Question

1. 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)
   1. What data in this scenario are pertinent?
   2. Which conditions within the case study could be addressed by nursing diagnoses?
   3. Which conditions within the case study would be addressed by a medical diagnosis?
   4. How are medical diagnoses, collaborative diagnoses, and nursing diagnoses different?
   5. Compare how a medical diagnosis is written versus a nursing diagnosis

Answer 1

a. Datas are-

• Chief complain- Patient is suffering from shortness of breathing and weight loss.

• History of present illness- patient feels comfortable after providing oxygenation but her activity level is hampered.

• History of past illness- Patient was admitted in this hospital for shortness of breathing for three times in past year.

b. The conditions are.

1) Impaired gas exchange related to alveolar hypoventilation.

2) Imbalance nutritional status less than body requirements related to improper food intake as evidenced by weight loss.

3) Activity intolerance related to shortness of breathing.

c. The conditions are.

1) Patient may suffering from chronic obstructive pulmonary disease ( As weight loss occurs along with dyspnea.)

d. •Medical diagnosis helps to determine actual disease, the patient is suffering from.

•Collaborative diagnosis helps to determine the main symptomatic problem of the patient.

• Nursing diagnosis helps to determine the multiple symptomatic problems of the patient related to the particular disease condition.

e. 1.medical diagnosis determine the actual diseases. Nursing diagnosis determine the physiological responses of the human being due to particular disease.

2. Nursing diagnosis is based on primary Assessment. Medical diagnosis is based on primary Assessment as well as secondary assesment, lab test , Imaginary test etc.