Readiness for enhanced immunization status r/t ?????

Esme12, ASN, BSN, RN · Apr 8, 2013

Is this the only diagnosis on your care plan? Or is it one of many? What eveidence do youhave that Mom is ready for enhanced immunization.........

NANDA I describes as........A pattern of conforming to local, national, and/or international standards of immunization to prevent infectious disease(s) that is sufficient to protect a person, family, or community and can be strengthened

Defining Characteristics

Expresses desire to enhance behavior to prevent infectious disease; expresses desire to enhance identification of possible problems associated with immunizations; expresses desire to enhance identification of providers of immunizations; expresses desire to enhance immunization status; expresses desire to enhance knowledge of immunization standards; expresses desire to enhance record keeping of immunizations

Suggested NOC Outcomes:

Health-Seeking Behavior, Immune Status, Immunization Behavior, Knowledge: Infection Management

NOC Outcomes with Indicators:

Immunization Behavior as evidenced by the following indicators: Acknowledges disease risk without immunization/Brings updated immunization card to each visit/Obtains immunizations recommended for age by the American Academy of Pediatrics or United States Public Health Service/Describes relief measures for vaccine side effects/Reports any adverse reactions/Confirms date of next immunization/Identifies community resources for immunization.

(Rate the outcome and indicators of Immunization Behavior: 1 = never demonstrated, 2 = rarely demonstrated, 3 = sometimes demonstrated, 4 = often demonstrated, 5 = consistently demonstrated.)

Ackley: Nursing Diagnosis Handbook, 10th Edition

Do any of these fit?

nurseprnRN, BSN, RN · Apr 8, 2013

I'm a student and need some help please :)
I'm using readiness for enhanced immunization for my postpartum pt. (tDAP) and I'm having a major brain fart when it comes to writing it out! Not sure how to write my r/t!
I was initially writing readiness for enhanced immunization r/t infection management AEB pt. requesting vaccine to protect newborn from infection............But that sounds weird to me for some reason!
Thanks for your help!!

A nursing diagnosis statement translated into regular English goes something like this: "I think my patient has ____(diagnosis)_____________ . He has this because he has ___(related factor(s))__. I know this because I see/assessed/found in the chart (as evidenced by) ______(defining characteristics)______."

"Related to" means "caused by," not something else. In many nursing diagnoses it is perfectly acceptable to use a medical diagnosis as a causative factor. For example, "acute pain" includes as related factors "Injury agents: e.g. (which means, "for example") biological, chemical, physical, psychological." So, as you can see, "r/t infection management" makes no sense.

To make a nursing diagnosis, you must be able to demonstrate at least one "defining characteristic." Defining characteristics for all approved nursing diagnoses are found in the NANDA-I 2012-2014 (current edition). $29 paperback, $23 for your Kindle at Amazon, free 2-day delivery for students. NEVER make an error about this again---and, as a bonus, be able to defend appropriate use of medical diagnoses as related factors to your faculty. Won't they be surprised!

I see Readiness for Enhanced Immunization Status with six defining characteristics, of which you must demonstrate one in your patient. It's on page 158. For this nursing diagnosis, you don't need to have a "related-to."