Diagnosis male nurse

The diagnosis male nurse is the statement of a clinical judgment on the reactions to the health issues present or potential of a person, a group or a community . It is complementary to medical diagnosis and does not replace. Generally, it is centered on the needs for the Nobody and not directly on its Pathologie.

__TOC

Definitions and general information

See also: Process of care male nurses

As regards Promotion of health, the diagnosis male nurse answers as well a problem present or a potential problem. (Often the diagnoses directing itself towards potential problems start with " Risk… ").

In practice, the nurse makes use of the step of care and the clinical reasoning to describe and argue the diagnosis (S) posed (S), which they are worked in step dependant in the project of care male nurses ( i.e. the general objective of care of the person) or as a target ( i.e. in reaction to a specific problem) in the targeted transmissions.

The diagnosis describes a procedure of care male nurses and arises and writes in form three axes, commonly called ''' D '''/''' I '''/''' R ''' (''' D ''' onnées/''' I ''' nterventions/''' R ''' ésultats). The procedure evolves/moves in time according to the signs presented by the person and of the put forth diagnostic assumptions.

Generally, research in care male nurses, animated in particular by the male nurses specialists in private clinic, made it possible to refine and promote with the wire of time the clarification and the adaptability of the diagnoses to a practice daily nurse. In France, Swiss Belgium and , the classification of ANADI is used.

History of the diagnosis male nurse

Some facts

The advent of the diagnosis male nurse is in direct link with the history of the profession. In corollary of key stages like the Women's Liberation, the homogeinisation of the formation, and the validation of knowledge and competences by a diploma of State, the professionals of the time, thus recognized, at the same time gained in freedom and of credibility near their pars to sit certain theories in connection with the clinical reasoning male nurses, of which in particular working of the concept of diagnosis male nurse .

At the origin based on the observation of the recurrence of certain problems of Health whose neat people suffered, the induced reflection made it possible gradually to treat on a hierarchical basis, classify and homogenize these problems in the form of diagnoses to provide answers thought, structured and standardized of the manner of the medical diagnoses (is heard by " answers standardisées" , a common vocabulary, easily recognizable concepts by all). Conceptual models, as that of Abraham Maslow strongly inspired research, in particular by the study of the concept of Motivation.

Culturally, the principle of the diagnosctic male nurse in the form of Data/Actions/Résultats is strongly inspired by the North-American economic model from which it is resulting, according to the model of the social economy: a patient is also a customer, to whom it Processus of care male nurses and the plan of care male nurses ( ) “is sold” like consumable. The attack of the result is also evaluated like a satisfaction-customer of the market product.

With the wire of the history of the profession, the consideration of the Soin male nurse underwent a strong mobility and the diagnosis male nurse answers, inter alia, with a need for the profession nurse to acquire more autonomy, of recognition and quality of care for the neat person. The diagnosis male nurse becomes the setting in words (and of concepts) of the clinical reasoning male nurse.

Critical of the model

The detractors of the diagnosis male nurse often reproach him for referring to a too thorough, inapplicable theory with a daily practice, very often by lack of time. Some evoke the obviousness of several diagnoses (as Incapacité to use the toilets ) of which it appears absurd even ridiculous to detail it in the form of Données/Actions/Résultats. The word diagnosis , disapproved (sometimes even disputed), finds its direction in the fact that the statement of the diagnosis male nurse rests on the principle of DAR (Given, Actions, Résultats):
  • the description of data equivalents to the symptoms;
  • argumentation of actions equivalent to the means and medical acts;
  • the evaluation of results;
The word Diagnostic indicates strictly speaking the thought processe implemented.

Classifications

Structures of the diagnoses

ANADI ( NANDA-International ) class diagnoses in five major categories:

  1. current Diagnosis - a state presented by the person looked after with objective presence of clinical signs. For example: ineffective Release of the respiratory tracts related to a tiredness appearing by an ineffective cough.

  2. Diagnostic of the type of risk - a state that the person does not present but of which occurred is supported by other current problems. For example: Risk of deterioration of the cutaneous state (escarres) related to a reduced mobility.
  3. possible Diagnosis - a state which a person can present but whose assumption diagnosis is not validated per sufficient criteria. For example: Possible appearing deficit in liquid volume related to frequent vomiting since three days the moment by a pulse being raised.
  4. Diagnostic of syndrome - when several characteristic states are presented by the person and that all have the same intrinsic origin. For example: Syndrome of the deficit of personal care related to the incapacity to use the toilets, related to the incapacity to be driven, related to the incapacity to feed, appearing by…
  5. Diagnosis centered on the wellbeing greater comfort - to describe the potential of improvement of a state. For example: Potential of improvement of the therapeutic assumption of responsibility related to an observance with the treatment accepted, but related to a disorder of the memory appearing by lapses of memory of catch.

Taxonomies

To date, several taxonomies is recognized by ANADI for the classification of the diagnoses in order to make of it their approach more intuitive. The majority of taxonomies use the approach by Besoin S, by functional modes of health, by topics of health or prevalent health issues.

For example Déficit in car-care gathers total or partial Disablement to carry out the toilet of the hemicorps , total or partial Disablement to use the toilets , etc)

Certain particular taxonomies are used in the project of integration of the diagnoses male nurses to the CIM (international Classification of the diseases) published by WHO.

The daily practice retains especially classification according to the Fourteen needs fundamental for the model of Virginia Henderson:

To breathe

  • ineffective Release of the respiratory tracts
  • Gaseous exchange disturbed
  • Intolerance with the weaning of assisted ventilation
  • ineffective Mode of breathing
  • high Risk of suffocation
  • Risk of false route (or aspiration risks)

To drink and eat

  • defective Food
  • excessive Food
  • effective Breast-feeding
  • ineffective Breast-feeding
  • Breast-feeding stopped
  • Deficit of personal care: to feed
  • Deficit from liquid volume (dehydration)
  • faded Teeth
  • Excess of liquid volume (edema)
  • Mode of food ineffective in the infant/new-born
  • Motivation to improve its food
  • Motivation to improve its hydrous balance
  • Nauseas
  • Risk of excessive food
  • Risk of aspiration (False route)
  • Risk of deficit of liquid volume (Dehydration)
  • Risk of imbalance of liquid volume
  • Disorder of swallowing

To eliminate

  • Constipation
  • Deficit of personal care: to use the toilets
  • Diarrhée
  • faded urinary Elimination
  • fecal Incontinence
  • urinary Incontinence with the urinary effort
  • Incontinence supplements (or true)
  • functional urinary Incontinence
  • urinary Incontinence by imperative need
  • urinary Incontinence reflex
  • Motivation to improve its urinary elimination
  • Pseudo-constipation
  • urinary Rétention
  • Risque of urinary incontinence by imperative need
  • Risque for constipation

To be driven and maintain a good posture

  • decreased intracranial Capacity
  • disturbed energy Field
  • cardiac Flow decreased
  • behavioral Disorganization at the newborn/infant
  • Difficulty with walk
  • Difficulty during a transfer
  • Tiredness
  • Intolerance to the ineffective activity
  • tissue Irrigation
  • reduced physical Mobility
  • Reduced mobility with the bed
  • Reduced mobility in wheel chair
  • sedentary Lifestyle
  • Receptivity of the newborn/infant to progress in his behavioral organization
  • operational Re-establishment post delayed
  • Delay of the growth and the development
  • Risk of intolerance to the activity
  • Risk of abnormal growth
  • Risk of behavioral disorganization in the newborn/infant
  • Risk of neuro-vascular dysfunction peripheral
  • Risk of delay of the growth and development
  • Risk of syndrome of immobility

To sleep and rest

  • Tiredness
  • disturbed Practices of Sleep
  • Motivation to improve its Sleep
  • Deprivation of Sleep

To dress themselves and undress themselves

  • Deficit of personal care: to dress/look after its appearance

To maintain the temperature of the body within the limits of the normal

Clean, to be looked after and to protect its teguments

  • Reached with the integrity of the skin
  • Reached with the integrity of the fabrics
  • Reached oral mucous membrane
  • Deficit of personal care: to wash/carry out the care of hygiene
  • faded Teeth
  • Risk of attack to the integrity of the skin

To avoid the dangers

  • Anxiety
  • chronic Self-mutilation
  • Sorrow
  • nonconstructive Refusal
  • Mourning anticipated
  • chronic Mourning dysfonctionnel
  • Reduction in the regard of oneself
  • situational Reduction in the regard of oneself
  • acute Pain
  • chronic Pain
  • autonomous Dysréflexie
  • ineffective Maintenance in the residence
  • disturbed personal Identity
  • disturbed body Image
  • Maladjustment with a change in the health condition
  • ineffective Maintenance of the health condition
  • Motivation to improve the assumption of responsibility of its therapeutic program
  • Motivation to improve the concept of oneself
  • Negligence of the hémicorps
  • Not observance (to specify)
  • Fear
  • Dealt with effective of the therapeutic program
  • Dealt with ineffective of the therapeutic program
  • Dealt with ineffective of the therapeutic program by the family
  • Dealt with ineffective of the therapeutic program by a community
  • Reaction allergic to the latex
  • Search for a better health condition
  • Accident risk
  • Risk of self-mutilation
  • Risk of infection
  • Risk of intoxication
  • Risk of wound into perish-operational
  • Risk of fall
  • Risk of situational reduction in the regard of oneself
  • autonomous Risk of Dysréflexie
  • Risk of reaction allergic to the latex
  • Risk of suicide
  • Risk of Syndrome of maladjustment to a change of medium
  • Risk of syndrome of sudden death of the infant
  • Risk of trauma
  • Risk of violence towards the others
  • Risk of violence towards oneself
  • Syndrome of maladjustment to a change of medium
  • post-traumatic Syndrome

To communicate with its similar

  • faded verbal Communication
  • sexual Dysfunction
  • disturbed sexual Practices
  • disturbed social Interactions
  • social Insulation
  • Motivation to improve its communication
  • Risk of feeling of loneliness
  • Syndrome of the traumatism of rape
  • Syndrome of the traumatism of rape: mixed reaction
  • Syndrome of the traumatism of rape: quiet reaction
  • Turbid of sensory perception (to specify: auditive, gustatory, kinesthetic, olfactive, tactile or visual)

To act according to its beliefs and its values

  • Anguish vis-a-vis dead the
  • decisional Conflict (to specify)
  • spiritual Distress
  • Motivation improving its religious practice
  • Motivation to improve its spiritual wellbeing
  • Loss of vital dash in the adult
  • Loss of hope
  • disturbed Religious practice
  • Risk of spiritual distress
  • Risk of disturbance of the religious practice
  • Risk of feeling of impotence
  • Feeling of impotence

To occupy itself in order to be carried out

  • Conflict vis-a-vis the parental role
  • Dynamic family dysfonctionnelle: alcoholism
  • Dynamic family disturbed
  • Exercise of the disturbed parental role
  • ineffective Exercise of the role
  • Motivation to improve family dynamics
  • Motivation to improve its strategies of adaptation
  • Motivation of a community to improve its strategies of adaptation
  • Motivation of a family to improve her strategies of adaptation
  • Risk of disturbance in the exercise of the parental role
  • Risk of disturbance of the attachment parent-child
  • Risk of tension in the exercise of the role of helping natural
  • defensive Strategies of adaptation
  • compromised Strategies of family adaptation
  • Strategies of family adaptation ineffective of a community
  • Strategies of adaptation family invalidating
  • ineffective Strategies of adaptation
  • Tension in the exercise of the role of helping natural

To be recreated

  • insufficient Activities of leisures

To learn

  • acute Confusion
  • chronic Confusion
  • insufficient Knowledge
  • Wandering
  • Motivation to improve its knowledge
  • disturbed Operations of the thought
  • Syndrome of erroneous interpretation of the environment
  • Turbid of the memory

See too

References

Random links:Auguste Marseilles Barthelemy | Cooper' S Hill Cheese-Rolling and Wake | Jerome Cholley | Intense Bowl | Ren (celestial stem) | Nanowire