Student Resources: Nursing Diagnoses - page 2
by VickyRN 120,184 Views | 20 Comments Senior Moderator
A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual and/or potential health problems or life processes. A medical diagnosis, on the other hand, is the identification of a disease... Read More
- 0Nov 30, '10 by jxoxoHey guys im doing my first care plan (group presentation, 1 ns diagnosis per person) and have to come up with a nursing diagnosis for a young jewish mother of 2 toddlers who has been diagnosed with hyperthyroidism. This is what i came up withe for the diagnosis part:
activity intolerance r/t generalized weakness and fatigue aeb inability to perform daily physical activities.
i was wondering if the related factors have to be listed in the nanda book or not because i used fatigue as a realted factor although it is not listed. also id like to know if my aeb is too broad ? should i make it more specific such as "aeb patient verbalization of weakness/ exhaustion?" all help is appreciated ... please let me know anything else im missing my teacher did explain this very well!!
- 0Oct 26, '11 by CraigB-RNI'm an old fart and I remember when nursing DX first came about. I remember the we'll be able to bill for our own nursing servicves arguments.
One path that I've taken when trying to teach nursing dx, especially to people who already have predjudice against them, is that it's a way of thinking. It's a way to teach yourself an organized, systomatic way to approach your patient. When you start, it takes thought, but after you get experience, you learn to do it on the fly. IF YOU"VE LEANED THE CONCEPTS.
When a patient comes into the unit, it really doesn't matter what their medical dx is. The nursing care is directed by their problem. IT really doesn't matter that much in the first few minutes or hours even if your DIB pt has pneumonia, CHF, ,COPD or whatever. it's the hypoxia and the recognition that it's a pulmonary cause and not a cardiac or whatever. (overly sipmlistic example alert)
The question I have, is this, and it's a question, because I don't know. Is nursing DX one of those things that need to be changed. Either how it's normally taught, or the importance it's given?
- 3Dec 31, '11 by VickyRN Senior Moderator
nursing diagnoses 2012 – 2014
domain 1 – health promotion deficient diversional activity sedentary lifestyle deficient community health risk-prone health behavior ineffective health maintenance readiness for enhanced immunization status ineffective protection ineffective self-health management readiness for enhanced self-health management ineffective family therapeutic regimen management domain 2 – nutrition insufficient breast milk ineffective infant feeding pattern imbalanced nutrition: less than body requirements imbalanced nutrition: more than body requirements risk for imbalanced nutrition: more than body requirements readiness for enhanced nutrition impaired swallowing risk for unstable blood glucose level neonatal jaundice risk for neonatal jaundice risk for impaired liver function risk for electrolyte imbalance readiness for enhanced fluid balance deficient fluid volume excess fluid volume risk for deficient fluid volume risk for imbalanced fluid volume domain 3 – elimination and exchange functional urinary incontinence overflow urinary incontinence reflex urinary incontinence stress urinary incontinence urge urinary incontinence risk for urge urinary incontinence impaired urinary elimination readiness for enhanced urinary elimination urinary retention constipation perceived constipation risk for constipation diarrhea dysfunctional gastrointestinal motility risk for dysfunctional gastrointestinal motility bowel incontinence impaired gas exchange domain 4 – activity/ rest insomnia sleep deprivation readiness for enhanced sleep disturbed sleep pattern risk for disuse syndrome impaired bed mobility impaired physical mobility impaired wheelchair mobility impaired transfer ability impaired walking disturbed energy field fatigue wandering activity intolerance risk for activity intolerance ineffective breathing pattern decreased cardiac output risk for ineffective gastrointestinal perfusion risk for ineffective renal perfusion impaired spontaneous ventilation ineffective peripheral tissue perfusion risk for decreased cardiac tissue perfusion risk for ineffective cerebral tissue perfusion risk for ineffective peripheral tissue perfusion dysfunctional ventilatory weaning response impaired home maintenance readiness for enhanced self-care bathing self-care deficit dressing self-care deficit feeding self-care deficit toileting self-care deficit self-neglect domain 5 – perception/ cognition unilateral neglect impaired environmental interpretation syndrome acute confusion chronic confusion risk for acute confusion ineffective impulse control deficient knowledge readiness for enhanced knowledge impaired memory readiness for enhanced communication impaired verbal communication domain 6 – self-perception hopelessness risk for compromised human dignity risk for loneliness disturbed personal identity risk for disturbed personal identity readiness for enhanced self-control chronic low self-esteem risk for chronic low self-esteem risk for situational low self-esteem situational low self-esteem disturbed body image stress overload risk for disorganized infant behavior autonomic dysreflexia risk for autonomic dysreflexia disorganized infant behavior readiness for enhanced organized infant behavior decreased intracranial adaptive capacity domain 7 – role relationships ineffective breastfeeding interrupted breastfeeding readiness for enhanced breastfeeding caregiver role strain risk for caregiver role strain impaired parenting readiness for enhanced parenting risk for impaired parenting risk for impaired attachment dysfunctional family processes interrupted family processes readiness for enhanced family processes ineffective relationship readiness for enhanced relationship risk for ineffective relationship parental role conflict ineffective role performance impaired social interaction domain 8 – sexuality sexual dysfunction ineffective sexuality pattern ineffective childbearing process readiness for enhanced childbearing process risk for ineffective childbearing process risk for disturbed maternal-fetal dyad domain 9 – coping/ stress tolerance post-trauma syndrome risk for post-trauma syndrome rape-trauma syndrome relocation stress syndrome risk for relocation stress syndrome ineffective activity planning risk for ineffective activity planning anxiety compromised family coping defensive coping disabled family coping ineffective coping ineffective community coping readiness for enhanced coping readiness for enhanced family coping death anxiety ineffective denial adult failure to thrive fear grieving complicated grieving risk for complicated grieving readiness for enhanced power powerlessness risk for powerlessness impaired individual resilience readiness for enhanced resilience risk for compromised resilience chronic sorrow stress overload risk for disorganized infant behavior autonomic dysreflexia risk for autonomic dysreflexia disorganized infant behavior readiness for enhanced organized infant behavior decreased intracranial adaptive capacity domain 10 – life principles readiness for enhanced hope readiness for enhanced spiritual well-being readiness for enhanced decision-making decisional conflict moral distress noncompliance impaired religiosity readiness for enhanced religiosity risk for impaired religiosity spiritual distress risk for spiritual distress domain 11 – safety/ protection risk for infection ineffective airway clearance risk for aspiration risk for bleeding impaired dentition risk for dry eye risk for falls risk for injury impaired oral mucous membrane risk for perioperative positioning injury risk for peripheral neurovascular dysfunction risk for shock impaired skin integrity risk for impaired skin integrity risk for sudden infant death syndrome risk for suffocation delayed surgical recovery risk for thermal injury impaired tissue integrity risk for trauma risk for vascular trauma risk for other-directed violence risk for self-directed violence self-mutilation risk for self-mutilation risk for suicide contamination risk for contamination risk for poisoning risk for adverse reaction to iodinated contrast media risk for allergy response latex allergy response risk for latex allergy response risk for imbalanced body temperature hyperthermia hypothermia ineffective thermoregulation domain 12 – comfort impaired comfort readiness for enhanced comfort nausea acute pain chronic pain impaired comfort readiness for enhanced comfort social isolation
nanda nursing diagnosis home pageLast edit by VickyRN on Jan 11, '12
- 0May 28 by GrnTeaPersonally, I think we do students a great disservice to give them that list and no guidance as to how to use it. It's important for them to know that you can't just look at that list and pick something you think sounds about right for your patient. You must must must have assessment data that indicate your diagnosis was made in agreement with the real, scientifically-based defining characteristics and approved causes for each. These criteria cannot be found in "nursing care plan handbooks." They are found only in the NANDA-I 2012-014 (as of the time of this writing, the current edition), because NANDA-I understandably doesn't give blanket permission to reprint their entire work to every handbook author that comes down the pike. Not to any of them, actually. $29 at Amazon with free two-day delivery, or instant to your iPad or Kindle for $25.