Quote from lizzyberry
Which Nursing Diagnosis would be more priority: Bowel Incontinence or Self Care deficit? Anyone know? Im having a hard time choosing. These both are related to cognitive impairment on a geriatric pt.
Which self-care deficit? There are a number of them. An elimination need comes before a self-care deficit of bathing/hygiene/dressing/grooming but is on the same level with a toileting self-care deficit and ranks below a feeding self-care deficit.
Is there a nursing diagnosis relating to HTN?
NO. Is there a medical diagnosis relating to Decreased Cardiac Output? You are asking for the difference between apples and oranges.
Any nursing diagnosis is based upon the signs and symptoms your patient has. You determine those signs and symptoms from the thorough assessment that you have done of the patient. This involves going through the patient's medical record and reading what the doctor has documented, reviewing the tests results and doing your own interview and physical examination of the patient. You pull out the abnormal items that you found. This is Step #1 of the nursing process. To help you learn what was abnormal you use textbooks and other materials that tell you what is normal to help you out. This is how you learn about the various conditions. In Step #2 of the care planning process you take the list of abnormal assessment items that you found which you can now call signs and symptoms
(NANDA calls them defining characteristics) and start looking for nursing diagnoses. Every nursing diagnosis has a list of signs and symptoms (NANDA calls them defining characteristics) and that's what you need to look at. If some of your patient's signs and symptoms aren't on the list of defining characteristics for a nursing diagnosis, then you can't legitimately use it because you would be diagnosing the patient incorrectly.
So, my next question for you would be, what are your patient's signs and symptoms that you got from your nursing assessment
? The proper question you should be asking is: my patient has the following signs and symptoms. . .what nursing diagnosis(es) fit these signs and symptoms?