Chapter 17 Nursing Diagnosis Flashcards
Identification of a disease condition
Medical diagnosis
Describe human responses to health conditions or life process that exit in a individual, family or community
Actual nursing diagnosis
Human responses to health conditions that may possible develop in a vulnerable individual, family or community
Risk nursing diagnosis
Desire to increase well-being and actualize human health potential.
Health nursing diagnosis
Set of signs and symptoms
Data Cluster
Subjective signs, symptoms or risk factors
Clinical criteria
Process of Identifying health problems
- Analize cluster of data
- Interpret the information
- Select appropiate nursing diagnosis
Clinical criteria that are observable and verifiable.
Defining characteristics
Condition, historical factor, or etiology that gives a context for defining characteristics and shows the relation.
Related factors
Name of the diagnosis as approved by NANDA.
Diagnostic labels
Cause of the nursing diagnosis within the domain of nursing practice.
Etiology
PES
P - Problem
E - Etiology or related factor
S - Symptoms or defining characteristics
Lack of knowledge, innacurate data, mising data, disorganization
Error in collection data
Identification of disease condition based on signs/symptoms, history, and diagnostics
Medical diagnosis
Must be licensed to treat diseases
Medical diagnosis
Clinical judgment about individual, family
or community responses to actual and potential health problems or life processes
Nursing diagnosis
Judgment is derived based on data collected during the nursing assessment
Nursing diagnosis
Advantages of nursing diagnoses
- Facilitates individualized care
- Promotes professional accountability/autonomy
- Provides an effective vehicle for communication
- Helps to determine assessment parameters
Innacurate interpretation, failure to consider conflicting cues, Insufficient numbr of cues, invalid cues, failure to consider cultural influences.
Error in interpretation and analysis
Premature or early closure
Error in data clustered
Wrong label, evidences exist s for another diagnosis, failure to validate with patient
Error in diagnostic labeling
Guidelines to reduce errors when formulating diagnostic statement
- Identify the patient reponse not the medical diagnosis.
- Identify a NANDA diagnostic statement rather than the symptom.
- Make professional rather than prejudicial judgment.
- Identify the patient response to the equipment rather thatn the equipment itself.
