Nursing Diagnosis

a. The label is the title of the nursing diagnosis as defined by the North American Nursing Diagnoses Association (NANDA).

occurs as a response to injuries and introduction of foreign environment into the body of

Historically, the American Medical Association (AMA) has continuously contended the progression of nursing practice, in particular advanced nursing practice (Keeling & Bigbee, 2005). They have done so by opposing the advances of nursing practice claiming the broader and more specialized roles of advanced practice nurses (APNs), which includes diagnosing and prescribing, encroaches on physician practice and claim nurses are not educationally sufficiently prepared to take on these roles (Summers & Summers, 2007). The medical profession posits APNs should be supervised by physicians in their advance practice roles. Examples of such opposition are evident in for example AMA’s posting of a recent speech given by Nancy Nielsen (2009) stating

The North American Nursing Diagnosis Association (NANDA) is a body of professionals that manages an official list of nursing diagnoses. NANDA nursing diagnosis represents clinical judgements about actual or potential health problems a patient may have. The NANDA nursing diagnosis that Mrs. C would have is impaired physical mobility related to hip surgery as evidence by pain and discomfort. Mrs. C will participate in therapy three hours a day, six days a week. This will gradually improve her strength and mobility. Mrs. C

The knowledge of nursing sensitive indicator can be helpful in providing the patient care which meets the quality and ethical standards. Nursing sensitive indicators rely on evidence to take patient care decisions (Patrician, 2010). According to Patrician (2010), Evidence Based Nursing is the use of personal expertise and research to take decisions on patient care. In case of Mr. J, there is a clear lack of evidence based nursing. Mr. J was kept in restraint without considering that Mr. J was not trying to get out of bed by himself. When the pressure ulcer was identified, the nurse

As a result of the introduction of computer technology and the combination of evidence-based practice in nursing; standardization of terminologies has become imperative in the classification of nursing diagnosis, interventions and expected outcomes. The most popular and successful systems are the North American Nursing Diagnosis Association International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) (de Lima Lopes, de Barros, & Marlene Michel, 2009). This paper aims to provide a brief outline of these standardized terminologies (STs) as they relate to a

Nursing sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by many factors such as supply of staff, education level and quality of care provided. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (Nursing world, 2013). In 1999, the American Nursing Association recognized a total of 10 indicators that apply to hospital based nursing care (Americansentinel.edu, 2017). Indicator such as pressure ulcers, patient falls and nosocomial infections are recognized in this list and are considered preventable with proper nursing action. Knowledge of these indicators could have assisted the nurses in several ways involving this case study involving Mr. J.

Form the data collected the nurse, in direct consultation with Kelly will evaluate the assessment data gathered, and create nursing diagnosis that identify actual and potential nursing problems(Crisp, & Potter, 2013, p.86). NANDA International, Inc. provides a framework for developing nursing diagnosis and this is used by the nurse to provide a framework for developing appropriate diagnosis (Herdman, & Kamitsuru, 2014). A full list of Kelly’s nursing diagnosis is located in appendix one table four. The nurse identifies the following three priority nursing diagnosis.

The main barrier upon arrival to United States was the communication. Which leads to difficulty in effectively achieving a job as well as participating within the foreign country. They were willing to undergo this difficulty with the hope that their children might improve economic status of the people through education. The nursing assessment begins by knowing ourselves and accepting our values and realizing all other cultural values that differ from our own. Realizing this will permit the provider to work effectively with patients and to provide a safe, professional nursing care. It is important for the provider to remember that some of them have no education so they will have difficulty speaking English. Providing aids to help them interpret

The first nursing diagnosis based on the finding of my prior assessment would be, impaired urinary elimination, related to multiples causes, which is evidence by frequency, nocturia and urgency. One patient centered intervention would be to avoid any liquids after 6:00PM, and the use of a bedside urinal. The Second nursing diagnosis based on my assessment would be, disturbed sleep pattern, related to multiple causes, which is evidence by the verbalization of difficulty falling and staying asleep, reported fatigue and unsatisfied with the quality of sleep. One patient centered intervention would be, to explore and identify the reasons for sleep deprivation (Lippincott, 2017)

It is during the second phase that the nurse must establish a nursing diagnosis. Only diagnosis approved and listed through The North American Nursing Diagnosis Association (NANDA) may be used. Ineffective airway clearance, risk for impaired skin integrity, risk for infection and ineffective coping are just a few examples of NANDA approved diagnosis. A nursing diagnosis is a clinical judgment about actual or potential individual, family, or community experiences/responses to health problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability (Defining the Knowledge,” 2012).

In the psychosocial component, the nursing diagnosis assigned to this client would be ineffective pattern of giving and receiving. This is due to the fact that the client has recently experienced the death of her spouse. This mode deals with affectional adequacy and developmental adequacy. Affectional adequacy is defined as “the ability to give and receive affection from others” (Nickerson, 2015). This is important to an individual because it deals with the human need associated with nurturing. This “includes receptive and contributive factors” (Nickerson, 2015). Since the client has lost her spouse, she stated that she felt that she did not receive the kind of affection her spouse gave her. Of course her family loves her and treats her well, but she stated

Possible nursing diagnosis: Altered nutrition less than body requirements related to oral intake Associated With Decreased lack of appetite. Imbalance nutrition less than body requirements related to knowledge deficit. Insufficient muscle strength and weakness related to Decreased oral intake. Within the care plan you may be included if it is a symptom that should make us ask whether there is more below because it may be that a new medication that we have offered the greatest decrease your appetite or have a more severe disease, is a sign Alarm makes us investigate further. patients older than 80 years have appetite disturbances associated in the first instance, to physiological factors. The elderly usually eat less because their physical needs

A 22 year old female has been brought to the emergency room after fainting at home with complaints of flu-like symptoms for the last eight days (GCU, 2010). She has reported vomiting several times a day and having difficulty keeping food or liquids down. She states she has been “taking more than recommended dose of antacids to help with nausea symptoms”. She has become dehydrated, so an IV has been placed and fluids have been started. She also has had an arterial blood gas (ABG) drawn that has shown acid-base deficits. This paper will discuss how a focused history, physical exam, nursing diagnosis and the nursing process of care is important in helping this patient get better. It will also discuss the differences between a complete assessment and a focused assessment.

Infections disease prevention and control and communicable and infectious disease risks are important topics that every student nurse should be exposed to during the nursing program. The impact and threats that these infectious diseases cause an effect on society and global level should be studied. Also, the economic principles to nursing and health care that public health contributes to.