In: Nursing
You are a nurse admitting a patient to the hospital from the emergency
department (ED) with shortness of breath and recent weight loss. After receiving
a report from the ED nurse, you ready the patient’s room according to unit
specifications and collect the necessary equipment and forms. When the patient
arrives, she is using oxygen via a nasal cannula and seems to be comfortable.
As you begin your admission activities and paperwork, you note that her
shortness of breath slightly increases as she answers your questions.
Accompanying the patient is her daughter, who comments, “This is the fourth
time she’s been admitted to this hospital in the past year.” The patient and her
daughter demonstrate a close, loving relationship. The daughter not only
encourages her mother, but also sets boundaries regarding her mother’s
anxiety. (Learning Objectives #1 & #3)
a. What data in this scenario are pertinent?
b. Which conditions within the case study could be addressed by nursing
diagnoses?
c. Which conditions within the case study would be addressed by a medical
diagnosis?
d. How are medical diagnoses, collaborative diagnoses, and nursing
diagnoses different?
e. Compare how a medical diagnosis is written versus a nursing diagnosis.
a)The patient is own oxygen supply from home,he has recurrent Shortness of Breath Attacks and being admitted recently with same complaints,Patient is Anxious about her Health Problem.Detoriation of SOB during exertion ,these datas are pertinent in this scenario.
b)Nursing Diagnosis
Ineffective breathing pattern related to hypoxia as evidenced by shortness of breath with exertion
Anxiety related to the disease process need to be addressed
c)Dysponea should be addressed by a medical diagnosis
d)Medical Diagnosis :is the process of determining which disease or condition explains a person's symptoms and signs.
Nursing Diagnosis:Nursing diagnosis may be part of the nursing process and is a clinical judgment about individual, family, or community experiences/responses to actual or potential health problems/life processes
Colloborative Diagnosis is an interdisciplinary approach to solve the patient problem that included Medical diagnosis and Nursing Diagnosis.
e)Medical Diagnosis: Medical Diagnosis deals with diseases or medical condition
Nursing Diagnosis : Nursing diagnosis deals with human response to actual or potential health problems and life processes.