• Diagnosis is the second period of the nursing measure.
In this stage, medical caretakers utilize basic intuition abilities to decipher evaluation information to recognize customer issues.
• North American Nursing Diagnosis Association (NANDA) characterize or refine nursing finding.
🔻 Definition
• The authority NANDA meaning of a nursing finding is:
*a clinical judgment concerning a human reaction to ailments/life measures, or a weakness for that reaction, by an individual, family, gathering, or local area."
Status of the Nursing Diagnosis
The situation with nursing conclusion are real, wellbeing advancement and danger. 1. A real conclusion is a customer issue
that is available at the hour of the nursing
appraisal 2. A wellbeing advancement conclusion identifies with customers' readiness to improve their ailment
• A danger nursing conclusion is a clinical judgment that an issue doesn't exist, yet the presence of danger factors demonstrates that an issue may create if satisfactory consideration isn't given.
Segments of a NANDA Nursing Diagnosis
A nursing determination has three parts: (1) The issue and its definition
(2) The etiology
(3) The characterizing qualities.
1. The difficult assertion portrays the customer's medical condition.
2. The etiology part of a nursing analysis distinguishes reasons for the medical issue.
3. Characterizing qualities are the bunch of signs and side effects that demonstrate the presence of medical issue.
Detailing Diagnostic Statements
The fundamental three-section nursing analysis articulation is known as the PES design and incorporates the accompanying:
1. Issue (P): articulation of the customer's medical issue (NANDA name)
2. Etiology (E): reasons for the medical issue 3. Signs and side effects (S): characterizing attributes showed by the customer.
Intense agony identified with stomach a medical procedure as proven by quiet uneasiness and
torment scale.
🔴 NANDA nursing conclusion
🔹Class: Circulation
Anatomical designs and physiological cycles Involved in fundamental and fringe course
Diminished heart yield
Danger for diminished heart yield
Danger for diminished heart tissue perfusion
Danger for hindered cardiovascular capacity
Danger for inadequate cerebral tissue perfusion Risk for incapable gastrointestinal perfusion
Danger for inadequate renal perfusion
Inadequate fringe tieste perfusion Risk for ineflective fringe tissue perfusion
🔹Class: Respiration
Anatomical constructions and physiological cycles engaged with ventilation and gas trade
Inadequate aviation route freedom
Inadequate breathing example
Hindered gas trade
Hindered unconstrained ventilation
Useless ventilatory weaning reaction
🔹Class: Physical Regulation
Anatomical constructions and physiological cycles Involved in hematological, Immunological, and
metabolic administrative instruments
Danger for unfriendly response to iodinated difference media
Danger for sensitivity reaction
Danger for insecure blood glucose level
Danger for imbalanced internal heat level
Danger for electrolyte awkwardness
Preparation for upgraded liquid equilibrium
Lacking liquid volume
Danger for lacking liquid volume
Overabundance liquid volume
Danger for imbalanced liquid volume
Hyperthermia
Danger for hyperthermia
Hypothermia
Danger for hypothermia
Danger for perioperative hypothermia
Neonatal jaundice
Danger for neonatal jaundice Latex hypersensitivity reaction
Danger for latex hypersensitivity reaction
Danger for disabled liver capacity Ineffective thermoregulation
🔹Class: Nutrition
Anatomical designs and physiological cycles engaged with the ingestion, assimilation, and retention of supplements
Inadequate bosom milk
Incapable breastfeeding
Intruded on breastfeeding
Availability for upgraded breastfeeding
Incapable newborn child taking care of example
Imbalanced nourishment: not as much as body prerequisites Readiness for improved sustenance
Stoutness
Overweight
Danger for overweight
🔹Class: Elimination
Anatomical designs and physiological cycles
engaged with release of body squander
Entrail incontinence
Clogging
Danger for clogging
Seen obstruction Chronic practical clogging
Looseness of the bowels
Broken gastrointestinal motility
Danger for useless gastrointestinal motility
Debilitated urinary disposal
Preparation for improved urinary end
Practical urinary incontinence
Flood urinary incontinence
Reflex urinary incontinence
Stress urinary Incontinence
Inclination urinary incontinence
Danger for ask urinary incontinence
Urinary maintenance
Danger for urinary plot injury
🔹Class: Skin/Tissue
Anatomical designs and physiological cycles of skin and body tissues engaged with primary honesty
Danger for corneal injury
Impeded dentition
Danger for dry eye
Hindered oral mucous film
Danger for hindered oral mucous film
Danger for pressure ulcer
Hindered skin respectability
Danger for hindered skin trustworthiness Risk for warm injury
Weakened tissue respectability
Danger for weakened tissue respectability
Danger for vascular injury
🔹Class: Neurological Response
Anatomical constructions and physiological cycles associated with the transmission of nerve motivations
Diminished intracranial versatile limit Autonomic dysreflexia
Danger for autonomic dysreflexia
Complicated baby conduct
Status for improved coordinated baby conduct
Danger for disordered baby conduct
Danger for fringe neurovascular brokenness
One-sided disregard
🔹Class: Cognition
Neuropsychological cycles associated with direction, data preparing and memory
Intense disarray
Danger for intense disarray
Persistent injury
Impeded memory
🔹Class: Self-Concept
Mental examples engaged with self-insight,
character, and self-guideline
Upset self-perception
Insufficient forswearing
Labile enthusiastic control
Insufficient drive control
Persistent low sell-regard
Danger for persistent low confidence
Situational low confidence
Danger for situational low confidence
Upset individual character
Danger for upset individual personality Readiness for upgraded self-idea
Sexual brokenness
Ineffectual sexuality design
🔹Class: Mood Regulation
Biophysical and passionate connection measures included
in state of mind guideline
Weakened state of mind guideline
🔹Class: Comfort
View of manifestations and experience of affliction
Tension
Hindered comfort
Status for upgraded comfort
Passing tension
Dread
Intense torment
Persistent agony
Work torment
Persistent torment disorder
🔹Class: Well-Being
View of life characteristics and experience of existential necessities fulfillment
Lamenting
Muddled lamenting
Danger for muddled lamenting Readiness for upgraded trust
Misery
Danger for bargained human pride
Preparation for upgraded power
Feebleness
Danger for feebleness
Otherworldly misery
Danger for otherworldly misery
Availability for improved profound prosperity
🔹Class: Life Principles
Individual qualities, beles, and strictness
Decisional strife
Moral misery
Rebelliousness
Weakened strictness.
Availability for upgraded strictness Risk for weakened strictness
🔹Class: Coping
View of adapting encounters, and adapting
procedures
Incapable movement arranging
Danger for inadequate action arranging
Guarded adapting
Inadequate adapting
Availability for improved adapting
Availability for improved dynamic
Weakened liberated dynamic
Availability for improved liberated dynamic Risk for hindered liberated dynamic
Post-injury disorder
Danger for post-injury disorder
Assault injury condition
Movement stress disorder
Danger for movement stress disorder
Hindered versatility
Status for improved versatility
Danger for hindered versatility
Stress over-burden.
