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06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Nursing diagnoses in in-rooming units].
Cícera Civânda Neves Inácio1, Edna Maria Camelo Chaves, Maria Célia Freitas
1Faculdade Metropolitana, Fortaleza, CE. ednacam3@hotmail.com
Revista Brasileira De Enfermagem
|February 11, 2011
Summary
This study identified common nursing diagnoses in newborns, including breastfeeding issues and risks of infection and skin damage. Utilizing nursing diagnoses structures care and enhances nurse autonomy in neonatal units.
Area of Science:
- Neonatal Nursing
- Nursing Diagnosis
- Evidence-Based Practice
Context:
- Rooming-in units provide a setting for direct newborn care.
- Nursing diagnoses are crucial for guiding clinical interventions.
- Accurate assessment is vital for effective patient management.
Purpose:
- To identify Nursing Diagnoses (ND) using NANDA II taxonomy in newborns.
- To describe associated factors and risk factors for identified NDs.
- To evaluate the impact of NDs on nursing care quality.
Summary:
- An exploratory descriptive study involved 35 newborns in January 2008.
- Commonly identified NDs included efficient/inefficient breastfeeding, risk of infection, and impaired skin integrity.
- Data collection involved physical examination and data organization in charts.
Impact:
- Structured nursing services enhance the quality of newborn care.
- The application of NDs supports and increases nurse autonomy.
- Standardized diagnoses facilitate consistent and effective nursing interventions.
Related Concept Videos
01:22Nursing Diagnosis
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
01:25Formulating and Validating Nursing Diagnosis II
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
01:10Documentation of Nursing Diagnosis
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
01:26Formulating and Validating Nursing Diagnosis I
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
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There are thirteen domains for...
01:21Planning Nursing Care I
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
01:17Urinary Tract Infection IV: Nursing Management
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...