Chapter 17 Nursing Diagnosis

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing Diagnosis
1. Medical diagnosis A clinical judgment about the client in response to an actual or potential health problem The identification of a disease condition based on specific evaluation of signs and symptoms An actual or potential complication that nurses monitor to detect a change in client status

2. Nursing diagnosis

3. Collaborative problem

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

History of Nursing Diagnosis

irst introduced in 1950. n 1953 Fry proposed the formulation of nursing diagnosis. n 1973, the first national conference was held. n 1982, NANDA was founded.
Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Critical Thinking and the Nursing Diagnostic Process iagnostic reasoning

A process of using assessment data to create a nursing diagnosis

efining characteristics
Clinical criteria or assessment findings

linical criteria

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Formulation of Nursing Diagnosis

1. Actual Nursing Diagnosis A. Describe human responses
to levels of wellness that have a readiness for enhancement

2. Risk Nursing Diagnosis B. Describes human responses

to health conditions/life processes that may develop

3. Wellness Nursing Diagnosis

C. Describes human responses

to health conditions or life processes

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Components of a Nursing Diagnosis

Diagnostic label Related factors

Etiology

Definition

Risk factors

Support of the diagnostic statement

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Concept Mapping Nursing Diagnosis

way to graphically represent the connections between concepts and ideas that are related to a central subject such as a clients health problem. oncept maps promote problem solving and critical thinking skills by organizing complex client data, analyzing concept
Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Sources of Diagnostic Errors

rrors in:
Data collection Interpretation and analysis of data Data clustering The diagnostic statement Documentation

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing Diagnosis: Application to Care Planning y learning to make accurate nursing diagnoses, your care plan will help communicate the clients health care problems to other professionals. nursing diagnosis will ensure that you select relevant and appropriate nursing
Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.