
  7. 4
    Quote from LunahRN
    Hey, it's your thread. You can do what you want with it!

    Han Solo: risk for impaired mobility r/t carbonite application AEB lack of movement! This does make nursing diagnosis much more fun. Princess Leia's should have something to do with hearing loss related to huge bilateral hair buns ...

    Jabba the Hutt: impaired mobility related to severely elevated BMI......
  8. 5
    O-B-1 can do the energy field assessment.

    "I feel a disturbance in the force, as if millions of voices cried out at once and then were suddenly silenced."
    LPNnowRN, KaroSnowQueen, SandraCVRN, and 2 others like this.
  9. 12
    Quote from NocturneRN
    So we look for a cause or causes: is it ineffective airway clearance? Impaired ventilation/gas exchange? Or possibly a side issue, related to impaired tissue perfusion (cardiac) or anxiety or pain? Each of these conditions, of course, requires different interventions.

    So, when you're detecting and documenting a nursing diagnosis, you're indicating that you pursued the problem beyond the obvious (sticking the oxygen on the patient and walking away). You're showing that you followed a scientific method, rather than just going by the seat of your pants. And you're also providing criteria to evaluate the effectiveness of the interventions.

    Sure,it's cumbersome and it's a nuisance, when you're first learning to think in those terms. But it's also what causes you, as an experienced nurse, to do an EKG on your patient when he tells you he's having trouble breathing, or to question him a little more closely about his level of pain, instead of automatically assuming that trouble breathing = need for more oxygen.
    Well when a doctor walks in the room, they can figure out why a patient isn't breathing well, using medical diagnoses. And quite honestly, I don't determine if it's "ineffective breathing pattern vs. altered energy fields." I determine if it's, "CHF vs. asthma vs. pneumonia vs. just plain choking on something vs. cardiac ischemia."
    Yes, nursing diagnoses and care plans teach you to think through why you're doing what you do. And I would argue that nursing care plans, as much as I hated them, really were beneficial during nursing school in teaching me to think through what interventions to go through. But I also remember buying a little book, where I could look up the MEDICAL diagnosis and translate that into a nursing diagnosis. Because goodness gracious, it would be horrible of me to put the language of another profession on my NURSING care plan. But that extra step, translating it from a medical diagnosis to a nursing diagnosis IS STUPID and we only do it for the sake of calling ourselves a "profession" with our own "language" and our own "body of knowledge."
    I don't need a nursing diagnosis. I need the medical diagnosis. If I walk in a room, and someone has slurred speech and can't move one side of their body, I'm not going to call a doc and say they have "altered circulation" and we need to start the "altered circulation protocol." I'm going to call the doc and say, "They're having a stroke and we need to start the stroke protocol." Nobody cares about the nursing diagnosis except the people that desperately want this to be a "profession with their own language."
    Chin up, LPNnowRN, JacknSweetpea, and 9 others like this.
  10. 4
    Quote from eriksoln
    Eh, yeah. My point with Satyr was that............if we don't have (insert any of the qualifications of being a professional here) then we don't have it. Why we don't have (autonomy etc) is not important. We can make excuses for not fitting in on one or more qualification, but in the end we still don't have that qualification. Why we don't is not essential. A profession would have that qualification instead of excuses.


    Have to admit though, I can't argue the fact that I guess if you are splitting hairs..........you could say just about any profession lacks in one area or another.

    But, that doesn't change my mind that a more focused/pt. directed educational system and less fluff like nursing diagnosis would further our cause and make us better at what we do................help the patient.
    The flaw in your reasoning is that you are not looking at the big picture. First, I agree with you that nursing education should be improved. Without getting into what is "fluff" vs what is "relevant", I don't think anyone feels that nursing education has reached the point where there is nowhere else to go. However, what does that have to do with being/not being a profession? Do other "known" professions not also try to improve their education and training?

    Where you are losing sight of the big picture is that you have either forgotten or become acclimated to the enormous diversity of nursing. I will always believe that learning fosters more learning. So knowledge is always good. So the question is then what do you consider relevant? What would you include in your more "focused and directed" curriculum to prepare a new grad nurse to work in the ER, med-surge, psych unit, community health center, peds neurology clinic, sports clinic, neo-natal ICU, pediatric ICU, surgical ICU, cardiac step down, hem-onc, rehab, ambulatory surgery, substance abuse center, mobile primary care clinic, advice line, ob-gyn, labor and delivery, mother-baby, school nurse, jail nurse, occupational health, ortho floor, dialysis, LTC, ground/air transport, etc. Please factor in the modifiers of pediatric vs adult vs geriatrics, urban vs rural, and hospital vs free standing. That is going to be one hell of a curriculum.

    The fact is nurses are (and should be) taught what is minimally necessary to successfully complete a new grad program. New grad and transition programs are where the focused and directed training takes place.

    May the force be with you.

    Ivan
    CuriousMe, eriksoln, JacobK, and 1 other like this.


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