why isn't there a risk for diagnosis for every potential patient problem? Please help.

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Hello everyone, I am a second year nurse from Holland. I wish to appologise for poor English.

I've spent a lot of time on allnurses and learned so many things!! Thank you all for that. There is one issue (and I am sure there will be many more in the future) I just don't seem to get my head around! I scoured allnurses and the rest of the internet and could'nt find the answer!

This is my main question (got some sub questions as well):

Why isn't there a 'risk for' diagnosis for e.g. Impaired Oral Mucous Membrane (Nanda 2012-2014). I mean, there is no such diagnosis as Risk for Imapaird (...) Membrane.

We are working on a careplan for a palliative oncological patient. The (written) case doesn't mention anything about signs and symptoms related to this matter, but, on the other hand, we think patients like ours are at risk of suffering from these kinds of problems...

Without s/s we cannot just use the actual diagnosis, or can we? But don't you think we should monitor this patient's Oral Mucous Membrane condition? How would you integrate that in a careplan then?

And, as a secondary question, if no Nanda diagnosis applies, couldn't we just leave it out but still write down actions/ interventions we would undertake (o.m.g. I must have you all rolling in the aisles by now)?

And, as a tertiary question, can you just make up/ create a 'risk for' diagnoses as you please? (I think not, but I'm struggling to find a solution)

I really would appreciate if someone could shed a light on this. Many thanks in advance.

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Hello everyone, I am a second year nurse from Holland. I wish to appologise for poor English.

I've spent a lot of time on allnurses and learned so many things!! Thank you all for that. There is one issue (and I am sure there will be many more in the future) I just don't seem to get my head around! I scoured allnurses and the rest of the internet and could'nt find the answer!

This is my main question (got some sub questions as well):

Why isn't there a 'risk for' diagnosis for e.g. Impaired Oral Mucous Membrane (Nanda 2012-2014). I mean, there is no such diagnosis as Risk for Imapaird (...) Membrane.

We are working on a careplan for a palliative oncological patient. The (written) case doesn't mention anything about signs and symptoms related to this matter, but, on the other hand, we think patients like ours are at risk of suffering from these kinds of problems...

Without s/s we cannot just use the actual diagnosis, or can we? But don't you think we should monitor this patient's Oral Mucous Membrane condition? How would you integrate that in a careplan then?

And, as a secondary question, if no Nanda diagnosis applies, couldn't we just leave it out but still write down actions/ interventions we would undertake (o.m.g. I must have you all rolling in the aisles by now)?

And, as a tertiary question, can you just make up/ create a 'risk for' diagnoses as you please? (I think not, but I'm struggling to find a solution)

I really would appreciate if someone could shed a light on this. Many thanks in advance.

Isn't there a risk for fluid volume deficit? ...or something like that?

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Thank you, Yes, there is, drinking is not going well. I have to go offline now, will be back in three hours. Thanks.

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So yes, I think the patient is likely to develop a fluid volume deficit and we have actually choosen that risk for diagnosis (00025). At least there is a risk for diagnosis for that one availlable. But not for Impaired Oral Mucous Membrane...And our patient is at rist for that, but it's not the case yet...

I hope I am getting my question across clear enough. Thanks.

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Specializes in Medical and general practice now LTC.

Moved to the General Student discussion forum

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Specializes in Varied.

WOW! A thread about the two fields I have the most expertise in, am I excited or what?

A few good nursing diagnosis with reasoning:

Fatigue: Pt's system is going to be ran down due to cancer and being on palliative care. Palliative care patients generally have symptoms to be managed and it can be assumed they are likely going to feel fatigued.

Anticipatory Grieving: Palliative care generally comes along with associations of death and loss. It's fair to assess he may have some issues dealing with disease progression and symptom management.

Risk for Infection: most cancer patients have lowered immune systems due to their cancer, they are ALWAYS at risk for this.

AND MY FAVORITE

Ineffective Protection: This is a catch all for patients with hematological and oncological disorders. It means they aren't producing the appropriate amount of cells and their body is not able to protect itself as much as a healthy person.

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Sour Lemon and inthecosmos, thank you both! Inthecosmos, very interesting diagnoses, we would be happy to use all of them. One of them I haven't found in my Nanda yet. I will have another look now and will tell you tomorrow. Sour Lemon, your suggestion is of great help, because it -indeed- can lead up to monitoring oral mucous membrane!! I will explain tomorrow what I did and I hope you will be willing to correct me if I'm wrong.

There is still the fact that I don't understand that for some diagnoses there are no risk for diagnoses...(don't mean te be rude, it's my English, sorry).

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Sour Lemon, Risk for deficient fluid volume is the one you mentioned I think and its code is 00028 (not 00025, of course, sorry). You were right about this diagnosis and our patiënt has some of its s/s so it was implicable indeed. And I actually managed to steer for some actions to take care of patient's oral mucous membrane and monitor the membrane, which I desperately tried to cover with ‘some' diagnosis (and was looking for a 'risk for' diagnoses, because there were not yét s/s indicating oral mucous membrane issues)

Please let me share with you what I did:

I went from Nanda, Risk for deficient fluid volume (00028), to NOC and choose ‘fluid deficit' to this diagnosis. Then I went to NIC and choose Fluid Management and there, believe it or not, I found actions like ‘monitoring fluid situation' (my own translation) e.g. mucus membrane, and there you are! Thank you so much!!

And, inthecosmos, as for the diagnosis I could not find: Anticipatory Grieving. I think it's not in my Nanda! Can't be, I know, but I cannot find it. Mine is 2012-2014...in Dutch of course, in my case.

Thank you both again.

Hopefully someone can tell me about the remaining question: why is there no risk for diagnosis to some actual diagnosis where, to me, as a rookie, a risk for diagnosis would come in handy or even, in a way, be 'obvious' (but I'm affraid I'm just missing a major point somewhere and inthecosmos showed me how to skate around this issue/ how to tackle it, I think)

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I read Daytonite's post from 2009 (https://allnurses.com/general-nursing-student/help-with-nic-435928.html) and found out that I'v made a mistake in this piece of text I wrote before:

'I went from Nanda, Risk for deficient fluid volume (00028), to NOC and choose ‘fluid deficit' to this diagnosis. Then I went to NIC and choose Fluid Management and there, believe it or not, I found actions like ‘monitoring fluid situation' (my own translation) e.g. mucus membrane, and there you are!'

It think it should be:

I went from Nanda, Risk for deficient fluid volume (00028), to NOC and choose 'hydration' and in NIC I choose 'fluid monitoring'. The mistake I made is that I didn't realise that in both NOC and NIC you have to look up by diagnosis! It doesn't really matter that much (considering my original question), because I stil end up with a nic that let's us monitor the patient's oral mucous membrane condition. I just wanted to correct this mistake I made. Thanks.

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