Medical diagnosis - Identification of a disease condition based on:
i. A specific evaluation of a physical sign and symptoms
ii. A patient’s medical
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iii. And the results of diagnostic test and procedures.
- Stays constant as a condition remains.
Collaborative problem -is an actual or potential physiological complication that nurses monitor to detect the onset of changes in a patient's health status.
Client-centered problems - Nursing interventions are defined in terms of clients' problems
Defining characteristics - Assessment findings that support a nursing diagnosis
Nursing diagnosis –
i. Is a clinical judgment concerning a human response to health conditions/life processes that a nurse is licensed and competent to treat.
ii. Is also known as a patient’s problem.
iii. Is a common language for understanding patient’s needs.
iv. Allows nurses to communicate plan of care
v. Distinguishes the nurse’s role.
vi. It helps prioritize
vii. Is always changing on the basis of a patient's care.
- Explains to others how the patient’s body responds to the medical diagnosis
Risk nursing diagnosis -Human responses to health conditions that may possibly develop due to risk factors. Risk diagnosis has risk factors.
Health promotion behavior nursing diagnosis -is when a patient is motivated and desires to increase well-being and actualize human health potential. You select this type of diagnosis when the client wishes to or has achieved an optimal level of health
Diagnostic label - Is the name of the diagnosis as approved by NANDA; it describes the essence of the client's response to health conditions
Related factor - Is a condition or etiology identified from the client's assessment data, actual or potential responses to the health problem
Etiology - The cause of the nursing diagnosis. Identification of the cause of a problem. "Study of all factors that may be involved in the development of a disease."
Definition: zx - _______ describes the characteristics of the human response identified
Risk factors - Are environmental, physiological, psychological, genetic, or chemical elements that place a person at risk for a health problem
Purpose of concept mapping –
-Is a visual representation of a patient's nursing diagnoses and their relationships with one another.
-organizes complex patient data, analyzes concept relationships, and identifies intervention.
List practice tips that are essential in avoiding data collection errors. –
i. Review your level of comfort and competence with interview and physical assessment skills.
ii. Approach assessment in steps.
iii. Review your clinical assessment skills.
iv. Determine the accuracy of your data.
v. Be organized in any examination. [Show Less]