Medical vs. Nursing Diagnosis and Collaborative Problems: Know the difference and connection
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10 سال پیش
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As a nurse it is
As a nurse it is important to understand the difference between a medical diagnosis, a nursing diagnosis and a collaborative problem. ...
A medical diagnosis identifies a specific disease or condition. In the hospital it is commonly simply referred to as the patient’s diagnosis. This diagnosis is made by a physician after they assess the patient’s history, signs and symptoms as well as conduct diagnostic tests as needed. The medical diagnosis will then be treated by the physician. You can check out the link below for more examples and information about specific medical diagnoses including signs, symptoms and diagnostic tests.
A nursing diagnosis identifies a client’s response to their health that the nurse can manage. These diagnoses serve as the basis for the next steps in the nursing process which include planning, intervention and evaluation. Nursing diagnoses need to fall within the scope of what nurses are licensed to treat because nurses are accountable for outcomes related to these diagnoses. When the nurse assesses the patient, they use their clinical judgement to identify specific client problems and responses that are identified using standardised language from NANDA International. Using this standardised language is important for communication among nurses. It also has helped to promote research into client issues that were previously underexplored. A nursing diagnosis handbook will come in handy as you work through the process of turning your assessment data into a nursing diagnosis. For a current list of nursing diagnostic labels please see the link below this video. There are quite a few so we will talk more about how to formulate your nursing diagnoses in the next video.
In short - A medical diagnosis identifies a disease that the physician treats. A nursing diagnosis identifies an actual or potential response to a disease or situation that the nurse focuses on.
For example, a patient admitted with a medical diagnosis of breast cancer may have a nursing diagnosis of disturbed body image among others. The physician would be concerned with treating the medical diagnosis by ordering surgery, chemotherapy or radiation. The nurse would develop a plan with the patient to help them deal with any shame, embarrassment or guilt they are experiencing.
The term “collaborative problem” is sometimes used in multiple ways so be sure to clarify what your teacher means if they ask you to identify or discuss a collaborative problem. A nursing diagnosis may have an intervention that requires collaboration. For example, to manage acute pain with medication it first needs to be prescribed. The diagnosis of acute pain is still a nursing diagnosis. Some textbooks define a collaborative problem as an issue that another discipline has identified that requires a nursing intervention. This issue would then be placed on the interdisciplinary care plan. Chances are that if you are asked to write a collaborative problem statement your teacher is referring to an RC diagnosis. Carpenito’s nursing diagnosis handbook shows how to place a diagnostic label on complications that nurses cannot treat independently.
Carpenito defines Collaborative problems as potential complications of a client’s condition that a nurse cannot treat independently. They will probably occur with a specific disease, injury or treatment. Just like the name suggests, collaborative problems are treated collaboratively by both physicians and nurses working together, often in collaboration with other health care team members. In your nursing diagnosis handbook they may be listed under associated nursing diagnoses or in a separate section. Nurses work to prevent collaborative problems from developing. When collaborative problems exist nurses have the responsibility to monitor the patient’s status, intervene or get the physician to intervene when necessary and evaluate how effective interventions are.
In short - Nurses cannot treat collaborative problems independently. They do however monitor for and attempt to prevent these potential complications. If the nurse can provide the primary treatment for a complication it is a nursing diagnosis.
Related Links
Videos: Nursing Process Overview: ADPIE (Asse...
Medical Dx: http://www.fpnotebook.com/index.htm
List of Nursing Dx: http://www.lifenurses.com/nursing-dia...
NANDA website: http://www.nanda.org/
Recommended Handbook: Carpenito or Ackley
Research eBook on Amazon: http://amzn.to/1hB2eBd
Selected References
Carpenito, J. (2013). Nursing Diagnosis: Application to Clinical Practice. Philadelphia: Lippincott.
Doenges, M. E., & Moorhouse, M. F. (2008). Application of nursing process and nursing diagnosis. Philadelphia: Davis.
Potter, P. A., & Perry, A. G. (2014). Canadian fundamentals of nursing (5th ed.). Toronto: Elsevier.
A medical diagnosis identifies a specific disease or condition. In the hospital it is commonly simply referred to as the patient’s diagnosis. This diagnosis is made by a physician after they assess the patient’s history, signs and symptoms as well as conduct diagnostic tests as needed. The medical diagnosis will then be treated by the physician. You can check out the link below for more examples and information about specific medical diagnoses including signs, symptoms and diagnostic tests.
A nursing diagnosis identifies a client’s response to their health that the nurse can manage. These diagnoses serve as the basis for the next steps in the nursing process which include planning, intervention and evaluation. Nursing diagnoses need to fall within the scope of what nurses are licensed to treat because nurses are accountable for outcomes related to these diagnoses. When the nurse assesses the patient, they use their clinical judgement to identify specific client problems and responses that are identified using standardised language from NANDA International. Using this standardised language is important for communication among nurses. It also has helped to promote research into client issues that were previously underexplored. A nursing diagnosis handbook will come in handy as you work through the process of turning your assessment data into a nursing diagnosis. For a current list of nursing diagnostic labels please see the link below this video. There are quite a few so we will talk more about how to formulate your nursing diagnoses in the next video.
In short - A medical diagnosis identifies a disease that the physician treats. A nursing diagnosis identifies an actual or potential response to a disease or situation that the nurse focuses on.
For example, a patient admitted with a medical diagnosis of breast cancer may have a nursing diagnosis of disturbed body image among others. The physician would be concerned with treating the medical diagnosis by ordering surgery, chemotherapy or radiation. The nurse would develop a plan with the patient to help them deal with any shame, embarrassment or guilt they are experiencing.
The term “collaborative problem” is sometimes used in multiple ways so be sure to clarify what your teacher means if they ask you to identify or discuss a collaborative problem. A nursing diagnosis may have an intervention that requires collaboration. For example, to manage acute pain with medication it first needs to be prescribed. The diagnosis of acute pain is still a nursing diagnosis. Some textbooks define a collaborative problem as an issue that another discipline has identified that requires a nursing intervention. This issue would then be placed on the interdisciplinary care plan. Chances are that if you are asked to write a collaborative problem statement your teacher is referring to an RC diagnosis. Carpenito’s nursing diagnosis handbook shows how to place a diagnostic label on complications that nurses cannot treat independently.
Carpenito defines Collaborative problems as potential complications of a client’s condition that a nurse cannot treat independently. They will probably occur with a specific disease, injury or treatment. Just like the name suggests, collaborative problems are treated collaboratively by both physicians and nurses working together, often in collaboration with other health care team members. In your nursing diagnosis handbook they may be listed under associated nursing diagnoses or in a separate section. Nurses work to prevent collaborative problems from developing. When collaborative problems exist nurses have the responsibility to monitor the patient’s status, intervene or get the physician to intervene when necessary and evaluate how effective interventions are.
In short - Nurses cannot treat collaborative problems independently. They do however monitor for and attempt to prevent these potential complications. If the nurse can provide the primary treatment for a complication it is a nursing diagnosis.
Related Links
Videos: Nursing Process Overview: ADPIE (Asse...
Medical Dx: http://www.fpnotebook.com/index.htm
List of Nursing Dx: http://www.lifenurses.com/nursing-dia...
NANDA website: http://www.nanda.org/
Recommended Handbook: Carpenito or Ackley
Research eBook on Amazon: http://amzn.to/1hB2eBd
Selected References
Carpenito, J. (2013). Nursing Diagnosis: Application to Clinical Practice. Philadelphia: Lippincott.
Doenges, M. E., & Moorhouse, M. F. (2008). Application of nursing process and nursing diagnosis. Philadelphia: Davis.
Potter, P. A., & Perry, A. G. (2014). Canadian fundamentals of nursing (5th ed.). Toronto: Elsevier.
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