Sunday, March 1, 2015

Nurses Use Different Diagnoses


Picture source:  http://www.glasbergen.com/wp-content/gallery/hospital-cartoons/hosp1.gif
Hopefully it is obvious that the above cartoon is not an actual medical diagnosis. I am using it to illustrate that most people are familiar with the diagnosis a doctor may give to a patient but not everyone is aware that information gathered during a nursing assessment is used by nurses to form nursing diagnoses (for the record the above is not a nursing diagnosis either, it is just a cartoon). Nursing diagnoses use clinical judgement from the nurse and are an important part of the nursing process. A diagnosis of this type may involve actual or potential health problems or life processes as it pertains to the patient, the patient's family or his/her community. In the case of gliomas, the following five nursing diagnoses may be experienced by brain tumor patients: 


1) Impaired memory
2) Risk for falls
3) Ineffective self-health management
4) Decreased intracranial adaptive capacity
5) Interrupted family processes

To better explain what a nursing diagnosis is, I will use the following example:

Impaired memory related to the medical diagnosis of a glioma in the left temporal lobe. 

The plan, outcome, and nursing interventions that a nurse might use would be completely dependent on the size of the tumor as well as the progression and type of treatment course for the patient. 


Sources:

Lewis, S. (2011). Medical-surgical nursing: Assessment and management of clinical problems. (8th ed.). St. Louis, Mo.: Elsevier/Mosby.

What is Nursing Diagnosis And Why Should I Care? (2015, January 1). Retrieved March 2, 2015, from http://www.nanda.org/What-is-Nursing-Diagnosis-And-Why-Should-I-Care_b_2.html

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