Resume Diagnosis
Resume Diagnosis
Resume Diagnosis
131411131015 - A3
DIAGNOSIS
2. Risk diagnosis
a. Risk diagnosis
a clinical judgment that an individual, family, or community is more vulnerable
to develop the problem than others in the same or similar situation
b. High risk diagnosis
Have additional risk factors that make patient more vulnerable for the problem to
occur
3. Wellness diagnosis
Dwida Rizki Pradiptasiwi
131411131015 - A3
4. Syndrome diagnosis
a. In medicine:
Syndromes cluster signs and symptoms, not diagnosis
b. In nursing:
syndrome nursing diagnosis comprise a cluster of predicted actual or high-risk
nursing diagnosis related to a certain event or situation.
Nursing diagnosis
Dwida Rizki Pradiptasiwi
131411131015 - A3
- The nursing process has five steps: data collection, diagnosis, planning, implementation,
and evaluation.
- In theory, these phases are limited; however, in practice, they represent a group of
interdependent actions and then, in turn, when evaluating the patient, hypotheses emerge
and lead to diagnoses that determine the care, which will be implemented and re-
Dwida Rizki Pradiptasiwi
131411131015 - A3
evaluated
Objectives: to identify the prevalent nursing diagnoses (ND) in the hospitalized elder
care; to compare the prevalent ND with the duration of hospital stay and with the
prescribed cares for their respective diagnoses.
Method: Transversal historical study carried through in Porto Alegre, by analyzing
patient records age 60 years old.
Results: 1665 records were analyzed; the four prevalent NANDA nursing diagnosis –
were: bathing/Hygiene, Imbalanced Nutrition – Risk for Infection and Ineffective
Breathing Patterns.
The main cares were: aiding bed bath, communicating diet acceptance, implementing
routines of care in venous puncture and checking respiratory pattern.
Conclusion: four prevalent ND were identified with the appropriate prescribed care.
However, other care could have been established as a priority.