Diagnosa Keperawatan (Nursing Diagnosis)

Summary

This video explains the process of nursing diagnosis, focusing on how to identify and establish accurate nursing diagnoses. It differentiates between medical diagnoses and nursing diagnoses, highlighting the role of nurses in assessing a patient's response to health problems and creating care plans. The video discusses various types of diagnoses, such as actual, risk, and wellness diagnoses, and introduces standards like NANDA and SDKI for creating nursing diagnoses. It also covers the importance of prioritizing diagnoses based on urgency and patient needs, as well as common mistakes made in the process.

Takeaways

• 😀 Diagnosing nursing care involves identifying the individual's response to health problems found during the nursing assessment.
• 😀 Medical diagnosis focuses on treating and curing diseases, whereas nursing diagnosis centers on the patient's response to illness and health issues.
• 😀 A nursing diagnosis helps identify the patient's needs and informs care planning, unlike a medical diagnosis, which is focused on pathology.
• 😀 Nursing diagnoses can change based on the patient's response, while medical diagnoses tend to remain consistent.
• 😀 Nursing diagnosis emphasizes independent nursing actions, whereas medical diagnosis is more aligned with medical treatments and procedures.
• 😀 To formulate a nursing diagnosis, gathered data is validated, categorized, and compared with normal standards to identify discrepancies.
• 😀 NANDA, ICNP, and SDKI are common standards used in nursing diagnosis to ensure clear communication and better collaboration among nurses.
• 😀 Nursing diagnoses can be divided into negative diagnoses (actual and risk diagnoses) and positive diagnoses (wellness or health promotion diagnoses).
• 😀 The nursing diagnosis consists of two parts: the problem (nursing diagnosis label) and diagnostic indicators (cause, symptoms, or risk factors).
• 😀 Prioritizing nursing diagnoses is crucial based on urgency, severity, and patient needs, with Maslow's hierarchy of needs being a helpful framework.

Q & A

What is a nursing diagnosis?

A nursing diagnosis is a clinical judgment made by a nurse regarding an individual's response to health problems identified during nursing assessment. It forms the basis for developing a nursing care plan.

How does a nursing diagnosis differ from a medical diagnosis?

A medical diagnosis focuses on the treatment and healing of diseases, while a nursing diagnosis focuses on the client's response to disease and health problems. Nursing diagnoses consider factors like client needs and well-being, not just the pathology.

What are the four key aspects of etiology in nursing diagnoses?

Etiology in nursing diagnoses includes pathophysiology, situational factors, medications or treatments, and maturational stages. These elements help identify the causes of health problems in clients.

What are the different types of nursing diagnoses?

Nursing diagnoses are categorized into two main types: negative diagnoses (such as actual or risk diagnoses) and positive diagnoses (promoting health or wellness). Negative diagnoses focus on the presence of health issues or risks, while positive diagnoses focus on enhancing health.

What is the difference between actual and risk nursing diagnoses?

An actual nursing diagnosis describes health problems with observable signs and symptoms, while a risk diagnosis identifies potential problems that may occur due to risk factors but lacks observable symptoms yet.

How should nursing diagnoses be prioritized?

Nursing diagnoses should be prioritized based on urgency, using factors like severity of the health issue and the level of risk to the client’s life. Maslow's hierarchy of needs, which emphasizes physiological needs first, can also guide prioritization.

What are the common errors in nursing diagnosis formulation?

Errors can occur during data collection (such as incomplete data or poor assessment skills), data interpretation (misunderstanding clinical clues), data grouping (incorrect categorization), and writing the nursing diagnosis (using incorrect terminology or misrepresenting client responses).

What is the role of nursing diagnoses in creating a care plan?

Nursing diagnoses form the foundation of the care plan by identifying the client's health problems and needs. This helps nurses determine appropriate interventions and evaluate the effectiveness of care.

What are the standards of language used in nursing diagnoses?

Standards like NANDA, ICNP, and SIKI are used for consistency in nursing diagnoses. These frameworks ensure clear communication among healthcare providers and facilitate the identification of nursing problems distinct from medical issues.

What does the term 'diagnosis wellness' or 'health promotion diagnosis' mean?

A diagnosis wellness or health promotion diagnosis refers to a client's desire or motivation to improve their health status. It involves planning interventions to help the client achieve optimal health and well-being.