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Related Concept Videos

Nursing Diagnosis01:22

Nursing Diagnosis

4.1K
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...
4.1K
Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

3.9K
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...
3.9K
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

1.8K
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...
1.8K
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...
3.9K
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

2.3K
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...
2.3K
Role of Communication in the Nursing Process I: Assessment and Diagnosis01:25

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

5.3K
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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FISH for Pre-implantation Genetic Diagnosis
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Differential diagnosis.

Yoichi Nakamura

    Nihon Rinsho. Japanese Journal of Clinical Medicine
    |December 15, 2018
    PubMed
    Summary

    This study outlines key diagnostic points for differentiating asthma attacks and stable asthma from other respiratory and cardiac conditions. It highlights specific tests for accurate diagnosis in both acute and stable phases.

    Area of Science:

    • Pulmonology
    • Internal Medicine
    • Diagnostic Medicine

    Background:

    • Accurate differential diagnosis of asthma is crucial for effective patient management.
    • Distinguishing asthma attacks from conditions like acute heart failure and COPD exacerbation presents clinical challenges.
    • Diagnosing stable asthma requires differentiating it from COPD, ACOS, and other airway diseases.

    Purpose of the Study:

    • To provide key diagnostic points for differentiating asthma attacks from other acute conditions.
    • To outline examinations for diagnosing bronchial asthma in its stable phase.
    • To detail differential diagnostic points for stable asthma versus other chronic diseases.

    Main Methods:

    • Review of clinical features and diagnostic markers for acute conditions mimicking asthma attacks.

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  • Identification of standard examinations for diagnosing stable bronchial asthma.
  • Analysis of specific tests for differentiating stable asthma from COPD, ACOS, chronic heart failure, and large airway disease.

    • Main Results:

    • Differential diagnosis of asthma attacks involves considering acute heart failure (BNP), hyperventilation syndrome (PaCO2), vocal cord dysfunction (stridor), COPD exacerbation (smoking history), pulmonary thromboembolism (D-dimer), pneumothorax (chest pain), and large airway disease (inspiratory stridor).
    • Diagnosis of stable asthma includes respiratory function tests, sputum eosinophils, FeNO, serum periostin, and allergological examinations (IgE, skin tests).
    • Differential diagnosis of stable asthma involves HRCT, DLco for COPD and ACOS, BNP and echocardiogram for chronic heart failure, and image analysis/flow-volume curves for large airway disease.

    Conclusions:

    • Clear diagnostic criteria are essential for distinguishing asthma attacks and stable asthma from a range of differential diagnoses.
    • Utilizing specific clinical features and targeted investigations aids in accurate asthma diagnosis.
    • A systematic approach combining clinical assessment and appropriate investigations improves diagnostic accuracy for asthma and related conditions.