care plans

were you given any lectures on this at school? you need to follow the format that your instructors are requiring.

the three part nursing diagnostic statement is the one that most nursing programs want their students to use. it's format is this:

an example of a three part nursing diagnostic statement would be as follows:

to use the terminology "secondary to" is to add a qualifier to the related factors. an example of using this would be to take the same nursing diagnosis above and adding this to it:

note that what is included in this "secondary to" statement is a medical diagnosis. the cardinal rule of nursing diagnosis writing is that no medical diagnoses are to be used. however, some nursing educators allow the use of this additional statement in order to help illustrate the rationale of what is going on here. in the above case the facial muscle spasticity is due to the cerebral palsy and is the cause of the defining characteristics. is is a kind of double check for the student to verify that everything in this nursing diagnostic statement is related. the patient's actual assessment data was the physical difficulty forming words, slurring of word and drooling. the cause of these was the cerebral palsy. however, nurses can't use a medical diagnosis in their nursing diagnosis statements. the better language (and this comes straight out of nanda) is to use facial muscle spasticity.

another example is:

with the "secondary to" statement added to it:

i would not recommend that you use the "secondary to" statement in your nursing diagnosis statements unless your instructors have told you to do this or you have asked them about it first.