Exam 3: Chapter 15: Diagnosing Flashcards
Purpose of Diagnosing?
Identify how an individual, group, or community responds to actual or potential health and life processes
Identify factors that contribute to, or cause, helth problems
Identify resources or strengths on which the individual, group, or community can draw to prevent or resolve problems
What is a Health problem?
A condition that necessitates intervention to prevent or resolve disease or illness or to promote coping and wellness
Nursing Concerns and Responsibilities (Alfaro) (1)
Recognizing safety and infection-transmission risk and addressing these immediately
Nursing Concerns and Responsibilities (Alfaro) (2)
Identifying human responses - how problems, signs and symptoms, and treatment regimens impact on patients lives - and promoting optimum function, independence and quality of life
Nursing Concerns and Responsibilities (Alfaro) (3)
Anicipating possible complications and taking steps to prevent them
Nursing Concerns and Responsibilities (Alfaro) (4)
Initiating urgent interventions. You should not wait to make a final diagnosis if there are signs and symptoms indicating the need for immediate treatment
What are nursing diagnoses?
Actual or potential health problesm that can be prevented or resolved by independent nursing intervention
What is a medical diagnosis?
Describes problems for which the physician directs the primary treatment. Remaisn the same for as long as the disease is treatment
What are Collaborative Problems?
Certian physiologic complications that nurses monitor to detect onset or changes in status. Nurses manage collaborative problems using physican-prescribed and nurse interventions to minimize the complications of the event.
Data Interpretation and Analysis Categories and Examples
Recognizing Significant Data: Comparing Data to Standards Recognizing Patterns or Clusters Identifying Strengths and Problems Identifying Potential Complications Reaching Conclusions
Three Steps for Formulation of Nursing Diagnoses?
Problems –> Etiology –> Defining Characteristics
Nursing Diagnoses: Problem
Identifies what is unhealthy about patient (nursing diagnosis statement)
Nursing Diagnoses: Etiology
Identifies factors maintaining the unhealthy state (cause of nursing diagnoses)
Nursing Diagnoses: Defining Characteristics
Identifies the subjective and objective data that signals the existence of a problem (presenting signs and symptoms that prove the nursing diagnoses, NOT THE ETIOLOGY)
Example of Nursing Diagnoses
Pain (1) R/T (2) Ankle Sprain AEB (3) pt rates pain a 7 on 0-10 pain scale.