Huge changes in diagnoses over the past years? (NANDA)

[xInspiredx]

Have there been drastic changes to diagnoses since the past few years? I ask because I found a NANDA 2012-2014 book and an earlier edition with the years 2009-2011. Since I'm just a pre-nursing student trying to get some knowledge beforehand, I'm not sure just how much the diagnoses have changed over the recent years. I'm not sure if this is just a case of the publishers switching around chapters and adding a few words just to put out a new edition. There are nursing books that reference the old NANDA book (2009-2011), so should I not consider those? I don't want to study the wrong diagnoses if there have been drastic changes over the recent years.

[Tait, MSN, RN]

I would just go ahead and get the newest version. I am not sure how much has changed, but after watching GrnTea answer a lot of ND questions in the student forums I think having the most up to date would be best.

[nurseprnRN, BSN, RN]

The answer is found on p. xxx ff. (page thirty and following pages) of the 2012-2014 (current) edition, where twelve nursing diagnoses with revisions (labels changed, risk factors changed, defining characteristics added or subtracted, etc...) from the 2009-2011 edition are listed.

Six more are moved from functional domains to psychosocial ones, and another from one class to another.

On page 489 ff., there are eight nursing diagnoses that have been retired, for reasons like lack of related factors, need to be updated to reflect current scientific knowledge, needing differentiation from other nursing diagnosis(es), and/or separating them into individual concepts.

The ones that are retired are: Health seeking behaviors, Total urinary incontinence, Rape-trauma syndrome: compound reaction, Rape-trauma syndrome: silent reaction, Effective therapeutic regimen management, Ineffective community therapeutic regimen management, Disturbed thought processes, and Disturbed sensory perception (specify: auditory, visual, kinesthetic, gustatory, tactile, olfactory) (This last was separated into its individual components to be listed separately).

:) Do not roll your eyes at this-- nursing diagnosis is not the mental masturbation some folks think it is. This book will save your butt in nursing school, do more than anything else, and in fewer pages, to teach you to think like a nurse, and if you ever have to be involved in the legal system (as I do often in my work) you will thank your lucky stars you have it to cover that butt it saved in school. Having the most current edition does matter. I get the new one every two years and keep the old ones in case I have to look at what was the standard at the time in question on a case.

[hiddencatRN, BSN, RN]

How does it help you with the legal system? I just moved to a med surg unit from the ER so have to start doing care plans again and am RUSTY, lol.

[nurseprnRN, BSN, RN]

If someone ever asks you why you implemented or prescribed a particular nursing intervention for a defined nursing diagnosis, if you can point to defining characteristics for the nursing diagnosis in NANDA-I you used when you used the nuring process as defined in the ANA Scope and Standards, you're home free (assuming you did what you did safely).

In my practice as a legal nurse consultant I see issues like this come up from time to time, and as a life care planner I have to be able to justify my plans, based on the nursing process, in deposition and trial. I lovelovelove being able to tell a smartaleck attorney that he is wrong when he says I cannot diagnose and prescribe because I am not a physician, because RNs can indeed use the nursing process and nursing diagnosis to prescribe a nursing plan of care. It's in the book.