Time to call a duck a duck? Time to call a duck a duck? - pg.9 | allnurses

Time to call a duck a duck? - page 9

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... Read More

  1. Visit  NocturneRN profile page
    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.
  2. Visit  NocturneRN profile page
    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.
  3. Visit  Pixie.RN profile page
    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.
  4. Visit  NocturneRN profile page
    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?
  5. Visit  eriksoln profile page
    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.
  6. Visit  Pixie.RN profile page
    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.
  7. Visit  eriksoln profile page
    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.
  8. Visit  eriksoln profile page
    Therapeutic communication now is: Jedi Mind Trick
  9. Visit  Pixie.RN profile page
    Quote from eriksoln
    Hmmm............need to think up one for R2D2.

    Risk for Disproportionate Growth? Or perhaps that's Yoda.
  10. Visit  eriksoln profile page
    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.
  11. Visit  Pixie.RN profile page
    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 ...
  12. Visit  NocturneRN profile page
    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.
  13. Visit  NocturneRN profile page
    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......

close