Question

In: Nursing

explain the rationale behind the nursing diagnosis of Tina jones

explain the rationale behind the nursing diagnosis of Tina jones

Solutions

Expert Solution

Nursing diagnosis is an important element of nursing process.

A nursing diagnosis is defined as a clinical judgment concerning human response to disease condition/health conditions/life processes, or a vulnerability for that response, by an individual, family, group, or community.

characteristics

It is a response to actual or potential health problems/life processes.

Nursing diagnoses foster the nurse's independent practice (e.g., patient comfort or relief) compared to dependent interventions driven by physician's orders (e.g., medication administration).

Nursing diagnoses are developed based on data obtained during the nursing assessment.

Types

An problem-based nursing diagnosis presents a problem response present at time of assessment.

Risk diagnoses represent vulnerabilities to potential problems,

health promotion diagnoses identify areas which can be enhanced to improve health.

Who develops nursing diagnosis?

NANDA International (NANDA-I) North American Nursing Diagnosis Association   is body of professionals that develops, researches and refines an official taxonomy of nursing diagnosis. Diagnoses are applicable to individuals, families, groups and communities. The taxonomy is published in multiple countries and has been translated into 18 languages; it is in use worldwide. As research in the field of nursing continues to grow, NANDA-I continually develops and adds new diagnostic labels.

The following are nursing diagnoses arising from the nursing literature with varying degrees of authentication by ICNP or NANDA-I standards.

  • Anxiety
  • Constipation
  • Pain
  • Activity Intolerance
  • Impaired Gas Exchange
  • Excessive Fluid Volume
  • Caregiver Role Strain
  • Ineffective Coping
  • Readiness for Enhanced Health Maintenance
  • Readiness for enhanced spiritual well-being

  • The PES nursing diagnosis, or the nursing PES format, stands for:
  • P: Problem
  • E: Etiology
  • S: Symptom
  • The problem part of the PES nursing diagnosis includes the NANDA® nursing diagnosis that fits your patient the best. The etiology part of the PES nursing diagnosis is the cause of the problem . When you write this etiology out, it's called the "related to" factor or the r/t. It's important that this etiology (the related-to part of the nursing diagnosis) gets to the root cause of the problem.
  • The symptoms part of the PES nursing diagnosis is the signs and symptoms that support the problem. So this is where you will simply list all of the signs and symptoms your patient had that relate to the original problem. The part of the nursing diagnosis starts with "as evidenced by,"

to write a nursing diagnosis:

  • (choose one from your care plan book) r/t whatever is actually CAUSING the problem (ex. the pathophysiology) as evidenced by the signs and symptoms the patient had that relate to this problem. .

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