Hey everyone I need help my teacher gave us an assignment we had to interview a person and get a complete health history and information about their psychosocial life, each body system, ect. and then we have to pick out a few areas for health promotion and pick one to write a nursing diagnosis on and a complete care plan on. I interviewed myself since I figured it would be easiest and I realized my major issues were stress due to school, my health, finances, my relationship and being away from home. From my health interview I realized I am very stressed about finances and I also am trying to eat healthier and workout but I can not afford healthy food. I have been put on blood pressure pills due to hypertension, which may be due to my stress levels. Anyways I narrowed my Nursing diagnosis down to a few, I really like Stress Overload R/T multiple stressors, I also though the Readiness for enhanced management of therapeutic regimen because I want to work on my health and hypertension but I do not have the resources to do it as well as I would like. I am not sure which one works best for me but I was thinking Stress Overload, my biggest issue at this point though if I choose that if figuring out how to write unique nursing interventions to stress overload. If anyone has any advice for me please let me know!
Apr 17, '13
First, make certain that you can do a self-evaluation rather than a health interview/assessment of someone else. The interview skills may be a part of the assignment.
That said do you have a NANDA-I 2012-2014 nursing diagnosis book
? There are specific criteria to be met in order to apply a specific nursing diagnosis. In addition a good nursing diagnosis handbook
will include specific goals to meet.
Remember ADPIE when creating your plan. My book isn't handy but it sounds like the right track though I suspect your assignment would be much easier to set goals for someone else rather than a self assessment.
Goals should always be SMART ( Specific Measurable Attainable Realistic and Timely/time specific )
Apr 17, '13
I'm going to quote member GrnTea to hopefully point you in the right direction:
A nursing diagnosis statement translated into regular English goes something like this: "I think my patient has ____(diagnosis)_____________ . He has this because he has ___(related factor(s))__. I know this because I see/assessed/found in the chart (as evidenced by) __(defining characteristics)________________."
"Related to" means "caused by," not something else. In many nursing diagnoses it is perfectly acceptable to use a medical diagnosis as a causative factor. For example, "acute pain" includes as related factors "Injury agents: e.g. (which means, "for example") biological, chemical, physical, psychological."
To make a nursing diagnosis, you must be able to demonstrate at least one "defining characteristic." Defining characteristics for all approved nursing diagnoses are found in the NANDA-I 2012-2014 (current edition). $29 paperback, $23 for your Kindle at Amazon, free 2-day delivery for students. NEVER make an error about this again---and, as a bonus, be able to defend appropriate use of medical diagnoses as related factors to your faculty. Won't they be surprised!
Apr 18, '13
Thanks for your advice everyone. My teacher told me we could use ourselves for the assignment I am not sure why it didn't make sense to me but I knew it would be easiest because I know myself the best so I chose myself. Anyways I asked her about my proposed Diagnosis and she said that would work. I am just having trouble finding really good nursing interventions to use for stress overload, other than the ones in my book (and yes I do have an Ackley nursing diagnosis book! it is great) but I wanted to incorporate more unique personal nursing interventions other than those generic ones. I am just having trouble because I am trying to find scientific evidence to back it up for my rationales and that is where I am stuck. if you all know of any great scientific websites with evidence on stress overload interventions let me know thanks!
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