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Nursing diagnoses are an essential component of the nursing process, which is a systematic approach used by nurses to provide care to patients. A nursing diagnosis is a clinical judgment made by a nurse based on the assessment of a patient’s health status and health needs. It helps nurses identify actual or potential health problems that the patient is facing, as well as the factors contributing to those problems.
The purpose of nursing diagnoses is to guide nurses in developing a care plan that addresses the patient’s unique needs and promotes optimal health outcomes. The care plan outlines specific nursing interventions that will be implemented to address the identified health issues and achieve the desired patient outcomes.
Nursing diagnoses are distinct from medical diagnoses, which are made by physicians and focus on identifying diseases or medical conditions. While medical diagnoses are essential for determining the medical treatment a patient needs, nursing diagnoses focus on the patient’s response to the illness or condition and the impact on their overall well-being.
Nursing diagnoses are typically categorized into three main types:
1. Actual Nursing Diagnosis:
This type of nursing diagnosis describes a current health problem that is present and needs immediate attention. For example, “Acute Pain related to surgical incision.”
2. Risk Nursing Diagnosis:
Risk nursing diagnoses indicate potential health problems that the patient may be at risk of developing if specific interventions are not implemented. For instance, “Risk for Falls related to impaired mobility.”
3. Health Promotion Nursing Diagnosis:
Health promotion diagnoses focus on the patient’s potential for enhanced health and well-being. These diagnoses are not based on existing health problems but on opportunities to improve health. An example is “Readiness for Enhanced Nutrition.”
Nursing diagnoses are formulated based on the data obtained during the nursing assessment, which includes patient history, physical examination, and other relevant information. These diagnoses are standardized and use a specific language to ensure clear communication among healthcare professionals.
The North American Nursing Diagnosis Association International (NANDA-I) is an organization that provides standardized nursing diagnoses to guide nurses in their practice. Nurses use NANDA-I’s taxonomy of nursing diagnoses to choose the appropriate diagnosis based on the patient’s needs and the assessment findings.
Overall, nursing diagnoses play a crucial role in guiding nursing care, promoting patient-centered interventions, and improving patient outcomes. They help nurses provide comprehensive and individualized care that addresses both the physical and psychosocial needs of patients.
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