nursing diagnosis


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Related to nursing diagnosis: Nursing care plan, Nursing process

diagnosis

 [di″ag-no´sis]
1. determination of the nature of a cause of a disease.
2. a concise technical description of the cause, nature, or manifestations of a condition, situation, or problem. adj., adj diagnos´tic.
clinical diagnosis diagnosis based on signs, symptoms, and laboratory findings during life.
differential diagnosis the determination of which one of several diseases may be producing the symptoms.
medical diagnosis diagnosis based on information from sources such as findings from a physical examination, interview with the patient or family or both, medical history of the patient and family, and clinical findings as reported by laboratory tests and radiologic studies.
nursing diagnosis see nursing diagnosis.
physical diagnosis diagnosis based on information obtained by inspection, palpation, percussion, and auscultation.
diagnosis-Related Groups (DRG) a system of classification or grouping of patients according to medical diagnosis for purposes of paying hospitalization costs. In 1983, amendments to Social Security contained a prospective payment plan for most Medicare inpatient services in the United States. The payment plan was intended to control rising health care costs by paying a fixed amount per patient. The program of DRG reimbursement was based on the premise that similar medical diagnoses would generate similar costs for hospitalization. Therefore, all patients admitted for a surgical procedure such as hernia repair would be charged the same amount regardless of actual cost to the hospital. If a patient's hospital bill should total less than the amount paid by Medicare, the hospital is allowed to keep the difference. If, however, a patient's bill is more than that reimbursed by Medicare for a specific diagnosis, the hospital must absorb the difference in cost. See also appendix of Diagnosis-Related Groups.

nurs·ing di·ag·no·sis

(nŭrs'ing dī-ăg-nō'sis)
The process of assessing potential or actual health problems, including those pertaining to an individual patient, a family or community, that fall within the scope of nursing practice; a judgment or conclusion reached as a result of such assessment or derived from assessment data.
See also: diagnosis

nursing diagnosis

The patient problem identified by the nurse for nursing intervention by analysis of assessment findings in comparison with what is considered to be normal. Nurses, esp. those involved in patient care, are in virtually constant need to make decisions and diagnoses based on their clinical experience and judgment. In many instances, that process dictates a course of action for the nurse that is of vital importance to the patient. As the nursing profession evolves and develops, nursing diagnosis will be defined and specified in accordance with the specialized training and experience of nurses, particularly for nurse practitioners and clinical nurse specialists.
See: nursing process; planning
References in periodicals archive ?
The nurse needs to continually consult the dynamic of the data, nursing diagnosis, and care plans into identified individual and aggregate health care goals.
Process and Methodologies for Research Validation of Nursing Diagnosis. Nursing Diagnosis 1999 January-March;10:5-14.
Risk for ineffective breastfeeding: a definition for nursing diagnosis, Sao Paulo, Brazil: Tese, Escola de Enfermagem, Universidade de Sao Paulo.
The nursing diagnosis serves to identify expected outcomes and interventions.
* For Nursing Diagnosis: The North American Nursing Diagnosis Association's (NANDA) approved list of nursing diagnoses.
Problem management involves the development of a care plan that includes goals, planned interventions, and expected outcomes for each problem or nursing diagnosis; the implementation of nursing interventions; and an evaluation of the effects of the interventions through a reassessment of outcome measures.
[2] It has been endorsed, in one way or another, by the Order of Nurses of Quebec, the North American Nursing Diagnosis Association, the American Nurses Association, and the Colleges of Nurses of Ontario, eighty colleges and universities, and the National Institute of Health (NIH), U.S.A.
Lunney and colleagues report their nursing and health promotion diagnoses proposed to the North American Nursing Diagnosis Association (NANDA) recently were approved.
Of these, almost 30% focuses on assessment and nursing diagnosis, i.e., the differentiation of normal age-related changes from health problems.
The North American Nursing Diagnosis Association (NANDA) includes the category "spiritual distress" as a nursing diagnosis (Trice, 1990).

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