PES NURSING DIAGNOSIS PLUS

Compromised (to make vulnerable to threat).

Ineffective (not producing the desired effect).

Decreased (lesser in size, amount, or degree).

Impaired (made worse, weakened, damaged, reduced, deteriorated).

Deficient (inadequate in amount, quality, or degree not sufficient incomplete).

Qualifiers are words that have been added to some NANDA labels to give additional meaning to the diagnostic statement, for

To be clinically useful, diagnostic labels need to be specific when the word Specify follows a NANDA label, the nurse states the area in which the problem occurs, for example, Deficient Knowledge (Medications) or Deficient Knowledge (Dietary Adjustments). It may also suggest some nursing interventions. The purpose of the diagnostic label is to direct the formation of client goals and desired outcomes. It describes the clientвЂ™s health status clearly and concisely in a few words. The problem statement, or diagnostic label, describes the clientвЂ™s health problem or response for which nursing therapy is given. Problem (Diagnostic Label) and Definition Each component serves a specific purpose. Nursing Diagnosis A nursing diagnosis has three components: (1) the problem and its definition, (2) the etiology, and (3) the defining characteristics. This diagnosis is assigned by a nurseвЂ™s clinical judgment to describe a cluster of nursing diagnoses that have similar interventions. Therefore, the nurse would appropriately use the label Risk for Infection to describe the clientвЂ™s health status. For example, all people admitted to a hospital have some possibility of acquiring an infection however, a client with diabetes or a compromised immune system is at higher risk than others. It is 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. These diagnosis labels begin with the phrase Readiness for Enhanced, as in Readiness for Enhanced Nutrition. It relates to clientsвЂ™ preparedness to implement behaviors to improve their health condition. An actual nursing diagnosis is based on the presence of associated signs and symptoms. Examples are Ineffective Breathing Patterns and Anxiety. The actual Diagnosis is a client problem that is present at the time of the nursing assessment. The kinds of nursing diagnoses according to status are actual, health promotion, risk, and syndrome. Status of the nursing diagnosis refers to the actuality or potentiality of the problem/syndrome or the categorization of the diagnosis as a health promotion diagnosisвЂќ. Activities preceding this phase are directed toward formulating the nursing diagnoses the care planning activities following this phase are based on the nursing diagnoses. Diagnosing is a pivotal step in the nursing process. In this phase, nurses use critical thinking skills to interpret assessment data and identify client strengths and problems. Diagnosing is the second phase of the nursing process.

PES NURSING DIAGNOSIS PLUS

The standardized NANDA names for the diagnoses are called diagnostic labels and the clientвЂ™s problem statement, consisting of the diagnostic label plus etiology (causal relationship between a problem and its related or risk factors), is called a nursing diagnosis. The term diagnosing refers to the reasoning process, whereas the term diagnosis is a statement or conclusion regarding the nature of a phenomenon.

BASIC THREE-PART NURSING DIAGNOSIS STATEMENTS (PES format).

Identifying Health Problems, Risks, and Strengths

Identify Gaps And Inconsistencies In Data.

Etiology(Related Factors and Risk Factors).

Problem (Diagnostic Label) and Definition.

Pes nursing diagnosis