Chapter 17 Flashcards
Data clustering
S/s gathered during assessment grouped together in a logical way
Purposes of standard format of a nursing diagnostic statement
- Defines pt. problem
- Communication w. Nurses
- Distinguishes nurses role vs. Physician
- Helps nurses focus
- Helps devel. Nursing knowledge
- Helps to create practice guidelines
defining characteristic
Clinical criteria that’s observable and verifiable
Diagnostic conclusions flow
Clinical criteria leading to defining characteristics leading to a data cluster
Clinical criteria
Objective/subjective s/s or risk factor that leads to a diagnostic conclusion
Process for identifying health problems
Review all characteristics, eliminate irrelevant ones and confirm relevant ones
Related factor
The patients actual or potential response to a health problem
Categories of NANDA diagnoses
Pathophysiological, treatment related, situational, maturational
Sources of error in data collection
Lack of knowledge
Inaccurate/missing data
Disorganization
Sources of error in data clustering
Insufficient/incorrect clustering
Premature clustering
Sources of error in interpretation
Inaccuracy
Insufficient number of cues
Using unreliable/invalid cues
Failure to consider cultural influences or a developmental stage
Sources of error in diagnostic labeling
Incorrect selection
A more likely diagnosis available
Failure to seek guidance
Failure to validate diagnosis w. Pt
Guidelines to reduce errors
Identify pt. response Identify NANDA statement Identify treatable etiology/risk factor Identify the problem caused by the treatment Identify pt. response to equipment Identify pt. problems Don't prejudge Avoid legally in advisable statements Avoid circular statements Identify one pt. problem
