Nursing Dx?

Nurses General Nursing

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I'm doing my clinical paperwork and I cannot find a Nanda nursing Dx for financial, insurance (can't pay the bills). Can anyone help? Any website references would be great :) TIA!

Ineffective coping maybe. Or readiness for enhanced coping if they are trying to work out a budget. Role strain if they have lost a job and are used to being primary breadwinner.

Why would you need a nursing diagnosis for a financial issue tho?

Specializes in ER,ICU and Progressive Care Unit,Peds.

Role strain sounds like a good one!

Why would you need a nursing diagnosis for a financial issue tho?

When we come up with a problem list, my clinical instructor likes for us to address the person holistically. Financial, spiritual, psychosocial...not just physical. I dunno...I just want to get a Satisfactory and move on :) Thanks for your help!

How about anxiety r/t financial strain???

it would seem to me that you would only need a dx for this if it were a problem in the patients eyes.....and i have been out of school so long.....! something to do with psychologic distress....inability to meet expectations...good luck

Specializes in Med/Surg, ICU, educator.

try these websites to help you build any care plan for classes

http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/index.cfm

http://www1.us.elsevierhealth.com/Evolve/Ackley/NDH6e/Constructor/A-B.html

Hope these help

Specializes in CCU/CVICU, Hemodialysis, ER, PALS Inst..

Wow, it's been a long time since I had to do these but I would agree with the anxiety r/t.... or role strain. I think it would depend on the patients view of the problem. Good luck!! :)

Julie

Specializes in Nursing Professional Development.

I think the people who have responded are on the right track. But to add to the discussion ...

Not every issue in life is a appropriate for a nursing diagnosis. They become nursing problems (and therefore appropriate for nursing diagnosis and intervention) as they effect the health status and/or well-being of the individual. In other words, the inability to pay a bill might or might not be relevant to a person's health/well-being. If it's causing them emotional distress, then it is the emotional distress that is the nursing issue to deal with. If their financial problems cause them to be non-compliant with treatment or to engage in behaviors that hurt their health, then that behavior is the nursing diagnosis.

The lack of money is a possible CAUSE of many nursing diagnosis. Your assessment of the patient should identify the patient's nursing problems that are caused by this lack of money.

I hope that helps clarify your thinking.

llg

i dunno how this will help but in mosby's nursing diagnosis handbook, there is this nursing dx for financial crisis in the home environment which is impaired home maintenance r/t to insufficient finances. goodluck on your paperwork!

Specializes in med/surg, telemetry, IV therapy, mgmt.

if ever there was a collaborative problem, this is it. i say that because the nurse can't really do much to solve this problem. it's going to require the services of another professional (i.e. social worker). i have to agree with what llg has posted. if you read any of my posts to members who ask for help with care plans i am always stressing the importance of looking at your assessment data first. financial resources are something that might become the cause (related factor, nanda terminology) or an obstacle in dealing with an assessment symptom and would be addressed that way. but, poverty by itself is not, in general, a symptom (defining characteristic, nanda terminology) that defines any nursing diagnosis that i can think of. now, if this patient is just unknowledgeable of how to get assistance to help with bills or just flat out too lazy to go to work then there are nursing diagnoses to cover those behaviors (readiness for enhanced coping, ineffective coping, respectively).

you can find care plan help and online links within the posts of these threads on the nursing student forums:

A "nursing diagnosis" generally consists of three parts (P.E.R.).

The P stands for the patients response to the problem.

The E stands for the etiology of the problem.

The R stands for the signs and symptoms of the problem.

Only those patient problems which can be addressed by the nurse can be subject to "nursing diagnosis". A problem that requires the collaboration of both a nurse and another health care professional (an M.D. for example) can,aslo, be subject to a nursing diagnosis. A problem, such as certain medical problems, which can not be addressed in any manner by a nurse can not be subject to a nursing diagnosis.

Thus given the above the P might be: Anxiety ;E might be:r/t financial distress ;R might be: with insomnia and anorexia.

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