KNOW NURSING DIAGNOSIS
DEFINITIONS
Nursing diagnosis is a clinical decision about the response of individuals, families and communities about the health problems of actual or potential, which based on education and experience, nurses are akontabilitas can identify and provide for certain interventions to maintain, reduce, limit, stop and change a client’s health status (Carpenito , 2000; Gordon, 1976 & NANDA).
Nursing diagnosis is determined based on analysis and interpretation of data obtained from the study nursing clients. Nursing diagnosis provides a description of the problem or the health status of a real client (actual) and is likely to occur, where the solution can be done within the limits of authority of the nurse.
COMPONENT NURSING DIAGNOSIS
Nursing diagnosis formulation contains three main components, namely:
1. Problem (P / problem), is a picture of a client state of nursing actions which can be given. Problem is the gap or deviations from normal conditions that should not happen.
Objectives: to explain the health status of the client or the client’s health problems are clearly and briefly as possible. Nursing diagnoses have been prepared using an agreed standard (NANDA, Doengoes, Carpenito, Gordon, etc.), so that:
a. Nurses can communicate with a term generally understood
b. And facilitate access to nursing diagnosis
c. As a method to identify differences in nursing problems with medical problems
d. Increasing cooperation in defining nursing diagnoses from assessment data and nursing interventions that can improve the quality of nursing care.
2. Etiology (E / cause), it shows the causes of conditions or health problems that give direction to nursing therapy. The reasons include: behavior, environment, interaction between behavior and environment.
The elements in the identification of etiology:
a. Pathophysiology of disease: is all the disease process, acute or chronic which can lead / support problems.
b. Situational: personal and environmental (lack of knowledge, social isolation, etc.)
c. Medications (associated with the treatment program / treatment): the limitations of the institution or hospital, and is unable to provide care.
d. Maturasional:
Adolesent: dependence on the
Young Adult: marriage, pregnancy, parenthood
Adults: career pressure, signs of puberty.
3. Sign & symptom (S / signs & symptoms), is characteristic, signs or symptoms, which is the information needed to formulate a nursing diagnosis.
So the formula is a nursing diagnosis: PE / PES.
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