Writing a wellness nursing diagnosis

Updated:   Published

Readiness forenhanced self care to increase cardiac output related to altered conductionsecondary to sick sinus syndrome as evidenced by patient reporting activityintolerance, lightheadedness, palpitations and irregular heartbeat.

I am floundering with how to word a wellness nursing diagnosis correctly. Is the above acceptable? close? or off track? Any suggestions and thoughts would be appreciated.

1
Up Vote Up Vote ×
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

A wellness nursing diagnoses focuses on the patient's progress or potential progress towards healthier behaviors...... rather than on a problem. They were created to change a situation in which only negative issues were addressed........leaving out diagnoses for patients in a healthy setting. A wellness diagnosis indicates a readiness to advance from the current level of health to a higher level. There are two prerequisites for a wellness diagnosis---a desire to advance and an ability to do so.

1) Emotional Readiness: The first requirement for a wellness diagnosis is a desire to attain a higher level of well-being. The patient must express emotional readiness to engage in interventions that will help him reach that next level.

2) Status and Function: The second prerequisite for a wellness diagnosis is the presence of status or function required to perform tasks related to the diagnosis.

3) Assessment: Assessing a patient's readiness to respond to a wellness diagnosis involves patient interviews and interaction.

4) Writing the Diagnosis: While most nursing diagnoses require at least two parts, the diagnosis and the "related to" factors, wellness diagnoses are written a little different. They are started with the word "readiness" followed by the action or health-seeking behavior that will be enhanced.

.......... Examples : "Readiness for enhanced management of therapeutic regimen" describes a patient who is willing and able to participate in her own treatment by following recommendations and helping set new goals for herself. A patient who has expressed a desire to come to terms with his illness and requests help with this is displaying "readiness for enhanced coping." "Readiness for enhanced religiosity" can be applied to a patient who previously stated she no longer believed in her religion but later states that she wants to get back in touch with her spiritual side.

Tell me a little about your patient.

2
Up Vote Up Vote ×
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Almost............Readiness for enhanced self care to increase cardiac output related to altered conduction secondary to sick sinus syndrome as evidenced by patient reporting activity intolerance, light headedness, palpitations and irregular heartbeat

For example: Readiness for enhanced self care R/T increased cardiac output due to pacemaker insertion AEB reporting an increase in activity tolerance and energy

1
Up Vote Up Vote ×

That is what is tripping me up. She does not have her pacer yet. Doc is dawdling. (she is requesting second opinion)

70 yo female with sick sinus syndrome, 30% ejection fraction, possible left bundle branch block. c/o near syncpe episodes, irreg HR, palpitations and lightheadedness. Event monitor captured pulse drops to 34.

so-o-o-o-o, maybe I need to go back to my first instinct and write my diagnosis as

Alterations in cardiac output, decreased related to altered conduction secondary to sick sinus syndrome as evidenced by patient reporting lightheadedness, palpitations, irreg HR and activity intolerance.

then change up the nursing goal towards her demonstrating ADL's within her cardiac limits until the pacer is inserted.

I apprecitate your time and feedback.

1
Up Vote Up Vote ×
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

how about.........

Readiness for effective therapeutic regimen management R/T delay in Pacer insertion AEB asking for a second opinion.?

1
Up Vote Up Vote ×

o-o-oh that is an interesting one.

1
Up Vote Up Vote ×

sadly, you're not correct re: how to write this type of ND. PLease see How do I write a diagnostic statement for risk, problem-focused and health promotion diagnoses? | NANDA International Knowledgebase for more info

1
Up Vote Up Vote ×
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Gifala said:

Thank you for the reference. So many things change in nursing. This thread is from 2012 and it is good to post updates. By the current standards the statements will be different.

1
Up Vote Up Vote ×
Specializes in Student.

Can  someone help me out 

I need a wellness family health diagnosis and interventions about the client's loss weight.

 

Up Vote Up Vote ×
+ Join the Discussion