SDS TRC AND RGICD

COLLEGE OF NURSING
BENGALURU-29

SEMINAR ON:
NURSING DIAGNOSIS
(NURSING PROCESS)
 ASSESSMENT

NURSING
EVALUVATION
DAIGNOSIS

NURSING
PROCESS

IMPLIMENTATION PLANNING

INTERVENTION
Introduction

Diagnosis is the second phase

of nursing process. It is often
referred to analysis as well as
problem identification or nursing
diagnosis it provides the basis for
the selection of nursing
intervention to achieve the
outcome for which the nurse is
accountable.
Definition

 Diagnosis refers to the

reasoning process.
 Diagnosis a statement
or conclusion
regarding the nature of
phenomenon.
Nursing diagnosis by NANDA
(1990)
A Nursing diagnosis is
a clinical judgement
about individual family or
community responses to
the actual to potential
health problems.
Purposes
 Identify how an individual group or
community responds to actual to
potential health & life process.
 Identify factors that contribute to or
cause health problems.
 To define & refine & promote a
taxonomy of nursing diagnosis
terminology of general use to
professional nurses.
Members of NANDA.

 Staff Nurse.
 Clinical Specialist.
 Faculty.
 Director of Nursing.
 Dean.
 Theorist & Researcher.
Types of Nursing Diagnosis
Risk Actual
Nursing
Diagnosis Diagnosis

Syndrome Possible
Nursing Nursing
Diagnosis. Diagnosis

Wellness
Nursing
Diagnosis.
Actual Nursing Diagnosis.

It is judgement about the

client response to a health
problem that is present at the
time of Nursing Assessment.
Ex: Ineffective breathing
pattern & anxiety.
Risk Nursing Diagnosis.

It is clinical judgement that

a client is more vulnerable to
develope the problem than
others in the same or similar
situation.
Ex: Risk for impaired skin
integrity related to surgery.
Possible Nursing Diagnosis

It Describe suspected problem for

which current & Available data are
insufficient to validate the
problem.
Ex: Possible Social isolation related
to unknown aetiology.
Syndrome Nursing Diagnosis

It is a cluster of nursing
diagnosis that frequently go
together & Present a clinical
picture.
Ex: Rape, Trauma, Syndrome.
Wellness Nursing Diagnosis

It is clinical judgement about an

individual group or community in
transition from a specific level of
wellness to a higher level of
wellness.
Ex: Family coping, potential for
growth
Related to un expected birth of
twins.
Component Of Nursing Diagnosis

Problem
Statement

Aetiology

Defining
Characters
Problem Statement ( Diagnosis label)

It describes the client health problem

or response for which nursing
therapy is given clarity & concisely in
a few words.
Ex: Knowledge Deficit (Medication)
Some qualifier are also added to give
additional meaning to the statement
such as impaired, decreased,
ineffective, acute, Chronic,
Aetiology (Related factors & Risk
factors)

This component identifies one or

more probable causes of health
problem it helps the nurse to give
individualized patients care.
Ex: Anxiety related to
Hospitalization.
Defining Characters

These are the clusters of signs

& symptoms that indicate the
presence of particular
diagnostic label.
Ex: Fluid volume deficit related
to decreased oral intake
manifested by dry skin &
mucus membranes.
Basic two part statement

 It is used for actual high risk &

possible nursing diagnosis.
 Problem statement: clients
response.
 Aetiology: Factors contributing to or
probable causes of responses.
The two part joined by related to or
associated with.
Ex: Pain related to surgery.
Basic three part statement

 It is called PES.
 Problem: client response.
 Aetiology : Factors contributing to or
probable cause of responses.
 Signs & symptoms: defining
characteristics manifested by the client.
 Ex: Secondary to.
Pain related to surgery secondary to
disease condition.
Basic four part statement

 It is the combination of basic

statement & variation.
1-High risk for impaired skin
intigrity.
2-presure sore related to.
3-immobility.
4-secondary to presence of
traction & casts.
Advantages of Nursing Diagnosis
 They facilitate communication
among nurse about the clients level
of wellness & assist in discharge
planning.
 This can also serve as a focus for
quality improvement .
 Helps to prioritizing the client needs.
Deliver according to the standard
practise.
Documentation

 After identifying a patient Nursing

diagnosis list them on the plan of
care whether it is in the form of
computerized.
 When initiating an original care plan
always place the highest priority
nursing diagnosis first then add
additional diagnosis to the list.
 It regards the chronological order.
THANK
YOU