Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Technologies in Nursing
Duquesne University
Diagnostic reasoning
A process of using assessment data to
create a nursing diagnosis
Defining characteristics
Clinical criteria or assessment findings
Clinical criteria
Objective or subjective signs and symptoms
A. Clinical judgment
about the client in
response to an actual or
potential health problem
2. Nursing diagnosis
B. The identification of a
disease condition based
on specific evaluation of
signs and symptoms
A. Describe human
2. Risk Nursing
Diagnosis
B. Describes human
3. Wellness Nursing
Diagnosis
C. Describes human
responses to levels of
wellness that have a
readiness for enhancement
responses to health
conditions/life processes that
may develop
responses to health conditions
or life processes
Problem
Etiology
Signs and Symptoms
Problem
Etiology
The
are stated as
evidenced by (A.E.B.) or as
manifested by, followed by a
list of subjective and
objective data.
Risk problems have no
evidence statement.
Correctly-Worded Nursing
Diagnoses
Ineffective Airway Clearance, related to
increased pulmonary secretions and
bronchospasm, evidenced by wheezing,
tachypnea, and ineffective cough.
Acute pain related to tissue distention and
edema as evidenced by reports of severe
colicky pain in right flank, elevated pulse
and respirations, and restlessness.
Correctly-Worded Nursing
Diagnoses
Hyperthermia related to increased
metabolic rate and dehydration as
evidenced by elevated temperature, flushed
skin, tachycardia, and tachypnea.
Risk for infection, related to broken skin,
traumatized tissues, decreased hemoglobin,
invasive procedures, increased
environmental exposure.
Right or Wrong?
Risk
Right or Wrong?
Pain
related to myocardial
infarction as evidenced by
patients report of pain at 9
on the 1-10 pain scale
Right or Wrong?
Ineffective
airway clearance
related to pneumonia as
evidenced by adventitious
breath sounds, sputum
production, and abnormal chest
x-ray.
Right or Wrong?
Fluid
Right or Wrong?
Fluid
Right or Wrong?
Diarrhea
related to C. Diff as
evidenced by 10 stool in one
day
Right or Wrong?
Risk
Right or Wrong?
Readiness
for enhanced
knowledge of disease process.
Potential Complications
Based
on a medical diagnosis
Examples:
Risk for pneumonia related to immobility
Risk for DVT related to immobility
Risk for myocardial infarction related to
inadequate tissue perfusion
in general terms
Not behavioral in nature
Patient centered
Example: To enhance airway
clearance and improve
oxygenation
Nursing Interventions
Actions
oriented
Evaluation or Outcome