Nursing diagnosis "altered energy field"

rngreenhorn · Jan 17, 2006

Nursing Diagnosis:

Altered energy field secondary to misalignment of 7th and 5th chakras as evidenced by -2 reading on the chakrometer.

Interventions:

1. Consult pts horoscope daily and plan medication schedule and activities accordingly

2. Keep HOB at 20 degrees to better maintain balance of 5th and 7th chakras

3. Rearrange room to corrospond to pts personal fen shui in order to create harmony and balance of Yin Yang

paphgrl · Jan 17, 2006

this is the info from nanda on disterbed energy field.

interesting reading

[pdf] new and revised nursing diagnoses approved at the 2005-2006 nan

exerpt...

disturbed energy field

taxonomy ii: activity/rest--class 3 energy balance (00050) [diagnostic division: ego integrity] submitted 1994, revised 2004

definition: disruption of the flow of energy [aura] surrounding a person's being that results in a disharmony of the body, mind, and/or spirit related factors slowing or blocking of energy flows secondary to: pathophysologic factors--illness (specify), pregnancy, injury treatment-related factors--immobility, labor and delivery, perioperative experience, chemotherapy situational factors (personal environment)--pain, fear, anxiety, grieving maturational factors--age-related developmental difficulties or crisis (specify)

defining characteristics

objective perception of changes in patterns flow, such as movement (wave/spike/tingling/dense/flowing)

sounds (tone/words)

temperature change (warmth/coolness)

visual changes (image/color)

disruption of the field (deficient/hole/spike/bulge/obstruction/congestion/diminished flow in energy field)

desired outcomes/evaluation criteria--client will:

* acknowledge feelings of anxiety and distress.

* verbalize sense of relaxation/well-being.

* display reduction in severity/frequency of symptoms.

actions/interventions

nursing priority no. 1. to determine causative/contributing factors:

* develop therapeutic nurse-client relationship, initially accepting role of healer/guide as client desires.

* provide opportunity for client to talk about illness, concerns, past history, emotional state, or other relevant information. note body gestures, tone of voice, words chosen to express feelings/issues.

* determine client's motivation/desire for treatment. *

note use of medications, other drug use (e.g., alcohol).

use testing as indicated, such as the state-trait anxiety inventory (stai) or the affect balance scale, to provide measures of the client's anxiety.

nursing priority no. 2. to evaluate energy field:

* place client in sitting or supine position with legs/arms uncrossed. place pillows or other supports to enhance comfort and relaxation.

* center self physically and psychologically to quiet mind and turn attention to the healing intent.

* move hands slowly over the client at level of 2 to 3 inches above skin to assess state of energy field and flow of energy within the system.

* identify areas of imbalance or obstruction in the field (i.e., areas of asymmetry; feelings of heat/cold, tingling, congestion or pressure).

nursing priority no. 3. to provide therapeutic intervention:

* explain the process of therapeutic touch (tt) and answer questions as indicated to prevent unrealistic expectation. fundamental focus of tt is on healing and wholeness, not curing signs/symptoms of disease.

* discuss findings of evaluation with client.

* assist client with exercises to promote "centering" and increase potential to self- heal, enhance comfort, reduce anxiety.

* perform unruffling process, keeping hands 2 to 3 inches from client's body to dissipate impediments to free flow of energy within the system and between nurse and client.

* focus on areas of disturbance identified, holding hands over or on skin, and/or place one hand in back of body with other hand in front, allows client's body to pull/repattern energy as needed. at the same time, concentrate on the intent to help the client heal.

* shorten duration of treatment as appropriate. children and elderly individuals are generally more sensitive to therapeutic intervention.

* make coaching suggestions in a soft voice for enhancing feelings of relaxation (e.g., pleasant images/other visualizations, deep breathing).

* use hands-on massage/apply pressure to acupressure points as appropriate during process.

* pay attention to changes in energy sensations as session progresses. stop when the energy field is symmetric and there is a change to feelings of peaceful calm.

* hold client's feet for a few minutes at end of session to assist in "grounding" the body energy.

* provide client time for a period of peaceful rest following procedure. nursing priority no. 4. to promote wellness (teaching/discharge considerations):

* allow period of client dependency, as appropriate, for client to strengthen own inner resources.

* encourage ongoing practice of the therapeutic process.

* instruct in use of stress-reduction activities (e.g., centering/meditation, relaxation

exercises) to promote harmony between mind-body-spirit.

* discuss importance of integrating techniques into daily activity plan for sustaining/enhancing sense of well-being.

* have client practice each step and demonstrate the complete tt process following the session as client displays readiness to assume responsibilities for self-healing.

* promote attendance at a support group where members can help each other practice and learn the techniques of tt. *

refer to other resources as identified (e.g., psychotherapy, clergy, medical treatment of disease processes, hospice) for the individual to address total well-being/facilitate peaceful death.

documentation focus assessment/reassessment

* assessment findings, including characteristics and differences in the energy field

* client's perception of problem/need for treatment planning

* plan of care and who is involved in planning

* teaching plan implementation/evaluation

* changes in energy field

* client's response to interventions/teaching and actions performed

* attainment/progress toward desired outcomes

* modifications to plan of care discharge planning

* long-term needs and who is responsible for actions to be taken

* specific referrals made sample nursing outcomes & interventions classifications (noc/nic) noc--well-being nic--therapeutic touch

jennyga · Jan 17, 2006

It may seem silly to some of us(me), but others do take it serious;)

smk1, LPN · Jan 17, 2006

In one episode, didn't the Klingons somehow alter Captain Kirk's energy field?
But then, in my humble opinion, Star Trek was FICTION.

Star Trek is fiction?! SACRILEGE! :rotfl:

danu3 · Jan 17, 2006

Hmmm... so all nurses are required to learn TT then?

I can just see a student nurse will fail the clinical because s/he can't "feel" the energy of the patient. Either that they be honest or they play along like in the Harry Potter series where they just play along with the astrology prof to pass.

How does one "objective Perception of changes in patterns flow, such as...disruption of the field..."? I thought it is quite subjective, not objective.

What else... "Fundamental focus of TT is on healing and wholeness, not curing signs/symptoms of disease." Let's see... isn't that what nursing does for ages already? Nurses focus on the whole person - biopsychospiritual. Nursing and medicine both try to heal. If they can't heal, then they try to manage the signs/symptoms. I think we got some big time propaganda going on here in terms of playing with terms and casting Western medicine in a bad light on purpose (i.e. not on healing and only deal with signs/symtoms).

So, am I to understand that this diagnosis will probably be appear close to 100% of all the patients? More things to document... You know... a good debriefing session and a good massage will do just as much probably.

This is bad... like "Identify areas of imbalance or obstruction in the field" What happened if every nurse on different shift idenfied a different area of imbalance? They better do some darn good study (they may have already) to make sure everyone train in TT can consistently identify the same thing.

Now I am convince that all nursing students (RN(ADN/BSN) and LVN/LPN) are required to take one year of solid nursing research so as a group, everyone knows how to evaluate research.

You know... what is ironic is that the TT stuff is common where I grew up in Asia... in Kung-Fu mythology (you'll see it also in Asian martial art films sometimes). With a little repackaging (throw in whole bunch of technical terms) and all of a sudden it is totally different.

Tweety, BSN, RN · Jan 17, 2006

Thanks for the information and clarification.

It is not an intervention that I currently use, nor have to the time nor inclination to learn at the present time. I can see certain times and practices where others might consider it.

I'm still not sure it undermines the profession.

Danu, do nursing students really have to learn TT? I haven't heard of the programs here requiring it.

I'm more of the scientific mode of thinker myself. But if there are nursing diagnosises pertaining to the spiritual condition of the patient, it is not a stretch for me to consider this one either, though I probably won't practice it.

grannynurse FNP student · Jan 17, 2006

There have been studies (including a well-publicized science fair project done by a teenager) that de-bunk the notion of therapeutic touch.
This is NOT to say that patients don't benefit from the physical, hands-on care of a nurse or other provider, such as bathing, back rubs, massage, etc. The research indicated that there was no measurable "energy field", and that TT practitioners could not, when blindfolded, distinguish patients suffering from illness or injury from healthy controls. Therefore, there is no scientific basis for this type of therapy or nursing diagnosis.
The reason TT has taken off in mainstream healthcare institutions is marketing, not science. Rather than employ adequate nurses to give patients "old fashioned" attention such as bathing assistance and backrubs, it is cheaper and more fashionable to offer "complimentary" upscale services such as TT.
It is a disgrace that NANDA is legitimizing this trend.

First, the so called teenager science project that debunked TT did not (a) debunk the theory of TT using science, her so called research did not even approach scientific research; (b) she did not even conduct the basic research, a few adult friends did, doing an extremely poor job at that. Second, obne should really read the nursing research that either supports the theory or does not. And there are several journal articles, regarding research that did not support TT. Third, there are several types of treatment that cannot be proven scientificly. Does that mean that any theory that cannot be proven scientificly is wrong? You apparently believe so. Feel free to argue your position but do it with a little more research to support your position, other then a poor attempt by a sixth grader.

I do not know if I believe or even support TT. I believe much more study is needed.

Grannynurse:balloons:

MIA-RN1, RN · Jan 17, 2006

I am a Reiki practitioner and an altered energy field makes total sense to me. I have no problem with it or working within the context of the NANDA definition posted above.,

That said, I do understand the arguement that the interventions are not taught in nursing school, so how would a nurse use them?

My thought is that NANDA approved this dx because there are many nurses who also practice various types of touch/energy healing, and this is a valid dx for them, with acheiveable outcomes and realistic interventions within their alternative health practices.

llg, PhD, RN · Jan 17, 2006

As I said earlier, I am "on the fence" regarding many of the alternative modalities. Here is one thing I should have said earlier ... The "middle ground" that I mentioned before includes religious practices as they are often tied to spiritual beliefs (if not a specific organized religion.)

For those of you who scoff at alternative modalities and think they have no place in nursing ... do you similarly scoff at all spiritual beliefs? Do you also scoff at people who want to pray? or be visited by a chaplain? or engage in other religious/spiritual practices?

llg

Antikigirl, ASN, RN · Jan 17, 2006

I wonder if this is a Naturalpathic or Eastern Medicine MD's diagnosis..and therefore really out of our field to Dx? I mean, if you have to go through MD to obtain the skills to Dx this condition...then can nurses simply do it???

Food for thought...I mean, we can't use MD Dx in our Dx's...why would this be different if it was a Dx for Naturalpathic or Eastern Med MD's????

Jolie, BSN · Jan 17, 2006

First, the so called teenager science project that debunked TT did not (a) debunk the theory of TT using science, her so called research did not even approach scientific research; (b) she did not even conduct the basic research, a few adult friends did, doing an extremely poor job at that.
(The science fair project was no less "scientific" than most TT practice itself.)
Second, obne should really read the nursing research that either supports the theory or does not.
(I HAVE read research that does not support the theory.)
And there are several journal articles, regarding research that did not support TT.
(I realize that. You are merely supporting my point!)
Third, there are several types of treatment that cannot be proven scientificly. Does that mean that any theory that cannot be proven scientificly is wrong? You apparently believe so.
(No, I don't believe that all unproven treatments are wrong. But I DO believe that nursing care should be evidence-based, meaning that quality research should be conducted to support our theories. If such theories are not borne out by research, then they need to be re-evaluated. Lots of patients have strong ideas about treatments that they would like to undergo. We don't provide them willy-nilly without evidence to support their benefit.)
Feel free to argue your position but do it with a little more research to support your position, other then a poor attempt by a sixth grader.
Grannynurse:balloons:

(I don't understand why you chose to attack my response. Please refrain from doing so again.)

Jolie, BSN · Jan 17, 2006

As I said earlier, I am "on the fence" regarding many of the alternative modalities. Here is one thing I should have said earlier ... The "middle ground" that I mentioned before includes religious practices as they are often tied to spiritual beliefs (if not a specific organized religion.)
For those of you who scoff at alternative modalities and think they have no place in nursing ... do you similarly scoff at all spiritual beliefs? Do you also scoff at people who want to pray? or be visited by a chaplain? or engage in other religious/spiritual practices?
llg

I don't scoff at alternative modalities, just believe that they ought to be researched and incorporated into evidence-based practice.

As for spiritual care and praying, that does not require my participation as a nurse.