NANDA nursing diagnosis essay/ care plan Help

Get NANDA nursing diagnosis essay/ care plan Help from GPAShark.com

Understanding the Three-Part Nursing Diagnosis

The three-part nursing diagnosis is a fundamental component of the nursing process, playing a crucial role in patient care. This diagnosis forms the basis for developing comprehensive care plans and guiding effective nursing interventions.

Differentiating Nursing Diagnosis from Medical Diagnosis

A nursing diagnosis sets the stage for addressing a patient’s potential problems, distinct from a medical diagnosis provided by a doctor, which focuses on diseases or disorders. For instance, while a doctor may diagnose chronic bronchitis and prescribe medication, a nurse might diagnose poor breathing and a cough during the nursing assessment.

Development of Nursing Diagnosis

The process of developing a three-part nursing diagnosis involves data analysis, problem identification, and formulation. Four types of nursing diagnoses guide this process:

1. Actual Nursing Diagnosis:

• Identifies current health problems, such as inadequate airway clearance.

1. Wellness or Health Promotion Diagnosis:

• Focuses on a patient’s readiness to transition to a higher wellness level, for example, enhanced self-care post-pacemaker insertion.

1. Risk Nursing Diagnosis:

• Identifies situations where a patient is at risk for additional health problems, such as infection.

1. Syndrome Diagnosis:

• Determines symptoms based on specific situations, like post-trauma or relocation stress.

Significance of Nursing Diagnosis

Nursing diagnoses significantly contribute to patient safety and effective care. By meticulously identifying potential syndromes and recording vital signs, nurses enhance the accuracy of treatment decisions, potentially preventing further illness or injury.

Correctly Writing Nursing Diagnoses

Writing a nursing diagnosis correctly, following the guidelines established by the North American Nursing Diagnosis Association (NANDA), ensures consistency in communication among healthcare professionals. Depending on the type of diagnosis, the structure may vary:

• Actual Nursing Diagnosis:
• Problem/Diagnosis related to (r/t) x factor/cause as evidenced by data/observations.
• Risk Nursing Diagnosis:
• Problem/Diagnosis related to (r/t) x factor/cause.
• Syndrome Nursing Diagnosis:
• Problem/Diagnosis related to (r/t) x factor/cause.
• Wellness Nursing Diagnosis:
• Readiness to/for action.

NANDA-I System of Nursing Diagnosis Categories

The NANDA-I system classifies nursing diagnoses into four categories:

1. Actual Diagnosis:

• Clinical judgment about human responses to health conditions, exemplified by “Sleep deprivation.”

1. Risk Diagnosis:

• Describes potential responses to health conditions in vulnerable individuals, like “Risk for shock.”

1. Health Promotion Diagnosis:

• Clinical judgment about a person’s motivation to increase well-being, as seen in “Readiness for enhanced nutrition.”

1. Syndrome Diagnosis:

• Describes a specific cluster of nursing diagnoses that often occur together, for instance, “Relocation stress syndrome.”

In nursing, an evidence-based practice, the three-part nursing diagnosis, is a cornerstone for providing efficient and tailored patient care. Through accurate diagnoses, nurses contribute significantly to patients’ well-being and overall health.

NANDA Nursing Diagnosis Essay/Care Plan Process

The diagnostic process within NANDA nursing diagnosis involves a nurse utilizing critical thinking skills. Beyond understanding the diagnoses and their definitions, the nurse delves into defining characteristics, behaviors, related factors, and appropriate interventions for each diagnosis.

Assessment

The initial stage of the nursing process is assessment, where the nurse comprehensively gathers information regarding a patient’s psychological, physiological, sociological, and spiritual well-being. This data is collected through various means, including patient interviews, physical examinations, reviewing health histories, obtaining family histories, and general observation. The assessment phase involves intensive patient interaction and lays the foundation for the subsequent steps in the nursing process.

Diagnosis

During the diagnosis phase, the nurse exercises educated judgment to identify potential or actual health problems in the patient. Multiple diagnoses may be made for a single patient, encompassing a description of the problem or illness, such as sleep deprivation. Additionally, the nurse assesses whether the patient is at risk of developing further issues or has potential for health improvement. Diagnoses play a pivotal role in determining the course of treatment, making this phase a critical aspect of patient care planning.

Planning

Following the agreement between the patient and the nurse on the diagnoses, the planning phase commences. In cases where multiple diagnoses are present, the head nurse prioritizes each, focusing on severe symptoms and high-risk patients. Clear, measurable goals are assigned for each problem, outlining the expected positive outcomes. Nurses often refer to evidence-based resources like the Nursing Outcome Classification and the Nursing Interventions Classification during this phase to standardize terms and measurements for tracking patient wellness.

Implementation

The implementation phase involves the execution of the agreed-upon plan of action tailored to each patient’s unique needs. Actions in the nursing care plan include monitoring the patient for signs of change or improvement, directly providing care or performing medical tasks, educating the patient on further health management, and scheduling follow-ups. The implementation duration can span hours, days, weeks, or even months.

Evaluation

Once all nursing interventions have been carried out, the nurse conducts an evaluation to assess if the goals for patient wellness have been achieved. Patient outcomes are typically categorized as improved, stabilized, or deteriorated. In cases where there is no improvement or the goals are unmet, the nursing process restarts from the initial assessment phase. This cyclical nature ensures ongoing refinement and adaptation to the evolving needs of the patient.