As a nursing student I really don't understand nursing diagnosis. Patients have a medical diagnosis already why must nurses create another one and usually something so silly it is phrased in such a way that a normal person would not speak in such terms. For example...Hypoxia which we can all understand but they have created a nursing diagnosis such as inadequate tissue perfusion...I just dont get it...If I have a pt in pain I will admin pain pills not write about it...