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Related Concept Videos

Nursing Diagnosis01:22

Nursing Diagnosis

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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...
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Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

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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.
There are thirteen domains...
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Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

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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...
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Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

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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...
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Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Role of Communication in the Nursing Process I: Assessment and Diagnosis01:25

Role of Communication in the Nursing Process I: Assessment and Diagnosis

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The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
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[Tuberculous pseudotumour, a challenging diagnosis].

H Snene1, A Ben Mansour2, S Toujani2

  • 1Université de Tunis El Manar, faculté de Médecine de Tunis, CHU Mongi Slim, service de pneumologie allergologie (unité de recherche 12SP06), La Marsa, Tunisie.

Revue Des Maladies Respiratoires
|April 9, 2018
PubMed
Summary

Diagnosing thoracic tuberculous pseudotumor is challenging due to its rarity and resemblance to cancer. Delayed diagnosis, often caused by negative bacteriological samples, impacts patient outcomes.

Keywords:
EndoscopieEndoscopyHistologieHistologyRadiologieRadiologyTuberculoseTuberculosisTumeurTumour

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Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Radiology

Background:

  • Thoracic tuberculous pseudotumor is a rare manifestation of tuberculosis.
  • It can mimic neoplastic conditions on imaging and endoscopy, posing diagnostic challenges.

Purpose of the Study:

  • To identify and analyze cases of thoracic tuberculous pseudotumor.
  • To highlight the diagnostic difficulties and delays associated with this condition.

Main Methods:

  • Retrospective study of inpatient records from 2003 to 2016.
  • Involved analysis of 17 patients diagnosed with thoracic tuberculous pseudotumor.

Main Results:

  • The median age of patients was 41 years, with cough and general debility as primary symptoms.
  • Radiological abnormalities were present in all patients; bronchoscopy revealed endobronchial abnormalities in 11.
  • A median diagnostic delay of 97 days was observed, with diagnosis confirmed bacteriologically (5 cases), histologically (14 cases), or clinically (1 case).

Conclusions:

  • Positive diagnosis of thoracic tuberculous pseudotumor is difficult, often due to negative bacteriological samples.
  • Diagnostic and treatment delays can occur, impacting patient management.
  • Despite diagnostic challenges, favorable outcomes were observed with 13 patients cured and four undergoing treatment.