Diagnosis

Question 1

Diagnosis:

Answer 1

identify a problem to form a (NANDA approved) nursing diagnosis

Question 2

Diagnosis ACTUAL:

Answer 2

identifying current existing problem

we identify the current problem so we can create a plan of action to treat it, such as repositioning the patient for comfort, pain medication, etc.

example: patient has 6/10 pain aftercoming back from abdominal surgery

Question 3

Diagnosis POTENTIAL:

Answer 3

identifying potential problems the patient is at risk for

we identify the potential risk so we can take action and implement prophylactic measures, such as early ambulation, DVT prophylaxis (heparin, lovenox, SCD,s

example: patient is at risk for developing DVT after surgery

Question 4

Diagnosis Planning:
(SMART)

Answer 4

Set SMART goals to solve problems

(S) pecific ( who and what): clearly define the goal that is trying to be obtained
(M) easurable (by how much): create milestones and achievements that are clearly measurable
(A) chieveable (how): make sure goals are attainable based on current situation, resources, and skill
(R) elevant (why): state why is this goal important & how does it benefit the overarching goals & values
(T) imely (when): create time-bound objectives that set a reasonable time for goal to be achieved

Question 5

SMART:

Answer 5

(s) pecific
(m) easurable
(a) achievable
(r) elevant
(t) imely

Question 6

Diagnosis implementation:

Answer 6

put plan into action; aka “NURSING INTERVENTATIONS”
examples:
~ placing SCD’s on patient
~giving medications
~ education patient

Question 7

Diagnosis evaluation:

Answer 7

~ determine outcomes of goals
~evaluate effectives, modify & assess for needed changes to plan