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What is the NANDA International diagnoses system and why is it crucial to excellence in nursing care?
- To develop, refine and promote a taxonomy of nursing diagnostic terminology of general use for nurses.
- Serves the following purposes: Provides precise definition that gives common language to all providers, Allows nurses to better communicate, Distinguishes nurses role from others, Helps to focus on nursing practice, fosters development of knowledge. Pg 250
How is critical thinking applied to the nursing diagnostic process?
Process of using the assessment data about client to explain clinical judgement in nursing diagnosis. Flows from assessment, includes decision making steps.
How would you describe and discuss the following types of nursing diagnoses?
- a. actual: Human response to health conditions or life process in individual/family/community. Sufficient data available to establis diagnosis.
- b. risk: Human response to health conditions/health process that will possibly devolpe bin the vulnerable.
- c. health promotion: a clinical judgement of motivation, desire and readiness to increase well-being IE nutrition/exercise. These diagnoses can be used to any health state
- d. wellness: human response to wellness levels in individual/family/community that have readiness for enhancement. Transition to higher level of wellness. Pg 228
What is the diagnostic label?
Name of NANDA diagnosis, essence of client response to health conditions in as few words as possible. Pg 228
What are the related factors?
Condition/etiology ID from client assessment data. Associated with actual or potential response to health problem, can change by interventions
What are risk factors?
Diagnostic-related factors that help in planning preventive health care measures. Environmental, physiological, psychological, genetic or chemical elements that increase vulnerability to unhealthy event.
What information supports the diagnostic statement?
Nursing assessment data both subjective and objective
What is concept mapping?
It diagrams the critical thinking associated with making accurate diagnoses. One way to graphically represent the connections between concepts and ideas that are related to a central subject. Scheme that displays visual knowledge in form of hierarchal graphic network. Pg
How do you apply concept mapping to nursing diagnosis?
By using concept map you have visual representation of clients problems that shows their relationship to one another. Valuable learning strategy to see patterns & relationships between clinical info about client, Promote problem solving & critical thinking by organizing complex client data , analyzing concept relationships and identifying interventions. Pg 231 box 17-5
How would you describe the various sources of diagnostic errors?
- Data collection: lack knowledge/skill, inaccurate/missing data, disorganization
- Interpreting: inaccurate interpretation of cues, fail to consider conflicting cues, insufficient # of cues, unreliable or invalid cues, fail to consider cultural influences or development stage.
- Clustering: insufficient cluster of cues, premature/early closure, incorrect clustering. Always identify nursing diagnosis from the data and not the reverse.
- Labeling: wrong diagnostic label, evidence that other diagnosis more likely, condition is collaborative problem, fail to validate diagnosis with client, fail to seek guidance. Pg 232 box 17-4
How is nursing diagnosis used in planning the direction of patient care?
Provide direction for planning process and selection of interventions to achieve desired outcomes for client.