Is this a valid nursing diagnosis? - page 2

I am supposed to provide 3 nursing diagnoses for a pt w/ angina pectoris. 1- pain r/t myocardial ischemia 2-Risk for decreased cardiac output r/t mechanical and/or electrical dysfunction of the... Read More

  1. by   Student4Now
    "Nursing diagnoses are based upon a patient's response to what is happening to them" <-------------- This is one of the many things that I need to keep pounding into my head. THANK YOU. I am looking up the links as well!
  2. by   Daytonite
    Quote from student4now
    "nursing diagnoses are based upon a patient's response to what is happening to them" <-------------- this is one of the many things that i need to keep pounding into my head. thank you.
    it's more a way we feel toward the signs and symptoms. many times they are still the same signs and symptoms that medical diagnoses have, but for nursing we want to specifically think about them as how people are responding to what is happening to them. it makes more sense when you look at the defining characteristics (signs and symptoms) of nursing diagnoses like impaired home maintenance or impaired verbal communication. then, of course, in our care plans we are treating those signs and symptoms.
  3. by   DolceVita
    OK, so I want Daytonite to be my instructor. Not that I don't like mine but there are clearly instructors and INSTRUCTORS.

    I suppose it is the same with nurses.
  4. by   yesdog
    Quote from rachelgeorgina
    valid, but you're missing the "as evidenced by" for 1 and 2. what signs and symptoms is the pt exhibiting to lead you to your diagnosis?
    You don't use "as evidenced by" for a "risk for" nursing diagnosis.
  5. by   Daytonite
    Quote from yesdog
    You don't use "as evidenced by" for a "risk for" nursing diagnosis.
    Absolutely correct! It is because a "Risk for" diagnosis is an anticipated problem that does not yet exist. Therefore, there is evidence of it.
  6. by   JA27
    Hello Everyone,
    I've got something a little different, but I was hoping someone here could help me out with this.
    I have a clinical patient who initially came into the ER with heart palpitations. He has a history of atrial flutter, cardioversion, systolic ejection murmor, ventricular septal defect repair, paroxysmal afib, hypertension, CAD, heart surgery, lung lobe removal r/t cancer, aortic value thickening with sclerosis without stenosis.... He also has elevated Cholesterol, LDL and low HDL. My assignment was to list things that the patient COULD have to contend with that was not their diagnosis but may become a future problem because of their diagnosis. For example, if you have heart problems that are so bad that you can barely breathe, then you might eat less because it is difficult to eat and breathe with those problems. So what I need is problems that might come about because a patient had these heart problems listed earlier. The nutrition one might not be valid with this patient because he is not on oxygen and his breathing is easy enough to allow him to eat comfortably. Can someone guide me in the right direction please? Thanks in advance!
  7. by   DolceVita
    Are you looking for potential complications? or something else like RISK FOR sort of things?
  8. by   JA27
    It needs to be something unrelated to the primary diagnosis but that the patient is at risk for, something like the nutrition problem I mentioned before. The instructor stated it as "something the patient doesn't have now but could cause a problem later due to his condition." With a clinical patient I had earlier who had hemorrhagic CVA and right hemiparesis and stayed in bed all of the time, one of the things I could list would be thrombosis. Sounds logical for that patient. Now my patient is able to move around and get up and go at will. He has heart related problems, but I can't think of what could happen that's not directly related to his afib and palpitations. Would possible weight gain / edema be one? Please help. I'm drawing blanks!
    Last edit by JA27 on Apr 15, '10