Can you guys etell me if I am going in the right direction with a nsg dx.

nette1022 · Apr 2, 2014

Thanks. I see sometimes diagnosis can fit into several categories, the nurse just needs to find the diagnosis that is most applicable to their situation and assessment. I learned from you guys to find my diagnosis after my initial assessment. That was the biggest tip you (Esmee and GRNTEA) ever gave me. It's like putting a puzzle together. I just want to get really good at it. So thank you guys again...

Esme12, ASN, BSN, RN · Apr 2, 2014

These assignments with out a patient are difficult...you have no assessment. You decide which one the patient best fits into by your assessment/evidence. Those resources I posted have information....good information about assessment and strategies for teaching.

nurseprnRN, BSN, RN · Apr 2, 2014

I didn't want the answer I just wanted to know if I was going in the right direction I looked up many categories and I noticed there isn't just one for; impaired finances related to the economy as evidenced by family is on a budget. Or one for knowledge deficit related to how do I buy nutritional meals as evidenced by we are on a budget. I get A's on my care plans and I enjoy writing them. I like to ask more experienced nurses if I am going in the right direction. I am actually trying to learn. I also have care plan books and three nursing diagnosis books. all of them are the current edition. ESMEE/ GRNTEA thank you for always being available to help me by explaining what is actually wrong. This is another website that I have MyPlate.gov “The3 P’s – Plan, Purchase, and Prepare Food on a Budget”. I do love my actual NSG DX. book it's more specific than Mosby's. I think what I am also asking is can you use different diagnosis if only a portion of what you need is there? There isn't just one dx that addresses a budget, it's included under Related Factors for example Nutrition less than body requirements under related factors; insufficient finances. (budget).

The short answer is no, you can't make up a nursing diagnosis from parts that appeal to you from another one, or from anywhere else, for that matter.

"Budget" isn't something that nursing treats independently, which is a prime endpoint of a nursing diagnostic process. Trying to invent a nursing diagnosis that somehow focuses on "budget" or "money" in its diagnostic statement is not going to work, no matter how you try to cram something into it (or pull something out of it) :).

How about instead of focusing on budget, finances, etc., you look at the nursing interventions that might help these people? How are you helping them? Surely not by helping them balance the family checkbook or giving them a loan.

Perhaps, for example, you think that you'd be helping them by giving them information on high-nutrient, inexpensive foods, help from the local food banks and community kitchens, nutrition support for their children of infant or school age, information they don't have and may not even be aware of. I'm thinking that you should leaf through the NANDA-I 2012-2014 pages on nursing diagnoses like impaired resilience, readiness for enhanced resilience, risk for powerlessness, readiness for enhanced power, and/or readiness for enhanced family coping, and the like, to see if they give you an Aha! moment of reframing that will lead you to a set of nursing interventions to address their nursing diagnoses. This could lend power as a supplement to the same-old, same-old "deficient knowledge."

(You DO need the NANDA-I 2012-2014 to make best, and maybe any, use of this whole train of though, though.)(It's cheap, get it stat.)

nette1022 · Apr 3, 2014

Esme and GRNTEA,(and everyone). I looked under impaired home maintenance. Part of the criteria was insufficient finances. I chose interventions from those categories. Thanks for all the help,,,I am so sure I will be back.LOL:yeah:

nette1022 · Apr 3, 2014

Everything you said is what I ended up doing (YAY). I also listed shopping in bulk, providing a nutritional pyramid, assessing their diet for cultural/ethnic/religious concerns. Assessing their readiness to learn and mental capability. Using the info provided to empower the family to achieve a nutritional diet with their available resources. Identifying resources and referrals (food banks, budget counseling, food stamps) Coupons and stores where they give you double the value of the coupon. Implementing lifestyle changes that may affect their finances (drugs, drinking, limit eating out or instead of going out for dinner maybe do a lunch special, drink water when eating out instead of ordering soda). Ideas that make meals stretch also such as beans, casseroles, soup, chili, meatless diets (salads). Reinventing left overs (baked chicken today, soup tomorrow) Those were a few. Thanks again, I hope I am as good as you guys one day, your like my on-line instructors.

nette1022 · Apr 3, 2014

You had good suggestions too GRNTEA. I will keep those categories in mind. I am looking them up now actually. I want to work in a clinic after I graduate. This is very good info for me, so thanks. I think as a newbie you know where you want to go, but until you get used to the dx. it can be sort of hard to figure out. It's like having the car, the map, and the street, but someone forgot to give you the address.( I guess my assessment is the map and the dx. is the address).