Nursing Diagnosis made simple
Here are a few examples of Nursing Diagnosis for you to practice with
Stay focused only on the information provided:Scenario one
Mr. Ford has arrived on your ward from the Emergency Department. He has been diagnosisas having a CVA and has suddenly become incontinent with frequent episodes overnight. Heis now very drowsy, difficult to rouse and dysphagic since the CVA
Mr. Warren has been admitted with pain following falling over and fracturing his right arm. Heis obviously in pain, holding his arm and rates his pain 6/10. He is unable to use his arm tofeed himself.
Mrs. Scott is 93 years of age and has been admitted after being found collapsed at home.Until then she was reported to be well. She presents with poor skin turgor, a dry tongue,having not taken fluid for an estimated four days.Since the fall she is confused. The medical staff believe that, as a Diabetic, she had ahypoglycaemic episode. As a result of lying in the one spot for so long, she has a stage onepressure area sore on her hip.
Mr Woods is admitted with COAD. He is short of breath, anxious, cyanosed, confused andhas a respiratory rate of 40. All of these symptoms began yesterday when he suddenly foundit difficult to breath.
From each scenario:1.
Select a significant problem (Nursing Diagnosis) that the patient is evidently experiencing
State what the cause of the above problem is (related to factor)
State the signs and symptoms (manifestations) of the significant problem you haveselected – i.e. what are the signs and symptoms (manifestations) of the problem the patient isexperiencing (not the signs and symptoms of the cause).
When specifying the signs and symptoms, state only what you observe or see inrelation to the problem. For example, the signs and symptoms of constipation are a dryhard stool or no bowel action for 5 days.
When you have done this for each scenario you have completed the first part of NursingDiagnosis. Now, choose another problem and go through the same process. Some of your causes and your signs and symptoms for each problem may overlap and you may findyourself repeating yourself. But remember, when doing the causes and the signs andsymptoms, refer only to the problem.All the possible Nursing Diagnosis you can use are listed in Potter and Perrycauses (relatedto) are on the reverse of this page.