I'm sorry, but some nursing diagnoses are just ridiculous!

CarVsTree · Mar 3, 2005

Perhaps not as ridiculous as you think.
1. Denial, as a coping mechanism, is never effective.

Yeah, she knows that Tony. That's what makes it funn. The dx is not ineffective coping, denial... The dx is ineffective denial.

JGo · Mar 4, 2005

You are just right!

those dx were created for people that dont had anything better and ral to do!

I hate them all

hobbes · Mar 6, 2005

Disturbed energy field
This one cracks me up! Like how often do we diagnose someone's aura? :rotfl:
Related Factors listed in my pocket guide? TO BE DEVELOPED (hehe!)
Definining Characteristics.... Disruption in field (wave/spike/tingling/flowing)
"Nursing Priority---Move hands slowly over the clien at level of 2 to 3 inches above skin to ASSESS STATE OF ENERGY FIELD AND FLOW OF ENERGY WITHIN THE SYSTEM"
Hmmm...........
"allow client's body to pull back/repattern energy as needed"
"Hold client's feet for a few moments at the end of the session to ASSIST IN GROUNDING THE BODY'S ENERGY"
I am all for homeopathic interventions, but I never thought I would see this in a nursing book... *shrug*

Just for the hell of it I actually used Disturbed Energy Field in one of my care plans this semester. I figured that I was not going to go through nursing school without having used that one just once because there was no way I'd ever use it again. After I submitted the care plan, I had second thoughts because I wasn't sure how my clinical instructor would react. Well, when I got my care plan back there wasn't even a remote comment about the diagnosis. Since we've often caught her reading the care plans right before post-conference the day she returns it, it probably didn't even register with her. Oh well.

ktwlpn, LPN · Mar 7, 2005

Yes, I realize that ALL of them are legitimate when you actually look beneath the surface (okay, maybe not energy field). I figured someone would pick apart my post and say why I'm wrong. I was slappy, sleep deprived, and working on a 10-page clinical worksheet as I posted that last night. Just trying to bring a little levity to the board. Sorry, won't happen again.

Yeah-some people just take themselves WAY too seriously-I got your sense of humour and appreciated it....

PHTLS · Mar 8, 2005

Ineffective denial...as opposed to EFFECTIVE denial?
Disturbed energy field
Impaired environmental interpretation syndrome
Health-seeking behaviors (the horror!)
Impaired home maintenance (I'm guilty of that one! If only I could do a collaborative intervention with Merry Maids)
Ineffective protection
Noncompliance
Wandering
Some of these just made me chuckle, and made me wonder about the people who come up with them.

Whoa! you think "Wandering" is ridiculous?

My hospital is notorious for residents going AWOL.

You try writing an incident report on that and calling their families.

RN4NICU, LPN, LVN · Mar 8, 2005

Yes, I realize that ALL of them are legitimate when you actually look beneath the surface (okay, maybe not energy field). I figured someone would pick apart my post and say why I'm wrong. I was slappy, sleep deprived, and working on a 10-page clinical worksheet as I posted that last night. Just trying to bring a little levity to the board. Sorry, won't happen again.

Are we experiencing a little ineffective individual coping?

or is it role strain?

j/k :chuckle

How's school going?

klone, MSN, RN · Mar 8, 2005

Whoa! you think "Wandering" is ridiculous?
My hospital is notorious for residents going AWOL.
You try writing an incident report on that and calling their families.

:rolleyes:

twinmommy+2, ADN, BSN, MSN · Mar 8, 2005

I almost used the one for disturbed energy field but since my client didn't express any feelings of an altered energy field I couldnt use it. She's bipolar and uses alot of homeopathic stuff to treat herself instead of the meds.

mariedoreen · Mar 14, 2005

"High risk for Dead"

I LOVE IT :rotfl:

On one care plan I did the patient had an infectious process going on and darn if NANDA didn't have a dx for it. There's risk for infection, but no actual... What's that about? I ended up calling it Potential for Sepsis or something like that. My instructor writes on there "How about just calling it Infection..." I'm like, NANDA doesn't have one. They've got disturbed energy field but no infection. That's useful. And yes, I AM making fun of NANDA

sis14rn · Mar 16, 2005

Yeah, I went to nursing school way back when and learned all kinds of nursing diagnosis. Then I graduated, went out into the real world and realized what nursing is all about. When you're in this business long enough, you know the way things are, how to CYA and how to get your job done in the 8 hours you're there. There is a time for seriousness and a time when you've just got to laugh. I now write policies and procedures and frankly they are about as entertaining as a nursing diagnosis. I got so tired of researching a policy one day that I wrote a policy on how to write policies. I submitted it and received approval!!! LOL!

ldkrn · Mar 16, 2005

Ackshully...disturbed energy field refers to a nursing technique developed by Dolores Krieger in the early 70's, out of research she did on psychic healers. They have actually been able to measure significant changes in hematocrit and wound healing. It's called Therapeutic Touch ... there are quite a few practitioners ... might be worth googling.

I'm sorry up front if I'm offending anyone, but Martha Rogers and her starry eyed protege Delores Kreiger are both crackpots, IMHO, and a significant reason nursing as a profession is dismissed by other healthcare providers and the public at large-this has made us the butt of an embarrassing joke. For a fascinating "outsider's" look at this you might want to go to this site:

http://jef.raskincenter.org/home/index2.html and click on "Humbug Nursing Theory" on the right hand side.

pediatriclpn · Mar 16, 2005

I for one appreciated the humor!!!! I remember NCP's, hated them. Worked home care as field nurse, didn't have to write them. Yeah! I don't remember the negative energy field one, but boy would I have used it on every care plan I wrote!!!!

NANDA started by a bunch of nurses who wanted to make nursing seem a more intellectual profession than a "grunt" job. I am all for making people realize that we have brains that work all day long, and after we get home, and do more than cowtoe to MD's. But someone needs to get real, rather than more ridiculous goobledygook. Just my opinion.