nursing diagnosis-nanda advice?

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I just need a little advice here, i made my nanda just wanna share to you guys if its right or need more information..thank you

1. Imbalance nutrion: more than body requirements related to more than calorie intake, basic nutritional knowledge as evidence by BMI 36 or sedentary lifestyle?

question which one do u guys think sounds correct. thanks for the input

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Specializes in ICU and EMS.

Your "related to" part doesn't sound quite right. This area of the nursing diagnosis should be the etiology (cause). You could use sedentary life style, caloric intake of ____ per day, imbalanced diet (ex: high in fat and carbohydrates/sugars), etc. Your "as evidenced by" part should be objective data that you have found during your assessment (what the patient said in quotes, lab values, vital signs, weight...)-- in which case, you could use BMI of 36. I think you are on the right track.

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Imbalanced nutrition: more than body requirements related to imbalanced caloric intake in relation to metabolic needs as evidenced by BMI of 36.

Thank you for showing us what you have instead of just asking for an answer like so many others!!

Good luck with your care plan!

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Specializes in Mixed Level-1 ICU.

Realistically, no one in health care cares about nursing diagnosis.

It is only in nursing school that we had to create these silly/demeaning/waste of time busy work in some perverted way of ascribing legitimacy to our practice. If that's what we need to make nurses relevant professionals, god help us.

"Alteration in Thermoregulation" is my favorite...having a temp for some reason is not good enough.

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I like "Disturbed Energy Field"-- seriously :rolleyes:

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Specializes in Mixed Level-1 ICU.

Was that a real diagnosis...say it ain't so!

Thanks for the laugh.

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Specializes in Med Surg, Ortho.
realistically, no one in health care cares about nursing diagnosis.

it is only in nursing school that we had to create these silly/demeaning/waste of time busy work in some perverted way of ascribing legitimacy to our practice. if that's what we need to make nurses relevant professionals, god help us.

"alteration in thermoregulation" is my favorite...having a temp for some reason is not good enough.

actually, we do care about nursing diagnoses at my facility. we have personalized care plans in all our pts files. it is part of nursing!:nurse:

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Specializes in Physical Rehabilitation, med-surg.

posts like this make me so glad I don't have to deal with busy work careplans anymore. Filling out the premade ones with admissions is bad enough; I'd hate to think about trying to make them up now!

What an antiquated waste of time that is still a requirement!

oketo, your post isn't really clear to me because of the grammar, but with the info given, I would NOT use bmi in a care plan (BMI is another stupid and antiquated thing, lol that is not accurate). My generic suggestion to you is K.I.S.S. and copy out of your nursing careplan books as much as possible. When you try to formulate your own careplans, you get into trouble.

how about: Alteration in Nutrition: More Than Body Requirements related to Lack of knowledge, Decreased activity, and Altered satiety patterns As evidenced by weighing 20% over the ideal for frame and height.

copied straight from a book and sounds like the bs they want you to write. :specs:

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Specializes in Physical Rehabilitation, med-surg.
actually, we do care about nursing diagnoses at my facility. we have personalized care plans in all our pts files. it is part of nursing!:nurse:

so, you're saying that before you take care of each patient you peruse the care plan? just curious.

every facility has personalized care plans in all pts files. that doesn't meant it isn't silly.

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Specializes in Med Surg, Ortho.

i review the current careplan for each pt as i'm getting report. takes just a few seconds actually. not a big deal to me. ;)

have a nice day!

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Specializes in Physical Rehabilitation, med-surg.
i review the current careplan for each pt as i'm getting report. takes just a few seconds actually. not a big deal to me. ;)

have a nice day!

i'm not talking about the kardex; i'm talking about the careplan. you have a nice one too!

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Specializes in Mixed Level-1 ICU.

I meant no disrespect to those who find that careplans help. But I am referring to nursing diagnosis.

Honestly, the only diagnosis that counts in the real world is the medical diagnosis. All nurses know what to expect or look for based upon the medical assessment.

Sooner or later, these statements will be abolished r/t their general uselessness as manifested by years of observation and the agreement of most nurses.

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