every student nurses and registered nurses would be used in their clinical setting .

1. NURSING
DIAGNOSIS
MINATI DAS.
ASST.PROF.
KINS, KIIT UNIVERSITY
BHUBANESWAR,ODISHA

2. INTRODUCTION
 Diagnosis is the second phase of the nursing
process. In this phase, nurses use critical thinking
skills to interpret assessment data to identify client
problems.
 Nursing diagnoses are developed based on data
obtained during the nursing assessment.
 A nursing diagnosis increases patient safety and
means more effective care.

5. MEANING
 The term diagnosis is derived from the greek word
diagignoskein which means “to distinguish”.
 Include (a) the art of identifying a disease from its
signs and symptoms, (b) a statement or conclusion
concerning the nature of some phenomenon and ( c
) analysis of the course or nature of a condition ,
situation or problem.

17. CONT……….
 Don’t combine two problems at the same time.
 Ex- pain and fear related to upcoming abdominal
surgery.
 Don’t make statements that are legally
inadvisable .
 ex- impaired skin integrity R/T immobility related to
fracture.

19. TYPES OF NURSING DIAGNOSIS
 Four different types
 1- Actual nursing diagnosis
 2- Wellness (or health promotion) nursing diagnosis
 3- Risk nursing diagnosis
 4- Syndrome diagnosis.

20. 1- ACTUAL NURSING DIAGNOSIS
 An actual diagnosis is a client problem that is
present at the time of the nursing assessment.
 such as inadequate airway clearance as evidence
by the inability to maintain adequate oxygenation
on room air.

21. 2- WELLNESS (OR HEALTH PROMOTION)
NURSING DIAGNOSIS
 A wellness or health promotion diagnosis
relates to clients’ preparedness to improve their
health condition.
 such as readiness for enhanced self-care to
increase cardiac output related to increased cardiac
output due to pacemaker insertion.

22. 3- RISK NURSING DIAGNOSIS
 A risk nursing diagnosis is a clinical judgment
that a problem does not exist, but the presence of
risk factors indicates that a problem may develop if
adequate care is not given or identifies when a
patient could be at risk for additional health
problems, such as infection.

23. 4- SYNDROME DIAGNOSIS.
 A syndrome diagnosis determines symptoms
based on certain situations, such as post-trauma
syndrome or relocation stress syndrome.

24. DIAGNOSTIC DATA PROCESS

43. EXAMPLE NO-1

45. EXAMPLE NO-2
 Case- Diarrhoea
Nursing diagnosis –
 Fluid volume deficit related to diarrhea.
 Risk for cross-infection related to infective loose motion.
 Potential to altered skin integrity related to frequent
passage of stools.
 Imbalance nutritional status, less than body requirement
related to malabsorption and poor oral intake.
 anxiety related to illness and hospital procedures.
 Knowledge deficit related to causes of diarrhea and its
prevention.

46. QUESTION EXAMPLE NO-3
 Case- MI
 Causes ?
 Clinical manifestation ?
 Nursing diagnosis ?

47. ANSWER- MI
 Clinical manifestations
:-Chest pain, heaviness, tightness, pressure, burning
sensation, Pallor, cold clammy skin, diaphoresis,
dizziness, disorientation, mental confusion,
restlessness, nausea, vomiting, extreme fatigue,
dyspnoea

48. NURSING DIAGNOSIS OF MI PATIENT
 Acute chest pain R/T…
 Decreased cardiac output R/T….
 Ineffective tissue perfusion
 Imbalance nutrition :less than body requirement
 Activity intolerance
 Fatigue
 Ineffective coping

49. CONCLUSION
 All nurses must be familiar with the steps of the
nursing process in order to gain the most efficiency
from their positions. In order to correctly diagnose,
the nurse must make quick and accurate inferences
from patient data during assessment, based on
knowledge of the nursing discipline and concepts of
concern to nurses.