NANDA format - Diagnosis needed

Nurses General Nursing

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:uhoh3: Another care plan due --- pt. is a 6 day old female in ped. unit on morphine sulfate because mother is a heroin and cocaine user. Baby girl did test positive for cocaine. I need to come up with 2 priority diagnosis and goals for this baby. I was thinking along the line of respiratory depression because of the morphine and possibly risk for infection? Any and all help would be appreciated. Thanks

:idea:

CCCSN

Risk for ______ is how you address potential issues that have yet to come about.

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Specializes in med/surg, telemetry, IV therapy, mgmt.
now I'm finding that even using the word "possible" is causing confusion {for me} because in one handbook of nursing diagnoses, in its explanation says "if you suspect a problem but have insufficient data, gather the additional data to confirm or rule out the diagnosis. If this additional data collection must be done later or by other nurses, label the diagnosis possible on the care plan or problem list." I was using "possible" to mean - potential, that something could happen (not that it was suspected) - therefore to teach or alert the patient, in order to prevent a potential problem What is the proper terminology?

The "proper terminology" is whatever your bosses or nursing instructors tell you it is. If they haven't given you any specific guidelines or instructions, then I would say you have some creative leeway in how you can construct your nursing diagnoses. Care plans are as much creative and artistic works as they are practical work plans. In the past the words "Potential for" were used on these diagnoses. Now, NANDA is using the words "Risk for". I'm sure there must have been some interesting discussions as to why NANDA made the decision to change to the wording they are now using! I am not a spokesman for NANDA, anyone's bosses or anyone's nursing instructors. You need to ask these people that are influencing the final outcome of your care plan to get the answer to your question.

I am looking at my thesaurus. Synonyms for the words risk and possible are:

  • danger
  • chance
  • hazard
  • peril
  • threat
  • vulnerability

I don't know why you couldn't use one of them if you are not restricted by NANDA rules. The thing is that the wording that goes into the writing of a care plan is often creative.

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:uhoh3: Another care plan due --- pt. is a 6 day old female in ped. unit on morphine sulfate because mother is a heroin and cocaine user. Baby girl did test positive for cocaine. I need to come up with 2 priority diagnosis and goals for this baby. I was thinking along the line of respiratory depression because of the morphine and possibly risk for infection? Any and all help would be appreciated. Thanks

:idea:

CCCSN

Disorganized infant behavior related to prenatal exposure to cocaine as evidenced by (put defining characteristics here, ie: fussiness, weak cry, jerky movements, increased heart rate, cyanosis, etc).

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Specializes in med/surg, telemetry, IV therapy, mgmt.
disorganized infant behavior related to prenatal exposure to cocaine as evidenced by (put defining characteristics here, ie: fussiness, weak cry, jerky movements, increased heart rate, cyanosis, etc).

hi, minniemoe79, and welcome to all nurses! :welcome:

if you look closely, you will notice that this thread is from april of this year and is 8 months old. if you are looking to help student nurses with their care plans you will find their current posts and questions on these two forums of allnurses:

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