19733116-Diagnosing - DIAGNOSING second phase of the...

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DIAGNOSING DIAGNOSING second phase of the nursing process nurses use critical thinking skills to interpret assessment data and identify client strengths and problems. Diagnosing is a pivotal step in the nursing process 1973 - The identification and development of nursing diagnoses began, when two faculty members of St. Louis University, Kristine Gebbie and Mary Ann Lavin, perceived a need to identify nurses roles in an ambulatory setting. NANDA The purpose of NANDA ( North American Nursing Diagnoses Association , 1982) is to define, refine, and promote a taxonomy of nursing diagnostic terminology of general use to professional nurses. Taxonomy - is a classification system or set of categories arranged based on a single principle or set of principles. NANDA NURSING DIAGNOSES Definitions Diagnosing - refers to the reasoning process. Diagnosis - is a statement or conclusion regarding the nature of a phenomenon. Diagnostic labels - the standardized NANDA names for the diagnoses. (and the clients problem statement, consisting of the diagnostic label plus etiology causal relationship between a problem and its related or risk factors is called a nursing diagnosis 1990 NANDA adopted an official working definition of nursing diagnosis- “a clinical judgment about individual family, or community responses to actual and potential health problems/life processes. A nursing diagnosis provides the selection of nursing interventions to achieve outcomes for which the nurse is accountable.” Types of Nursing Diagnoses I. Actual diagnosis - is a client problem that is present at the time of the nursing assessment. II. Risk nursing diagnosis - is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurse intervene. III. Wellness diagnosis - “Describes human responses to levels of wellness in an individual, family or community that have a readiness for enhancement” IV. Possible nursing diagnosis - is one in which evidence about a health problem is incomplete or unclear. A possible diagnosis requires more data either to support or to refute it. V. Syndrome diagnosis - is a diagnosis that is associated with cluster of other diagnoses. Components of NANDA Nursing Diagnosis a nursing diagnosis has three components: I. the problem and its definition II. the etiology III. the defining characteristics Problem (Diagnostic Label) and Definition The problem statement, or diagnostic label, describes the client health problem or response for nursing therapy is given. The purpose of the diagnostic labels is to direct the formation of the client goals and desired outcomes. Qualifiers are words that have been added to some NANDA labels to give additional meaning to the diagnostic statement. I.
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This note was uploaded on 02/10/2010 for the course ADN 105 taught by Professor Aaa during the Spring '07 term at 東京大学.

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19733116-Diagnosing - DIAGNOSING second phase of the...

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