Collaborative problem

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Can someone give me an idea on how to write collaborative problems? I'm still confused even after reading several information on it. I know that it is in between the Nursing Diagnosis and Medical Diagnosis, but how do you specifically write one? Let's say Risk for Complication of Imbalanced Nutrition: less than body's requirements related to impaired swallowing secondary to Parkinson's disease, is it a nursing diagnosis or can it be both a collaborative problem and nursing diagnosis?

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Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.

Ask yourself: is fixing this patient’s specific problem you’ve diagnosed as identified solely within the nursing realm, or are there aspects that can be addressed by medicine and/or other disciplines? That would be best to address collaboratively?
Hint: think physician/NP for medication management, speech-language therapy (which deals c swallowing as an independent part of their scope of practice) for formal swallowing eval and therapy, dietary perhaps, home caregivers? 
You have made an appropriate nursing diagnosis and now will enlist collaborators to treat it. See how that works?

While we’re at it :  This same process isn’t limited to nursing diagnoses that are related to (caused by) a medical diagnosis and require medical collaboration. Look through your NANDA-I 2021-2023* for nursing diagnoses that are not necessarily related to a medical condition and do not list one as a related factor but could be collaboratively addressed c other disciplines, such as social work, psych, or outside entities like visiting nursing, food bank/meals on wheels, etc. Expand your horizons for collaboration to help your patient. 

* Not whatever “nursing dx handbook” you have, they’re all indexed by medical diagnosis. Consult the real thing. You WILL be glad you did. And your faculty will be impressed. 

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Specializes in retired LTC.

I found your post very informative & helpful.

Shame I'm not in school or practicing anymore! ;))

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9 hours ago, Hannahbanana said:

Ask yourself: is fixing this patient’s specific problem you’ve diagnosed as identified solely within the nursing realm, or are there aspects that can be addressed by medicine and/or other disciplines? That would be best to address collaboratively?
Hint: think physician/NP for medication management, speech-language therapy (which deals c swallowing as an independent part of their scope of practice) for formal swallowing eval and therapy, dietary perhaps, home caregivers? 
You have made an appropriate nursing diagnosis and now will enlist collaborators to treat it. See how that works?

While we’re at it :  This same process isn’t limited to nursing diagnoses that are related to (caused by) a medical diagnosis and require medical collaboration. Look through your NANDA-I 2021-2023* for nursing diagnoses that are not necessarily related to a medical condition and do not list one as a related factor but could be collaboratively addressed c other disciplines, such as social work, psych, or outside entities like visiting nursing, food bank/meals on wheels, etc. Expand your horizons for collaboration to help your patient. 

* Not whatever “nursing dx handbook” you have, they’re all indexed by medical diagnosis. Consult the real thing. You WILL be glad you did. And your faculty will be impressed. 

Thank you so much, This is so helpful!

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Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.

Any feedback on what happened?

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