Fundamentals Of Nursing 3rd Lecture PDF

Fundamentals of Nursing 3rd Lecture Ibrahim Rawhi Ayasreh RN, MSN 2011  Diagnosing Is the pivotal second phase of the nursing process, in which the nurse interprets assessment data, identifies clients strengths and health pro...

Fundamentals of Nursing 3rd Lecture Ibrahim Rawhi Ayasreh RN, MSN 2011  Diagnosing Is the pivotal second phase of the nursing process, in which the nurse interprets assessment data, identifies clients strengths and health problems, and formulates diagnostic statements. According to NANDA : “ Diagnosis is a clinical judgment about individual, family, and community response to actual or potential health problem\ life processes”. Mr. Ibrahim Ayasrerh 2011  Types of Nursing Diagnoses Actual diagnosis: is a client problem that is present t the time of assessment. - Example: Anxiety, Ineffective breathing pattern. Risk Diagnosis: is a clinical judgment that a problem doesn’t exist, but the presence of risk factors indicates that the problem is likely to develop. - Example: Risk for infection. Mr. Ibrahim Ayasrerh 2011  Types of Nursing Diagnoses Wellness diagnosis: it describes the human responses to level of wellness in an individual, family, and community that have a readiness for enhancement. - Example: Readiness for enhanced family coping. Possible diagnosis: is one in which evidence about a health problem is incomplete or unclear. Mr. Ibrahim Ayasrerh 2011  Components of NANDA Nursing Diagnosis 1. Problem: describe the client health problem or response for which nursing therapy is given. - Examples: * Anxiety. * Fluid Volume Deficit. * Ineffective breathing pattern. * Knowledge deficit. * Risk for infection. Mr. Ibrahim Ayasrerh 2011  Components of NANDA Nursing Diagnosis 2. Etiology: identifies one or more probable causes of the health problem. - Example: Constipation related to inactivity and insufficient fluid intake. Problem Etiology Mr. Ibrahim Ayasrerh 2011  Components of NANDA Nursing Diagnosis 3. Defining characteristics: are the cluster of signs and symptoms that indicate the presence of a particular problem - Example: Problem Etiology Anxiety related to breathlessness and medication’s side effects As manifested by patient verbalization and facial expressions Defining characteristics Mr. Ibrahim Ayasrerh 2011  Examples of nursing diagnosis Chest pain Related to Increased oxygen demand and decreased oxygen supply As Manifested By patient verbalizations, facial expression (furrow eyebrows). - Problem: Chest pain. - Etiology: Increased oxygen demand and decreased oxygen supply. - Defining characteristics: patient verbalizations, facial expression Mr. Ibrahim Ayasrerh 2011  Components of NANDA Nursing Diagnosis Risk for Infection related to presence of open surgical wound in chest and left leg. - Problem : Risk for infection. - Etiology: Presence of open surgical wound in chest and leg. Mr. Ibrahim Ayasrerh 2011