Nursing diagnosis: application to clinical practice by Lynda Juall Carpenito RN MSN CRNP

By Lynda Juall Carpenito RN MSN CRNP

The 13th version of Nursing analysis: software to medical perform is a vintage textual content that's revised to include the 2009/2011 NANDA-approved nursing diagnoses, supply definitive counsel on key components of nursing analysis and its software to scientific perform. part One completely explains the function of nursing prognosis within the nursing procedure and in care making plans. part , a complete A-to-Z advisor to present nursing diagnoses, has been reorganized into 4 components: person Nursing Diagnoses, Family/Home Nursing Diagnoses, group Nursing Diagnoses, and well-being Promotion/Wellness Nursing Diagnoses. part 3 specializes in collaborative difficulties. Nursing Interventions Classifications (NIC) and Nursing results Classifications (NOC) are indexed for each NANDA prognosis. An appendix exhibits present NANDA diagnoses grouped lower than sensible health and wellbeing styles.

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Report respect for privacy of each member. Stolte describes wellness nursing diagnoses as “a conclusion from assessment data which focuses on patterns of wellness, healthy responses, or client strengths” (1996, p. 9). Interventions focus on attainment of health behaviors or achievement of developmental tasks. Since 1973, many nurses have expressed concern that the NANDA list primarily represents alteration or dysfunction with too little emphasis on wellness (Popkess-Vawter, 1984). Many nurses interact with healthy clients, such as new parents, school-aged children, and clients of college health services and well-baby clinics.

The nurse identifies a collaborative problem when certain situations increase the client’s vulnerability for a complication or the client has experienced one. Collaborative problems usually are associated with a specific pathology or treatment. For example, all clients who have undergone abdominal surgery are at some risk for such problems as hemorrhage and urinary retention. Expert nursing knowledge is required to assess a particular client’s specific risk for these problems and to identify them early to prevent complications and death.

How could they educate new physicians? • How could they improve quality if they could not retrieve data systematically to determine which interventions improved the client’s condition? For example, before the formal labeling of acquired immunodeficiency syndrome (AIDS), defining or studying the disease was difficult, if not impossible. Often, medical records of affected clients would show various diagnoses or causes of death, such as sepsis, cerebral hemorrhage, or pneumonia, because the AIDS diagnosis did not exist.

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