Nursing Diagnosis

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by thatgirl_sadie thatgirl_sadie (New) New

For my foundations teacher gave us this assignment: to develop a teaching plan for one of the past patients for which I identified a teaching diagnosis. I have to come up with a teaching diagnosis with a related to statement with defining characteristics.

I have the topic of diabetic foot care because my patient didn't know she had to check her feet and she had previous had a few toes ambulated on one foot. I am just having some trouble coming up with a "teaching diagnosis statement."

Here are some examples that the teacher gave us:

1) Risk for infection r/t insufficient knowledge to avoid exposure to pathogens

2) Risk for ineffective health maintenance: Coumadin therapy R/T Knowledge deficit secondary to newly diagnosed DVT.

3) Knowledge deficit (Turn, Cough, Deep Breathe) r/t ineffective airway clearance secondary to postoperative pneumonia

4) Ineffective breastfeeding related to deficient knowledge (nipple care)

Anything will help thank you!

Sour Lemon

Has 12 years experience. 5,016 Posts

You seem like the type of person who might benefit from joining a study group.

What are your ideas, so far?

AliNajaCat

AliNajaCat

1,035 Posts

duplicate post, sorry about that.

nursej22, MSN, RN

Specializes in Public Health, TB. Has 37 years experience. 2,329 Posts

So your teaching should be directed to what your patient needs to learn. Your stated that she didn't know she needed to check her feet.

To me, this says " Knowledge deficit related to diabetic foot ulcer".

AliNajaCat

AliNajaCat

1,035 Posts

So your teaching should be directed to what your patient needs to learn. Your stated that she didn't know she needed to check her feet.

To me, this says " Knowledge deficit related to diabetic foot ulcer".

No, the diabetic foot ulcer did not cause her knowledge deficit. That's what "related to" means in nursing diagnosis. Please do click on that link and you'll see why. Oh, heck, I'll save you the trouble. Here's an excerpt.

"Related to" doesn't mean the same in nursing diagnosis as it does in regular English. In nursing diagnoses, "related to" means "caused by" or "because of" or "due to." You are related to your brother, but your pain is related to your surgical incision. Lions are related to cheetahs, but deficient knowledge (page 257 in your NANDA-I 2015-2017 -- get it NOW) is related to alteration in cognitive function, alteration in memory, insufficient information, insufficient interest in learning, insufficient knowledge of resources, and/or misinformation presented by others, by definition.

Therefore, although somebody may, indeed, have deficient knowledge about his ineffective airway clearance and what to do about it, his deficient knowledge is not caused by his pulmonary illness. How do I know that? Because in the approved related factors for Deficient Knowledge, "pulmonary illness" (indeed, any illness) does not appear.

If your faculty wanted to recognize that the patient wasn't taking good care of himself because he had deficient knowledge about his disease process and self care maneuvers, then one possibility might be, perhaps, Ineffective health management related to insufficient knowledge of therapeutic regimen as evidenced by (those are the Defining factors, the things that when you see them you say, "Aha! That's how I know that's the diagnosis!" just like a low blood count indicates the diagnosis of anemia) perhaps "Pt states he never learned about coughing and deep breathing/cannot accurately demonstrate use of an incentive spirometer/did not understand teaching by RT due to language barrier."