Is this a nursing Diagnosis?

  1. 0
    INFECTION

    I know RISK for infection is one, and I was told by my first instructor in block one of nursing school that any risk for can become an actual.

    so is INFECTION a nursing diagnosis?
  2. 21 Comments so far...

  3. 0
    Quote from ItalianRN2b
    INFECTION

    I know RISK for infection is one, and I was told by my first instructor in block one of nursing school that any risk for can become an actual.

    so is INFECTION a nursing diagnosis?
    no.
    medical dx not allowed.
    we as nurses, can monitor/prevent risks.
    we cannot treat however.
    any medical dx necessitates a treatment plan.
    infection not a nsg dx.

    leslie
  4. 0
    The medical Diagnosis is Meningitis. I am writing nursing diagnoses based on that. I have:

    Infection and acute pain

    if it cant be a diagnoses based on it being a "medical diagnosis" than how come we can used "risk for"
  5. 0
    Quote from ItalianRN2b

    if it cant be a diagnoses based on it being a "medical diagnosis" than how come we can used "risk for"
    because nurses can apply interventions with a risk.
    we can take the vs, monitor ms, appetite, assess labs, assess s/s and report it to the md.
    the md takes this data and either makes a dx or orders further testing.
    we have control over any risks.
    the md has control over the actual dx.

    leslie
  6. 0
    Risk for Infection is the Nursing Dx even where actual infection exists. The nurse implements measures to prevent the spread of infection, the doctor prescribes the antibiotics.

    This seems a little weird, since one of the interventions for Acute Pain is to administer prescribed pain meds. But, if you think about it, it doesn't require much testing to diagnose pain. Diagnosing infection is practicing medicine--outside the nurse's scope of practice. At least, that's how I understood it.

    In real life, where careplanning means checking a box, Risk of Infection is one of my fall-backs, along with Safety. Pretty much anyone who comes through the hospital door is at risk for infection. I do try to make an honest effort to individualize, but those two are almost automatic.

    PS As usual, Leslie explained it better.
  7. 0
    I am not diagnosing the patient has an infection. I am basing my nanda on the doctors diagnosis.

    the patient has an infection based on the doctors diagnosis of meningitis, as manifested by CSF cultures, irritability, fever etc.
    My interventions are to decrease stimuli, administer abx as ordered by physician, assess temperature etc.

    if this is not a valid Nanda what other ones would be for meningitis?

    I am using acute pain.
    Any ideas?
  8. 0
    how's the pt's ms?
    is there alt cerebral perfusion?

    is hygiene meticulous?
    need to prevent opportunistic, secondary infections.

    is pt dehydrated r/t temp?
    vomiting? diarrhea?
    nutritional status?

    pt ambulatory?
    compliant w/care?
    or is s/he agitated, or even delirious?
    any risk for injury?

    leslie
  9. 0
    The patient is a 1 month old.

    Mental status: irritable, no tracking, they think there is going to be some developmental delays

    Fluid Volume is ok, baby had feeding tube and is now taking fluids PO well. No diarrhea at this time.

    I was thinking about using risk for injury r.t seizures but he is on medication for seizures.
  10. 1
    what would a nurse do for a baby w/alt tissue perfusion (cerebral?)
    or sensory perceptual alteration?
    how does that impact one's ms or neuro status?
    agitated w/light? noise? activity?

    again, hygiene?
    is baby being kept immaculately clean?
    any risks for other infections?

    skin integrity?
    if meningitis is bacterial, (more specifically, streptococcal), are there rashes, purpura?
    risk for any other blood dycrasias?

    risk for alt growth/development?

    you need to prioritize what dx has the most implications...
    i've given you enough food for thought.

    leslie
    Angie O'Plasty, RN likes this.
  11. 0
    Risk for infection : Due to ......use actual dx. or things that are prescribed for this pt f. Ienemomia, steroids immobility etc.....Is fine. It's even on our nurses notes for nursing dx in the ER.


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