is the first stage of thenursing processin which thenurseshould carry
out a complete andholisticnursing assessment of every patient's needs,regardless of the reason for the encounter. Usually, an assessmentframework, based on anursing modelis used.The purpose of this stage is to identify the patient's nursingproblems.These problems are expressed as either actual or potential. For example, apatient who has been rendered immobile by a road traffic accident may beassessed as having the "potential for impaired skin integrity related toimmobility".
is a standardized statement about the health of a client (who can be anindividual, a family, or a community) for the purpose of providing nursingcare. Nursing diagnoses are developed based on data obtained during thenursing assessment.
Process of diagnoses
statistical data relevant to achieving a diagnosis.
changes in physical status. (for example: lowerurinary output)
possible alternatives that could have causedprevious cues/patterns.
taking necessary steps to rule out otherhypothesis, to single out one problem.
making a decision on the problem based onvalidation.
- taking necessary action to solve the problemand/or to provide adequate nursing care.
Deficient Fluid VolumeHypovolemia; DehydrationNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels