1. Define and identify the purposes of a nursing diagnosis.
2. Know what NANDA means and where to find more information.
3. Differentiate between the types of nursing diagnosis and be able to provide an example of each.
4. Differentiate a nursing diagnosis from a medical diagnosis.
5. Identify the three segments of a diagnostic statement and give examples of a comprehensive diagnostic statement.
- What is the nursing diagnosis?
- What is NANDA?
- Types of nursing diagnosis and examples of each.
- Criteria of nursing diagnosis.
- What is the difference(s) between a medical diagnosis and nursing diagnosis?
- Example: Pneumonia
- Possible nursing diagnosis:
o Altered gas exchange,
o Ineffective airway clearance,
o Activity intolerance,
o Risk for imbalanced nutrition,
o Risk for infection transmission,
o Discomfort.
- Refer to Maslow’s needs again
- Exercise
o Nursing diagnosis for Bronchitis
o Nursing diagnosis for Hypertension
The term diagnosis is a statement or conclusion regarding the nature of phenomenon.
A nursing diagnosis is a clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.
Nursing Diagnosis is second step of Nursing Process.which is very important and depend on your good assessment.you must make nursing diagnosis skillfully to meet patient's need.
The term diagnosis is a statement or conclusion regarding the nature of phenomenon.
A nursing diagnosis is a clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.
Nursing Diagnosis is second step of Nursing Process.which is very important and depend on your good assessment.you must make nursing diagnosis skillfully to meet patient's need.
- Fundamentals of Nursing: history of nursing
- Florence Nightingale
- Nursing & Midwifery Council. (2015). the code: Professional standards of practice and behaviour for nurses and midwives.
- What is Critical Thinking?
- Why is Critical Thinking Important to Nurses?
- Complex thinking
- Important concepts in nursing
- The nursing process: Assessment
o Data collection: Objective & Subjective data
o Methods of Data Collection
Observation
Vital signs
BMI
• How to calculate
• Classification of BMI according to WHO
MAUC
Homeostasis
The interview
Samples
Information from the patient
Glascow scale
Physical examination
• Inspection
• Palpation
• Percussion
• Auscultation
Patient record
o The aims of assessment/rational for conducting a nursing assessment
o Holistic assessment
o Pressure sores
The Water low scale
o Medical history & Nursing history
o The environment during patient assessment
o Asking questions
Test bank medical surgical nursing in canada 5th edition lewi.pdfDonc Test
Test bank medical surgical nursing in canada 5th edition
Test bank medical surgical nursing in canada 5th edition
Test bank medical surgical nursing in canada 5th edition
TEST BANK For Lewis's Medical Surgical Nursing in Canada, 5th Edition by Jane...ssifa0344
TEST BANK For Lewis's Medical Surgical Nursing in Canada, 5th Edition by Jane Tyerman, Shelley Cobbett, Verified Chapters 1 - 72, Complete Newest Version.pdf
TEST BANK For Lewis's Medical Surgical Nursing in Canada, 5th Edition by Jane Tyerman, Shelley Cobbett, Verified Chapters 1 - 72, Complete Newest Version.pdf
Population Health Management & Volume To Value Based CareIFAH
A session by Amish Purohit, CEO and CMO, US Health Systems on the topic of 'Population Health Management & Volume To Value Based Care' at IFAH USA 2019 held at Caesars Palace, 18-20 June, 2019.
Abortion and other Causes of Early Pregnancy Bleeding.pdfChantal Settley
Describe common causes of bleeding in early pregnancy.
Describe the clinical classifications of abortion, the legal aspects of abortion in Ethiopia, and the safe methods used in health facilities.
Identify the warning signs and the emergency treatment required before referral for early pregnancy bleeding.
Describe the features of woman-friendly comprehensive post-abortion care, including the post-abortion family planning service
List the advantages of regionalised perinatal care.
Describe the functioning of a perinatal-care clinic.
Communicate better with patients and colleagues.
Safely transfer a patient to hospital.
Determine the maternal mortality rate.
Medical problems during pregnancy, labour and the puerperium.pdfChantal Settley
Diagnose and manage cystitis.
Reduce the incidence of acute pyelonephritis in pregnancy.
Diagnose and manage acute pyelonephritis in pregnancy.
Diagnose and manage anaemia during pregnancy.
Identify patients who may possibly have heart valve disease.
Manage a patient with heart valve disease during labour and the puerperium.
Manage a patient with diabetes mellitus.
Explain the wider meaning of family planning.
Give contraceptive counselling.
List the efficiency, contraindications and side effects of the various contraceptive methods.
List the important health benefits of contraception.
Advise a postpartum patient on the most appropriate method of contraception.
Define the puerperium.
List the physical changes which occur during the puerperium.
Manage the normal puerperium.
Assess a patient at the 6-week postnatal visit.
Diagnose and manage the various causes of puerperal pyrexia.
Recognise the puerperal psychiatric disorders.
Diagnose and manage secondary postpartum haemorrhage.
Teach the patient the concept of ‘the mother as a monitor’.
Uterine contractions continue, although less frequently than in the second stage.
The uterus contracts and becomes smaller and, as a result, the placenta separates.
The placenta is squeezed out of the upper uterine segment into the lower uterine segment and vagina. The placenta is then delivered.
The contraction of the uterine muscle compresses the uterine blood vessels and this prevents bleeding. Thereafter, clotting (coagulation) takes place in the uterine blood vessels due to the normal clotting mechanism.
Identify the onset of the second stage of labour.
Decide when the patient should start to bear down.
Communicate effectively with the patient during labour.
Use the maternal effort to the best advantage when the patient bears down.
Make careful observations during the second stage of labour.
Assess the fetal condition during the time the patient bears down.
Accurately evaluate progress in the second stage of labour.
Manage a patient with a prolonged second stage of labour.
Diagnose and manage impacted shoulders.
Monitoring the condition of the fetus during the first stage of labour.pdfChantal Settley
Monitor the condition of the fetus during labour.
Record the findings on the partogram.
Understand the significance of the findings.
Understand the causes and signs of fetal distress.
Interpret the significance of different fetal heart rate patterns and meconium-stained liquor.
Manage any abnormalities which are detected.
1.1 Define and use correctly all of the key terms
1.2 Describe the signs of true labour and distinguish between true and false labour
1.3 Explain to the mother how to recognise the onset of true labour
1.4 Describe the characteristic features and mechanisms of the four stages of labour
1.5 Describe the seven cardinal movements made by the baby as it descends the birth canal in a normal labour
10.2 Preterm labour and preterm rupture of the membranes.pdfChantal Settley
Define preterm labour and preterm rupture of the membranes.
Understand why these conditions are very important.
Understand the role of infection in causing preterm labour and preterm rupture of the membranes.
List which patients are at increased risk of these conditions.
Understand what preventive measures should be taken.
Diagnose preterm labour and preterm rupture of the membranes.
Manage these conditions.
Understand why an antepartum haemorrhage should always be regarded as serious.
Provide the initial management of a patient presenting with an antepartum haemorrhage.
Understand that it is sometimes necessary to deliver the fetus as soon as possible, in order to save the life of the mother or infant.
Diagnose the cause of the bleeding from the history and examination of the patient.
Correctly manage each of the causes of antepartum haemorrhage.
Diagnose the cause of a blood-stained vaginal discharge and administer appropriate treatment.
Define hypertension in pregnancy.
Give a simple classification of the hypertensive disorders of pregnancy.
Diagnose pre-eclampsia and chronic hypertension.
Explain why the hypertensive disorders of pregnancy must always be regarded as serious.
List which patients are at risk of developing pre-eclampsia.
List the complications of pre-eclampsia.
Differentiate pre-eclampsia from pre-eclampsia with severe features.
Give a practical guide to the management of pre-eclampsia.
Provide emergency management for eclampsia.
Manage gestational hypertension and chronic hypertension during pregnancy.
7.2 New Microsoft PowerPoint Presentation (2).pdfChantal Settley
Welcome the woman and ask her to sit near you and facing you.
Smile and make good eye contact with her.
Reassure her that you will always maintain her privacy and confidentiality
Without her permission, do not include a third person in the meeting.
Use simple non-medical language and terminologies throughout that she can understand, and check frequently that she has really understood.
Actively listen to her, using gestures and verbal communication to show her that you are paying attention to what she says.
Encourage her to ask questions, express her needs and concerns, and seek clarification of any information that she does not understand.
6.4 Assessment of fetal growth and condition during pregnancy.pdfChantal Settley
When you have completed this unit you should be able to:
• Assess normal fetal growth.
• List the causes of intra-uterine growth restriction.
• Understand the importance of measuring the symphysis-fundus height.
• Understand the clinical significance of fetal movements.
• Use a fetal-movement chart.
• Manage a patient with decreased fetal movements.
• Understand the value of antenatal fetal heart rate monitoring.
What possible complications to look for:
Antepartum haemorrhage
Pre-eclampsia
proteinuria and a rise in the blood pressure.
Cervical changes
Symphysis-fundus height measurement
below the 10th centile?
above the 90th centile?
To review and act on the results of the screening or special investigations done at the booking visit.
2. To perform the second assessment for risk factors.
If possible, all the results of the screening tests should be obtained at the first visit.
Assess normal fetal growth.
List the causes of intra-uterine growth restriction.
Understand the importance of measuring the symphysis-fundus height.
Understand the clinical significance of fetal movements.
Use a fetal-movement chart.
Manage a patient with decreased fetal movements.
Understand the value of antenatal fetal heart rate monitoring.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
2. Objectives
• Define and identify the purposes of a nursing
diagnosis.
• Differentiate a nursing diagnosis from a
medical diagnosis.
• Identify the three segments of a diagnostic
statement and give examples of a
comprehensive diagnostic statement.
• Know what NANDA is and where to find
more information.
2/21/2019 Compiled by C Settley 2
4. What is NANDA?
• NANDA International, originally known as
the North American Nursing Diagnosis
Association, was founded in 1982.
• The purpose of NANDA is to develop
standardized terminology so nurses can
have a common language to communicate
the needs of their patients and more easily
understand what needs to be done for
patients.
2/21/2019 Compiled by C Settley 4
5. Diagnosis
• The second step of the nursing process is identifying
the nursing care problem—
• otherwise called the nursing diagnosis.
• Based on your analysis of the data.
• A nursing diagnosis is a statement about the actual or
potential health concerns of the client that can be
managed through independent nursing interventions.
• Nursing diagnoses are (criteria)
• concise,
• clear,
• client-centered, and
• client-specific statements.
21/Feb/19 Compiled by C Settley 5
6. Types of Nursing Diagnoses
There are 3 types of nursing diagnoses.
• 1. Problem-focused
– which reflects 'a clinical judgment
concerning an undesirable human
response to health conditions or life
processes that exists in a patient.
– To make this diagnosis, certain elements
must be present, including: defining
characteristics (signs and/or symptoms)
that can be grouped to form recognizable
patterns and related factors that are
somehow related to, contribute to, or led
up to the identified problem.
2/21/2019 Compiled by C Settley
6
7. Types of Nursing Diagnoses
There are 4 types of nursing diagnoses.
• 1. Problem-focused
– Examples of problem-focused nursing
diagnoses include:
• Sleep deprivation related to pain
• Impaired bed mobility related to left-
sided paralysis
• Decreased cardiac output due to
myocardial infarction
2/21/2019 Compiled by C Settley 7
8. Types of Nursing Diagnoses
There are 4 types of nursing diagnoses.
• 2. Health promotion
– Concerns the motivation and desire to
increase well-being and to move closer to
a person's own optimum health potential.
– These diagnoses use terms related to a
patient's readiness for specific health
behaviors.
– To make a health-promotion diagnosis,
there must be defining characteristics that
begin with the phrase, 'Expresses desire
to enhance. . .‘
2/21/2019 Compiled by C Settley 8
9. Types of Nursing Diagnoses
There are 4 types of nursing diagnoses.
• 2. Health promotion
– Examples of health promotion nursing
diagnoses include:
• Sedentary lifestyle
• Risk-prone behavior
• Readiness for enhanced immunization
status
2/21/2019 Compiled by C Settley 9
10. Types of Nursing Diagnoses
There are 4 types of nursing diagnoses.
• 3. Risk
– Examines the patient's vulnerability for
developing an undesirable response to a
health condition or life process.
– It requires identification of specific,
personalized risk factors, such as
smoking, advanced age, and obesity.
2/21/2019 Compiled by C Settley 10
11. Types of Nursing Diagnoses
There are 4 types of nursing diagnoses.
• 3. Risk
– Examples of risk nursing diagnosis
include:
• Risk for infection
• Risk for falls
2/21/2019 Compiled by C Settley 11
12. Types of Nursing Diagnoses
There are 4 types of nursing diagnoses.
• 4. The final nursing diagnosis is
the syndrome.
– This diagnosis identifies specific
groups of diagnoses that occur
together in a pattern and are best
addressed together through similar
nursing interventions.
2/21/2019 Compiled by C Settley 12
13. Types of Nursing Diagnoses
There are 4 types of nursing diagnoses.
– Making a syndrome diagnosis
requires two or more nursing
diagnoses that serve as defining
characteristics and related factors, if
they add clarity.
– However, related factors are not
required.
2/21/2019 Compiled by C Settley 13
14. Types of Nursing Diagnoses
There are 4 types of nursing diagnoses.
– An example of a syndrome diagnosis
is a risk for decreased cardiac tissue
perfusion, ineffective cerebral tissue
perfusion,
– and ineffective peripheral tissue
perfusion related to dysfunctional
response
2/21/2019 Compiled by C Settley 14
15. Diagnosis
• It identifies the disease a person has or is believed to
have.
• Physicians arrive at a medical diagnosis by studying
the physiologic manifestations of the illness and
establishing its cause and nature.
• A medical diagnosis provides a basis for prognosis
(projected client outcome) and medical treatment
decisions.
• Hypertension, pneumonia, diabetes mellitus, and renal
failure are examples of medical diagnoses.
21/Feb/19 Compiled by C Settley 15
16. Diagnosis
21/Feb/19 Compiled by C Settley 16
• Nursing diagnosis, however, focuses on the
person—the individual’s response to his or her
health.
• Nursing asks how a disease or illness influences
an individual’s functioning and how his or her
needs can be met.
• It is something the nursing staff and the client can
treat without orders from the physician.
• Such actions are called independent nursing
actions.
17. EXAMPLE!!!
• Medical diagnosis: Pneumonia.
• Infection that inflames air sacs in one or both lungs,
which may fill with fluid
• Symptoms - abnormal breath sounds, a cough
with thick yellow sputum, increased respirations,
difficulty breathing, fever, and fatigue.
• Nursing diagnosis: Altered gas exchange,
ineffective airway clearance, activity intolerance,
risk for imbalanced nutrition, risk for infection
transmission, discomfort.
21/Feb/19 Compiled by C Settley 17
18. NURSING CARE PLAN FOR
PNEUMONIA
2/21/2019 Compiled by C Settley 18
Nursing diagnosis Interventions Rational Expected/
Desired outcomes
Evaluation
1. Altered gas
exchange
2. Ineffective
airway clearance
3. Activity
intolerance
4. Risk for
imbalanced
nutrition
5. Risk for infection
transmission
6. Discomfort.
19. EXERCISE:
COMPLETE THE FOLLOWING:
MEDICAL DIAGNOSIS:
Chronic obstructive
pulmonary disease (lung
diseases that block airflow and
make it difficult to breathe)
SYMPTOMS:
Inflammation and constriction of
bronchial smooth muscle, hyper
secretion of mucus, and edema.
Precipitating factors include
allergens, emotional upheaval, cold
weather, and marked cyanosis,
inflammation, collapsed bronchioles
on expiration (air-trapping).
NURSING DIAGNOSIS
Ineffective breathing
patterns, Impaired gas
exchange, Ineffective
Airway Clearance,
Imbalanced Nutrition:
Risk for Infection,
Deficient Knowledge
21/Feb/19 Compiled by C Settley 19
20. EXERCISE:
COMPLETE THE FOLLOWING:
MEDICAL DIAGNOSIS:
Cerebrovascular accident
(when blood flow to a part of
the brain is stopped either by a
blockage or the rupture of a
blood vessel)
SYMPTOMS:
Difficulty walking, dizziness loss of balance
and coordination, difficulty speaking or
understanding others who are speaking,
numbness or paralysis in the face, leg, or
arm, most likely on just one side of the body,
blurred or darkened vision, a sudden
headache, especially when accompanied by
nausea, vomiting, or dizziness
NURSING DIAGNOSIS
Risk for decreased
cardiac output, Activity
intolerance, Acute
headache, pain,
Imbalanced nutrition,
Ineffective coping,
Deficient knowledge
(Learning Need)
regarding condition,
treatment plan, self-
care, and discharge
needs
21/Feb/19 Compiled by C Settley 20
21. EXERCISE:
COMPLETE THE FOLLOWING:
MEDICAL DIAGNOSIS:
Appendicitis (the
appendix becomes
inflamed and filled with
pus, causing pain)
SYMPTOMS:
Dull pain near the navel or the
upper abdomen that becomes
sharp as it moves to the lower
right abdomen, loss of
appetite, nausea and/or
vomiting soon after abdominal
pain begins, abdominal
swelling, fever.
NURSING DIAGNOSIS
Acute pain, risk for
deficient fluid volume,
risk for Infection,
deficient knowledge,
impaired skin integrity,
anxiety
21/Feb/19 Compiled by C Settley 21
22. EXERCISE:
COMPLETE THE FOLLOWING:
MEDICAL DIAGNOSIS:
Amputation
SYMPTOMS:
warm, red and tender skin.
discharge of fluid or pus.
increasing swelling.
NURSING DIAGNOSIS
Disturbed body image,
related to amputation of a
left lower leg, grieving
related to anger and loss of
left lower leg, situational
low self-esteem related to
appearance, risk for injury
from infection and
contractures related to
refusal of care, pain related
to surgery
21/Feb/19 Compiled by C Settley 22
23. EXERCISE:
COMPLETE THE FOLLOWING:
MEDICAL DIAGNOSIS:
Rheumatoid arthritis
SYMPTOMS:
Joint pain and progressive
stiffness that develops gradually,
swelling, inflammation, and
stiffness in the fingers, arms,
legs, and wrists occurring in the
same joints on both sides of the
body, especially upon
awakening.
NURSING DIAGNOSIS
Chronic pain, activity
intolerance related to
the effects of
inflammation, self care
deficit.
21/Feb/19
Compiled by C Settley
23
24. • REMEMBER THAT THE
EXAMPLES OF NURSING
DIAGNOSIS GIVEN MAY
NOT ALWAYS APPLY TO
EACH PATIENT. NURSING
DIAGNOSIS IS CLIENT
CENTERED.
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26. Student activity 1
NURSING CARE PLAN FOR Bronchitis:
Nursing diagnosis
Nursing diagnosis Interventions Rational Expected/desired
outcomes
Evaluation
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28. Student activity 2
NURSING CARE PLAN FOR Hypertension:
Nursing diagnosis
Nursing diagnosis Interventions Rational Expected/desired
outcomes
Evaluation
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29. Reference list
• https://nurseslabs.com/8-pneumonia-nursing-
care-plans/2/
• http://www.nanda.org/
• https://study.com/academy/lesson/the-nursing-
diagnosis-statement-according-to-nanda.html
• https://www.epainassist.com/chest-
pain/lungs/bronchitis-how-do-you-get-bronchial-
infection-and-what-is-its-treatment
• https://depositphotos.com/69340565/stock-
illustration-symptoms-of-hypertension-high-
blood.html
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