By Susan A. Newfield, Mittie D. Hinz, Donna Scott-Tilley, Kathryn L. Sridaromont, Patricia Joy Maramba
Read or Download Cox's Clinical Applications of Nursing Diagnosis: Adult, Child, Women's, Psychiatric, Gerontic, and Home Health Considerations 5th Edition PDF
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Extra info for Cox's Clinical Applications of Nursing Diagnosis: Adult, Child, Women's, Psychiatric, Gerontic, and Home Health Considerations 5th Edition
Expected outcomes are patient centered rather than nurse centered. EXAMPLE POOR GOOD Teaches how to measure blood pressure by 9/11. Accurately measures own blood pressure by 9/11. 19,23 1. Assists in “pacing” the care plan. Pacing helps keep the focus on the patient’s progress. 2. Serves to motivate both patients and nurses toward accomplishing the expected outcome. 3. Helps patient and nurse see accomplishments. 4. Alerts nurse when to evaluate care plan. Target dates can be realistically established by paying attention to the usual progress and prognosis connected with the patient’s medical and nursing diagnoses.
Additional criteria that should be remembered to ensure complete, safe, quality nursing action include: 1. Consistency between the prescribed actions, the nursing diagnosis, and expected outcome (including numbering). EXAMPLE Nursing Diagnosis 1 Impaired physical mobility, level 2. Expected Outcome 1 Will ambulate length of hall by 11/8. Nursing Action 1 01Newfield (F)-01 3/31/07 6:50 PM Page 11 Nursing Process Steps • • • • • • 11 5. Individualization and updating in keeping with the patient’s condition and progress.
Nursing Diagnosis The North American Nursing Diagnosis Association International (NANDA-I), formerly the National Conference Group for Classiﬁcation of Nursing Diagnosis, has been meeting since 1973 to identify, develop, and classify nursing diagnoses. Setting forth a nursing diagnosis nomenclature articulates nursing language, thus promoting the identiﬁcation of nursing’s contribution to health, and facilitates communication among nurses. In addition, the use of nursing diagnosis provides a clear distinction between nursing diagnosis and medical diagnosis and provides clear direction for the remaining aspects of the planning of care.