RN Diagnosis Chronological order

KelRN215, BSN, RN · Jul 20, 2015

Chronological means ordering things based on when they occurred (in time). So if that were really your assignment, you'd be ordering them based on which happened first.

Trauma Columnist · Jul 20, 2015

Moved to Nursing Student Assistance Forum

allinoneplace01 · Jul 21, 2015

I was asked to have chronological in order of importance, according to the school

nurseprnRN, BSN, RN · Jul 21, 2015

Chronological means time-referenced, and prioritizing means in order of importance. I have never heard of listing nursing diagnoses chronologically, only in priority order. That doesn't mean what occurred prior to something, though. Do you think you might have misunderstood?

allinoneplace01 · Jul 21, 2015

She said priority, I re-referenced the syllabus. I assumed that was chronological. I do step A and then step B and then Step B, chronologically, with reference to time and priority. That aside, I will be submitting tomorrow. I placed Human Dignity diagnosis as number 1, since I feel that is pinnacle to our profession (or in my case future profession).

JustBeachyNurse, LPN · Jul 21, 2015

Use Maslow's Hierarchy of Needs to determine priority 95% effective.

MendedHeart · Jul 21, 2015

She said priority, I re-referenced the syllabus. I assumed that was chronological. I do step A and then step B and then Step B, chronologically, with reference to time and priority. That aside, I will be submitting tomorrow. I placed Human Dignity diagnosis as number 1, since I feel that is pinnacle to our profession (or in my case future profession).

You may need to re-prioritize, rethink this. Out of the 3 you have, which one puts your patient in the most harm.

Like the PP said, use Maslows to start with. But I can't say I agree with you #1

nurseprnRN, BSN, RN · Jul 22, 2015

She said priority, I re-referenced the syllabus. I assumed that was chronological. I do step A and then step B and then Step B, chronologically, with reference to time and priority. That aside, I will be submitting tomorrow. I placed Human Dignity diagnosis as number 1, since I feel that is pinnacle to our profession (or in my case future profession).

That's what I thought. In planning care, "priority" means, "What's the most important?" It could be the thing you'll do first, like "Get this patient to safety," or,"Clear the airway," or, "Prevent further complications of immobility." It has nothing to do with chronological, so your assumption was mistaken. Glad we cleared that up.

Now as to setting your care priorities, I would recommend the safety/injury prevention as more pressing. But part of planning nursing care to deliver or delegate to others is what you're learning here, so be prepared to justify your priorities to your faculty. If you can convince your CI that perceived humiliation in the ER at admission is higher in Maslow's Hierarchy of Needs than an existing skin injury that will certainly worsen without attention, come back and we'll chat about that.

allinoneplace01 · Jul 23, 2015

Well, according to Nanda it is ranked number one (numerous literature). And, in my humble opinion, changing the soiled would be highest priority before assessing a friction ulcer that developed over time. You don't just let someone sit in their own "soil" you fix the problem that is most pressing. Adding friction lotion, or wiping a little moisture, is not more pressing than changing someone being discharged in their own soil. No theology would persuade me and I would happily take a mark off.

Submitted Wednesday. Thanks for everyone's time.

psu_213, BSN, RN · Jul 23, 2015

Chronological means time-referenced, and prioritizing means in order of importance. I have never heard of listing nursing diagnoses chronologically, only in priority order. That doesn't mean what occurred prior to something, though. Do you think you might have misunderstood?

It's sorta like lining up alphabetically by height.

kickstunt · Jul 23, 2015

Well, according to Nanda it is ranked number one (numerous literature). And, in my humble opinion, changing the soiled would be highest priority before assessing a friction ulcer that developed over time. You don't just let someone sit in their own "soil" you fix the problem that is most pressing. Adding friction lotion, or wiping a little moisture, is not more pressing than changing someone being discharged in their own soil. No theology would persuade me and I would happily take a mark off.
Submitted Wednesday. Thanks for everyone's time.

But wouldn't you want to stage the wound and make sure there is no tunneling or undermining? I feel like the human dignity DX would be last priority because your patients physical safety comes first.