hi pls help me just confused with the nursing dx

[regdaph]

in the nursing diagnosis can we changethe "risk for " into "potential for" NANDA has "risk for" if im not mistaken

[classicdame, MSN, EdD]

not all hospitals or other health care facilities use NANDA. Best to ask your instructor if you are in school or Educator if already working

[nurseprnRN, BSN, RN]

Get your NANDA-I 2012-2014? It's $29 at Amazon, and you will have your answer. Short answer is that you cannot change the wording in a nursing diagnosis, though I don't see the operational difference between "risk for" and "potential for." Could you clarify?

I don't understand the statement that "not all hospitals or other health care facilities use NANDA (sic)." They might not use nursing diagnoses (although that would be ... incomprehensible) but they can't just make up their own.

[Esme12, ASN, BSN, RN]

moved to nursing student assistance for best response

[classicdame, MSN, EdD]

why can't they make up their own? The nursing diagnosis is not billable so does not have to conform to ICD guidelines. I perceive NANDA as a reference, not a rule.

In our facility our electronoic medical records software collects data from the assessment and creates working diagnoses for nursing. Nurses may add others as they choose. I doubt very many are NANDA approved.

[nurseprnRN, BSN, RN]

The short answer is that the ANA Scope and Stds of Practice (and therefore probably your state nurse practice act) recognize it, and because it contains evidence-based validated nursing diagnoses. Therefore if you use them as meant you are practicing within your scope of practice. This can have legal implications if that chart is ever involved in any kind of action. Physicians can't make up diagnoses willy-nilly just because they like the sounds of them-- medical diagnoses have specific criteria. So do nursing diagnoses, same thing.

The list of NANDA-I diagnoses is a pretty good working document-- I recommend you get a copy from Amazon (it's not expensive) and see what you think.