Nursing Diagnosis Flashcards
Medical Diagnosis
Describes a disease or pathology of specific organs or body systems
Convey information about the signs and symptoms of disease processes and provide convenient means for communicating treatment requirements
Physician focuses on treating underlying pathology
What is a Nursing Diagnosis?
A clinical judgement about individual, family, or community responses to actual or potential health problems/life processes
Provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable
How a nursing diagnosis is different from a medical diagnosis
A nursing diagnosis describes an actual, risk, or wellness human response to a health problem that nurses are responsible for treating independently
Describe the patient’s response to the disease process, developmental stage, or life process and provide a convenient way to communicate nursing therapies and interventions
Collaborative Problems
Refer to actual or potential physiologic complications that can result from disease, trauma, treatment or diagnostic studies for which nurses intervene with collaboration with personnel of other disciplines
Risk Nursing Diagnosis
Describes human responses to health conditions/life processes that may develop in a vulnerable individual, family, or community
Supported by risk factors that contribute to increased vulnerability
Wellness Nursing Diagnosis
A diagnostic statement that describes human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement to a higher state
Possible Nursing Diagnosis
Made when not enough evidence supports the problem but the nurse thinks that it is highly probable and wants to collect more information
Related to phrase is an unknown cause
What makes up a nursing diagnosis?
Diagnostic label, related factors, and defining characteristics
