Published
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.
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.
Lol, don't worry about it, those of us still in school knew where you were coming from. It's kind of like when your teenagers come in and blow off some steam, they just want you to listen for a moment, not give them a three hour lecture on the topic at hand. So, thanks for the levity, but no thanks on the lectures that were posted. We can read the nursing dx book for ourselves. It was a joke people!
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.
There's also something similar called Reiki.
I know it's legit, but that doesn't mean that I don't snicker and think it's funny when I see it as a nsg dx.
Thanks, Mariedoreen! I hate when my humor falls flat. :stone
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.
Don't worry, Klone, sometimes nursing diagnosis can seem ridiculous. I made up my own like: impaired transportation as evidenced by a car that will not start.
Risk for constipation d/t fear of self-flushing toilets (my 4-year-old)
Impaired verbal communication as evidenced by door-slamming and temper-tantruming (my 7-year-old)
Impaired orientation d/t wine volume excess (me, after my kids go to bed)
Readiness for enhanced sleep as evidenced by the the hallucinations of small animals scurrying across my field of vision when I've been up too late.
Uh oh, I'm starting to get punchy again.
Risk for constipation d/t fear of self-flushing toilets (my 4-year-old)Impaired verbal communication as evidenced by door-slamming and temper-tantruming (my 7-year-old)
Impaired orientation d/t wine volume excess (me, after my kids go to bed)
Readiness for enhanced sleep as evidenced by the the hallucinations of small animals scurrying across my field of vision when I've been up too late.
Uh oh, I'm starting to get punchy again.
:rotfl:
I've come up with a diagnosis for my kids: Motivational Deficit Disorder.
We aren't even allowed to use the word non-compliant. It's too negative. That bothers me, just like the word client instead of patient! They will always be my patients! I'm taking care of them, not cutting their hair!
We aren't even allowed to use the word non-compliant. It's too negative. That bothers me, just like the word client instead of patient! They will always be my patients! I'm taking care of them, not cutting their hair!
Who won't let you use the word noncompliant? I truly hope that there is a better rationale than "it is too negative"!
That is a dangerous limitation to put on you. Documentation of noncompliance is what protects nurses legally. It shows that we are doing we are supposed to do, but that the patients (or "clients" ) are cooperating. That shifts the legal responsibility for any negative outcome from the nurses back to the patient, which is where it belongs if the patient is noncompliant with the plan of care. I would look into having that side of things addressed. It is not a good precedent to set. The chart is a legal document - not a newspaper article. The focus should be on documenting what is actually happening, not keeping up appearances. If student nurses are being taught otherwise, they will graduate and enter the profession not knowing how to (or realizing that they should) protect themselves, legally. That is just unacceptable.
Hey Klone.. relax... I enjoyed it, too ! :)
I especially then enjoyed those that followed, thought up by the posters. :chuckle
Carry on.. we all need to let off steam now and then when the head has been stuck in the books for months on end.
As for the "nocompliant" being too negative, I remember that being addressed in my nursing books as well.. it was no longer thought to be appropriate as it was deemed "judgemental" I forget right now what they were replacing it with.. will have to go back and look it up.
I'm right there with you on the energy field disturbance thing: check out Jef Raskin's article, "Humbug: Nursing Theory" (http://jef.raskincenter.org/published/NursingTheoryForSite.html)
The problem with labelling behaviour 'non-compliant' is that the judgement implicit in it is that the patient is the subject of, rather than a participant in, health care decision making.
Don't get me wrong, I'm as frustrated as the next nurse by the renal patient who breaks their fluid restriction and come in six litres over loaded and needing urgent dialysis , and there's a woman who comes in several times a year with DKA because nobody's gonna f#$%ing tell her she can't eat what she wants.
But sometimes patients have different priorities than their health care team. Like the guy with myasthenia gravis and an impaired gag who'll risk aspiration pneumonia to taste his son's birthday cake. or the renal patient who doesn't want to give up his Italian heritage, however high the potassium level in tomatoes. Or the woman with schizophrenia who knows that smoking has risks but can't handle the side-effects of her meds otherwise.
Just a thought :)
heron, ASN, RN
4,661 Posts
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.