Quote from jodispamodi
Haha, so just to confuse you further... No the patient does not always have a medical diagnosis before the nurse writes the nursing care plan. Going back to my appendicitis case, the patient may have right sided abdominal pain but not the typical sx of appendiicitis. So the patient may be admitted with abdominal pain (which is really a symptom not a diagnosis)the patient could in fact have gas, constipation, appendicitis, colon cancer, so on so forth and in that case where the patient does not have a clear cut diagnosis yet you would work your nursing care plan for the symptoms/potential problems they have, and if they do have a medical diagnosis you still do the same thing. Does that make sense? Hope so.
So, technically, a nurse could strongly suspect appendicitis but would never actually say, "this is appendicitis" or even, "I suspect this appendicitis"...the only time they would refer to the fact it is appendicitis is after the DX by the doc? Even if it was a situation where the patient was displaying classic symptoms and the nurse was 99.999999999% sure their (private, in their mind medical diagnosis) was accurate.
I think, personally, the term "nursing diagnosis" is confusing and possibly misleading, at least in the case of students such as myself. Not that I am going to attempt to "reinvent the wheel" but I do feel a different term would really help eliminate the confusion!! Such as "nursing list of objective and subjective issues", or something???
Anyway, who am I in the field of nursing but a mere poop in the bottom of a bed-pan....LOL!!!