wellness diagnosis for sickle cell client

AliNajaCat · Nov 28, 2016

I am writing a wellness diagnosis for a client with H/O sickle cell and anemia. The client has low Hb, WBCs and RBCs.
Can someone confirm if this well diagnosis is correct.
Diagnosis:
Readiness to enhance health management through therapeutic regimens to increase white and red blood cell count to acceptable range.
should I state something about sickle cell crisis prevention etc.

If you have looked in your NANDA-I 2015-2017 you have found the definition if "Readiness for enhanced health management," which is, "A pattern of regulating and integrating into daily living a therapeutic regimen for the treatment of illness and its sequelae, which can be strengthened."

There are defining characteristics (your "as evidenced by"), at least one of which you must have assessed in your patient. They are:

Expresses desire to enhance:

1) choices of daily living for meeting goals

2) management of illness

3) management of prescribed regimens

4) management of risk factors

5) management of symptoms

6) immunization/vaccination status

If I understand you correctly, your patient has expressed a desire to enhance his management of the therapeutic regimen prescribed to improve his CBC numbers. Is that correct? If so, you would be able to make this diagnosis, and state it something like this:

Readiness for enhanced health management as evidenced by patient stating, "I want to be better at managing my meds (or whatever)."

You can't make a diagnosis like this if it's YOUR idea that he has to improve his med management, LOL-- this, like all other nursing diagnosis, is a patient-centered activity.

AliNajaCat · Nov 30, 2016

You're welcome, she said drily.