NURS1010 Lecture Notes - Lecture 5: Nursing Diagnosis, Nanda, Self-Perception Theory
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Assessment: specific tools: physical assessment, medical chart data, medical model. Diagnosis: history of nursing diagnosis, nanda-1 (came up with the nursing diagnosis) references links with interventions- outcomes. Outcome identification: formulating and documenting: measurable, realistic, client-focused goals, outcome criteria; not preventing but enhancing their well-being. Interpersonal: observation and interview of individual/family/community/populations: tools & techniques: systematic health histories, physical examinations, laboratory tests. For example, examination is part of assessment process, which includes inspection, percussion, palpation and auscultation in depth physical assessment on admission would be an example. functional health patterns, what are they (pg. Nursing vs. medicine practice models: medical: diagnose disease from signs and symptoms assessed, nursing: diagnose human responses to health and illness. Nanda nursing diagnosis and history of nursing diagnosis: nanda the north american nursing diagnosis association; increased the visibility of nursing"s contribution to patient care by continuing to develop, refine, and classify phenomena of concern to nurses. ): do-not resuscitate (dnr) or no-code, comfort measures only, do-not-hospitalize.
