The five stages of the nursing process are assessment, diagnosing, planning, implementation, and evaluation. All steps in the nursing process require critical thinking by the nurse. ![]() In addition, diagnoses are now listed alphabetically by their concept, not by the first word. Nursing diagnoses are no longer grouped by Gordon’s patterns but coded according to seven axes: diagnostic concept, time, unit of care, age, health status, descriptor, and topology. Taxonomy II has three levels: Domains (13), Classes (47), and nursing diagnoses. How are nursing diagnoses listed, arranged, or classified? In 2002, Taxonomy II was adopted, which was based on the Functional Health Patterns assessment framework of Dr. Classification of Nursing Diagnoses (Taxonomy II) These are problems or conditions that require both medical and nursing interventions, with the nursing aspect focused on monitoring the client’s condition and preventing the development of the potential complication.Īs explained above, now it is easier to distinguish a nursing diagnosis from a medical diagnosis. Nursing diagnosis is directed towards the patient and their physiological and psychological response. On the other hand, a medical diagnosis is particular to the disease or medical condition. Nurses must follow the physician’s orders and carry out prescribed treatments and therapies.Ĭollaborative problems are potential problems that nurses manage using both independent and physician-prescribed interventions. Examples of medical diagnoses are Diabetes Mellitus, Tuberculosis, Amputation, Hepatitis, and Chronic Kidney Disease. The medical diagnosis normally does not change. Moreover, through experience and know-how, the specific and precise clinical entity that might be the possible cause of the illness will then be undertaken by the doctor, therefore, providing the proper medication that would cure the illness. On the other hand, a medical diagnosis is made by the physician or advanced health care practitioner that deals more with the disease, medical condition, or pathological state only a practitioner can treat. Nursing diagnoses vs medical diagnoses vs collaborative problems Hence, a nursing diagnosis is focused on care.ĬOMPARED. This includes anything that is a physical, mental, and spiritual type of response. It is called a ‘nursing diagnosis’ because these are matters that hold a distinct and precise action associated with what nurses have the autonomy to take action about with a specific disease or condition. ![]() ![]() In this context, a nursing diagnosis is based upon the patient’s response to the medical condition. Those problems are labeled with nursing diagnoses: respectively, Anxiety, Fear, and Disturbed Sleep Pattern. For example, during the assessment, the nurse may recognize that the client feels anxious, fearful, and finds it difficult to sleep. Also, nursing diagnosis applies to the label when nurses assign meaning to collected data appropriately labeled a nursing diagnosis. It may refer to the distinct second step in the nursing process, diagnosis (“D” in “ ADPIE“). The term nursing diagnosis is associated with different concepts. Provides a basis of evaluation to determine if nursing care was beneficial to the client and cost-effective.ĭifferentiating Nursing Diagnoses, Medical Diagnoses, and Collaborative Problems.Provides a common language and forms a basis for communication and understanding between nursing professionals and the healthcare team.Nursing diagnoses help identify how a client or group responds to actual or potential health and life processes and knowing their available resources of strengths that can be drawn upon to prevent or resolve problems.Helps the formulation of expected outcomes for quality assurance requirements of third-party payers.Helps identify nursing priorities and helps direct nursing interventions based on identified priorities.For nursing students, nursing diagnoses are an effective teaching tool to help sharpen their problem-solving and critical thinking skills.The purpose of the nursing diagnosis is as follows: Nursing diagnoses are developed based on data obtained during the nursing assessment and enable the nurse to develop the care plan. A nursing diagnosis provides the basis for selecting nursing interventions to achieve outcomes for which the nurse has accountability. Identifying Health Problems, Risks, and StrengthsĪ nursing diagnosis is a clinical judgment concerning a human response to health conditions/life processes, or a vulnerability to that response, by an individual, family, group, or community. ![]() Classification of Nursing Diagnoses (Taxonomy II).Differentiating Nursing Diagnoses, Medical Diagnoses, and Collaborative Problems.
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