Like many fellow students, I've got my nose in the Pocket Guide as a resource for using patient data to create care plans. My intent here is not to debate the usefulness of Care Plans or Nursing Diagnosis.
Quite a few authors have written about the pains the nursing profession has gone through to gain credibility, - from the public, from doctors, and from administrators. Our curriculum is lousy with buzzwords like Critical Thinking, Objective Data, Scientific Method, Theory....on and on.
According to a few authors, like Suzanne Gordon in "Nursing Against the Odds," Nursing Diagnosis is currently looked on by many outside nursing (and many inside) as unintelligible nonsense filled with verbal gymnastics to avoid mentioning medical diagnosis. Before we even began studying nursing process, one of my fellow students noted, "That Diagnosis stuff is pure BS." I didn't concur because I had not studied it yet. It looks to me like the system described could be useful.
But when you have something like "Disturbed Energy Field" as a NANDA-I diagnosis, aren't we just proving the critics right? One of the Nursing Priorities laid out in the Nurse's Pocket Guide is to, "Evaluate the Energy Field." This consists of "Moving hands slowly over client at a level of 2 to 6 inches above to the skin to assess the state of energy field and flow of energy within the system." There is more of this magician snake oil healer intervention the nurse is supposed to perform following that "procedure": "Perform unruffling process, keeping hands 2 to 6 inches away from client's body to dissipate impediments to free flow of energy within the system and between the nurse and the client."
Please. This new age claptrap was debunked decades ago. If you disagree, then you must be able to feel, manipulate, and heal energy fields and auras and whatnot. Good for you, a guy named James Randi has a million dollars waiting for you if you can prove it. Trouble is, every time a scientific inquiry was performed - the practitioner failed. Here's his website:
I'm fine if the client reports subjectively that their, "Chakras are jammed," or they are, "having trouble breathing through their left eyelid." But the acceptance of this snake oil - complete with shaman/nurse interventions - only hurts the profession and gives ammunition to those who belittle the Nursing Process
I don't have any problem with people seeking this type of healing intervention at all if they believe in it. But does it belong in the nursing profession? If a client claims they are possessed by a demon, we don't perform an exorcism for pity's sake. We call psych and social services right before the priest in that case (and keep an eye on all three of them!).
Why isn't this type of hoodoo kept in the psychic healer/palm reader/faith healer fraud shop where it belongs? Couldn't we at least ship it over to Chiropractic?
Wow. Is that really legal in the U.S? In Sweden the medical professions are inhibited by law to not engage in or recommending "alternative" methods/treatments/drugs.
I do support the standardized NANDA nursing diagnoses but this I have not heard of. Total lunacy if you ask me.
I would love to see the look on an inspectors face while reading a "disturbed energy field" care plan! Lol. Honestly, nursing is evidenced based. How could I possibly fill in the blank, disturbed energy field R/T ???? As evidenced by ????
But when you have something like "Disturbed Energy Field" as a NANDA-I diagnosis, aren't we just proving the critics right? One of the Nursing Priorities laid out in the Nurse's Pocket Guide is to, "Evaluate the Energy Field." This consists of "Moving hands slowly over client at a level of 2 to 6 inches above to the skin to assess the state of energy field and flow of energy within the system." There is more of this magician snake oil healer intervention the nurse is supposed to perform following that "procedure": "Perform unruffling process, keeping hands 2 to 6 inches away from client's body to dissipate impediments to free flow of energy within the system and between the nurse and the client."
Please. This new age claptrap was debunked decades ago. If you disagree, then you must be able to feel, manipulate, and heal energy fields and auras and whatnot. Good for you, a guy named James Randi has a million dollars waiting for you if you can prove it.
Well, I must say it is this type of attitude that prevents new breakthroughs in medicine or anything else.
I am a Reiki healer and I find it does work. I did a demonstration for my class in clinicals one week when I was in school. I have used it in my practice. If you take the time to learn about the mechanics of it all you might have a better insight, but I digress.
If you want to discuss this privately with me, then message me. Otherwise, this is going my only remark.
Along these lines, I too questioned this nursing diagnosis in school, and had my butt handed to me by one of my instructors, who was buddies with one of the folks who had done some work in that field...I simply told her 'Look, I'm even Pagan for goodness' sake...I'm all for alternative forms of medicine, if the patient believes they will work. HOWEVER, I have been taught thus far, in THIS school, that we need to be able to measure objectively what we're doing in a scientific way!' She took offense to that.
So I started putting 'Disturbed Energy Field' on every care plan I had to do, because IN THEORY every hospitalized patient's energy field became disturbed when s/he came down with an illness, suffered stress/anxiety/whatever. I personally think that particular diagnosis is absurd.
Specializes in trauma, ortho, burns, plastic surgery.
Soooooooo for REAL you write "Disturbed Energy Field" in nursing care plans... and no ones told you that is NON nursing related???? Supervisor was happy, manager was happy, INSURANCE companies COVERd the costs???? Patient was fallow up " informed consent obtained by MD, REIKI, crystalotherapy.... and whatever Q day for 14 days, reasses after" for DX "Disturbed Energy Field" .....
Jeez I need to unlock my crystals and start a bussiness then!
Well, I must say it is this type of attitude that prevents new breakthroughs in medicine or anything else.
I am a Reiki healer and I find it does work. I did a demonstration for my class in clinicals one week when I was in school. I have used it in my practice. If you take the time to learn about the mechanics of it all you might have a better insight, but I digress.
If you want to discuss this privately with me, then message me. Otherwise, this is going my only remark.
A little historical perspective isn't a bad idea. Much of what is evidence-based today was considered quackery in earlier times. Koch couldn't have developed his accepted theories if not for the ability to isolate and observe microscopic organisms, technology that wasn't available through most of medical history.
Perhaps as we develop better measurement and observation techniques, energy fields, etc. will find repeatable evidence to support them. Some likely will, others will be debunked entirely.
The problem is that today, we don't know which will land in either camp--efficacious therapy or junk.
Specializes in psych, addictions, hospice, education.
While I don't buy all of the alternative treatment nursing diagnoses, I find the response of many to be offensive, since some people DO believe in things they can't see. Please stop mocking people here!
While I don't buy all of the alternative treatment nursing diagnoses, I find the response of many to be offensive, since some people DO believe in things they can't see. Please stop mocking people here!
...stepping off of soapbox!
I don't think anyone is making fun of alternative healing methods--but they ARE making fun of alternative healing methods being published in NANDA, because it is totally inappropriate.
Honestly, I think it's kind of offensive that the folks that write NANDA think that nurses CAN perform these healing techniques. People are trained to do Reiki, adjust Chakras, etc--mind/body healing techniques have been around for a lot longer than western medicine, and can't just be done by anyone who thinks that a patient might have a "disturbed energy field". For example, you are not going to find me sticking non-syringe filled needles in my patients because I think they need acupuncture. That would be ridiculous. But I may PAY for a TRAINED SPECIALIST to stick needles in me sometime if I'm having back pain or something.
Specializes in psych, addictions, hospice, education.
Back in the olden days, the hospital I worked in offered and encouraged classes for all staff in such things, so I know many nurse are trained in them. I wish some who are would get into this discussion!
Soooooooo for REAL you write "Disturbed Energy Field" in nursing care plans... and no ones told you that is NON nursing related???? Supervisor was happy, manager was happy, INSURANCE companies COVERd the costs???? Patient was fallow up " informed consent obtained by MD, REIKI, crystalotherapy.... and whatever Q day for 14 days, reasses after" for DX "Disturbed Energy Field" .....
Jeez I need to unlock my crystals and start a bussiness then!
I did it for SCHOOL careplans...I was not a practicing nurse...if I can find some of my old ones I will share them with you. And, per NANDA, they ARE nursing related, in that this is a nursing diagnosis...I think this is part of the point. How can this be a nursing diagnosis when I, as a nurse, am not trained in this type of alternative therapy?
SwedishOmorfia
18 Posts
Wow. Is that really legal in the U.S? In Sweden the medical professions are inhibited by law to not engage in or recommending "alternative" methods/treatments/drugs.
I do support the standardized NANDA nursing diagnoses but this I have not heard of. Total lunacy if you ask me.