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20 Cards in this Set
- Front
- Back
Purpose of Nursing Diagnoses: (5)
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-contribute to the professional status of the discipline
-provide a means for effective communication -facilitate holistic client, family, & community focused care -provide a means to individualize nursing care -provide a potential avenue for theory development and nursing research |
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Types of nursing diagnoses: (5)
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-diagnostic label
-definition -defining characteristics -risk factors -related factors |
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Components of nursing diagnosis: (2)
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-two part statement
--diagnostic label -- etiology -three part statement -- diagnostic label -- etiology -- defining characteristics |
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Common errors in development of diagnoses:
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Assessment
-incomplete data -validation problems -misinterpretation Diagnosis -inappropriate data clustering -incorrect writing |
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Limitations of nursing daignosis:
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-lack of consensus among nurses regarding the NANDA-approved nursing diagnosis list
-disagreement over specific label in the classification system -perception that the list is confining, imcomplete, meducally oriented, and confusing |
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Barriers that affect the use of a nursing diagnosis:
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-recognize that NANDA's ;anguage is young and ever-changing
-become familiar with the language to empower communication -develop accurate diagnosis -increase agency and medical staff support for the use of nursind diagnoses -continue offering standardized content related to nursing diagnoses in educational programs -provide opportunities for experienced nurses to review nursing diagnoses |
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Process of developing a nursing diagnosis:
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-generate cues
-validate cues -interpret cues -cluster cues -confer with approved list from NANDA international -write the statement |
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What is nursing diagnosis?
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-2nd step in the nursing process
-clinical judgement about individual, family, or community responses to actual or risk problems, wellness states, or syndromes |
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What is the NANDA nursing diagnosis taxonomy: (13)
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health promotion, elimination/ exchange, perception/ cognition, role relationship, coping/stree tolerance, safety/protection, growth/development, nutrition, activity/rest, self-perception, sexuality, life priniciples, and comfort
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Purpose if planning and outcome identification:
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-provide quality nursing care
-imporve staff communication -provide continuity in the delivery of indiviualized care to all clients |
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4 critical elements of planning include:
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-establishing priorities
-setting goals and developing expected outcomes (outcome iD) -planning nursing interventions (w/ collaboration & consultation as needed) -documenting |
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Characteristics of Goals:
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Global statements describing the intended or desired change
-short term or long term |
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Characteristics of Expected Outcomes:
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-Specific statement that describe the methods through which the goal will be achieved
-constructed to be realistic, mutually desired by the client and nurse, and attainable within a defined time pd. |
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5 Components of Goals & Expected Outcomes:
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1. Subject-who will preform the desired behavior (pt.)
2. Task statement- what will be done 3. Criteria- standards used to evaluate whether the behavior demonstrated indicated accomplishments of the goal 4. Conditions- provide clarity and assist the client in demonstrating the expected behavior 5.Time frame- when the desired behavior or taks is to be performed |
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Common problems in planning nursing care:
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-improper writing format
-inappropriate time frames -paternalistic approach |
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Strategies for Effective Care Planning:
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-Clear communication
-Establishment of a realistic nursing care plan -Individualize nursing diagnoses |
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Independent Nursing Intervention:
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nursing action initiated by the nurse that do not require an order from another health care professional
ex: ADL, health education, counseling, etc |
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Interdependent nursing interventions:
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actions that are implemented in a collaborative manner by the nure with other health care professionals
ex: physical therapist, dietician, social worker |
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Dependent nursing interventions:
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actions that reuire an order from another health care professional
ex: administration of medication |
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5 Steps of Nursing Process:
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1. Assessing-gather data
2 Analyzing-identify problem, formulate nursing diagnosis 3. Planning- write care plan to meet goals 4. Implementing- carry out plan 5. Evaluating- collect obj. data to determine the extend to which goals were achieved. revise plan as needed. |