The document discusses the nursing diagnosis process. It begins by outlining the five steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. It then discusses NANDA-I, which is a compilation of recognized nursing diagnoses developed through nursing research. Finally, it provides details on the diagnostic step, noting that it involves identifying the client's potential health problems or deficits based on information gathered in the assessment to form clinical decisions.
The document discusses the nursing diagnosis process. It begins by outlining the five steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. It then discusses NANDA-I, which is a compilation of recognized nursing diagnoses developed through nursing research. Finally, it provides details on the diagnostic step, noting that it involves identifying the client's potential health problems or deficits based on information gathered in the assessment to form clinical decisions.
The document discusses the nursing diagnosis process. It begins by outlining the five steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. It then discusses NANDA-I, which is a compilation of recognized nursing diagnoses developed through nursing research. Finally, it provides details on the diagnostic step, noting that it involves identifying the client's potential health problems or deficits based on information gathered in the assessment to form clinical decisions.
Compilation/list of nursing diagnoses recognized in DIAGNOSTIC 1973, with continued growth A Assess MANUAL through nursing research. Gather information about
the client‘s condition. A D Diagnose
Identify the client‘s
problems.
E D P Plan
Identify plan of care goals,
interventions, and desired
outcomes.
I P
I Implement
Perform the identified
nursing interventions. E Evaluate
Determine if the goals
and
desired outcomes Assessment Nursing were met. Data Diagnoses Difficulty breathing when 1. Activity intolerance The nursing diagnosis: walking short distances and wringing hands during 2. Anxiety Second step of the 5-step nursing process. Statement of the interaction. client’s potential healthcare problems or deficit obtained by nurse in order to form appropriate clinical decisions.
Provides a concise definition of the patient’s
response to a health condition
Fosters the development of nursing knowledge
What: Allows nurses to communicate in a common language
Enables nurses to analyze assessment data
Activate critical reasoning skills.
Assessment Nursing Observe for bodily changes. Data Diagnoses How: Determine strengths and unmet needs. Alteration in fluid volume, 1. Impaired memory Identify health risks. anemia, neurological impairment, impaired memory Cluster assessment data. related to dehydration.