nursing diagnosis-nanda advice?

  1. 0 I just need a little advice here, i made my nanda just wanna share to you guys if its right or need more information..thank you

    1. Imbalance nutrion: more than body requirements related to more than calorie intake, basic nutritional knowledge as evidence by BMI 36 or sedentary lifestyle?

    question which one do u guys think sounds correct. thanks for the input
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    Visit  oKeto profile page

    About oKeto

    Joined Sep '08; Posts: 7.

    13 Comments so far...

  4. Visit  EMSnut45 profile page
    1
    Your "related to" part doesn't sound quite right. This area of the nursing diagnosis should be the etiology (cause). You could use sedentary life style, caloric intake of ____ per day, imbalanced diet (ex: high in fat and carbohydrates/sugars), etc. Your "as evidenced by" part should be objective data that you have found during your assessment (what the patient said in quotes, lab values, vital signs, weight...)-- in which case, you could use BMI of 36. I think you are on the right track.
    oKeto likes this.
  5. Visit  MissKitty21 profile page
    1
    Imbalanced nutrition: more than body requirements related to imbalanced caloric intake in relation to metabolic needs as evidenced by BMI of 36.

    Thank you for showing us what you have instead of just asking for an answer like so many others!!
    Good luck with your care plan!
    oKeto likes this.
  6. Visit  interleukin profile page
    1
    Realistically, no one in health care cares about nursing diagnosis.

    It is only in nursing school that we had to create these silly/demeaning/waste of time busy work in some perverted way of ascribing legitimacy to our practice. If that's what we need to make nurses relevant professionals, god help us.

    "Alteration in Thermoregulation" is my favorite...having a temp for some reason is not good enough.
    SixFive likes this.
  7. Visit  MissKitty21 profile page
    1
    I like "Disturbed Energy Field"-- seriously
    Circulator, RN likes this.
  8. Visit  interleukin profile page
    0
    Was that a real diagnosis...say it ain't so!

    Thanks for the laugh.
  9. Visit  RedhairedNurse profile page
    0
    Quote from interleukin
    realistically, no one in health care cares about nursing diagnosis.

    it is only in nursing school that we had to create these silly/demeaning/waste of time busy work in some perverted way of ascribing legitimacy to our practice. if that's what we need to make nurses relevant professionals, god help us.

    "alteration in thermoregulation" is my favorite...having a temp for some reason is not good enough.

    actually, we do care about nursing diagnoses at my facility. we have personalized care plans in all our pts files. it is part of nursing!
  10. Visit  SixFive profile page
    0
    posts like this make me so glad I don't have to deal with busy work careplans anymore. Filling out the premade ones with admissions is bad enough; I'd hate to think about trying to make them up now!

    What an antiquated waste of time that is still a requirement!

    oketo, your post isn't really clear to me because of the grammar, but with the info given, I would NOT use bmi in a care plan (BMI is another stupid and antiquated thing, lol that is not accurate). My generic suggestion to you is K.I.S.S. and copy out of your nursing careplan books as much as possible. When you try to formulate your own careplans, you get into trouble.

    how about: Alteration in Nutrition: More Than Body Requirements related to Lack of knowledge, Decreased activity, and Altered satiety patterns As evidenced by weighing 20% over the ideal for frame and height.

    copied straight from a book and sounds like the bs they want you to write.


  11. Visit  SixFive profile page
    0
    Quote from britney_rn
    actually, we do care about nursing diagnoses at my facility. we have personalized care plans in all our pts files. it is part of nursing!

    so, you're saying that before you take care of each patient you peruse the care plan? just curious.

    every facility has personalized care plans in all pts files. that doesn't meant it isn't silly.
  12. Visit  RedhairedNurse profile page
    0
    i review the current careplan for each pt as i'm getting report. takes just a few seconds actually. not a big deal to me.

    have a nice day!
  13. Visit  SixFive profile page
    0
    Quote from britney_rn
    i review the current careplan for each pt as i'm getting report. takes just a few seconds actually. not a big deal to me.

    have a nice day!

    i'm not talking about the kardex; i'm talking about the careplan. you have a nice one too!
  14. Visit  interleukin profile page
    0
    I meant no disrespect to those who find that careplans help. But I am referring to nursing diagnosis.

    Honestly, the only diagnosis that counts in the real world is the medical diagnosis. All nurses know what to expect or look for based upon the medical assessment.

    Sooner or later, these statements will be abolished r/t their general uselessness as manifested by years of observation and the agreement of most nurses.
  15. Visit  Daytonite profile page
    1
    it helps when you are first learning to diagnose to use a reference of some kind. here are two webpages with the nanda taxonomy about this diagnosis: [color=#3366ff]imbalanced nutrition: more than body requirements and http://www1.us.elsevierhealth.com/me...ex.cfm?plan=38. there is a problem with the etiology, or r/t, portion of your diagnostic statement
    imbalanced nutrition: more than body requirements related to more than calorie intake, basic nutritional knowledge as evidenced by bmi 36 or sedentary lifestyle
    i know that you mean an increased calorie intake, but that is only part of the cause. if you look at the related factor either of the webpages i've listed above they will specifically state "excessive intake in relation to metabolic need" (page 149, nanda-i nursing diagnoses: definitions & classification 2007-2008). use what nanda advises. excessive calorie intake, a bmi of 36 and a sedentary lifestyle are all defining characteristics (symptoms, evidence) that support the diagnosis.

    basic nutritional knowledge cannot be a cause of "intake of nutrients that exceeds metabolic needs" (the definition of imbalanced nutrition: more than body requirements). you can include teaching interventions when you address your excessive calorie intake, a bmi of 36 and a sedentary lifestyle symptoms. or, you can set up an entirely separate nursing diagnosis, i.e. deficient knowledge, basic nutrition r/t lack of information aeb [???]

    i would re-write this diagnosis to read: imbalanced nutrition: more than body requirements r/t excessive intake in relation to metabolic need aeb excessive calorie intake, a bmi of 36 and a sedentary lifestyle.
    MissKitty21 likes this.


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