Readiness forenhanced self care to increase cardiac output related to altered conductionsecondary to sick sinus syndrome as evidenced by patient reporting activityintolerance, lightheadedness, palpitations and irregular heartbeat.
I am floundering with how to word a wellness nursing diagnosis correctly. Is the above acceptable? close? or off track? Any suggestions and thoughts would be appreciated.
Oct 1, '12
by Esme12, ASN, BSN, RN Senior Moderator
A wellness nursing diagnoses focuses on the patient's progress or potential progress towards healthier behaviors...... rather than on a problem. They were created to change a situation in which only negative issues were addressed........leaving out diagnoses for patients in a healthy setting. A wellness diagnosis indicates a readiness to advance from the current level of health to a higher level. There are two prerequisites for a wellness diagnosis---a desire to advance and an ability to do so.
1) Emotional Readiness: The first requirement for a wellness diagnosis is a desire to attain a higher level of well-being. The patient must express emotional readiness to engage in interventions that will help him reach that next level.
2) Status and Function: The second prerequisite for a wellness diagnosis is the presence of status or function required to perform tasks related to the diagnosis.
3) Assessment: Assessing a patient's readiness to respond to a wellness diagnosis involves patient interviews and interaction.
4) Writing the Diagnosis: While most nursing diagnoses require at least two parts, the diagnosis and the "related to" factors, wellness diagnoses are written a little different. They are started with the word "readiness" followed by the action or health-seeking behavior that will be enhanced.
.......... Examples : "Readiness for enhanced management of therapeutic regimen" describes a patient who is willing and able to participate in her own treatment by following recommendations and helping set new goals for herself. A patient who has expressed a desire to come to terms with his illness and requests help with this is displaying "readiness for enhanced coping." "Readiness for enhanced religiosity" can be applied to a patient who previously stated she no longer believed in her religion but later states that she wants to get back in touch with her spiritual side.
Tell me a little about your patient.
Last edit by Esme12 on Apr 12, '14