Diagnosis

• Nursing Process - Diagnosis

  1. DIAGNOSIS

  2. Types of Nursing Diagnoses

  3. Actual Nursing Diagnosis

  4. PES Approach

  5. Health Promotion Diagnosis

  6. Risk Diagnosis

  7. PRS Approach

  8. Syndrome Diagnosis

  9. Components of a NANDA Nursing Diagnosis

  10. Qualifiers

  11. Fundamental Principles and Rules of Diagnostic Reasoning
• Actual nursing diagnosis


  Present or existing problem that may or may not necessitate immediate concern
• Actual Nursing Diagnosis


  Patient problem + Causes if known
• PES Approach


  Problem + Etiology + Signs & Symptoms
• Health Promotion Diagnosis


  Relates to clients' preparedness to implement behaviors to improve their health condition
• Risk Diagnosis


  A clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene
• PRS Approach


  Problem + Risk Factors + Signs & Symptoms
• Syndrome Diagnosis


  A cluster of nursing diagnoses that have similar interventions
• Nursing Process - Diagnosis

  1. Diagnosis

  2. Diagnosing

  3. Diagnose

  4. Nursing Diagnosis
• Diagnosis


  A form of decision making that the nurse uses to arrive at judgments and conclusions about patients' responses to actual or potential health problems
• Nursing Diagnosis


  • A problem statement that nurse makes regarding a patient's condition
  • A clinical judgment about the patient's response to actual or potential health conditions or needs
• Nursing Diagnosis


  • Provides the basis for prescriptions (interventions) for definitive therapy for which the nurse is accountable
  • Expressed concisely and includes the etiology of the condition when known
• Key terms related to diagnosis

  • Qualified
  • Nursing domain
  • Medical domain
  • Accountable
  • Definitive interventions
  • Outcome
  • Signs
  • Symptoms
  • Cues
  • Definitive diagnosis
  • Defining characteristic
  • Rule out
  • Related factor
  • Risk factor or etiology
• Becoming a competent diagnostician, acting in your patient's best interest, and protecting yourself from legal problems, you must understand the key terms to diagnosis
• The word 'diagnosis' implies that there's a situation or problem requiring appropriate, qualified treatment
• If you identify a problem, you must decide whether you're qualified to treat it or willing to accept responsibility for treating it
• If you're not qualified, you're responsible for getting qualified help