Do These ND make sense?

  1. Is there anything wrong with these NDs?

    Activity Intolerance related to shortness of breath as displayed while performing ADL’s.

    Deficient Knowledge related to inability to understand accents of foreign doctors as expressed by patient.

    Risk for Infection related to lung tissue damage and steroid use.

    I keep dealing with using the medical diagnosis in the wrong way... this is BRAND NEW to me... thank you in advance
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  2. 4 Comments

  3. by   Daytonite
    I gave you an rather lengthy answer to your other post on the Nursing Student Assistance Forum.

    Activity Intolerance related to shortness of breath as displayed while performing ADL's.

    "Shortness of breath as displayed while performing ADL's" is a symptom and cannot be used as a related factor for this diagnosis.
    Deficient Knowledge related to inability to understand accents of foreign doctors as expressed by patient.

    Look at the defining characteristics and related factors for this diagnoses and see if what you have listed here meets any of those criteria. Not being able to understand what someone says because you can't understand their accent is NOT a knowledge deficit.
    Risk for Infection related to lung tissue damage and steroid use.

    The "lung tissue damage" is OK for a risk factor. However, steroid use is causing what? Immunosuppression? Then, you need to list "immunosuppression" as the related factor and not the steroid use. Steroid use does not cause a risk for infection in everyone. Only when it has gone to the point of causing immunosuppression does it become an infection risk.

    You said in your other post that you have two nursing diagnosis books. You need to be using the information under each nursing diagnosis for reference. Think of these books as "dictionaries" to help you with using nursing diagnoses so you get the definitions, related factors and symptoms right.
  4. by   KEL2BanRN
    I'm JUST learning how to do this (a few days ago, as a matter of fact) so I'm not experienced, but one thing I do remember is that it should contain a diagnosis, "related to" (R/T) then "as evidenced by" (AEB). Unless you are doing "at risk for", then you just need that plus "AEB". Make sense? I seem to do OK at them so far (we've only done a few), but sometimes I hit a road bump when I do the "related to" part. I would love more practice scenarios. We don't have nursing diagnosis books... I'm wondering why we don't. Hm.
    Anyway, good luck!!
  5. by   Daytonite
    there is information on how to write care plans and determine nursing diagnoses on these two sticky threads:
  6. by   wsustudent
    it is getting more clear with practice.... thank you

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