NANDA Nursing Diagnosis HELP!

[ngaki1230]

What I was taught in Nursing Diagnosis class was that a NANDA that is a "risk for" should not have AEB or AMB. Is that true?

I am currently doing my psych clinic and wanted to write, Risk for violence to self/others r/t hallucinations and delusions amb sleep deprivation. It that a correct NANDA format? Or should I exclude the AMB?

Also, is "Ineffective self health management r/t chronic illness aeb multiple admissions to mental health facilities" a correct format as well?

My psy pt is diagnosed with a schizoaffective d/o as with as bipolar disorder. she was admitted after being found wandering in the street at night and having delusions of have her baby taken away. She was admitted to other mental health centers previously. No previous suicidal attempts.

[akulahawkRN, ADN, RN, EMT-P]

Think about it, you if you have an actual illness of something, you should be able to measure it. If you do not have an illness of something, such as a "risk for" diagnosis, you should not have the ability to measure it.

The format of the nursing diagnosis you have provided looks okay, but I think you should have a couple of more than "aeb" stuff to support the R/T and therefore the Nanda label.

I think you are probably on the right track, keep looking and keep going.

[nurse2b013]

"Risk for"s are only a 2 part Nsg dx. If you are only at risk, you will not have any evidence yet to include an aeb or amb. If you do have evidence, then you are no longer at risk, you already have the problem!

Hope that helps! :)

[ngaki1230]

thanks for both of your help! your reasoning does make sense ^___^

[nurseprnRN, BSN, RN]

If you go to the NANDA-I webpage (and I would strongly recommend that you do: FAQs at NANDA International Nursing Diagnosis Frequently Asked Questions, and all those questions answered, too) you'll learn that the dread "r/t and AEB" your faculty made you look up were for learning purposes and to teach you to observe, not just to pull a sexy-sounding diagnosis out of, um, the air. NANDA-I wants you to know why you are making a diagnosis, mostly because if you don't then you don't know what to do about it and how you know if what you did do is working, but they do not insist on either their exact language nor on the "AEB" in the hands of a working, knowledgeable nurse.

We are knowledgeable about so much more than "alterations in comfort" and "knowledge deficit," as experienced nurses know. I think since because staff nurses are some of the least-empowered people on the planet, and often mostly because they think that's so, that they don't realize the real power they hold, based by science, the law, and a long tradition of activism. If you were in my shoes, you'd love having that power as much as I do. You have it now. Use it.

A "risk for..." nursing diagnosis is enough to document that you have assessed this person, recognized a bona fide risk, and then set about delineating how you will mitigate or eliminate it.

Hope that's helpful.

Get the book. NANDA-I 2012-2014, free two-day shipping for nursing students at Amazon.com. Then look up what it says under the various "physical injury" dx. Hint: There are 2 diagnoses that would apply for you: "Risk for other-directed violence" and "Risk for self-directed violence." Each has specific defining characteristics. Read them. You will thank me later. :)