By Marilynn E. Doenges APRN BC-retired, Mary Frances Moorhouse RN MSN CRRN LNC, Alice C. Murr BSN RN-retired
Beth-El collage of Nursing and future health Sciences, Colorado Springs. Pocket-sized reference bargains the most recent revised nursing diagnoses in the course of the NANDA convention. each one analysis good points comparable elements, defining features, wanted results, interventions, and documentation. Interventions comprise rationales. past version: c2002. Softcover.
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Additional info for Nurse's Pocket Guide: Diagnoses, Interventions, and Rationales
Favis Elimination SUBJECTIVE (REPORTS) Usual bowel pattern: Laxative use: Character of stool: Last BM: Diarrhea: Constipation: History of bleeding: Hemorrhoids: Usual voiding pattern: Incontinence/when: Urgency: Frequency: Retention: Character of urine: Pain/burning/difficulty voiding: History of kidney/bladder disease: Diuretic use: OBJECTIVE (EXHIBITS) Abdomen: Tender: Palpable mass: Bowel sounds: Location: Hemorrhoids: Bladder palpable: CVA tenderness: Soft/firm: Size/girth: Type: Stool guaiac: Overflow voiding: Food/Fluid SUBJECTIVE (REPORTS) Usual diet (type): Cultural/religious restrictions: Carbohydrate/protein/fat intake: g/d Vitamin/food supplement use: Food preferences: Prohibitions: No.
To achieve this nursing focus, we have grouped the NANDA International (formerly the North American Nursing Diagnosis Association) NDs into related categories titled Diagnostic Divisions (Section 2), which reflect a blending of theories, primarily Maslow’s Hierarchy of Needs and a self-care philosophy. These divisions serve as the framework or outline for data collection/clustering that focuses attention on the nurse’s phenomena of concern—the human responses to actual and potential health problems—and directs the nurse to the most likely corresponding NDs.
A. Favis SECTION 1 ASSESSMENT TOOLS FOR CHOOSING NURSING DIAGNOSES This is a suggested guide/tool to create a database reflecting a nursing focus. Although the Diagnostic Divisions are alphabetized here for ease of presentation, they can be prioritized or rearranged in any manner to meet individual needs. In addition, the assessment tool can be adapted to meet the needs of specific client populations. Excerpts of assessment tools adapted for psychiatric and obstetric settings are included at the end of this section.
Nurse's Pocket Guide: Diagnoses, Interventions, and Rationales by Marilynn E. Doenges APRN BC-retired, Mary Frances Moorhouse RN MSN CRRN LNC, Alice C. Murr BSN RN-retired